Services

Dental Cleaning
A dental cleaning, also called a prophylaxis, is a professional cleaning you receive from a dentist or dental hygienist.  Cleanings should be performed at least 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 planing 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. To achieve best results, both electric and manual scaling methods are combined for dental cleanings.

Root planing: This is the process of cleaning pockets in the gums to treat and prevent gum problems.
Root planning 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 and bone problems.

Root planing involves inserting a dental tool called scalers into the gym pockets to clean plaque buildup.   Depending on the degree of difficulty, root planning may take several appointments and a local anesthesia may be used to make the procedure more comfortable.

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. 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 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 worsens the bite due to changes in pressure and can eventually result in problems with the jaw such as TMJ. 
Bridges and crowns are made by first taking an impression of your mouth.  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.

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Dental Implants
A dental implant is an ideal tooth restoration for people who are missing one or more teeth. A dental implant is a metal post that a periodontist or oral surgeon  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 depending on neighboring teeth for support.  You can not get decay around implants like you can in a tooth.  Implants also keep the the bone from receding in the area of the implant

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, as with any other dental procedure. 

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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 still are 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 for the extraction.  For a simple extraction, we will first apply a local anesthetic to prevent pain and discomfort. The tooth will be loosened with a tool called an elevator and then removed with dental forceps. 

It is critical to keep the extraction area clean to prevent infection. We will provide you with dry, sterile gauze to bite down on for 30-45 minutes to limit bleeding while clotting takes place. For the next 24 hours, you shouldn't smoke, rinse your mouth vigorously, or brush teeth directly next to the extraction site.
A certain amount of pain and discomfort is to be expected following an extraction, which can be minimized with ibuprofen and ice packs applied to the face for 15 minutes at a time. After a routine extraction, discomfort should lessen within three days to two weeks. If you have prolonged or severe pain, swelling, bleeding or fever, call our office immediately.

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

• 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 usually only last between 3 and 10 years.  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.
• Gold fillings are custom made in a laboratory and then cemented into place.  Many consider it the best filling material.  Gold inlays are well-tolerated by gum tissues and may last more than 20 years.
• Amalgam (silver) fillings are a more inexpensive choice and are tolerant to wear. However, due to their dark color they are more noticeable than porcelain or composite restorations and are not recommended for fillings in very visible areas such as front teeth. 

 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
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.

Tray whitening is a whitening treatment you can use while in the comfort of your own home to gradually whiten teeth.  This type of procedure causes much less sensitivity then other whitening systems.  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 are worn each day for a certain time period.  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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Orthodontics
Orthodontics is the art of using appliances to straighten and align teeth.  Most commonly it involves the use of braces to move teeth into their proper positing. In this method, brackets are bonded to the teeth and arch wires are threaded through the brackets. The arch wires act as a track, and guide each tooth to its proper position. There are several types of orthodontic braces available to consumers, including the more traditional metal braces, ceramic "tooth colored" braces, as well as clear plastic braces.

Ceramic “Tooth Colored” Brackets
Ceramic braces are translucent brackets that blend in with your natural tooth color.  They are used with patients who are concerned about the appearance of their smile as they are less metallic looking than traditional braces.  Ceramic braces are designed to resist staining and discoloration over long periods of time. 

Metal Braces
Metal Braces are the most economical and traditionally used braces.  Method braces are also idea for those with more extensive realignment needed.  Your orthodontist will advise you if metal braces are required for your treatment.

Orthodontic Retainers
Orthodontic Retainers are appliances made from plastic and stainless steel to custom fit your mouth.  It is acts as a guide to hold your teeth into place after braces are removed.  The retainer holds your teeth in place so your surround gums and bone can adjust around them – allowing you to maintain your realigned smile.  Although the time you must wear a retainer will vary, many orthodontists recommend retainers are worn into the early 20s until the bone in your jaw and mouth has stopped growing.

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Invisalign System
The Invisalign treatment consists of a series of clear, snap-on, custom fit, removable mouth trays that apply a controlled amount of force to your teeth, forcing them to shift. The system provides the same beautiful results as traditional braces, but since the trays are made of clear plastic, they are virtually invisible. In addition, because Invisalign trays are removable, they can be taken out while eating, drinking, brushing and flossing.

The Invisalign System begins by first creating a series of trays that will move your teeth gradually until the end result is achieved. At the end of each two-week period, you will switch trays. Throughout the process, you will visit your dentist every six weeks to ensure treatment is progressing as planned.  Once your treatment is complete, you will need to wear a retainer to ensure your new smile stays in place.

As with all orthodontic appliances, the cost of Invisalign varies according to the complexity of the case. However,  Invisalign is generally more expensive than traditional braces. Insurance policies generally cover Invisalign to the same extent that they cover traditional braces.

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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.  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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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.

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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 aesthetic making a beautiful end result.

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 anyone who would like to change the shape or color of their teeth, as well as close any spaces between the teeth.

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Sedation Dentistry
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.

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 make a long dental procedure go much more smooth for anxious patients.  You are still awake, however you are very relaxed.  Because this sedation lasts longer than nitrous oxide, you will need to have someone drive you to and from you visit.

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Nightguards and Athletic Mouthguards
Custom designed mouthguards and nightguards are made of different types of plastic and molded to fit the shape of your teeth. Mouthguards are recommended to protect the jaw and teeth during physical activity and sports such as boxing, football, basketball, or other activities where your mouth may get hit. In addition, these guards protect the soft tissues of your tongue, lips and cheek lining.  Nightguards are recommended for patients who clench or grind their teeth at night as a way to protect their teeth and bite.  See the TMJ section.

If you have decided a guard is right for you, the dentist will take an impression of your teeth which will then be sent to a lab to make a custom fit guard for you.  In most cases you can choose from a variety of colors and styles for your guard.  On average, guards last between 3 and 10 years.

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Oral hygiene care
Maintaining good oral hygiene is one of the most important things you can do for your teeth and gums. Healthy teeth not only enable you to look and feel good, they make it possible to eat and speak properly. Good oral health is important to your overall well-being.  Recent studies have proven a link between bacteria in the mouth and heart disease, strokes, and low birth weight babies.
Daily preventive care, including proper brushing and flossing, will help stop problems before they develop.
In between regular visits to the dentist, there are simple steps that each of us can take to greatly decrease the risk of developing tooth decay, gum disease and other dental problems. These include:

• Brush thoroughly at least twice a day and floss daily
• Eat a balanced diet and limit snacks between meals
• Use dental products that contain fluoride, including toothpaste
• Rinse with a fluoride mouth rinse if your dentist advises you to
• Make sure that your children under 12 drink fluoridated water or take a fluoride supplement if they live in a non-fluoridated area
• Visit your dentist regularly for professional cleanings and oral exams.
• Replace your toothbrush every 3-4 months

The following are indications of good oral hygiene:

• Your teeth are clean and free of debris
• Gums are pink and do not hurt or bleed when you brush or floss
• Bad breath is not a constant problem

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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 or fracture extends into or around the nerve.  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 diseased and  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 or x-ray.

A root canal is 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 X-rays
X-rays are a focused beam of x-ray particles passed through bone which produce an image on special film, showing the structure through which it passed.  This provides the familiar black and white images doctors and dentists use to diagnose problems and disease.  Without an x-ray of the whole tooth and supporting bone and gum tissues, there would be no way to detect infection or pathology that requires attention.

In our office we use digital radiography which allows us to take x-rays using up to 75% less radiation than conventional film 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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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 color, alignment, spacing as well as regularity of the teeth are the characteristics that give the overall appearance. Any of these can be repaired to give a stunning look to the mouth.

Our office offers  a wide range of cosmetic options. Some of these options are whitening, smile design, recontouring of the shape of the teeth, veneers, bonding, and all ceramic/porcelain crowns.

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TMJ Treatments
TMJ stands for temporal-mandibular joint. Temporal, as in 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 many muscles are involved in and around the area. If something goes wrong a good deal of trouble can result.

Problems in this area can cause:

• Headaches
• Neck pain
• 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.  A plastic mouthpiece called a nightguard or deprogrammer is often used to prevent clenching or grinding that is contributing to the problem.  A nightguard or deprogrammer can also relieve muscle pain caused by clenching and grinding.  If untreated and taken to extremes, surgery may be required to repair a badly damaged joint.

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Electronic Claims Processing
Our office utilizes electronic claims processing.  This means that rather than sending your dental claim through the mail, it is sent electronically to your insurance company with the click of the button.  By filing your claim electronically, information is submitted more efficiently and with fewer errors.  This benefits our patients because the turn around time on claims is faster and fewer claims are returned or denied.  We are happy to submit your dental claims to your insurance company on your behalf.

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Intra-oral Imaging
We use small cameras about the size of a pen, called intra-oral cameras, to help clearly see the condition of your teeth and gums.

With this advanced technology we can zoom in on small diseased areas, cracks, chips and worn metal fillings with extreme precision. The full-color images taken with the intra-oral camera are sent to a computer screen so we can clearly see and diagnose dental problems much earlier than with traditional dental technology. Because images are displayed on our screens, patients will also be able to see areas being worked on and are able to gain a better understanding of dental procedures being performed.  

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Telescopic Loupes
The dentist performs most of his dental procedures while wearing a pair of funny looking glasses called surgical telescopes. These powerful glasses have magnifiers on them, allowing the dentist to see fine details that would go unnoticed to the naked eye.

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