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.
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:
The following are indications of good oral hygiene:
- Brush thoroughly 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
- Eat a balanced diet and limit between-meal snacks
- Visit your dentist regularly for professional cleanings and oral exams.
- Replace your toothbrush every 3-4 months
- 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
(top of page)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 and spacing as well as regularity of the teeth are the characteristics that give the overall appearance. Any of these can be repaired to reveal a stunning smile.
We offer many cosmetic options which include whitening, smile design, recontouring of the shape of the teeth, veneers, bonding, and all ceramic/porcelain crowns.
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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.(top of page)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.
Bridges and crowns are very durable and can last a lifetime with extra care and by practicing good oral hygiene.(top of page)
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 periodontist or oral surgeon 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 and generally last 10-20 years. They are also a more favorable approach than bridgework since they do not depending 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.Implants Overdenture Lower Procedure(top of page)
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.
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 go a gum-colored plastic base which is held in place in the mouth. A fixed partial denture acts the same as a removable denture, but it is cemented into place using the adjacent teeth for support. This fills the space created by missing teeth, as well as creates a support for remaining teeth to prevent shifting.
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.(top of page)
Nightguards and Athletic Mouthguards
Custom designed mouthguards and nightguards are made of flexible 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.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.(top of page)
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.(top of page)
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 works begins by first creating a series of trays that will each moving 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 likely wear a clear 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.(top of page)
A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only between 25 and 30 minutes. 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. To achieve best results, both electric and manual scaling methods are combined for dental cleanings.Root planning: 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 problems.
Root planning involves inserting a pointed dental tool called scalers into the gym pockets to clean plaque buildup. Depending on the degree o difficulty, root planning 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.
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 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.
- 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.
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. (top of page)
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 3 hours, or overnight. The entire process takes 3-4 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, such as tetracycline staining, 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.(top of page) 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.(top of page)
TMJ stands for temporal-mandibular joint. Temporal, as in temple area of 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:
- 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 that is contributing to the problem. If untreated and taken to extremes, surgery may be required to repair a badly damaged joint. (top of page)
Our office is a completely digital (paperless) dental office. This means all x-rays and charting are made and recorded with the aid of the computer. This technology allows us to maintain your dental records electronically, and cuts down the unnecessary paperwork used with traditional paper charting. Traditional paper charting is difficult to keep standardized from doctor to hygienist to assistant. Even handwriting differences and coding make the charts look different. The computer eliminates this problem by using consistent charting methods that are accurate and precise, making it easy to read your dental chart and see up-to-date information. Digital charting standardizes the charting process so it is clear, easy to understand, and enables us to provide on the most accurate and precise care to our patients. When needed, this method also allows us to quickly and securely share information with your other health care providers.(top of page)
X-rays and 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 90% 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.(top of page)
Laser Decay Detection
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. (top of page)
Air abrasion is a drill-less and more gentle approach to remove decay from the teeth. An air abrasion unit is a small instrument that blasts a fine stream of air and particles onto the teeth to spray away decay. The small particles are made of silica, aluminum oxide or baking soda and aid in cleaning the tooth surface. Air abrasion allows for decay to quickly be removed while conserving healthy tooth structure. The particles and decay are then suctioned out of the mouth. Air abrasion is gentle because it generates no heat, sound, pressure or vibration. In addition, it reduces the need for anesthesia, making it an ideal choice for children and those who experience dental anxiety.(top of page)
Nitrous Oxide Sedation(Laughing Gas)
Now, this isn't really a service in itself, it's 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.(top of page)
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.(top of page)
Digital Imaging Software
We use digital imaging software in our office, which allows us to take a digital picture of you and use our imaging system to predict how a particular treatment or cosmetic procedure would change the appearance of your teeth. This software is beneficial for patients who are considering cosmetic procedures but are not sure if they’re ready for dramatic changes. Digital imaging also allows us to document your dental case and procedures very well. We take digital images of your face, teeth and smile to provide us with a permanent dental record and to provide a visual documentation of treatment.(top of page)