Prophylaxis (Tooth Cleaning)
Regular tooth cleaning is necessary to maintain the health of your teeth and gums. Even though you brush adequately and use dental floss, a professional prophylaxis is recommended on a regular basis to ensure the health of you teeth and gums. During this time, your teeth are also examined for active decay (cavities), loose or cracked existing fillings and fractured teeth. Your gums are checked for signs of active periodontal disease. Your intraoral tissues are checked for signs of irritation, disease and cancer.
If your gums are not healthy and calculus deposits or heavy stain is present, a regular prophy might not be the preferred treatment.
If active decay (areas where active bacteria are at work destroying your tooth structure) is found to be present during an oral examination, fillings will be necessary. We offer the amalgam (dark grey color) material or the bonded composite material (white or tooth colored). Wherever we can, we use a dental laser to prepare the teeth (instead of a dental drill), and in most cases, no local (anesthetic numbing with an injection) is needed - all with NO discomfort to you!
When a tooth has a very large filling and the filling is failing (cracked, pulled away from the tooth, or has recurrent decay), a crown may be necessary to satisfactorily restore the tooth. You may have an area on a tooth in the front of your mouth that you would like to look better, a crown may be necessary. We offer porcelain fused to metal crowns that require the use of an outside dental laboratory. After the is prepared, an impression will be taken and a temporary crown will be placed. The PFC crown will be placed in about 2-3 weeks
We also offer a porcelain crown (CEREC) that we fabricate here in our office. After the tooth is prepared, an impression is taken with a camera (no lots of gook in your mouth) and the crown is designed on a computer screen while you watch. The design is transmitted to a milling unit in another room and the crown is fabricated. We then finish and polish the crown. The crown is then bonded/cemented onto the prepared tooth. This entire procedure for one crown takes about 1.5 to 2 hours—all done in just 1 visit. NO temporary. NO waiting 2-3 weeks. NO increase in cost.
When a tooth is missing, leaving a space, and you have a good tooth behind the space and another in front of the space, a dental bridge can replace the tooth and restore chewing to that area. This procedure is done in the same manner as the PFC crown discussed above. The dental bridge is cemented into place and not removable.
Dental implants are utilized in spaces left after teeth have been extracted. Several criteria must exist—among those are adequate height of bone, adequate density of bone, adequate thickness of bone. After the dental implant is placed and
adequate healing occurs, a crown or a bridge can be placed to restore chewing function or for cosmetic benefits. Midi implants may also be utilized to hold
and stabilize removable dentures and partial dentures.
We offer orthodontics to adults as well as teenagers and even those younger. Sometimes, it is advantageous to begin orthodontic treatment (dental orthopedics) at an earlier age because of facial bone growth problems. A screening examination and possible x-rays can help to determine if early treatment can be feasible.
Endodontics (Root Canals)
A tooth and it’s root(s) have a center section that contain a small artery, small vein and a small nerve along with connective tissue. If the blood supply is interrupted for any reason (decay, fracture, trauma, etc.) the center section of tissues will die and become infected causing a dental ‘abcess’. If this happens, you have two choices: extract the tooth or have a root canal done. A root canal involves removing the diseased tissues from the center of the tooth and roots, then filling these areas with a filler and sealer. This is usually done with NO pain. The tooth most likely will need a crown—sooner or later.
When a person looses all of their teeth, they can be replaced with upper and lower removable dentures (false teeth). Replacing the lost will restore chewing function and give the lower jaw much needed support.
When a person looses some, but not all of their teeth, the missing teeth can be replaced with removable partial dentures (partials). Replacing the lost will restore chewing function and give the lower jaw much needed support. Partial dentures may be made of a cast metal and acrylic or a flexible acrylic, depending upon the condition of the mouth, existing teeth and patient desires.