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General Treatment

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular checkups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies, and by maintaining their scheduled dental exams.


Fillings

Traditional dental restoratives, or fillings, include gold, porcelain, and composite. The strength and durability of traditional dental materials make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.

Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.

What's right for me?

Several factors influence the performance, durability, longevity and expense of dental restorations, including:

  • The components used in the filling material
  • The amount of tooth structure remaining
  • Where and how the filling is placed
  • The chewing load that the tooth will have to bear
  • The length and number of visits needed to prepare and adjust the restored tooth

Before your treatment begins, your doctor will discuss with you all of your options and help you choose the best filling for your particular case. In preparation for this discussion it may be helpful to understand the two basic types of dental fillings — direct and indirect.

  • Direct fillings are fillings placed immediately into a prepared cavity in a single visit. They include glass ionomers, resin ionomers, and composite (resin) fillings. The dentist prepares the tooth, places the filling, and adjusts it in one appointment.
  • Indirect fillings generally require two or more visits. They include inlays, onlays, veneers, crowns, and bridges fabricated with gold, base metal alloys, ceramics, or composites. During the first visit, the dentist prepares the tooth and makes an impression of the area to be restored. The dentist then places a temporary covering over the prepared tooth. The impression is sent to a dental laboratory, which creates the dental restoration. At the next appointment, the dentist cements the restoration into the prepared cavity and adjusts it as needed.

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Bonding

bonding

Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling “bonds” with your teeth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.

Tooth bonding can also be used for teeth fillings instead of amalgam fillings. Many patients prefer bonded fillings because the white color is much less noticeable than the silver amalgam fillings. Bonding fillings can be used on front and back teeth depending on the location and extent of tooth decay.

Bonding is less expensive than other cosmetic treatments and usually can be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments such as porcelain veneers. If it does break or chip, tell your doctor. The bonding generally can be easily patched or repaired in one visit.

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Veneers

veneers

You no longer need to hide your smile because of gaps, chips, stains, or misshapen teeth. With veneers, you can easily correct your teeth's imperfections to help you have a more confident, beautiful smile. Veneers are natural in appearance and are a perfect option for patients wanting to make minor adjustments to the look and feel of their smile.

Veneers are thin, custom-made shells made from tooth-colored materials (such as porcelain) designed to cover the front side of your teeth. To prepare for veneers, your doctor will create a unique model of your teeth. This model is sent to a dental technician who creates your veneers. Before placing your new veneer, your doctor may need to conservatively prepare your tooth to achieve the desired aesthetic result.

When placed, you'll be pleased to see that veneers look like your natural teeth. While veneers are stain resistant, your doctor may recommend that you avoid coffee, tea, red wine, and tobacco to maintain the beauty of your new smile.

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Crowns and Bridges

Crowns

crowns

Crowns are a cosmetic restoration used to strengthen a tooth or improve its shape. Crowns are most often used for teeth that are broken, worn, or partially destroyed by tooth decay.

Crowns are "cemented" onto an existing tooth and fully cover the portion of your tooth above the gum line. In effect, the crown becomes your tooth's new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.

Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength remaining to hold a filling. Unlike fillings which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth. Your crown is created in a lab from your unique tooth impression which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so that your bite and jaw movements function normally once the crown is placed.

Bridges

bridges

A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite.

A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support.

The success of any bridge depends on its foundation — the other teeth, gums, or bone to which it is attached. Therefore, it's very important to keep your existing teeth, gums, and jaw healthy and strong.

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Root Canal

Dental Health and Root Canals

In the past, if you had a tooth with a diseased nerve, you would probably lose that tooth. Today, with a special dental procedure called root canal treatment, your tooth can be saved. Root canals are a relatively simple procedure involving one to three office visits. Best of all, having a root canal when necessary can save your tooth and your smile!

What is the purpose of a root canal?

A tooth's nerve is not vitally important to a tooth's health and function after the tooth has emerged through the gums. Its only function is sensory – to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but it is detrimental to your overall health. Without the proper treatment, your tooth may have to be removed.

What are the signs that a root canal is needed?

Teeth that require root canal therapy are not always painful. However, signs you may need a root canal include severe toothache, pain upon chewing or application of pressure, prolonged sensitivity or pain in response to hot and cold temperatures, a dark discoloration of the tooth, and swelling and tenderness in the nearby gums. If you experience any of these symptoms, contact your doctor.

What happens during a root canal?

Root canal treatment involves one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems with the nerves of the teeth) removes the affected tissue. Next, the tissue will be removed and the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If your tooth had extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breakage. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.

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Dentures & Partials

Dentistry is all about smiles, and having a confident, healthy, beautiful smile is important even for patients wearing dentures. Our practice provides personalized denture services that meet the needs and comfort levels of our patients. All of our patients are unique and we create one-of-a-kind dentures that feel good and look natural.

What are dentures?

Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial.

  • Full dentures are given to patients when all of the natural teeth have been removed. Conventional full dentures are placed after the gum tissue has healed, which can take several months. Immediate full dentures are placed immediately after the teeth have been removed and may require frequent adjustments during the first couple of months of use.
  • Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed. Partial dentures are considered a removable alternative to bridges.

How do I know if dentures are the right choice for me?

Dentures are not for everyone. If you're interested in learning more about dentures and want to know if they are the right choice for you, please schedule an appointment. Our team will be happy to answer any questions you might have, and can determine the best course of treatment for your ongoing dental health.

Caring for your dentures

Dentures, just like natural teeth, require daily maintenance to stay clean and keep bacteria from growing inside of your mouth. Keep your dentures clean and your smile healthy:

  • When handling your dentures, stand over a clean, folded towel or a sink full of water. This way, if you accidentally drop your dentures, they are less likely to break.
  • Your dentures are not immune from plaque and tartar build-up, so it's important that you brush your dentures every day. To brush your dentures, use a soft-bristled brush and gently brush the surfaces of the dentures being careful not to break or bend the plastic. Between brushings, it's important to rinse your dentures after each meal.
  • Use a gentle cleanser to clean your dentures. Many toothpastes, household cleaners, and mouthwashes can be too hard on your dentures, so it is recommended that you use a mild hand or dish soap to get your dentures clean. Be sure to check for the American Dental Association (ADA) seal of approval to choose products that are safe for your dentures, or ask your dentist about which products may be best for you.
  • When you are not wearing your dentures, they need to be kept moist. Dentures that are not kept in a denture cleaning solution or in water can dry out, lose their shape or even crack and break. Certain styles of dentures require certain soaking solutions, so be sure to ask your dentist which solution is best for you.
  • Even if you have a full set of dentures, it's important to keep your gums and tongue clean. Be sure to use a soft-bristled brush to gently clean your gums and tongue every day.

If by chance your dentures do break, please contact our practice and schedule an appointment as soon as possible. Broken dentures that don't fit properly can cause irritation to your gums and mouth. Also, remember to continue scheduling regular dental checkups every six months to make sure that your smile stays healthy for many years to come.

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Extractions (including third molars)

extractions

There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

When it is determined that a tooth needs to be removed, your dentist may extract the tooth during a regular checkup or may schedule another visit for this procedure. The root of each tooth is encased within your jawbone in a "tooth socket," and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation.

Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.

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Sealants

sealants

Sometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for your toothbrush to get in between the small cracks and grooves on your teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.

Dental sealants are a plastic resin that bonds and hardens in the deep grooves on your tooth's surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective.

Sealants are typically applied to children's teeth as a preventive measure after the permanent teeth have erupted as a way to prevent tooth decay. However, adults can also receive sealants on healthy teeth. It is more common to seal permanent teeth rather than baby teeth, but every patient has unique needs, and your dentist will recommend sealants on a case-by-case basis.

Sealants typically last from three to five years, although it is fairly common to see adults with sealants still intact from childhood. A dental sealant only provides protection when it is fully intact so if your sealants come off, let your dentist know, and schedule an appointment for your teeth to be resealed.

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Whitening (in-office & at-home)

There are many products and techniques available for patients who want to achieve a whiter smile, and with so many options available, it can be difficult to choose the method that is right for you. The best way to begin any teeth whitening regimen is to schedule an appointment and talk to your doctor about the differences between in office professional whitening and at home whitening.

In-Office Teeth Whitening

The first professional option is commonly referred to as “in office” whitening. This procedure is performed in a dental office. An in office whitening treatment may include the use of a whitening lamp or laser to enhance the effectiveness of the whitening gel by accelerating the peroxide.

During an office visit, your dental professional will apply the whitening gel and, depending on the system being used, will shine a light source directly onto the teeth. The entire office visit generally takes about 90 minutes and has immediate results.

At-Home Teeth Whitening

  • Tray Bleaching

Tray bleaching is a type of professional whitening that uses custom-made trays and whitening gel only available through your dentist. The whitening gel is placed in custom-fitted trays that fit perfectly over your teeth. As the peroxide in the gel breaks down, hydroxyradicals help whiten stained teeth. Unlike strips, this process whitens all your natural teeth and may contain ingredients intended to provide maximum comfort. At home professional tray whitening generally takes 10-14 days, although you may notice results in as little as three to five days.

 

  • Paint-On Teeth Whiteners

There are many over-the-counter teeth whitening options, and one type of readily accessible whitening product is commonly referred to as “paint-on” teeth whiteners. Paint-on whiteners can be purchased over-the-counter and generally are less expensive and less effective than whitening strips or professional options. Paint-on teeth whiteners consist of a gel that is applied to the tooth using a small brush. Paint-on whitening gel hardens into a film that coats the teeth, and dissolves in the mouth. As with any teeth whitening regimen, it is wise to consult with a dental professional before use.

  • Teeth Whitening Strips

Teeth whitening strips are thin, flexible plastic (polyethylene) strips with a thin film of hydrogen peroxide bleaching on one side. Whitening strip kits come with two types of strips: strips for the upper teeth and strips for the lower teeth. The bleaching agent is applied by placing the strips across your teeth and gently pressing the strips into place to ensure contact with all your teeth. Teeth whitening strips are typically worn for 30 minutes a day, twice a day. The duration of treatment will vary.

  • Whitening Toothpaste and Mouthwash

The least expensive options are whitening toothpastes and mouthwashes. Designed to have “whitening” capabilities, toothpastes and mouthwashes work to remove surface stains using mild abrasives. However, unlike bleaching materials used in professional whitening procedures, these products do not lighten the actual color shade of the tooth. Whitening toothpastes affect surface stains and will mildly lighten your teeth.

If you would like to learn more about teeth whitening, please contact our practice to schedule an appointment, or visit www.teethwhitening.com for additional information about teeth whitening.

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Nightguards

Coming soon!

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Mouthguards

Whether you wear braces or not, protecting your smile while playing sports is essential. Injuries to the mouth and jaw are some of the most common injuries received by athletes. Mouthguards help protect your teeth and gums. If you participate in basketball, boxing, hockey, football, gymnastics, lacrosse, martial arts, racquetball, rugby, track and field, skateboarding, skiing and snowboarding, skydiving, soccer, surfing, volleyball, water polo, weightlifting or wrestling, it is recommended by the American Dental Association that you wear a mouthguard.

Types of Mouthguards

Choosing the right mouthguard is important. There are three basic types of mouthguards: the pre-made mouthguard, the "boil-and-bite" fitted mouthguard, and a custom-made mouthguard. When you choose a mouthguard, be sure to pick one that is tear-resistant, well fitted for your mouth and easy to keep clean. Also make sure it does not prevent you from breathing properly during use. If you wear braces or a retainer, it is imperative for you to wear a mouthguard. Your dentist can show you how to wear a mouthguard properly and how to choose the right mouthguard to protect your smile.

Taking Care of Your Mouthguard

Similar to a retainer, braces, or any other special dental appliance, it is important to take care of your mouthguard by storing it properly and keeping it clean. You should also know when to replace your old mouthguard with a new one. Here are a few simple ways to keep your mouthguard clean and working correctly:

  • Gently scrub your mouthguard after each use with a toothbrush and toothpaste.
  • Store your mouthguard in a protective case.
  • Do not leave your mouthguard in the sun or in hot water;  it may melt or become deformed.
  • Replace your mouthguard at the beginning of every new sports season. You should also replace your mouthguard if you notice it has become worn and no longer fits properly.
  • Do not wear a retainer with your mouthguard. If you wear braces, your dentist will help design a mouthguard to protect your teeth and your braces.
  • Do not chew on or cut pieces off of your mouthguard.
  • Bring your mouthguard to each dental checkup, and your dentist can check to make sure it's still in good shape.

Our goal is to help minimize your chances of a sports related injury. Be sure to ask your dentist about mouthguards at your next dental checkup - GO TEAM!

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Snoring & Sleep Apnea Appliances

SomnoDent

OSA is a serious condition.

Do you suffer from OSA?

It has been linked to excessive tiredness, depression and reduced resistance to infection.

When left untreated OSA can increase the risk of heart attack, hypertension, stroke, high blood pressure, diabetes, catching colds and even death.

It can have a significant impact on quality of life, placing unnecessary strain on relationships between bed partners, family and the work place.

If you have OSA or display symptoms of OSA such as loud snoring, excessive daytime sleepiness, fatigue and witnessed apneas, it is essential that you seek the right treatment option.

SomnoDent

What causes OSA?

During sleep, muscles relax, including those that control the tongue and throat. The soft tissue (or flesh) at the back of your throat can sag, narrowing the airway. Incoming air then makes the tissue at the rear roof of the mouth (the soft palate), the flap of skin hanging from the palate (uvula) and the throat vibrate—a sound we know as snoring.

Loud snoring may be a sign of a more serious problem—OSA. This is where the airway becomes completely blocked and breathing stops. The brain then detects the lack of oxygen and prompts a momentary arousal to draw breath.

Although OSA sufferers may experience hundreds of apnea episodes per night, they are unlikely to remember any of them. In fact, if the sufferer lives alone or sleeps separately, they may not be aware of their condition, even after many years.

Did you know…

  • Regular snorers have a 33% increased risk of cardiovascular disease
  • Patients with OSA are four times more likely to have a heart attack
  • 40-80% of stroke victims also suffer from OSA

Lattimore J et al. J Am Coll Coridal 2003; 41: 1429-1437

Find out if you have OSA. Click here

While snoring is a common problem for many people, it can also be a sign of other major health complications. It is estimated that more than 80 million people in North America snore while sleeping, which not only affects the quality of sleep of the person snoring, but also the quality of sleep of their loved ones and other familiy members. Luckily, there is a way to treat chronic snoring.

What causes snoring?

Snoring can be the result of several factors. Typically, snoring is caused by the relaxing of the muscles and soft tissues in the throat and mouth, making the airway passage smaller. The decrease in space through the airway makes it harder for each breath to get through, and when it does get through the airway passage it moves over the soft tissues in the mouth and throat and causes a vibration that results in the snoring sound. Other causes of snoring may include:

  • Excess body weight
  • Alcohol consumption
  • Certain sleep aides or sedatives
  • Obstructive Sleep Apnea (OSA)

What is a Mandibular Advancement Device?

If you snore at night, then a mandibular advancement device (MAD) may represent a solution and a better night's sleep! The MAD is a specially designed dental device that gently helps keep the lower jaw, or mandible, in a forward position, increasing the space between the airway passage and helping you breathe better so you can get a full, quiet night's sleep.

Some devices also stop the tongue from falling back over your windpipe. Your dentist will fit these special appliances to meet your individual condition.

Is a MAD comfortable?

The answer is simple — YES! A mandibular advancement device is made to be comfortable, so that you can sleep without even noticing you're wearing it. It does not prevent you from breathing with your mouth open and will even eliminate snoring for patients with sinus congestion or allergies. You may experience some slight stiffness of the jaw for the first few mornings after wearing the device, but this feeling is only temporary, and will go away after waking up and removing the device.

To learn more about a mandibular advancement device, contact our practice and schedule an appointment and consultation.

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