Wednesday, March 20, 2019
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Teeth Whitening

teeth whiteningThis procedure is performed to lighten the color of natural teeth. It can remove stains that have accumulated over the years, as well as change the original color of darkened teeth. There are currently two procedures we use to lighten the teeth, one done at home and the other done in-office. The in-office procedure is done mostly for just a few teeth, or in time-constraint cases. It uses a more concentrated version of the bleaching solution which is used in the at-home procedure. We have done thousands of these procedures, achieving a visible difference that can last for years, with no damage to the teeth or gums.




Dental Implants
dental implantThese can be used to replace single or multiple teeth, or to help anchor removable dentures. They are the ideal replacement for 1 to 3 missing teeth, often resulting in a full return to normal chewing ability. Implants are also used in cases of multiple missing teeth and can be used to create a non-removable solution for someone who has lost all their teeth. For those patients currently wearing removable dentures, implants can often be used to help stabilize their existing dentures. While implants are the best that dentistry has to offer, not all patients are candidates for them. This service requires a careful examination and screening process, but the results are well worth it.



Clenching, Grinding and Nightguards


Many patients clench or grind their teeth, most-often unknowingly during sleep. The most common result of this habit is teeth that are sensitive to cold and/or sweets. Bruxers (the habit is defined as bruxism) will also often have muscle aches, jaw pain and even headaches. Most bruxers will wear away or break their natural teeth and also destroy some of their pre-existing dental work . We fabricate a custom-made nightguard which, when worn regularly at night, prevents further escalation of many of these problems and often delivers a significant decrease in teeth sensitivity.




invisalignWe perform Invisalign, a clear tray system that is computer-guided and performs almost all the functions of regular wired braces. It is almost invisible and allows for proper hygiene of brushing and flossing since the trays are removable. We also perform "limited tooth/teeth movement" using removable retainers and also fabricate regular retainers of any kind.




Desensitize Teeth

sensitive teethMillions of patients have teeth that are sensitive, especially to cold or sweet food and drink. There are new desensitizing agents we can use that are often as simple as brushing a liquid on the sensitive tooth or teeth. Results are usually immediate and can last for years. This is a very common problem that can often be easily remedied.




Cosmetic Veneers/Laminates, Crowns & Bonding

These are most often done to change the shape and/or color of teeth. Veneers/laminates are for the front teeth and can be made of porcelain, zirconia or lithium disilicate.  These laboratory-made restorations are the most beautiful and strong, but are a more costly option. Less-costly are resins that are handmade right onto the tooth or teeth by the dentist, resulting in a quick and cost-effective cosmetic change.





There are two common types of fillings, composite resin (white) and amalgam (silver). The advantages of the white filling are: tooth color match, adhesion to tooth structure and usually less cold sensitivity. The disadvantages are: increased cost, increased time to place and the need for a totally dry placement area. The main advantages of the silver filling are: easier placement, lower cost and 100+ years of proven durability, The disadvantages are: color and questions about safety, which is unproven as of this time.




Inlays and Onlays

 These procedures can sometimes be done in place of a filling or a crown (cap). They can be done in tooth-colored material, gold or silver metal. The main advantage of these procedures if done in place of a crown, would be the conservation of tooth structure. That means less of the tooth would have to be cut away as part of the procedure. These restorations offer good fit and shape, beauty, strength and longevity. They cost more than fillings and less than crowns.




Crowns and Fixed Bridges
bridgeCrowns, aka "Caps", are most-commonly done on teeth with prior fillings that break and also those having root canals. A fixed bridge is a series of linked crowns. These are commonly done in the replacement of missing teeth, as well as to strengthen teeth that may be weakened due to gum disease. Both crowns and fixed bridges get cemented in and are not removable.Newer materials like zirconia and lithium disilicate can now be used in areas that formerly had only metal or porcelain-over-metal.  These newer materials are all tooth-colored and extremely strong, preferable to unsightly silver metal, chipped porcelain or "black/gray" lines near the gum on older crowns or bridges.



Removable Bridges
removable bridgeAlso commonly known as removable partial dentures, these are used in the replacement of missing teeth. They can be made of dental acrylic (white/pink) only, or in a combination with metal for strength and support. We now also provide special "flexible" plastic that is almost unbreakable as compared to the regular plastic or plastic/metal partials.These dentures rest on the gum areas and clip onto the remaining teeth to help hold them in place. Removable dentures are the least expensive and least natural way to replace missing teeth. Alternatives to these could include implants or fixed bridges.




We perform the removal of most adult and deciduous (baby) teeth using local anesthesia (Novocaine) alone or in conjunction with nitrous oxide (sweet-air/laughing-gas). Patients having badly broken or impacted teeth (3rd molars/wisdom teeth) and/or those requiring full sedation will be referred to an oral surgeon.

Root Canal Therapy

This procedure involves the cleaning and filling of the central pathway of the root system. Root canal is most commonly performed when decay (cavity) has reached the pulp, consisting of the nerve and blood supply to the tooth. Occasionally trauma or extreme sensitivity, which is often caused by deep fillings or gum-recession, will necessitate the need for root canal treatment. After root canal a tooth will always need some form of restoration, most commonly this is a post and core followed by a crown.




Post and Core
post and coreOnly teeth that have had root canal will receive a post and core. If a tooth is missing a significant amount of tooth structure after root canal, it will need this restoration prior to a crown. An in-office, one-visit procedure is often done, but occasionally a lab-made, two-visit post and core will need to be made. A post and core is always covered by a crown.





Periodontal (Gum) Treatment
peridontal It is estimated that 3/4 of the adult population has some form of periodontal disease, and this disease is responsible for a very high percentage of teeth being lost. Unfortunately, there are very few signs alerting you of early or moderate gum disease. Among them could be family history, bleeding gums, bad breath or a bad taste in your mouth. Unless you floss your teeth every day, there is a better than good chance you have this disease. Forms of treatment may include: regular cleanings, deep cleaning with anesthesia, prescription mouthrinses/pills (new) and surgery. Flossing daily with proper technique is absolutely necessary in the prevention of periodontal disease, as well as the maintenance of health after any treatment.





Nitrous Oxide
nitrosCommonly referred to as sweet-air or laughing-gas, this inhaled gas has a relaxing effect but does not render the patient unconscious. While it is used mostly on anxious patients, it is perfectly safe for children. Within five minutes of turning this off, a patient is fully functional and able to drive themselves home. The only precaution is a patient should not eat for at least two hours prior to using nitrous oxide. This agent is used during many procedures to relax the patient and decrease responsiveness to pain.