Cosmetic and Restorative Dentistry
Smile! You're about to discover that bright, sparkling pristine smile that you've always wanted. While we are a general dentist practice for your whole family, our office also has the tools and technology to provide you with the most advanced cosmetic treatments to transform your smile from ordinary to dazzling. Since we work with every patient to build strong foundation of preventative care before we proceed with cosmetic treatment, you can rest assured that your bright, new smile is also healthy and strong. After all, we want to help you look and feel your best.
Crowns & Bridges
Crowns: Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. They are most commonly done after root canal treatments, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed.asons for Tooth Extraction:Even after a filling is put in a large cavity, a tooth is more likely to break. Teeth are subjected to tremendous pressures. Crowns ride over the weakened tooth, providing strength and protecting the tooth against breakage. A broken or cracked tooth is a far more serious matter and much more difficult to treat. Crowns prevent more serious tooth breakage, and they can really enhance your smile.
Bridges: Bridges are an option for filling the space created by a missing tooth. The bridge is built to look like the missing tooth, and it takes that empty place in the mouth. The sides of a bridge use the two surrounding teeth for support, hence the name. A bridge replaces the missing tooth, both functionally and cosmetically.
Bridge work is as much an art as it is an exact science. The materials used may be gold, porcelain bonded to metal, or all ceramic material. The choice of material deends on requirements for strength, wear, and/or esthetics.
It is important that a missing tooth be replaced as soon as possible for several reasons. If not treated, the teeth surrounding the gap begin to shift inward, creating a really bad chain reaction. Teeth use their neighbors for support, and, with one missing, they start to "fall". As this worsens, the bite changes in response to the pressure, eventually resulting in problems with the entire jaw, e.g. TMJ. The surrounding teeth deteriorate and it is just a matter of time before they, too, are lost. Periodontal (gum) disease then becomes as serious problem, and as the condition worsens, treatment becomes more and more difficult.
Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth. Veneers are usually only done to the part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect.
The direct technique usually involves placing composite resin on the outside of the tooth.
The indirect technique involves taking impressions of the patient's teeth and fabricating custom molded veneers at a dental labortary. These lab fabricated veneers are usually made using procelain or pressed ceramic, and are very aesthetically pleasing. If you've ever watched "Extreme Makeover" and seen the beautiful new smiles of the contestants receive, you've seen the magic of veneers.
The advantage of veneers versus crowns is that much less tooth material is removed, and the procedure is usually more comfortable for our patients who wish to dramatically change their smile.
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A denture is a removable replacement for missing teeth and surrounding tissues. There are two types of dentures available : Partial and Complete
Partial dentures are used when some natural teeth remain, while complete dentures are used to completely replace all teeth. Dentures are made to resemble your natural teeth so there should be no noticeable change to your appearance. In fact, dentures may even improve your smile!
Complete Dentures: This restoration method is used to restore your smile and mouth function if all your teeth have been lost. The dentures are custom created to resemble natural teeth and are positioned into a patients mouth to take the place of where the natural teeth used to be. Complete dentures are removable and may require adjustments in order to create a proper fit with the gums and mouth.
Partial Dentures: A removable partial denture is a device used when one or more natural teeth still remain in the upper or lower jaw. They usually consist of replacement teeth attached to a gum-colored plastic base which is held in place in the mouth. A fixed partial denture acts the same as a removable denture, but it is cemented into place using the adjacent teeth for support. This fills the space created by missing teeth, as well as creates a support for remaining teeth to prevent shifting.
New dentures may feel awkward or loose for the first few weeks until the muscles of your cheek and tongue learn to keep them in place and you are comfortable eating and speaking. This may require some practice, but soon you will adjust and enjoy the benefits that a full mouth of teeth can provide.
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A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only between 25 and 30 minutes. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling, root planing and polishing.
Scaling: This is the process of removing plaque and tartar from all tooth surfaces with a variety of methods, depending on the amount of plaque and tartar. Dental hygienists traditionally perform scaling by hand. However, new and advanced technology has lead to more modern methods such as electric scalers. This sophisticated tool allows dental cleanings to be performed more efficiently and in less time. To achieve best results, both electric and manual scaling methods are combined for dental cleanings.
Root planing: This is the process of cleaning pockets in the gums to treat and prevent gum problems.
Root planing is used to treat moderate to advanced gum diseases. When the gum is inflamed, gum pockets become deeper and they may lose connections to the bone inside. The deeper the pockets, the easier it is for plaque deposits to become trapped and worsen gum problems.
Root planing involves inserting a pointed dental tool called scalers into the gum pockets to clean plaque buildup. Depending on the degree of difficulty, root planning may take several appointments, and a local anesthesia may be used to prevent pain.
Polishing: This is the last step in tooth cleaning and involves finishing the surface of the teeth to make them shiny and clean.
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There are plenty of reasons to replace a missing tooth. Missing teeth can show when you smile, creating a cosmetic concern, or even affect your speech. A missing back tooth can change your bite and other teeth may shift into the open space or wear early because your bite is off balance. We can replace a missing tooth with a dental implant, and artificial root which is used to replace the missing tooth and support a new crown. An implant looks and feels like a natural tooth and does not involve cutting or changing the adjacent teeth. If you are missing a tooth and you are in good general health, implant treatment may be an option for you. Smoking and certain health problems may contraindicate this treatment, but for most people implants are a great solution for protecting the health of your teeth and giving you a healthy, strong stabilized bite.
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Bleachings: Bleaching, also known as "tooth whitening", is a popular procedure to make teeth whiter and brighter, and more attractive. Bleaching can be used to whiten stained and discolored teeth, or simply to enhance a dull smile. Either way, tooth whitening is a safe and relatively painless procedure, ideal for most patients.
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Bondings & Fillings
Bonding involves adhering color-matched composite resin material to the front of the tooth. We recommend bonding to repair damage done to the tooth by decay, to alter the alignment of the tooth, close gaps between the teeth, or for cosmetic purposes.
First, the surface of the tooth is roughened in order to accept the bonding and hold it. Then, a gel is applied to micro -etch the tooth surface, and a primer/bond agent is applied so the material adheres to the surface. Then the material itself is placed on the tooth and hardened with intense light. As a last step, the composite resin material is shaped and polished to get a lustrous finish.
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Fillings are done to remove decay, and replace the part of the tooth that's removed. It is called a filling because a new material fills the hole that the decay left behind. Most teeth are treated with bonded tooth colored composite resin fillings. Caught early enough, cavities can be treated easily and painlessly; if not treated, decay can lead to tooth pain and/or infection, rrquiring root canal treatment or extraction.
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Root canal treatment (also referred to as root canal therapy or endodontic therapy) is necessary when a cavity penetrates the tooth and reaches the pulp, inside the tooth. (Of course, regular cleanings and checkups prevent and detect prpblems early). Sometimes, deep restorations or trauma to a tooth may damage the nerve so badly that is needs root canal therapy. Once this occurs, the pulp becomes infected, and can even extend through the root tip and begin to eat away at the surrounding bone (this is abscess). By the time the pulp is infected, it must be treated, and canot heal on its own; the infection can even weaken the entire immune system. Symptons that the pulp has become infected may include sensitivity to hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Sometimes, however, no symptons are apparent and the person is unaware of any problem until a check up.
A root canal is then performed to clean out the infected tooth pulp, and disinfect the canals of the tooth; the only other couse of action is total tooth extraction. Once the infection is resolved, the canal(s) are filled in to prevent any further infection. Usually, a core build-up and crown is recommended for restoring a tooth that has had root canal therapy.
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Whether you need to have one tooth or multiple teeth extracted, it can always be done in a safe and comfortable setting. Local anesthesia is used in all cases, but it can be supplemented with nitrous oxide.
Reasons for Tooth Extraction:
The most common reason for extracting a tooth is tooth damage such as breakage or fracture. Some other possible reasons for tooth extraction includes: extra teeth which are blocking other teeth from coming in, severe gum disease which may affect the supporting tissues and bone structures of teeth, preparation for orthodontic treatment (braces), insufficient space for wisdom teeth (impacted). Some medical treatments also need dental consultations for extractions.
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