- + Invisalign/Orthodontic Treatment
Invisalign is a new system of straightening teeth without the use of conventional braces. A series of clear plastic aligners are utilized to create tooth movement. Moving teeth with removable aligners is not new. However, the computer program, which can generate a series of aligners with small changes is the new part. Invisalign is recommended for orthodontic situations with mild to moderate spacing or crowding. They are virtually undetectable, easy to use and comfortable to wear.
- + Dental Implants
Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are better than other alternatives like bridges because no additional teeth need to be altered to place the new tooth.
The entire implant process is performed over the course of a few months. The first part of the process is to install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that the implant can be inserted. Multiple implants can be placed at once if necessary. After the implants are placed the gums are sutured.
The implant must be allowed about 3-6 months to heal, and during this time the jaw bone will form around the implant in a process called osseointegration. During this healing time you can have temporary crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for your smile.
After the implant has healed it is time to place an abutment on the implant. The abutment serves as the base for your new tooth. Once this is placed, an impression of the abutment is taken and is used to create your permanent restoration. Once the restoration is completed you can return to the office to attach the restoration permanently. Your smile will look just like it used to, and after a short period of getting used to the implant it will feel just like one of your own teeth.
- + Bonding/White Filling
Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.
A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile.
Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems.
- + Bridges
Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable.
The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.
We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive to make sure that the bridge is set.
The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth back again. You should eat soft foods for the first few days after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.
If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.
- + Crowns
Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient.
Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth.
The process of installing a crown takes 2-3 visits to the dentist. On the first visit the tooth will be reshaped by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that you do not experience any discomfort. Once the tooth has been reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental lab so that your new crown can be made so that it fits in the spot created for it and looks the same relative to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your permanent crown is ready.
The crown takes about 2-3 weeks to be returned to your dentist. At this time you will have another appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if you would like to learn more about how crowns can help restore your smile.
- + Sleep Apnea Appliance/The Moses
The Moses® appliance is properly categorized as an open-anterior oral airway dilator (prevents airway collapse). The Moses® is an acrylic appliance that is worn in the mouth at night to treat obstructive sleep apnea, hypopnea and snoring and is FDA approved. It is custom-fitted and laboratory fabricated.
The The Moses™ was invented and fabricated by incorporating 3 very specific dimensions. Below is a description of all three dimensions and how they contribute to the efficacy of this oral airway dilator:
Tongue Management: No other device on the market incorporates Tongue Management into their device. The design of The Moses™ promotes the activation of involuntary sub-conscious reflexes using a clever but simple design. So rather than pull the tongue out of the airway, the design guides it to optimum position to the roof of the mouth. Gone are uncomfortable pins, posts and gadgets that prevent the tongue from coming forward. There is nothing in the mouth that restricts the tongue from advancing forward. The Moses™ increases tongue space and prevents collapse of tongue on the airway.
Mandibular Advancement: With The Moses™, it is not necessary to extend the mandible (lower jaw) to a position that is uncomfortable and painful. The combination of Tongue Management and Mandibular Advancement means we can be conservative when advancing the jaw. Now that the tongue is out of the airway, the jaw does not need to be protruded significantly. As a result, you will also have reduce problems associated with TMD.
Patient Compliance: The most important dimension of The Moses™ is compliance. If the device works well and is comfortable, we know you will want to wear it every night. While wearing The Moses™ you can easily talk, drink, open wide and close your lips. There is no longer have the discomfort of dry mouth in the mornings. Eliminated are the claustrophobic locked jaw and mouth breather designs of earlier devices. After a short time, you forget it is in! Patients wear it because they feel better now that their symptoms are reduced or permanently diminished.
Bottom line: It works and is very comfortable, therefore wearing it results in help every night!
- + Dental Hygiene/Periodontal Health
While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.
Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.
Oral cancer screenings
Oral cancer screenings are a very important part of the dental visit for the patient. With the advances in modern technology, we are now able to pinpoint the start of a potential problem much earlier in its evolution. The ability to do so is extremely important in being able to treat any issues prior to them becoming a major irreversible problem.
The oral cancer screening is often completed with an ultraviolet light or similar device that allows us to view issues that can't always be detected by the human eye under normal conditions.
Certain lifestyle choices can have a great impact on the health of tissues and your overall health in the mouth. If you are a smoker or heavy drinker, make sure to get regular screenings when you visit the dentist.
Often there is plaque and tartar that accumulates below the gum line. In this scenario, we will clean and smooth this area with special instruments to ensure that the area is completely spotless. If this area is not kept clean the entire area can become irritated with the bacteria that resides in the tartar and plaque. It's very important to have your dentist check this area if you have bleeding during brushing.
- + Veneers
Veneers are an excellent way to redesign and reshape your entire mouth. Veneers are a very thin ceramic shell that covers your existing tooth structure. In placing these new veneers on your teeth, you are able to fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth and many other issues.
In terms of the process to place veneers, it is a process that takes approximately two to three visits. In the first visit, we will discuss the new shape and look of what we are going to accomplish by placing the veneers. Once we have put a plan in place, we will carefully prepare the teeth for the placement of the new veneers. As we complete this piece of the process, the next step is to take an impression of the newly prepared teeth. This impression will be sent to our laboratory for the final product to be fabricated. We only utilize the highest standard laboratory for fabrication of all of our work. This process at the laboratory takes between 10-14 days. While the new veneers are being fabricated at the lab, we will provide you with a beautiful temporary solution to wear for this time.
As the veneers are finalized, we will make every effort to make sure that your new veneers will feel just like your natural teeth. We will bond them into place ensuring that you can enjoy your new smile for a very long time!
- + Whitening
Keeping our teeth their whitest is a lot harder than it sounds. With all the coffee, wine, smoking and other foods that have the ability to stain our teeth on a daily basis, even proper maintenance sometimes leaves them a little lackluster. Teeth whitening is an excellent way to restore the natural color of your teeth or even make them whiter than your natural color if you would like.
To accomplish the whitening of your teeth, we offer in office whitening with just one appointment with the Zoom! system. Zoom! is a chairside whitening procedure that uses a safe whitening gel and a low intensity light to activate the gel. This combination allows us to provide you with teeth that are 6 - 10 shades whiter in about an hour! We also offer a take home system that utilizes a tray whitening system. This tray whitening system is completed in 2 steps. The first step is to make an impression of your teeth. With this impression, we'll craft you custom whitening trays that you can use over and over. Finally, you will take the whitening gel and put it in the gel for a short period of time over a period of a few days. This often results in a whiter smile of 4 - 8 shades! Whitening for Life is available for either whitening choice. Get that smile you want for a lifetime!
Please contact us today to see if you are a candidate for whitening.
- + Extractions
Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.
Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.
The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
...and other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call your dentist for a follow up.
- + Dentures
Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.
Conventional Full Dentures - This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.
Immediate Full Dentures - Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed.
Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth.
Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don't have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.
Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don't drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.
- + Root Canals (Endodontics)
Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.
The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.
"Root canal" has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less "scary". Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures. Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your dentist today.
- + Inlays/Onlays
Inlays and onlays are often referred to as partial crowns. They use the existing tooth as a base and fit the inlay or onlay onto the tooth. This is done to strengthen the tooth, restore its shape, and prevent further damage. An inlay is done when there is no damage to the cusps of the tooth and the inlay can be placed right on the tooth. An inlay is used when the damage is a little more extensive.
The decayed area of the tooth is first removed during the procedure. A mold of the tooth is then taken and sent to a dental lab. They create a restoration made from porcelain, gold, or a composite resin. The restoration takes about 2-3 weeks to make, so a temporary inlay or onlay will be placed on the tooth for that time. During your next visit the inlay or onlay will be placed into your mouth and set with cement. Your tooth will look natural and you or anyone else won't be able to tell the difference.
- + Crown Lengthening
When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.
Crown Lengthening procedures are done for both restorative dentistry and/or to improve the esthetics of your gum line. General practitioners often refer for crown lengthening procedures prior to restoration of broken or severely decayed teeth. This procedure adjusts the gum and bone level to expose more of the tooth so it can be restored.
Sometimes crown lengthening is done to improve a "gummy" smile because the teeth appear short. The teeth may actually be the proper length but excess gum tissue may be covering these teeth. During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth
- + Bone Grafting
Bone grafting is where the jawbone is built up to accommodate a dental implant or other restorative device. Bone grafting is a common procedure that is used frequently for dental implants and other periodontal procedures. The bone used to graft is taken from a sample from the patient. Many times, the bone is taken from another area of the mouth when drilling takes place. The bone fragments are suctioned from the mouth and used for the graft. Cadaver bone fragments are also used. They are harvested by bone banks and are a very safe source for bone donation.
- + Sedation
What if you could have all your dentistry that you have been putting off for years in the conventional dental office in one or two comfortable visits?
What if you could finally receive all of the treatment while sleeping- free of fear and pain?
We specialize in Sedation Dentistry and Sleep Dentistry, treating people with dental phobias and anxieties We offer different types of sedation dentistry. These include administering oral sedation, a pill, nitrous oxide (laughing gas), and intravenous sedation to deliver a combination of drugs. All this depends on the needs of the patient.
In this way the patient and the dentist are comfortable providing and receiving the best possible dental care-safe, and free of stress and pain.
What is Sedation Dentistry or Sleep Dentistry?
The patient is given oral medication about one hour before your appointment. The medicine puts you in a light state of sedation and you sleep thru your dental appointment. It is Safe! When you awaken your dental treatment is completed.
You need someone to drive you to and from your appointment. Once you arrive, you are allowed to rest comfortably in a warm, quiet room under a cozy blanket. During the entire time you are here, we will closely monitor you to ensure your safety.
Complex dental treatments that often require six or more appointments can be done in as little as one!
All while you sleep.