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SERVICES WE OFFER
Our hygiene department can assist you in all of the latest techniques in oral care. We screen for oral cancer at every examination. We offer the most up to date materials and think improving smiles and dental health is very exciting and rewarding. We have a full range of services.
We offer the following treatments:
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Cosmetic Dentistry - teeth whitening, bonding and veneers, metal-free crowns
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Preventive Care - prophylaxis (cleaning) and sealants
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Tooth colored fillings
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Reconstructive Dentistry - crowns and bridges
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Endodontics - (painless root canal treatment)
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Tooth Whitening system - Zoom bleaching light
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Removable Prosthetics - custom made partials & dentures (no premade dentures)
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Periodontics - (gum treatment) non-surgical scaling and root planing
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Implant crowns
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Intraoral camera for photos
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Educational videos
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NTI- dental device to help TMJ symptoms, headaches and bruxism
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Nitrous Oxide- laughing gas
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Diagnodent - laser cavity detector
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.
BRIDGES
This is an option for filling the space created by a missing tooth. It is formed to look like the missing tooth, and it takes its place in the mouth. The sides of a bridge use the two surrounding teeth for support, hence the name. A bridge replaces the missing tooth, both functionally and cosmetically. Bridge work 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. 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, creating a whole chain reaction of bad things. Teeth use their neighbors for support, and, with one missing, they start to "fall." As this worsens, the bite changes in response to the pressure. This can eventually result in problems with the entire jaw, e.g. TMJ dysfunction. The surrounding teeth deteriorate and it is just a matter of time before they, too, are lost. Gum disease becomes a serious problem, with the difficulty of treatment increasing as the neglect continues.
COSMETIC DENTISTRY
This can be anything done to correct imperfections in the appearance of the mouth. Anyone who is unhappy with their smile can have it fixed. The upper teeth show, usually, only when smiling, while the lower teeth remain hidden. This is reversed when talking, with the upper teeth remaining hidden while the lower teeth show. The color, alignment, spacing, as well as regularity of the teeth are the characteristics that give their overall appearance. Any of these can be repaired to give a better look to the mouth.
A wide variety of cosmetic options are offered. Some of these options are whitening, smile design, recontouring of the shape of the teeth, veneers, bonding, and all ceramic/porcelain crowns.
CROWNS
Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. They are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed. Even after a filling is put in a large cavity, a tooth is more likely to break. 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 protect 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.
It takes two appointments to restore a tooth with a crown. In the first, any decay is removed from the tooth and it is shaped to accept the crown. Then an impression is made of the tooth for use in fabricating a crown. Between the two visits the crown is made, usually of high-strength porcelain over palladium alloy, all ceramic material, or gold. During this time a temporary crown is worn. In the second visit this temporary is removed. Then the permanent crown is adjusted as needed and then cemented in place.
DENTURES
There are different types of dentures, but they share their common function. They replace teeth that have become loose or been lost due to decay or trauma. When bone loss around the roots of teeth is great enough to loosen them severely, it's time for dentures. Relax. No one enjoys losing their natural teeth, but you can still eat and talk regularly with dentures.
The entire mouth is examined and a determination is made as to which teeth will have to be removed, and which will remain. The loose teeth are then extracted. Dentures are fitted to go over or around whatever teeth remain in the mouth, depending on the type. There is an adjustment period after dentures are placed in the mouth, and it can take some time getting used to. But once accustomed to the dentures, the normal functionality and appearance return and one just carries on as usual. Often implants can be used to further stabilize the dentures.
FILLINGS
Fillings are done to remove decay, and replace the affected tooth structure. It is called a filling because a new material fills the hole that the decay left. Today most teeth are treated with bonded tooth colored composite resin fillings. Caught early enough, cavities can be treated easily and painlessly. If not treated, decay can lead to tooth pain and/or infection, and the tooth would then need root canal treatment or extraction.
IMPLANTS
A dental implant is an option to replace a missing tooth. In this procedure, a small titanium shaft is surgically implanted into the bone and allowed to heal. The bone grows around it forming a tight connection, which additionally slows or stops the bone loss that occurs when the root of a natural tooth is missing. Once the implant is firmly set in the mouth, the dentist then works to attach the replacement tooth onto the top of the shaft. This permanent solution has advantages over bridge work in that it does not stress the surrounding teeth for support, and, should the tooth wear out, another can simply be replaced.
Implants can also be used as support as part of an implant bridge. This is an alternative to partial dentures, and has several advantages. First, there is no adjustment period to the patient who, once the work is done, only feels teeth, not metal supports intruding into the mouth. Second, this slows the bone loss caused by missing teeth. Third, there is no discomfort or difficulty in eating. And, best of all, of course, they don't have to be taken out all the time.
LASER DECAY DETECTION (DIAGNODENT)
Laser decay detection uses a small handheld diode laser to scan the surfaces of your teeth. As the light goes along, any areas of decay show up. This is because healthy tooth material does not fluoresce (glow) under the special light. Decayed tooth material, however, shows up clearly. This allows us to see forming cavities months or years before they will ever show up on x-rays. This early detection makes it very easy to catch small problems long before they get a chance to become big problems.
NITROUS OXIDE (Laughing Gas)
Now, this isn't really a service in itself. It is used to make other treatment more comfortable. This is the famous dental anesthetic. It's safe, has proven effective over a long period of time, and is pleasant. You will be given a mask that allows you to breathe in through your nose and out through your mouth. In about 30 seconds to 4 minutes you will notice a more sedate feeling, and your cheek and gums may go numb. After this any needed local anesthetic is applied and treatment begins. Afterwards, you will be given pure oxygen to breathe for about five minutes to dissipate the effects of the nitrous and return you to a normal state.
NON-SURGICAL GUM TREATMENTS
The gums, ligaments, and bone around the teeth form the foundation for ones teeth. All structures are also referred to as the periodontium. When the periodontium is not healthy, it jeopardizes the teeth just as a bad foundation would threaten the stability of a house. Signs of unhealthy periodontium (gum disease) may be as follows: gums that are red and bleed easily, persistent bad breath, gums that are pulled away from the tooth, loose teeth, and changes in the position or bite of the teeth. Any of these signs may mean something is wrong. With the proper care, however, it may be possible to return them to a healthy state. This is where appropriate gum treatments come in. If you're having a problem, come in and see us so we can take care of it right away. The treatment usually involves a deep cleaning or root planing done under a local anesthetic, along with local antibiotic agents. If the gum disease gets too severe it may need to be treated through surgery or extraction. This is why it is important to get it treated at the first sign of a problem.
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 nerve 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, 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.
SEALANTS
This is used to fill in narrow grooves in a tooth that cannot be adequately cleaned by brushing. In some cases, the tooth structure has fine grooves or pits which accumulate plaque, not because the person doesn't brush, but because they're too narrow to allow even one bristle into them. These will develop cavities over time, and you don't want that. So the dentist will brush on a coating that seals the grooves and pits, making it possible to brush off all the plaque and keep your teeth healthy.
TMJ TREATMENTS
TMJ stands for temporal-mandibular joint. Temporal, as in the temple area of the skull; mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet. Problems in this joint may be caused by a misalignment of the teeth, trauma, or excess muscle tension. Aside from the two bones that meet there, cartilage buffers them and five muscles are involved in the area. If something goes wrong a good deal of trouble can result.
Problems in this area can cause:
- Headaches
- Earaches
- Trouble/soreness in opening and closing the mouth
- Clicking or popping of the jaw
- Pain in the jaw muscles
- Soreness in the area, sometimes extending to the face
Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, etc. There is no one solution that is right for all cases. Sometimes a plastic mouthpiece is used to prevent clenching or grinding (bruxism) that is contributing to the problem. If untreated and taken to extremes, surgery may be required to repair a badly damaged joint.
WHITENING - INCLUDING Zoom!
This is the procedure of making teeth whiter, and therefore more attractive. Our office uses several methods: Zoom!, passive tray whitening, and professional strength white strips.
Zoom! is a revolutionary tooth whitening procedure. It's safe, effective and fast, very fast. In just over an hour, your teeth will be dramatically whiter. The convenience of Zoom! in comparison to days of using strips or wearing trays makes it the perfect choice for the busy individual. The Zoom! Whitening procedure is simple. It begins with a short preparation to isolate your lips and gums. The clinician then applies the proprietary Zoom! whitening gel that is activated by a specially designed light. Teeth typically become at least six to ten shades whiter, sometimes more. A fluoride treatment completes the procedure. You'll be amazed with the results. In most cases, teeth get even whiter the first few days after the procedure. Trays with gel are recommended afterward for maximum whitening and maintenance.
The tray method involves having impressions taken from which laboratory fabricated custom vinyl trays are made. A carbamide peroxide gel is placed in these trays and the trays with gel are worn for about half an hour. The entire process takes 2-3 weeks of daily use. Three different strengths of gel may be used, however the higher the strength the greater the likelihood of reactions or tooth sensitivity. The tray method is recommended for badly stained teeth, and it may take several months of use to see significant color improvement. For maintenance of whitened teeth the trays should be used every several months.
The end results whether using trays at home or doing Zoom! is the same. The cost of the tray method is about half compared to Zoom!, and there is usually less post-treatment sensitivity.
X-RAYS
This is a focused beam of X-Ray particles through bone which produces an image on special film, showing the structure through which it passed. This gives the familiar black and white images that doctors and dentists use to diagnose problems. X-rays are a necessary part of the diagnostic process, and not to use them could lead to undiagnosed disease. Without an X-ray of the whole tooth, and supporting bone and gum tissues, there is no other way to detect infection or pathology that requires attention.
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 out of porcelain 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. Crowns are recommended for teeth that have large fillings or little tooth structure.
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