Dental Exams & X-rays
There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.
Dental X-rays have come a long way. Todays dental X-rays are safer, faster, more comfortable and more informative than the X-rays of years past. Digital X-rays, one of the latest and most advanced dental technologies, produce high-quality images of your teeth that can be viewed instantly by you and your dentist on a LCD monitor. Digital X-rays reduce radiation by up to 90% and provide exceptional diagnostic information to ensure that potential problems are caught in their earliest stages. Intraoral photography is another alternative to traditional dental X-rays. With intraoral photography, problems such as cavities, fractures and discolorations in the teeth are captured through clear and sharp photographic images that are taken with a 35mm or digital camera.
Oral Hygiene and Cleanings
A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.
A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothened. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.
Oral Cancer Screening
Oral cancer affects nearly 35,000 Americans every year. The keys to surviving oral cancer are early detection and early treatment. This starts with a regular oral cancer screening – at least once every six months. An oral cancer screening takes just minutes, is pain-free and can be performed during regular dental exams. If you are male, a regular oral cancer screening is especially critical: Oral cancer is more than twice as common in men as it is in women. Other people at high risk of oral cancer include people over the age of 60, tobacco smokers and heavy drinkers.
White/Tooth Colored Fillings
Crowns and Bridges
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.
Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.
There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.
Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.
Dentures and Partials
Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.
The process of getting dentures may take a few months and several dental visits. In some cases, however, same-day dentures are also possible. With same-day dentures, the dentures are created right in the dentist's office instead of at an offsite laboratory. Same-day dentures aren't for everyone, though. If your dentures require a lot of customization, same-day dentures may not be right for you.
Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.
Gum Disease Treatment and Management
Periodontal (gum) disease is insidious. It is an infection of the gums that starts out as plaque, an opaque film on the teeth that hardens to form tartar. As tartar accumulates, it harbors bacteria that attack the soft tissue around the gums. This is the early stage of gum disease known as Gingivitis. Left untreated, Gingivitis becomes Periodontitis which ultimately destroys the tissue surrounding your teeth AND the bone that holds your teeth in place. Except for bad breath and gums that bleed, there are very few early warning signals. The disease advances silently, often without pain, and before you know it, you are losing your teeth and you don't know why.
Scaling and Root Planing is a gum therapy that removes contaminated debris, calculus (tartar), pus, and bacteria deep below the gum line in periodontal pockets. We follow the most effective protocol of soft tissue management which utilizes scaling and root planing, locally placed antibiotics, prescription strength rinses, and much more to help you acheive and maintain the best results.
Your teeth are not the only important part of your mouth. Your gums are essential to your oral hygiene as well. Upon your new patient visit, we will perio chart you to establish which dental hygiene cleaning is best for you. By performing this probing, we will be able to monitor your gums for any form of periodontal disease. If found, our hygienist can provide periodontal cleanings (i.e. deep cleaning) and antibiotic treatments, such as Arestin, to get your mouth back to a healthy state. Our gums are the foundation of our oral health, so they must remain healthy to provide life for our teeth. If periodontal disease is left untreated, it will cause bone loss and eventually the loss of all dentition (teeth).
A deep cleaning, which consists of scaling and root planing, is a strategy to return your gums to a healthy state, a regular teeth cleaning helps you to maintain your oral health.
During a deep cleaning, our Certified Dental Hygienist will apply ultrasonic irrigation strategy together with root planing and scaling to clean between the gums and the teeth down to the roots to eliminate periodontal disease. It is a necessary procedure when your gums have either started to recede or the roots of your teeth have hard mineral deposits (tartar) on them, which indicates the presence of periodontal disease or gingivitis. Depending upon your periodontal charting, Arestin, which is an antibiotic used along with scaling and root planing, may be recommended to reduce the pocket depth and help to rejuvenate tissue structure back along side the tooth.
Depending on the severity of the disease, we recommend that you initially start with a deep cleaning and continue with periodontal maintenance (Regular Cleanings) every 3-4 months so that we may control and monitor the re-growth of bacteria.
A regular healthy mouth cleaning (i.e. prophylaxis) which is polishing of the teeth, takes about 30-40 minutes, while a deep cleaning usually takes 1½ -2 hours depending on how many quadrants are being treated in one visit.
Tooth loss is only the most obvious indicator of gum disease. Scientific research has discovered linkage between gum disease and stroke, heart disease, diabetes - even an increased risk for pregnant women. When your gums become diseased, your entire immune system is weakened.
*****REMEMBER: Periodontal Disease is NOT curable but can be improved and maintained, thus reducing the systemic effects.
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.
Oral surgery is an umbrella term for surgical treatments such as dental implants, extraction of teeth and bone grafting.
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.
If you've been living with persistent jaw pain, ear pain and headaches, you could have TMJ – temporomandibular jaw disorder. TMJ can often be traced back to an improper bite, misaligned jaw joints, or an injury to the jaw or face. TMJ treatment from a dentist can relieve the discomfort. Although TMJ treatment varies from patient to patient, it typically involves one or several procedures, including the use of an orthotic splint, enamel reshaping, dental crowns, dental braces or night guards. The goal of TMJ treatment is to stabilize your bite so that your teeth, jaw muscles and jaw joints work properly together without strain – and without pain!
Catering to the dental needs of kids requires a special touch. This involves in-depth knowledge about children's behavior, as well as their growth and development.
A dental sealant is a plastic coating applied to the chewing surfaces of back teeth. Grooves in these teeth are so narrow that a toothbrush cannot fit into the spaces to remove plaque. Dental sealants are recommended to prevent dental decay within the grooves of the tooth’s chewing surface. Children should receive sealants on permanent molars as soon as they erupt (about ages 6 and 12 years).
******If a tooth already has a filling, then it does not get a dental sealant. ******
Sealants can provide protection from dental decay or "cavities" on the chewing surface. Research has shown that when placed over very minimal dental decay, the decay will no longer progress.
Many people are afflicted with bruxism, or teeth grinding. Some people may do this consciously during the day, but it is a larger problem at night while you are asleep. Grinding your teeth can damage enamel, wear down teeth, cause jaw pain, or irritate your gums. The noise from teeth grinding can also disturb your spouse's sleep if loud enough.
If you grind your teeth you should consider a night guard. The night guard, which is very similar to a mouth guard worn by athletes, provides a barrier between your top and bottom teeth while you sleep. All night guards are custom fitted for comfort and to allow for proper breathing. Your dentist will take an impression of your teeth and have the night guard created by a dental lab. Night guards are very durable and can be used for up to 10 years.
There are also some things that you can do to try to stop teeth grinding. You can train your jaw to be free and easy rather than clenched. Refrain from chewing gum or on other objects like pens. You should also avoid alcoholic drinks and drinks with caffeine, as these can increase the likelihood you will grind your teeth. If you suspect you might be grinding your teeth at night set up an appointment with us today.