Treatments

Family Dental Services

Bonding & White Fillings

Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.

A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile.

Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 5 years. It is a safe, affordable, and attractive solution for many dental problems.

Bridges

Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable.

The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.

We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive cement to secure the bridge.

The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth again. You should eat soft foods for the first day after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.

If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.

Crowns

Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient.

Hygiene and Periodontal Health

Dental Hygiene/Periodontal Health

While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.

Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.

Oral cancer screenings

Oral cancer screenings are a very important part of the dental visit for the patient. With the advances in modern technology, we are now able to pinpoint the start of a potential problem much earlier in its evolution. The ability to do so is extremely important in being able to treat any issues prior to them becoming a major irreversible problem.

The oral cancer screening is often completed with an ultraviolet light or similar device that allows us to view issues that can’t always be detected by the human eye under normal conditions.

Certain lifestyle choices can have a great impact on the health of tissues and your overall health in the mouth. If you are a smoker or heavy drinker, make sure to get regular screenings when you visit the dentist.

Root Planing

Often there is plaque and tartar that accumulates below the gum line. In this scenario, we will clean and smooth this area with special instruments to ensure that the area is completely spotless. If this area is not kept clean the entire area can become irritated with the bacteria that resides in the tartar and plaque. It’s very important to have your dentist check this area if you have bleeding during brushing.

Arestin

We offer Arestin therapy as an adjunct to scaling and root planing in areas that need further treatment after scaling and root planing. Arestin is a time released antibiotic that kills the harmful bacteria in the deeper periodontal pockets. The Arestin continues to be released in the pocket where it is placed for 30 days helping to reduce the pocket depth. In many cases periodontal surgery can be averted with the use of Arestin.

Teeth Whitening

Whitening/Bleaching

Over time our teeth tend to become discolored or stained. Whether this is from smoking, coffee, or any other foods, a beautiful smile could be closer than you think. We offer a safe, inexpensive solution to an unsightly smile. Whitening your teeth is a very simple procedure that can be completed in relatively short period of time.

We offer three types of Teeth Whitening

In office One Hour Whitening
Opalescence Xtra Boost is a powerful whitening solution that whitens your smile fast. The gel is chemically activated rather than light activated meaning that it activates itself at the time it is placed on the teeth.

We apply the gel and monitor your progress. You will be in the chair approximately on hour. At the end of the procedure, most likely you will be sent home with a take home product to aid in the continued whitening progress of your smile.

Customized
The first step in the whitening process is impressions. We will take full impressions of your upper and lower teeth. These impressions will be made into custom bleaching trays that fit perfectly and comfortably in your mouth. The trays will fit onto your teeth perfectly so there less possibility of gum damage from the bleaching solution.

The second step is to place the bleaching solution in the trays and wear them for 30-60 minutes a day. Within 7-10 days, you will see a significant improvement in the color of your teeth. Your smile will look brighter and younger. We will take before and after photos so that you will be able to compare the amazing transformation.

Over the Counter Alternative
We offer Treswhite Supreme that comes in disposable, easy to use trays. Simply place the tray in your mouth, adjust the inner tray, and wear it for 30-60 minutes, once a day.

It is simple and easier to use than the supermarket products. It is a prescription strength formula at an affordable price. This means more effective results, faster.

Bleaching only works on natural teeth and may not be effective in all cases. We will inform you as to the potential whitening for your specific situation.

Ceramic Veneers

Veneers are an excellent way to redesign and reshape your entire mouth. Veneers are a very thin ceramic shell that covers your existing tooth structure. In placing these new veneers on your teeth, you are able to fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth and many other issues.

In terms of the process to place veneers, it is a process that takes approximately two to three visits. In the first visit, we will discuss the new shape and look of what we are going to accomplish by placing the veneers. Once we have put a plan in place, we will carefully prepare the teeth for the placement of the new veneers. As we complete this piece of the process, the next step is to take an impression of the newly prepared teeth. This impression will be sent to our laboratory for the final product to be fabricated. We only utilize the highest standard laboratory for fabrication of all of our work. This process at the laboratory takes between 10-14 days. While the new veneers are being fabricated at the lab, we will provide you with a beautiful temporary solution to wear for this time.

As the veneers are finalized, we will make every effort to make sure that your new veneers will feel just like your natural teeth. We will bond them into place ensuring that you can enjoy your new smile for a very long time!

Implants

Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are better than other alternatives like bridges because no additional teeth need to be altered to place the new tooth.

The entire implant process is performed over the course of a few months. The first part of the process is to install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that the implant can be inserted. Multiple implants can be placed at once if necessary. After the implants are placed the gums are sutured.

The implant must be allowed about 3-6 months to heal, and during this time the jaw bone will form around the implant in a process called osseointegration. During this healing time you can have temporary crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for your smile.

After the implant has healed it is time to place an abutment on the implant. The abutment serves as the base for your new tooth. One this is placed an impression of the abutment is taken and is used to create your permanent restoration. Some offices have an onsite lab to create the crown, but others will have to send it to an outside lab. Once the restoration is completed you can return to the office to attach the restoration permanently. Your smile will look just like it used to, and after a short period of getting used to the implant it will feel just like one of your own teeth.

Dentures and Partials

Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.

  • Conventional Full Dentures – This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.
  • Immediate Full Dentures – Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed.

Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth.

Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don’t have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.

Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don’t drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.

Extractions and Wisdom Teeth

Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.

The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

 

  • Gelatin
  • Pudding
  • Yogurt
  • Mashed Potatoes
  • Ice Cream
  • Thin Soups
  • …and other food you can eat without chewing.

 

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.

Root Canal

Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.

The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.

“Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less “scary”. Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures. Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your dentist today.

Inlays and Onlays

Inlays and onlays are often referred to as partial crowns. They use the existing tooth as a base and fit the inlay or onlay onto the tooth. This is done to strengthen the tooth, restore its shape, and prevent further damage. An inlay is done when there is no damage to the cusps of the tooth and the inlay can be placed right on the tooth. An inlay is used when the damage is a little more extensive.

The decayed area of the tooth is first removed during the procedure. A mold of the tooth is then taken and sent to a dental lab. They create a restoration made from porcelain, gold, or a composite resin. The restoration takes about 2-3 weeks to make, so a temporary inlay or onlay will be placed on the tooth for that time. During your next visit the inlay or onlay will be placed into your mouth and set with cement. Your tooth will look natural and you or anyone else won’t be able to tell the difference.

Crown Lengthening

When decay occurs below the gumline, it may be necessary to remove a small amount of bone and gum tissue. Your dentist may ask for this procedure before he or she makes a new crown for your tooth.

Crown Lengthening procedures are done for both restorative dentistry and/or to improve the esthetics of your gum line. General practitioners often refer for crown lengthening procedures prior to restoration of broken or severely decayed teeth. This procedure adjusts the gum and bone level to expose more of the tooth so it can be restored.

Sometimes crown lengthening is done to improve a “gummy” smile because the teeth appear short. The teeth may actually be the proper length but excess gum tissue may be covering these teeth. During this procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth

Soft Tissue Grafts

A soft tissue graft is used when there has been a significant amount of gum recession in a particular area. Slight gum recession can usually be fixed with a few changes to your oral hygiene routine to take better care of your teeth and gums. When the gingiva recedes further it exposes you to greater risk for infection and bacterial penetration. You will likely be more sensitive to hot and cold foods when you have receding gums. If the gums recede enough as to expose the root you can set yourself up for more serious problems. The root is softer than the enamel making it more vulnerable to bacteria and plaque.

To restore proper gum level and functionality a soft tissue graft can be performed. This is done by either removing soft tissue from the roof of the mouth, or repositioning healthy gum tissue from adjacent teeth. This procedure is very predictable and has a high success rate. This procedure should be performed before more serious problems develop and periodontal surgery is necessary.

Bone Grafts

Bone grafting is where the jawbone is built up to accommodate a dental implant or other restorative device. Bone grafting is a common procedure that is used frequently for dental implants and other periodontal procedures. The bone used to graft is taken from a sample from the patient. Many times, the bone is taken from another area of the mouth when drilling takes place. The bone fragments are suctioned from the mouth and used for the graft. Cadaver bone fragments are also used. They are harvested by bone banks and are a very safe source for bone donation.

Post-Operative Instructions

It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.

Root Canal Therapy

You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.

Crowns and Bridges

Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.

White Fillings (Bonding)

After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.

Scaling and Root Planing

After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.

Veneers

Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.

Extractions

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

Gelatin
Pudding
Yogurt
Mashed Potatoes
Ice Cream
Thin Soups
…and other food you can eat without chewing.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.