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Preventive

Dental Cleaning and Oral Cancer Screening

The foundation of a beautiful smile is a good oral hygiene. This is why our doctors strongly recommend routine dental cleanings and check ups. In most cases, dental cleaning should be done two to three times a year to prevent common dental problems. Of course, you still need to do your homework which is brushing and flossing your teeth at least twice a day. During your 6- month recalls we will not only remove calculus and plaque deposits from your teeth, but we will also perform a cancer screening.

Dental Sealants

Dental Sealants are used to protect the chewing surfaces of back teeth from cavities. Sealants are resin type material that bonds to the tooth enamel. They act as a barrier against the bacteria that is depositing acid onto the tooth surfaces. They are recommended for newly erupted molars are premolars that are free from cavities.

Topical Fluoride

Fluoride application takes place after professional teeth cleaning. It may be administered either in a form of flavored foam in a special tray or in a form of flavored varnish. The fluoride is soaked up by the enamel making the teeth less susceptible to acid erosion.

Restorative

We offer a wide variety of restorative services that are intended to save or restore a proper teeth structure. Therefore, we will be happy to help with problems ranging anywhere from restoring a broken tooth, replacing an old filling, rebuilding a broken tooth with an onlay or a crown, or replacing missing teeth with a bridge or an implant. If applicable, we will provide you with an alternative treatment options.

Single Tooth Restorations

Tooth Colored Fillings
Composite fillings are the most common form of a tooth restoration. They create a strong bond with the tooth, nearly restoring its original strength and structure.

The tooth colored composites are now often used to replace amalgam fillings, which are often called “silver fillings”; however, they contain more mercury than silver. These metals can often weaken the tooth leading to chipping and braking. Therefore, investing in tooth colored fillings now may save you a lot expense over the long run.

Tooth colored composites are used not only for the esthetics and shade matching, but also for the excellent mechanical properties. Teeth restored with tooth colored fillings are less sensitive to hot and cold than the ones restored with an amalgam. Moreover, less removal of the tooth is required for the resin composite placement.

Bonding
Bonding is defined as a procedure of attaching any dental materials to the tooth surface using bonding agents and curing light. Therefore, it may be involved in composite fillings, inlays, onlays, crowns and veneers placement as well as procedures of teeth reconstruction.

Bonding became mostly known for closing the gaps between teeth as well as rebuilding chipped and worn-off edges of the teeth. In these procedures a tooth-colored composites are being bonded to the particular tooth surface changing overall esthetics. Bonding procedure is very convenient for the patient as it is usually completed in one dental visit and does not involve any lab work.

The same technique may be used when patient desires esthetic change of the smile but can not afford porcelain veneers. Composite fillings are then applied to the tooth surface that most prominently shows in your smile. Any necessary adjustments and reshaping of the composite is done, giving you stunning smile with one affordable procedure.

Inlays and Onlays
Inlays and onlays, also called indirect restorations, are often used as an alternative to full coverage crowns. Inlays and onlays offer a well-fitting, strong and long lasting restoration of decay or similar structural tooth damage. They preserve the maximum amount of healthy structure while restoring the decayed or damaged areas of the tooth, ensuring health and longevity. They can often replace regular composite fillings.

In contrary with composite fillings, inlays and onlays require more chair time as they are not placed in one dental visit. They can be usually delivered to the patient in two visits as they are indirectly fabricated by a dental laboratory before being bonded to the patients tooth.

Inlays and onlays are beneficial for two reasons: esthetics and strength.

Crowns
Crown is a solution to most of the structural damages of the tooth. It may be used to protect a cracked tooth, reconstruct a broken or chipped tooth, or preserve the structure after extensive decay.

Crowns can be fabricated from gold, silver or non-precious metals, as well as many types of porcelain which give the best esthetic results. The type of a crown is determined by the dentist based on the patient’s dental needs.

Crowns require at least two dental visits. On the first visit , the dentist prepares the tooth and takes an impression that is sent to the dental lab. Also at this visit, a plastic crown is fabricated in the office to temporarily protect your tooth while waiting on the final crown. After 5 to 10 days a second visit will be scheduled for you. This visit will involve crown delivery. With special dental cements the crown will be permanently bonded to your tooth giving it the strength and functionality of a natural tooth.

Missing Teeth Restorations

Loss of a tooth may be devastating, especially if it’s showing when you smile. Luckily, modern dentistry developed many techniques on replacing missing teeth. Depending on the extent of the teeth loss, a dental implant, bridge, partial or a full dentures may become a perfect solution for your dental problem.

Dental Implants
Dental implants are a perfect solution to replace a single missing tooth or to create a support for a bridge or a denture.

Implants consist of three parts: metal root, abutment (acting as a connector) and a crown. The titanium screw is surgically placed in your jawbone in place of the root of the missing tooth. Usually two to six-month healing period is necessary before the restoration phase. Your oral surgeon will determine when the implant is ready to have restoration placed.

Once the healing period is over, a dentist will take an impression, so that the lab can fabricate an abutment and a crown for the implant. Approximately after three weeks the crown is ready. First, the dentist will check for fit and esthetics of the crown. Then, the crown will be delivered.

Maintenance of the implant is crucial. Regular 6-month visits for dental cleaning and implant maintenance should be kept with the dental office to ensure success and longevity of the implant and its restoration.

Bridges
Bridge is an indirect dental restoration used to replace one or more missing teeth. It consists of 2 or more units connected with each other. The unit replacing a missing tooth is called a pontic and it creates an illusion of a natural tooth growing out of the gum. Bridge can be fabricated from porcelain fused to metal or from porcelain only for better esthetic results. Like any other prosthetic work, it requires at least two dental visits. During the first visit, the teeth neighboring with the missing tooth will be prepared creating space for the porcelain. Then, a molded impression will be taken and sent to the lab. At this visit, a temporary bridge will be fabricated in our office to cover the prepared teeth and also to form the gum tissue around the bridge. The next visit will be dedicated to try-in when we check for the fit and esthetics. If the bridge meets all our expectations it will be cemented in place.

Partial and Full Dentures
Whenever you want to replace missing teeth, dentures are the solution for you. Dentures are made from hard acrylic material that may be reinforced with metal. The pink color makes it look very natural and its mechanical properties will give you confidence in eating and chewing you have dreamed of.

The major difference between partial and full dentures is the number of teeth used in the prosthesis. Partial denture replaces limited teeth loss, while full dentures are used when all teeth are missing in the arch.

Ask our doctors about dentures so that you can return to your old eating habits and start smiling with confidence once again.

Esthetics

Our dentists will provide you with all preventive as well general dental services. However, they also specialize in cosmetic dentistry which involves esthetic makeovers of your smile. They will help you regain the confidence you need with a smile that makes you feel great using the latest advances in cosmetic dentistry, including: whitening, bonding, veneers, Lumineers, as well as esthetic crowns and bridges.

Veneers

Technological advances in cosmetic dentistry allow you to get the smile you always dreamt of in just a few dental visits. With porcelain veneers you can transform the dull shade, gaps between the teeth or chipped and worn of edges into a beautiful, dazzling smile.

Veneers are porcelain restorations that are applied to the facial surface of your teeth. First our dentists will evaluate your smile, shape of your face and even your complexion to determine how the cosmetic work should be done in your case. Then, the teeth surface must be slightly prepared ( from 0.3 to 0.5 mm) to create space for the porcelain. A temporary covering is fabricated at this time to prevent any discoloration or tooth sensitivity as your teeth may be more susceptible to these factors after preparation. Next, the impression is taken and sent to the lab for veneers fabrication.

During the final visit, the dentist will “try in” the veneers to check the fit and to make sure that they meet all your technical and esthetic requirements. Once they have been met, the veneers can be cemented. Any minimal adjustments still can be made after cementation.

We also offer a type of veneers called LUMINEERS. It is a brand name of veneers that do not require any (or minimal) tooth preparation. Therefore, they are a perfect solution for those who would like an esthetic makeover of their smile but are not willing to have much or any of their teeth tissue removed.

Everyday hygiene, as well as regular 6-month visits for professional dental cleaning are crucial to make the cosmetic work look at its best.

Call our office to schedule a free smile consultation.

Esthetic Crowns

If you dream of a beautiful smile but porcelain veneers are not an option for you, ask the doctor about all-porcelain crowns. Esthetic crowns are usually used on anterior teeth to save and support the proper tooth structure, as well as to improve the esthetics of the smile. Our doctors recommend them for those who had root canal treatments performed on anterior teeth, multiple fillings, extensive tooth decay, teeth in danger of breaking or replacement of metal crowns. Before 1980 porcelain crowns had a metal understructure to provide the strength of the restoration. However, since then new metal-free substructures have been developed and crowns free of metal are possible. They offer the best esthetic results possible as the gum tissue acts naturally in contact with porcelain. Therefore, you will no longer have to deal with the gray zone of gum tissue caused by the presence of metal.

Bleaching for Life

We offer two simple ways of getting white smile you always dreamt of.

In- Office Bleaching
You can achieve white smile in just one simple visit. Your appointment will involve a few steps including protection of your gums, bleaching gel application and re-application if necessary. In just ONE HOUR you will go from dull to bright, white smile. It is good to have a short smile consultation before scheduling this appointment.

Take-Home Bleaching
This simple form of bleaching is an option for many of our patients. With this procedure you can complete bleaching process comfortably at your home. We will prepare bleaching trays that will fit your teeth perfectly to maximize bleaching process. The bleaching gel we will provide you with will be enough for 10-14 applications.

Contact our office for more details

Periodontics

Periodontal disease, often called a gum disease, is defined as an inflammation and infection of gums, ligaments, bone, and other tissues surrounding the teeth. Gingivitis, which involves gums only, and periodontitis, involving gums and bone, are the two main forms of periodontal disease.

We offer surgical and non-surgical treatment options for all your gum problems.

Scaling and Root Planning

Scaling and root planning is a procedure of calculus deposits removal from above and below the gum line and smoothing out the rough spot on the root surface where the bacteria gather. This procedure helps the tissue reattach to the bone preventing further bone loss.

Periodontal maintenance is crucial to keep the bacteria out of the gum pockets. It ensures gums reattachment to the bone. It should be performed every three months after scaling and root planning until the gums are healthy.

Arestin Treatment

Arestin is an antibiotic that is often used after scaling and root planning. This medication is placed in the gum pocket. The antibiotic is released over the next few days controlling the bacteria and reducing the periodontal pocket.

Gummy Smile and Uneven Tissue Height

Gummy smile is a name for excessive and in some cases uneven height of the gum tissue showing during smile. It may be a result of orthodontic treatment. A simple procedure of tissue reduction, such as crown lengthening may be a solution to this problem.

Crown Lengthening

The procedure of crown lengthening may be needed for two reasons: esthetic or restorative. It is a procedure of reshaping the gum and the bone in a particular area to uncover more structure of a natural tooth.

Esthetic crown lengthening cosmetically improves the smile line eliminating the “gummy” smile. It may be performed on one tooth to improve the gum line in one specific area, or on the whole “smile line” to improve the esthetics of the patient’s smile.

Restorative crown lengthening is performed when for example a tooth fractures or a decay appears under the gum line. Crown lengthening uncovers more of the tooth structure so that a restoration ( e.g. prosthetic crown) can be done.

In most cases the only alternative to this treatment is extraction of the tooth.

Soft Tissue Graft

Very often gum tissue recedes due to hard brushing, grinding or periodontal disease exposing root surface. This leads to unaesthetic look of the smile, as well as sensitivity, bone loss and, if left untreated, tooth loss.

Soft tissue grafting is a procedure of covering the exposed root surfaces with a soft tissue from your palate or other donor sites. It can be done on one or on multiple teeth to improve esthetics of the smile line as well as to stop further dental problems. Tissue grafts can reduce or eliminate further gum recession, bone loss and tooth sensitivity.

Dental Implants

A dental implant provides several advantages over other tooth replacement options. First of all, it looks and functions like a natural tooth. Second of all, an implant replaces one missing tooth without sacrificing neighboring teeth. Also, because a dental implant replaces a missing tooth root, the bone will be better preserved.

Implants consist of three parts: metal root, abutment (acting as a connector) and a crown. The titanium screw is surgically placed in your jawbone in place of the root of the missing tooth. Usually two to six-month healing period is necessary before the restoration phase. During this time, a temporary tooth replacement option can be worn over the implant site.

Once the healing period is over, a replacement tooth called a crown will be created for you and then attached along with the abutment. Instantly you will experience restored confidence in your smile and your ability to chew and speak.

Endodontics

Endodontics is a branch in dentistry that deals with disease of tooth’s pulp. The pulp is found in the center of the tooth and it includes connective tissue, blood vessels and nerves. It is the tooth’s source of nourishment throughout its lifespan. The most common treatment of the pulp is called root canal treatment.

An alternative to root canal treatment is a tooth extraction followed by an implant placement.

Root Canal Treatment

The root canal treatment is a procedure of pulp removal.

There may be a few factors leading to root canal:

Untreated cavity causing pulp infection
Trauma or fractured tooth leading to the pulp damage that can not be fixed

The goal of root canal treatment is to save the tooth by removing the infected or damaged pulp, treating any infection, and filling the empty root canals with a material called gutta percha.

In some cases, one root canal treatment may not solve the problem of the infection in the tooth. Then a root canal re-treatment or surgical access to the root of the tooth is necessary. Call our office for an endodontic consultation to learn about these procedures in more details.

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