SERVICES

Diagnostic

DIAGNOSIS OF ORAL AND DENTAL DISEASES

Our dentists will begin to evaluate the health of your mouth by asking if you have any symptoms or complaints about your teeth. You may be asked about previous dental work or injury to your teeth or gums and any medical conditions you may have.

After your history is taken, we will examine your teeth. Your dentist looks for cavities, assesses the condition of any fillings or crowns you have, and charts your existing conditions in our computer. Your dentist will also evaluate your gums to find out if you have any gum (or periodontal) disease. Your dentist may also perform an oral cancer screening.

DIGITAL RADIOGRAPHY

Our Schick digital x ray system provides quality individual digital images of your teeth that can be enhanced to check for cavities and any other issues you may have. We also have a digital Panoramic X ray machine which provides us with instant images of your upper and lower jaws, allowing us to evalulate wisdom teeth as well as to help identify any pathology that might be present. Digital radiology provides instant images using significantly less radiation.

Cosmetic

A smile can be your most eye-catching feature. A beautiful smile instills confidence and can greatly enhance your overall appearance. With dentistry's many advances, you no longer have to settle for stained, chipped, or misshapen teeth. You now have choices that can help you smile with confidence. Even the most subtle change in your smile can make a dramatic difference in the way you look and feel about yourself. Talk to the dentists at DDS about the options most suitable for you.

Here are some examples of procedures we use in our office:

TEETH WHITENING

Teeth whitening – also called bleaching – is a procedure that brightens teeth that are discolored, stained, or have been darkened because of injury. There are various ways to bleach teeth. We feel that tray bleaching is the most effective, although we also offer in-office bleaching techniques.

TOOTH-COLORED FILLINGS

We use only tooth-colored composite resin filling materials in our office. We can remove old silver fillings (amalgams) and in many cases, replace them with tooth-colored fillings that are much more esthetic, and bond the tooth together, rather than pushing it apart, like old silver fillings do. We use only the best composite resin filling materials to produce very stable, long-lasting cosmetic fillings.

DENTAL PORCELAIN VENEERS

Our dentists can also improve your smile cosmetically with laminate veneers. Porcelain laminate veneers are thin pieces of specially shaped porcelain that are bonded to the front and sides of prepared teeth. Using this technique, teeth that are mis-shapen, very darkly colored, or slightly crowded can be corrected with stable, long-term results. Porcelain laminate veneers are made by a laboratory and therefore requires two appointments, one to prepare the teeth and take an impression, and a second appointment to apply the veneers to the teeth.

AESTHETIC TOOTH BONDING

“Bonding” refers to the in-office application of a tooth-colored filling material to the outside surfaces of your front teeth, to change contours, improve unsightly stains, spaces, cracks or chips. Requiring only a single office visit, bonding lasts several years and is less expensive than porcelain veneers. The disadvantage of bonding is that the composite resin material is slightly more prone to staining and/or chipping with time. However, it is a cost-effective, simple way to make minor cosmetic changes to front teeth and can easily be reapplied if need be.

COSMETIC CROWNS

A crown is a dental restoration that covers the whole visible surface of a tooth. A tooth might need a crown because it is cracked, broken, or has a large area of decay. The crown, made of either porcelain fused to a metal core for strength, or of all-porcelain for a front tooth, is a way to actually conserve the vital portion of the tooth below the gum line. In many cases, we can use CEREC (CAD-CAM) technology to make your new tooth at our office in one visit. Using CEREC technology, there is no need for a temporary crown or a return appointment.

Restorative

DENTAL RESTORATIONS

Appearance is a concern for every dental patient. Why should other people see your fillings? However for the team at DDS biocompatibility and durability are also concerns. We want you to have natural-looking results that are also long-lasting and healthy. That’s why we’re experts in Restorative Dentistry—the process of restoring your smile to a natural look while providing a filling that is durable and safe.

PREVENTIVE RESINS

Preventive resin fillings are the most conservative type of dental fillings. They can be done on patients that have small cavities in the grooves of the biting surfaces of their teeth. The stain and cavity can be removed with little or no anesthesia and no pain. A tooth-colored filling material is flowed into the grooves of the tooth and cured to create a hard, tough biting surface that is much more resistant to future cavities.
 
TOOTH-COLORED FILLINGS

We use only tooth-colored composite resin filling materials in our office. We can remove old silver fillings (amalgams) and in many cases, replace them with tooth-colored fillings that are much more esthetic, and bond the tooth together, rather than pushing it apart, like old silver fillings do. We use only the best composite resin filling materials to produce very stable, long-lasting cosmetic fillings.

TOOTH-COLORED INLAYS AND ONLAYS

Teeth that are too broken down to re-fill with a new filling, or have cracks in them are candidates for tooth-colored inlays or onlays. These are restorations made of strong and esthetic porcelain that are bonded into the tooth. They preserve more tooth structure than placing a “cap” or crown, and are much stronger than traditional tooth-colored fillings. We use the latest CAD-CAM technology to create tooth-colored inlays and onlays, a system called CEREC, which is an acronym for CEramic REConstruction. It is a revolutionary way to restore damaged, cracked, or broken teeth in a single visit. Using CEREC technology, we can quickly and economically restore damaged teeth using a durable ceramic material that matches the natural color of other teeth in your mouth, creating a beautiful, strong, and conservative restoration.

Best of all, the CEREC restorations can be made in a single session, usually in about two hours. This avoids the need for a temporary and a second visit.

TOOTH-COLORED CROWNS

The last option to restore teeth to their original form and function are crowns. Crowns (or caps) are used when there is too much missing tooth structure to place a filling or an inlay or onlay. We recommend several types of crowns based on the individual needs of each patient. Tooth-colored porcelain crowns are the primary type of crown used today. We can use a porcelain that is fused to a metal base, or an all-ceramic crown for even better esthetic results. We can also use our CEREC technique for full crowns, and have the ability to make them in one day as well.

Endodontic

ENDODONTICS (ROOT CANAL THERAPY)

Root canal therapy treats disorders of the nerve (pulp) of the tooth. It used to be that a tooth with a diseased or infected nerve had to be removed. However, in 95% of these cases today, this is no longer true.

If you experience symptoms ranging from occasional sensitivity to hot and cold foods, to constant throbbing or a dull ache, to pain when you chew, you may have an internally damaged tooth. Your dentist may be able to save your unhealthy tooth. Root canal therapy may be the best treatment for you. The sooner you get treatment the better: Your risk of losing the damaged tooth is decreased, your pain can be relieved, and your dentist may prevent infection from spreading further.

The goal of root canal therapy is to improve the health of your damaged tooth. We use the latest techniques to remove the nerve and blood vessels from the center of the root through a small opening through the top of your tooth. Then the empty root canal spaces are filled with special materials to prevent bacteria from reaching your bone. Your dentist then restores the outside of your tooth so it will function properly and have a healthy appearance. After root canal therapy, your tooth continues to be nourished by your surrounding gums and bone and can remain healthy for years.

After treatment, a crown will be necessary to prevent fracture of the tooth. Teeth without the nerve and blood vessels can become brittle and must be strengthened with a crown.

Periodontal

PERIODONTAL DISEASE

Today, infection of the gums and of supportive tissues surrounding the teeth (periodontal disease) can be controlled. In some cases, it can be reversed. There are a number of treatments for this disease, whether it has developed slowly or quickly. Periodontal treatment can make your gums and the bone surrounding your teeth healthier and help preserve your teeth.

There are many signs of periodontal disease including swollen, painful or bleeding gums, bad breath, or loose or sensitive teeth. But gums don’t always let you know they’re in trouble. This is true even in the late stages of the disease. Without you knowing it, infection could be destroying the soft tissues and bone that support your teeth. With regular checkups, periodontal disease can be diagnosed and treated early. This brings the best results.

PERIODONTAL TREATMENT: NONSURGICAL OPTIONS

Our office provides nonsurgical treatments for periodontal disease. Nonsurgical periodontal treatment consists of removing plaque and tartar from above and below your gums. In doing this, we can control the growth of harmful bacteria that cause gum disease. This type of treatment may be all you need, especially if your periodontal disease is found early.

Nonsurgical treatment options include Scaling, a type of cleaning that removes plaque and tartar from the teeth at and slightly below the gum line and Root Planing, which smoothes root surfaces, which helps prevent bacteria from adhering to the rough root surface. Antibiotics, bite correction and splinting are other nonsurgical treatment options for periodontal disease.

PERIODONTAL TREATMENT: SURGICAL OPTIONS

Surgical treatment is used for advanced infections and for pockets too deep to reach by scaling and root planing alone. The periodontist perfoms surgery to clean the pockets and add bone graft material where needed. This makes your gums easier to keep clean during home care and follow-up visits. These procedures are done by a specialist, called a periodontist, which we would refer you to if your periodontal disease is too advanced for non-surgical options.

Implants 
and Bridges

DENTAL IMPLANTS

When your existing tooth is too infected to restore, we may recommend an implant. A dental implant is much like a natural tooth, which has a root that is fused to the bone, topped by a crown that you can see. When restoring with an implant, the dentist places a titanium “root” into the bone, much like doctors do with a knee or hip replacement. It fuses to the bone in your jaw and acts like the root of a tooth. Then your dentist makes a replacement crown which is screwed into the titanium root, designed to blend in with the way your own teeth look and feel. Dental implants also can be used to anchor dentures.

FIXED BRIDGES

Another tooth replacement option is a fixed bridge (sometimes called a fixed partial denture). This is a restoration that replaces or spans the space where one or more teeth have been lost. A fixed bridge is bonded or cemented into place – only a dentist can remove it.

REMOVABLE BRIDGES (REMOVABLE PARTIAL DENTURES)

A removable partial denture is sometimes used when multiple teeth are missing. It usually consists of acrylic gums and teeth supported by a metal framework (see picture below). As its name describes, a removable partial denture readily can be taken out of the mouth for cleaning. Although removable partial dentures generally are less expensive, fixed bridges or implants, when indicated, may feel more stable and comfortable.

Extractions

GENERAL TOOTH EXTRACTIONS

Extractions can be performed under local anesthesia. Your DDS dentist can discuss what types of anesthesia and pain or anxiety-reducing medication are available and suitable for you. A general dentist can perform basic tooth extractions. However, if your DDS dentist anticipates a need for any special care, you may be referred to an oral and maxillofacial surgeon – a dentist who specializes in dental surgery including the removal of impacted teeth.

One Day Crowns

COSMETIC CROWNS

A crown is a dental restoration that covers the whole visible surface of a tooth which cannot be repaired with filling material. The tooth may be cracked, broken, or have a large area of decay. The crown, made of porcelain fused to a metal core for strength, or of all porcelain for a front tooth, is a way to actually conserve the vital portion of the tooth below the gum line. In many cases, we can use CEREC technology to make your new tooth at our office. There is no need for a temporary crown or a return appointment. Your permanent crown is cemented into place in one visit.

CEREC, short for Chairside Economical Restoration of Esthetic Ceramics, or CEramic REConstruction, allows your crown procedure to be completed in a single appointment, in about two hours. You may have multiple teeth treated at once with this method, to save you even more time. With CEREC, there are no messy impressions, and no need for temporary crowns.
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