General Dentistry
Preventive & Diagnostic
An oral examination is a visual inspection of the mouth, head, and neck, performed to detect abnormalities. Radiographs allow for a more complete examination, helping the doctor to detect cavities, problems in existing dental restorations, gum and bone recession, or other abnormal conditions within the mouth, head, and neck area.
A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces. Once all the tooth surfaces have been cleaned of tartar and plaque, the teeth are polished.
Many sports require athletes to use a mouth guard to protect their teeth while practicing and playing. Frequently used in contact sports, the mouth guard covers the gums and teeth to provide protection for lips, gums, teeth, and arches. A properly fitted mouth guard can reduce the severity of dental injuries.
Pre-formed, ready-to-wear mouth guards can be purchased inexpensively at many sporting stores, but they do not always fit well. They can be uncomfortable and can interfere with talking and even breathing.
Sporting goods stores also offer semi-custom mouth guards in which the plastic is heated and then the athlete bites on it while still warm to provide some level of custom fit.
Our office can make a custom mouth guard by taking an impression of your teeth and then creating a device fitted to your mouth for the highest level of both comfort and protection. A custom fitted mouthguard can be particularly important for athletes who wear braces.
Be sure to bring your mouthguard to your dental appointments, so we can be sure it still fits you well.
Restorative Dentistry
Composite fillings use tooth-colored material to restore teeth with cavities and maintain a natural appearance. Once the decay is removed, the tooth is filled with a composite material which is then cured using a specialized light to harden the material. Composite fillings can be done in one visit.
An inlay or onlay is a partial crown restoration that can be placed when there is not sufficient tooth structure to support a filling but enough tooth structure left that a full crown is not needed. Inlays/onlays are made of porcelain or gold, and they aesthetically and functionally replace the missing tooth structure.
A crown is a dental restoration that completely covers the outside of a tooth that is cracked, broken, worn down, or severely decayed. Dental crowns are usually completed in two visits. During the first visit, the tooth is prepared (shaved down) and an impression is taken. A temporary crown is placed while the permanent crown is fabricated. During the second visit, the permanent crown is carefully fitted and then cemented into place.
A bridge can replace missing teeth without the use of a denture or dental implant. A bridge is composed of two crowns and a replacement tooth or teeth. Crowns are typically placed on the teeth on either side of the space, with the fabricated tooth or teeth attached in between.
For multiple missing teeth, an implant may be used to anchor the bridge.
Dental implants are composed of three pieces: a small screw made of a biocompatible metal called titanium, an abutment which connects the screw and the final restoration, and the final restoration. The screw, which is placed in the jawbone, acts as a replacement for the tooth root, providing a strong foundation for fixed or removable replacement teeth. The screw begins to fuse with the bone over the course of a few months. After the fusing process, known as osseointegration, the abutment is inserted into the screw to allow for the permanent attachment of the restoration.
A denture is a replacement for multiple missing teeth within the same (upper or lower) arch. A denture differs from a crown or bridge in that it does not rely on an existing tooth structure, and it completely replaces the missing teeth.
There are several different types of dentures:
- Full or Partial
- Removable or Fixed
- Traditional or Implant-Supported
Cosmetic Dentistry
Teeth will naturally lose their brightness over time. Drinking coffee or tea, or using tobacco, as well as certain childhood medications can cause teeth to discolor or darken even faster than normal.
Whitening, also known as bleaching, is the procedure used to brighten teeth. There are two different ways to achieve a desired whiter smile: In-Office Bleaching and At-Home Bleaching.
Invisalign® takes a modern approach to straightening teeth, using a custom-made series of aligners. These aligner trays are made of smooth, comfortable, and virtually invisible plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact tooth movements our office plans out for you. There are no metal brackets to attach and no wires to tighten. You just switch to a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won’t even know that you’re straightening your teeth.
Porcelain veneers are thin pieces of porcelain used to recreate the natural appearance of teeth. To place a veneer, a thin layer of the original tooth enamel must be removed. Afterward, an adhesive layer is placed between the prepared tooth and the veneer. The adhesive is then hardened with the use of a specialized curing light.
Cosmetic bonding is the process of filling or restoring teeth with a tooth-colored material in order to improve a tooth’s appearance. In order to bond a tooth, composite material is added to the tooth structure to adjust the size, shape, or color of the existing tooth.
This technique can minimize or eliminate stains, yellowing or spots by removing a very thin layer of the tooth’s enamel.
Additional Services
Scaling and root planing is a non-surgical procedure used to treat gum disease. During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Planing is the procedure used to smooth the tooth roots after the scaling process. Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface.
Root canals are most often necessary when decay has reached the nerve of the tooth or the tooth has become infected. When root canal therapy is performed, infected or inflamed pulp is removed from the tooth chamber. The inside of the tooth is then cleaned and disinfected before being filled and sealed to limit the possibility of future infection. Soon after the root canal is performed, the tooth is restored with a dental crown or filling to protect the tooth and restore normal tooth function.
A tooth that can not be saved with restorative materials may need to be removed. Before removal of the tooth, the area will be numbed with anesthesia. The tooth is loosened from the jawbone and surrounding ligaments and tissues with a gentle rocking motion. Once it is loose, it is gently removed. Stitches may be necessary after the removal of a tooth.
The temporomandibular joint (TMJ) is similar to a sliding hinge that connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement.
To treat TMJ disorders, first the cause has to be identified. Improper alignment due to genetics or injury, arthritis affecting the cartilage in the joint, malocclusion, and trauma can all cause TMJ disorders.
Sleep apnea is a disorder in which one experiences one or more pauses in breathing or shallow breaths during sleep. For mild sleep apnea, a custom fitted mouth piece or some lifestyle changes (weight loss, smoking cessation, clearing nasal passages) may be helpful. Our office can create a custom-fitted oral appliance for patients to wear when they are sleeping that can aid patients during sleep by positioning the lower jaw and tongue in a way that minimizes airway obstruction.
Snoring can be a problem for both children and adults. Although it may be perceived as a small nuisance or inconvenience, disrupted sleep is a problem that may need to be addressed. The use of a snore guard during sleep is often a simple and effective solution.
Nitrous oxide, sometimes referred to as “laughing gas,” is an effective and safe sedation agent that is inhaled through a mask that fits over your nose to help you relax. Mixed with oxygen, Nitrous oxide allows you to breathe normally through your nose and begins to take effect within just a few minutes. You may feel light-headed or experience a tingling in your arms and legs. Some patients comment that their legs and arms feel heavy. Ultimately, you should feel comfortable and calm. The effects of nitrous oxide wear off quickly after the small mask is removed. Ask us about whether nitrous oxide would be a good option for you.
Specialized Techniques
CAD/CAM is an acronym that stands for computer-aided design/computer-aided manufacturing. CAD/CAM technology is used to help the dental team fabricate precise shapes and sizes for dental restorations including inlays, onlays, crowns, and bridges.
Lasers in dentistry allow for many dental procedures to be performed with no noise, very little pain, and fewer appointments. All lasers work by delivering energy in the form of light.
When used for surgical and dental procedures, the laser acts as a cutting instrument. When used for “curing” a filling, the laser helps to strengthen the bond between the filling and the tooth. When used in teeth-whitening procedures, the laser acts as a heat source and enhances the effect of tooth-bleaching agents.
Biomimetic Dentistry is defined as the reconstruction of teeth to emulate their natural biomechanical and esthetic form and function. Simply put, biomimetic dentistry means to copy what is life-like. With biomimetic dentistry, only the damaged and decayed part of the tooth is removed and the final restoration is bonded to the remaining healthy natural tooth structure. Biomimetic restorations include stress-reduced direct composite restorations and porcelain/composite inlays and onlays that restore the biomechanics of broken and damaged teeth. Traditional dental treatments do not follow the biomimetic approach.
When restoring damaged, broken, and decayed teeth, the goal is to return the tooth to its original strength, function, and esthetic. Biomimetic dentistry accomplishes all of this in a conservative, strong, and attractive approach.
