
DENTAL CARE SERVICES
Gum Cleaning
Some cases of acute periodontal (gum) diseases that do not respond to more conventional treatment and self-care such as flossing may require a special kind of cleaning called scaling and root planing. The procedure begins with the administration of a local anesthetic to reduce any discomfort. Then, a small instrument called a "scaler," or an ultrasonic cleaner is used to clean beneath your gum line to remove plaque and tartar. The root surfaces on the tooth are then planed and smoothed. If effective, scaling and root planning helps the gums reattach themselves to the tooth structure. Additional measures may be needed if the periodontal pockets persist after scaling and root planing.
Dental Impants
Before the development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth.
Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.
Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.
Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic.
Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.
White Fillings
Even regular brushing sometimes misses these intricate structures on the chewing surfaces of your teeth. Sealants are thin liquid coatings applied to the chewing surfaces of teeth designed to prevent the intrusion of bacteria and other debris into the deep crevices on the tops of your teeth. They're shown a great deal of effectiveness in preventing cavities—even on teeth where decay has begun.
Sealants were developed about 50 years ago but didn't become commonly used until the 1970s. Today, sealants have become widely popular and young children are great candidates for preventative measures like sealants (especially on molars) because in many cases, decay has not set in. Even on teeth where decay is present, sealants have been shown to fight additional damage.
Application Of Sealants
Sealants are applied by first cleaning the tooth surface. The procedure is followed by "etching" the tooth with a chemical substance, which allows the sealant to better adhere. After the sealant is applied, a warm light source is directed to the site to promote faster drying. Sealants usually need re-application every five to 10 years.
Braces
Braces are applied to teeth for various reasons, including poorly aligned jaws, crooked, crowded and missing teeth, or a bad bite (also called malocclusion). Various things can cause teeth to become crooked or jaws misaligned, including thumb-sucking or a traumatic injury. Some conditions are inherited. Children between the ages of 7 and 14 are typical candidates for braces because their facial structures are still developing. Adult braces usually entail additional procedures because their faces have already fully developed.
About Braces
Orthodontics is a field of dentistry that deals with corrections involving jaw and teeth alignment. Braces employ the use of wires and are usually one of three types:
-Old-fashioned, conventional braces, which employ the use of metal strips, or bands.
-Metal or plastic brackets that are cemented or bonded to teeth.
-Brackets that attach to the back teeth (also called lingual braces).
Procedures
Orthodontic procedures, also called orthodontia, are complex processes. In most cases, a dentist will need to make a plaster cast of the individual's teeth and perform full X-rays of the head and mouth. After orthodontic appliances are placed, they need to be adjusted from time to time to ensure that they continue to move the teeth into their correct position. Retainers are used following braces to ensure that teeth remain in position.
Aesthetic and Comfort Issues of Braces
Advances in technology have vastly improved appearance issues with orthodontics. Braces today are made from extremely lightweight and natural-colored materials. The materials that braces attach to-brackets-are bonded to the surfaces of teeth but can be later removed. People can expect to wear braces for about two years—less or more in some cases. Adults are usually required to wear braces for longer periods. Because orthodontic appliances need to be adjusted from time to time to ensure they continue to move the teeth into their correct position, they can create pressure on the teeth and jaws. This mild discomfort usually subsides following each orthodontia adjustment.
Hygiene issues with Braces
People who wear braces must be diligent in ensuring that food particles and other debris do not get trapped in the network of brackets and wires. Also, brackets can leave stains on enamel if the area surrounding them is not cleaned daily. Daily oral hygiene such as brushing, flossing, and rinsing are a necessity. Some people with orthodontic appliances can benefit from using water picks, which emit small pressurized bursts of water that can effectively rinse away such debris. Another caveat: Braces and sticky foods don't mix. Crunchy snacks and chewy substances should be avoided at all costs because they can cause orthodontia to be loosened or damaged.
Space Maintainers
Space maintainers are helpful dental devices that can help teeth grow in normally following premature tooth loss, injury or other problems. The devices can help ensure that proper spaces are maintained to allow future permanent teeth to erupt. If your child loses a baby tooth early through decay or injury, his or her other teeth could shift and begin to fill the vacant space. When your child's permanent teeth emerge, there's not enough room for them. The result is crooked or crowded teeth and difficulties with chewing or speaking.
Periodontal Surgery
Flap Surgery, also known as periodontal surgery, is a procedure that is needed to be done when the supporting tissue and bone are destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to thrive and wreak havoc. As bacteria accumulate and advance under the gum tissue in these deep pockets, additional bone and tissue loss follows. Eventually, if too much bone is lost, the teeth will need to be extracted. Flap surgery is sometimes performed to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for you or your dental professional to keep the area clean. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place so that the tissue fits snugly around the tooth again. A pocket reduction procedure is recommended if daily at-home oral hygiene and a professional care routine cannot effectively reach these deep pockets. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.
Custom Dentures
A denture is a removable replacement for missing teeth and adjacent tissues. It is made of acrylic resin, sometimes in combination with various metals. Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position. Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech and provides support for facial muscles. It will greatly enhance the facial appearance and smile. Complete or full dentures are made when all of your natural teeth are missing. You can have a full denture on your upper or lower jaw or both. Complete dentures are called "conventional" or "immediate" according to when they are made and when they are inserted into the mouth. Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes the models of the patient`s jaws during a preliminary visit. An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks. An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture. Partial dentures are often a solution when several teeth are missing. Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more esthetic than metal clasps and are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Partials with precision attachments generally cost more than those with metal clasps.
A denture is a removable replacement for missing teeth and adjacent tissues. It is made of acrylic resin, sometimes in combination with various metals. Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position. Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech and provides support for facial muscles. It will greatly enhance the facial appearance and smile. Complete or full dentures are made when all of your natural teeth are missing. You can have a full denture on your upper or lower jaw or both. Complete dentures are called "conventional" or "immediate" according to when they are made and when they are inserted into the mouth. Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes the models of the patient`s jaws during a preliminary visit. An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks. An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture. Partial dentures are often a solution when several teeth are missing. Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more esthetic than metal clasps and are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Partials with precision attachments generally cost more than those with metal clasps.
Preventative Dentistry
If you use proper dental care, you can avoid or lessen the effects of these:
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cavities
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gingivitis
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enamel loss
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periodontitis
There are many forms of preventive dentistry, such as daily brushing and dental cleanings. To maintain optimal oral health, the American Dental Association (ADA) recommends visits to the dentist at regular intervals determined by a dentist. These practices are designed to ensure that teeth are clean, strong, and white. Children should be taught proper oral hygiene at an early age.
Cosmetic Dentistry
The ultimate goal of cosmetic dentistry is to repair defects in the mouth such as a malformed bite or crooked teeth, treat an injury, or simply change the overall appearance of teeth. Whether teeth are long, short, misshapen, missing, or discolored, it can all be treated by cosmetic dentistry.
Root Canals
Root canals are tiny passageways that branch off from beneath the top of the tooth, coursing their way vertically downward, until they reach the tip of the root.
All teeth have between one and four root canals.
Many tooth problems involve infections that spread to the pulp, which is the inner chamber of the tooth containing blood vessels, nerves, and other tissues. When the infection becomes worse, it can begin affecting the roots. A traumatic injury to a tooth can also compromise the pulp, leading to similar problems.
A diseased inner tooth brings a host of problems including pain and sensitivity as the first indications of a problem. However, a spreading infection can cause small pockets of pus to develop, which can lead to an abscess.
Root canal therapy is a remarkable treatment with a very high rate of success and involves removing the diseased tissue, halting the spread of infection and restoring the healthy portion of the tooth. In fact, root canal therapy is designed to save a problem tooth; before the procedure was developed and gained acceptance, the only alternative for treating a diseased tooth was extraction.
Root Canal Procedure
Root canal therapy usually entails one to three visits. During the first visit, a small hole is drilled through the top of the tooth and into the inner chamber. Diseased tissue is removed, the inner chamber cleansed and disinfected, and the tiny canals reshaped. The cleansed chamber and canals are filled with elastic material and medication designed to prevent infection. If necessary, the drilled hole is temporarily filled until a permanent seal is made with a crown.
Most patients who have root canal experience little or no discomfort or pain, and enjoy a restored tooth that can last almost as long as its healthy original.
Wisdom Teeth Removal
Wisdom teeth are the third set of molars that come from the back corners of the upper and lower mouth. In most cases, most people experience complications from wisdom teeth such as cysts, gum disease, tooth decay, and damage to other teeth. We highly recommend patients to get an extraction when wisdom teeth erupt and get extremely painful. Symptoms are easy to spot: pain, inflammation, and other kinds of infections.
It is very important to remove wisdom teeth to avoid future serious problems.
Dental Crowns and Bridges
Crowns are synthetic caps, usually made of a material like porcelain, placed on the top of a tooth.
Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth.
Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use and are applied when a discolored or stained tooth needs to be restored to its natural appearance. Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.
Dental Veneers
Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, discolored, oddly shaped, unevenly spaced or crooked. Little or no anesthesia is needed. Veneers have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, or even cigarette smoking.
Veneers are usually made by a dental lab technician working from a model provided by your dentist. Veneers are usually irreversible because it`s necessary to remove a small amount of enamel from your teeth to accommodate the shell.
Dental Veneers
Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or are chipped, discolored, oddly shaped, unevenly spaced or crooked. Little or no anesthesia is needed. Veneers have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, or even cigarette smoking.
Veneers are usually made by a dental lab technician working from a model provided by your dentist. Veneers are usually irreversible because it`s necessary to remove a small amount of enamel from your teeth to accommodate the shell.
Teeth Whitening
Whitening procedures have effectively restored the smile of people with stained, dull, or discolored teeth.
The darker tissue of your teeth, the dentin, can become exposed as the outer layer of enamel is worn away by the effects of aging or things like caffeine and tobacco.
Food particles are naturally attracted to a tooth's enamel by a certain protein. Products like coffee and tea, berries and soy sauce are notorious for staining teeth. Over time, teeth become more absorbent and vulnerable to staining from food and other substances.
One type of stain—caused by traumatic injuries, medications, and fluorosis—begins inside the tooth; brushing and flossing don’t help. Another type of stain—one that can be more easily attacked by brushing, flossing and rinsing—is caused by external factors such as foods.
More and more people today are choosing tooth-whitening procedures to reverse the effects of aging and abuse from food and tobacco stains.
Some commercially available "whitening toothpaste" can be somewhat effective at removing stains and making teeth a few shades brighter. However, many of these products have abrasive substances that can wear away your tooth's enamel.
Whitening agents change the color of your teeth, but only are effective on certain types of stains. For example, bleaching agents have a difficult time removing brownish or grayish stains. These products also are not as effective on pitted or badly discolored teeth, or on restorations such as crowns, bridges, bonding and tooth-colored fillings (porcelain veneers or dental bonding may be more appropriate in this case).
Professional whitening performed by our office is considered to be the most effective and safest method; done properly, tooth whitening can last as long as five years. Over-the-counter whitening systems are somewhat effective as long as they are monitored and directions followed closely.
Bleaching and non-bleaching products are the two basic kinds of whitening products available today.
Non-bleaching products normally use abrasives or chemicals and only remove surface stains on teeth.
Bleaching products work with a chemical called peroxide and can brighten your teeth several shades.
Another process employs the use of a special gel that is placed inside a flexible device you wear around your teeth for a certain time. After you remove the device, you must use a second bleaching agent, followed by a special light to activate the chemical action.
Mildly stained teeth usually only require one session of bleaching.
Ridge Augmentation
A ridge augmentation is a common oral surgical procedure often performed following a tooth extraction. This procedure helps recreate the natural contour of the gums and jaw that may have been lost due to bone loss from tooth extraction, or for another reason.
Invisalign
Invisalign is the invisible way to straighten your teeth without braces.
Invisalign uses a series of clear, removable aligners to straighten your teeth without metal wires or brackets.
Invisalign has been proven effective in clinical research and in orthodontic practices nationwide.
You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
As you replace each aligner with the next in the series, your teeth will move little by little, week by week - until they have straightened to their final position.
You'll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.
Total treatment time averages 9 - 15 months and the average number of aligners during treatment is between 18 - 30, but both will vary from case to case.
How Are Aligners Made? You'd Be Amazed...
The aligners are made through a combination of our expertise and 3-D computer imaging technology.
Gum Crafts and Soft Tissue Crafts
Soft tissue grafts are sometimes performed to treat gum disease or correct other abnormalities.
The procedure involves taking gum tissue from the palate or another donor source to cover an exposed root to even the gum line and reduce sensitivity.
Periodontal procedures are available to stop further dental problems and gum recession and to improve the aesthetics of your gum line. For example, an exposed tooth root resulting from gum recession may not be causing you pain or sensitivity but is causing one or more of your teeth to look longer than the others. In other cases, an exposed tooth root causes severe pain because it is exposed to extremes in temperatures or different kinds of food and liquids.
Once contributing factors are controlled, a soft tissue graft procedure will repair the defect and help to prevent additional recession and bone loss.
Teeth Bonding
Bonding is a process in which an enamel-like material is applied to a tooth`s surface, sculpted to an ideal shape, hardened, and then polished for an ideal smile. This procedure usually can be accomplished in a single visit.
Bonding is often performed to fill in gaps or change the color of your teeth. It typically only entails one office visit, and the results last for several years.
Bonding is more susceptible to staining or chipping than other forms of restoration such as veneers. When teeth are chipped or slightly decayed, bonded composite resins may be the material of choice. Bonding also is used as a tooth-colored filling for small cavities and broken or chipped surfaces.
Also, bonding can be used to close spaces between teeth or cover the entire outside surface of a tooth to change its color and shape. Crowns, also known as caps, are used in cases where other procedures will not be effective. Crowns have the longest life expectancy of all cosmetic restorations but are the most time-consuming.