Table of contents of our services

Dental Cleaning
Crowns & Bridges
Dental Implants
Tooth Extractions
Wisdom Tooth Extractions

Fillings
Whitening (Bleaching)
Dentures
Bonding
Veneers

Sedation Dentistry / Dental Anxiety
Root Canal Treatment
Laser Dentistry
TMD (TMJ)
Other Procedures...

 
   
 

Dental Cleaning
A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling, root planning and polishing.

Scaling
This is the process of removing plaque and tartar from all tooth surfaces in a variety of methods, depending on the amount of plaque and tartar. Dental hygienists traditionally perform scaling by hand. However, new and advanced technology has lead to more modern methods such as electric scalers. This sophisticated tool allows dental cleanings to be performed more efficiently and in less time.

Root Planing
This is the process of cleaning pockets in the gums to treat and prevent gum problems. Root planing is used to treat moderate to advanced gum diseases. When the gum is inflamed, gum pockets become deeper and they may lose connections to the bone inside. The deeper the pockets, the easier it is for plaque deposits to become trapped and worsen gum problems.

Root planing involves inserting a pointed dental tool called scalers into the gum pockets to clean plaque buildup. Depending on the degree o difficulty, root planing may take several appointments and a local anesthesia may be used to prevent pain.

Polishing
This is the last step in tooth cleaning and involves finishing the surface of the teeth to make them shiny and clean.
There are two kinds of polishing: air polishing and rubber tip polishing. Air polishing works by spraying high-pressured water mixed with baking soda paste onto the surface of your teeth. This powered water washes away residue and plaque while baking soda removes stains. Rubber cup polishing uses a low-speed and gentle handpiece that contains a polishing paste made of abrasive ingredients ideal for removing stains.

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Crowns & Bridges
Crowns and bridges are used to restore and enhance teeth that are damaged, or to take the place of missing teeth.

A crown, also referred to as a cap, is used to entirely cover a damaged tooth. A crown not only strengthens a tooth, but it can dramatically improve a tooth’s appearance, shape and alignment. Crowns may be used to:

• Replace a large filling when there is little tooth structure remaining
• Protect a weak tooth from fracturing
• Restore a fractured tooth
• Attach a bridge
• Cover a dental implant
• Cover a discolored or poorly shaped tooth
• Cover a tooth that has had root canal treatment

 
   
 

A bridge is an ideal method to fill the space created by missing teeth. A bridge is one or more artificial teeth that are cemented into place using the teeth on either side for support, hence the name. This is an option for filling the space created by a missing tooth. A bridge replaces the missing tooth, both functionally and cosmetically. Bridgework is as much an art as it is an exact science. The materials used may be gold alloys, porcelain bonded to metal alloy, or all ceramic material made to match your natural tooth color. The choice of material depends on requirements for strength, wear, and/or esthetics.

It is important that a missing tooth be replaced as soon as possible for several reasons. If not treated the teeth surrounding the gap begin to shift inward. Since teeth use their neighbors for support, if one is missing they begin to "fall” and shift into the open spaces. This may worsen the bite due to changes in pressure and can eventually result in problems with the jaw such as TMJ.

The impression is sent to a dental lab where your crown or bridge will be custom made to fit your mouth and match your natural tooth color. A temporary crown or bridge will be placed into your mouth until your permanent crown or bridge is made. When the permanent crown or bridge is ready, it will be cemented into place.

Bridges and crowns are very durable with extra care and by practicing good oral hygiene.

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Dental Implants
A dental implant is an ideal tooth restoration for people who are missing one or more teeth as a result of injury, periodontal disease, or any other reason. A dental implant is a metal post that a dentist surgically positions into the jaw. Once in place and bone surrounding the implant has had time to heal, a replacement tooth is attached to the post. While implants are typically more expensive than other methods of tooth replacement, they provide superior benefits. Implants are stronger than natural teeth. They are also a more favorable approach than bridgework since they do not depend on neighboring teeth for support.

To receive implants, you need to have healthy gums and adequate bone to support the implant. You must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.

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Tooth Extractions
Good oral hygiene should always be practiced since the loss of a single tooth can have major impact upon your oral health and appearance. Although dentists will use every measure to prevent tooth loss, there are still sometimes necessary occasions when a tooth may need to be extracted. A tooth may need to be extracted if the following occurs:

• Severe decay
• Advanced periodontal disease
• Infection or abscess
• Orthodontic correction
• Malpositioned teeth
• Fractured teeth or roots
• Impacted teeth

After careful examination and treatment, the dentist may advise to have a tooth extracted. Before a tooth is removed, the dentist will take an x-ray in order to understand the shape and position of the tooth and surrounding bone. Based on the degree of difficulty, we may refer you to a specialist called an oral surgeon.

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Wisdom Tooth Extractions
Wisdom teeth are the last molars, or “third molars” that develop on each side of the jaws. Wisdom teeth usually emerge in the back of the mouth between the ages of 16-20.

Wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned. Often, however, problems develop that require their removal. When the jaw isn't large enough to accommodate wisdom teeth, they can become impacted (unable to come in or misaligned). Wisdom teeth may grow sideways, emerge only part way through the gum or remain trapped beneath the gum and bone.

A wisdom tooth extraction is a relatively routine procedure. The dentist will numb the area in your mouth with a local anesthesia or use IV sedation during the procedure.

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Fillings
A filling is a way to restore a tooth damaged by decay back to its normal function and shape. If you have a tooth that requires a filling, the dentist will first remove the decayed tooth material, clean the affected area, and then fill the cleaned out cavity with a filling material. A filling also helps prevent further decay by closing off any cracks or spaces where bacteria can enter.

There are a variety of filling materials available including gold, silver, plastic and porcelain. The dentist will work with you to determine which material is best for you, depending on the extent of repair, where in your mouth the filling is needed, and cost. Each of the filling materials is briefly explained below:

• Gold fillings are custom made in a laboratory and then cemented into place. While gold fillings are often the most expensive choice, many consider it the best filling material. Gold inlays are well tolerated by gum tissues.
• Composite (plastic) resins are custom made to the exact color of your natural teeth, creating a more natural appearance. White while fillings may be less noticeable than other materials. They may not be ideal for large fillings as they may chip or wear over time. They can also become stained from coffee, tea or tobacco.
• Porcelain fillings are called inlays or onlays and are custom created in a lab and then bonded to the tooth. They can be matched to the color of the tooth, resist staining, and are about the same cost as gold fillings. A porcelain restoration generally covers most of the tooth, making the filling nearly undetectable.

If decay or a fracture has damaged a large portion of the tooth, a crown, or cap, may be recommended. Decay that has reached the nerve may be treated through root canal therapy or through a procedure called pulp capping.

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Whitening (Bleaching)
Tooth whitening is a popular procedure to make teeth whiter and brighter, and therefore more attractive. Bleaching can be used to whiten stained and discolored teeth, or simply to enhance a dull smile. Either way, tooth whitening is a safe and relatively painless procedure ideal for most patients. Our office offers one method of whitening: tray whitening.

Tray whitening is a less expensive whitening treatment you can use while in the comfort of your own home to gradually whiten teeth. We will first take an impression of your teeth to create a customized clear tray that you will wear to whitening your teeth. Within a few days your trays will be ready to be picked up and we will show you how to apply the special bleaching material to the trays. The whitening gel trays should be worn 30-60 minutes up to twice a day. At the end of this period, you will see maximum whitening results that are nothing short of dazzling. Occasional treatment can be used at your convenience to maintain your new smile.

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Dentures
A denture is a removable replacement for missing teeth and surrounding tissues. There are two types of dentures available, including partial and complete dentures. Partial dentures are used when some natural teeth remain, while complete dentures are used to completely replace all teeth. Dentures are made to resemble your natural teeth so there should be no noticeable change to your appearance. In fact, dentures may even improve your smile!

Complete Dentures
This restoration method is used to restore your smile and mouth function if all your teeth have been lost. The dentures are custom created to resemble natural teeth and are positioned into a patients mouth to take the place of where the natural teeth used to be. Complete dentures are removable and may require adjustments in order to create a proper fit with the gums and mouth.

Partial Dentures
A removable partial denture is a device used when one or more natural teeth still remain in the upper or lower jay. They usually consist of replacement teeth attached to a gum-colored plastic base which is held in place in the mouth.
New dentures may feel awkward or loose for the first few weeks until the muscles of your cheek and tongue learn to keep them in place and you are comfortable eating and speaking. This may require some practice, but soon you will adjust and enjoy the benefits that a full mouth of teeth can provide.

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Bonding
Bonding involves adhering composite resin material that is matched to the color of the tooth, to the front of the tooth. This is done to repair damage done to the tooth by decay, to alter the alignment of the tooth, close gaps between the teeth, or for cosmetic purposes. First the surface of the tooth is roughened in order to accept the bonding and hold it. A gel is applied to micro etch the tooth surface, and a primer/bond agent is applied so the material adheres to the surface. Then the material itself is placed on the tooth and hardened with intense light. The composite resin material is shaped and polished to get a lustrous finish as a last step.

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Veneers
Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth. Veneers are usually only done to the part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect.

The direct technique usually involves placing composite resin on the outside of the tooth using bonding. This method is usually referred to as bonding.

The indirect technique usually involves two appointments because the veneers will be fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions taken, and the teeth are given a temporary covering. In two to three weeks the veneers are back from the laboratory, the temporaries are removed and the veneers are bonded to the teeth. The laboratory-fabricated veneers are usually made using porcelain or pressed ceramic, and are very esthetic.

The advantage of veneers versus crowns is that much less tooth material is removed, and the procedure is generally less uncomfortable. Veneers are recommended for teeth that have large fillings or little tooth structure.

Keep in mind that the jaw muscles are the strongest in the human body. Teeth are subjected to tremendous pressures. Crowns ride over the weakened tooth, providing strength and protecting the tooth against breakage. A broken or cracked tooth is a far more serious matter and much more difficult to treat. Crowns prevent this, as well as making a nice smile.

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Sedation Dentistry/Dental Anxiety
Dental sedation is a technique that can be used when a patient suffers from dental anxiety or dental phobia. We are happy to offer a number of solutions for our patients to make their dental visit as comfortable as possible. Sedation dentistry techniques enable patients - who might otherwise avoid the dentist - to receive dental treatment necessary for a healthy smile.
Depending on the extent of the anxiety or phobia, varying degrees of dental sedation can be utilized as described below.

Nitrous Oxide Sedation
Nitrous Oxide sedation, also known as “laughing gas” is commonly used to make treatment more comfortable. This sedation is inhaled through a mask that allows you to breathe in the medication and induces a state of relaxation. Local anesthetic will be administered in conjunction with nitrous oxide to eliminate pain.

Oral Sedatives
This medication can be given to a patient the night before a dentistry procedure or 30 minutes to an hour prior to the dental appointment, depending on the severity of the anxiety. Oral sedatives do not provide pain relief, so an injection of local anesthetic will also be administered.

Intravenous (IV) Sedation
IV Sedation provides relaxation medication through a small needle inserted in your hand or arm. Like oral sedatives, IV sedation does not provide pain relief, so a local anesthetic will also be administered. Intravenous sedation allows patients to still be awake but in an extreme state of relaxation, feeling little or no pain.

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Root Canal Treatment
Root canal treatment (also referred to as root canal therapy or endodontic therapy) is made necessary when a cavity is allowed, through neglect, to reach all the way to the pulp. (Regular cleanings and checkups prevent and detect problems early) Sometimes deep restorations or trauma to a tooth may cause the nerve to be damaged to the point it needs root canal therapy, also. Once this occurs the pulp becomes infected, and can even extend through the root tip and begin to eat away at the surrounding bone (this is an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. It can even weaken the entire immune system. This is dangerous, not to mention very painful. Symptoms that the pulp has become infected may include sensitivity to hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Sometimes, however, no symptoms are apparent and the person is unaware of any problem until a checkup.

A root canal is then performed to clean out the infected tooth pulp, and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) are filled in to prevent any further infection. Usually a core build-up and crown is recommended for restoring a tooth that has had root canal therapy.

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Digital Radiography (X-rays)
In our office we use digital radiography, which allows us to take x-rays. Using this technology, we are able to take an x-ray of your mouth by using a small sensor, which records the image of your teeth and sends it to a computer. The result is a highly detailed image of your mouth that can easily be enhanced to better diagnosis dental concerns and determine the very best treatment for each case.

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Laser Dentistry
Laser dentistry is the latest advancement in dental technology, treating a wide range of dental and cosmetic problems from cavities to gum disease to teeth whitening. The lasers we use in laser dentistry at our practice are an alternative to the common hand-held scalpel, drills, and other tools. These lasers direct an invisible energy beam onto problem areas and allow us to efficiently treat decayed teeth, enamel, and gums. The benefit of laser dentistry is that they minimize the pain most often associated with dental procedures, meaning more comfort to our patients. Clinical studies show that approximately 96% of all patients require no anesthesia when lasers are being used during dental treatments. Dental lasers have been approved by the Food and Drug Administration and are safe for both adults and children.

Soft Tissue Laser
Soft tissue lasers are used to safely remove soft tissue, such as excess gum tissue. The soft tissue laser can also be employed to destroy bacteria in gum pockets, preventing infection and allowing the tissue to return to a healthy state.

Hard Tissue Dental Laser
Hard tissue lasers are used to repair cavities, and prepare teeth for bonding. As with soft tissue lasers, they dramatically minimize discomfort and allow the dentist to treat with more precision.

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TMD (TMJ)
This includes a thorough evaluation of the Jaw joint, musculature of the head and neck and the occlusion (bite). A variety of treatments may be recommended after diagnosing the problem. The initial phase is to eliminate the TMD pain from the symptoms resulting from the actual problem. In the 2nd phase, the actual treatment to correct the problem is implemented.

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Other procedures:
Nutrition
Consultation
Biopsy
Decalcification
Gingivectomy
Perio Osseous Surgery
Bone Grafting
Caries Risk Test
Apicoectomy
Alveoloplasty
Culture and sensitivity test

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