General Services

Preventive and Diagnostic

Preventive and Diagnostic
We begin with an oral cancer screening exam which is a visual inspection of the head, neck, and soft tissues within the mouth. An oral examination is than performed examining every tooth one by one. Radiographs allow for a more complete examination, aiding the doctor to detect cavities, problems in existing dental restorations, gum and bone recession or other abnormal conditions within the mouth.
A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces. Once all the tooth surfaces have been cleaned of tartar and plaque, the teeth are air polished. Individualized home care instructions are provide based on findings and need.
Many sports require athletes to use a Mouth Guard to protect their teeth while practicing and playing. Frequently used in contact sports, the mouth guard covers the gums and teeth to provide protection for lips, gums, teeth and arches. A properly fitted mouth guard can reduce the severity of dental injuries.

Pre-formed, ready-to-wear mouth guards can be purchased inexpensively at many sporting stores, but they do not always fit well. They can be uncomfortable and interfere with talking and even breathing.

Sporting goods stores also offer semi-custom mouth guards, in which the plastic is heated and then the athlete bites on it while still warm to provide some level of custom fit.

We can make a custom mouth guard by taking an impression of your teeth and then creating a device fitted to your mouth for the highest level of both comfort and protection. A custom fitted mouth guard can be particularly important for athletes who wear braces.

There are several different types of Night Guards which can be fabricated depending on the dental situation. Night Guards are frequently used to treat a variety of dental conditions including bruxism (grinding of teeth), clenching, headaches, and TMJ joint problems.

A thorough evaluation of your symptoms, tooth position and occlusion provides valuable information in the selection of the proper night guard to effectively treat the problem.

Be certain to bring your night guard to each dental appointment where a tooth restoration is planned. This is to ensure the proper fit of your night guard.

Restorative Dentistry

A crown is a dental restoration that completely covers the outside of a severely decayed or broken tooth. In our office, crowns can be completed in one visit thanks to the use of CAD/CAM (a computerized imaging and custom design system).

Once the tooth is prepped (shaved down), a 3D camera is used to create a digital image of the tooth. The digital image replaces the need to make a physical impression which can be messy and cause gagging. We use special computer software (CEREC), to design every detail of the crown with precise accuracy, ensuring the best possible fit. While you wait, your all-porcelain crown is milled onsite, in as little as 15 minutes. The permanent restoration is than fit, polished and bonded into place.

Crowns are color matched, metal free, and highly durable. The restoration is finished in ONE visit. No need to wear a temporary crown for a few weeks and return for a second appointment.

A bridge replaces missing teeth without the use of a denture or dental implant. A “false” tooth (pontic) is held in place by attaching to neighboring teeth. In order to fabricate a bridge, crowns are made for the teeth on either side of the space and a pontic (porcelain tooth) is placed in between the crowns, which act as supports.

3 unit bridges are usually fabricated on site in one visit. At this time, longer span bridges require a second visit, but that should be changing in the near future.

Dental implants are used to replacement tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants, which are placed in the bone (by one of our expert colleagues) are small anchors made of an orally biocompatible metal called titanium. The implant begins to fuse with the bone over the course of a few months. This fusing process, is known as osseointegration.

After healing, we fabricate a custom abutment (fits into the implant and holds the crown) The abutment is then screwed into the implant, onto which a custom crown that has been fabricated using our CAD/CAD computer is permanently attached to replace the missing tooth/teeth. All these restorative procedures are done in our office in just ONE VISIT.

A denture is a removable replacement for missing teeth. There are two types of dentures, complete (full) and partial dentures.

Complete (Full) Dentures are made after all the teeth in the upper and/or lower jaw have been removed and the gum tissue has healed. The denture includes an acrylic base that is custom made in the dental laboratory and are made to look like natural gums, which sits over the gums or can be anchored to dental implants.

Removable Partial Dentures are made only when a few teeth need to be replaced. The removable partial denture either attaches to crowns on either side of the denture or to a metal framework that is attached to the teeth on both sides of the partial denture. Partial dentures can be removable or they can be anchored in place by attaching them to dental implants.

An inlay or onlay is a partial crown restoration that can be placed when there is not sufficient tooth structure to support a filling, but not quite large enough to require a crown. They are made of porcelain that aesthetically matches and functionally replaces the missing tooth structure.

Cosmetic Dentistry

Whitening, also known as bleaching, is the procedure used to brighten teeth. To protect the health of your teeth, a dental exam should be done prior to bleaching. The exam enables us to determine if leaky fillings or other tooth disorders could negatively be affected by the bleaching material. There are two different ways to achieve a desired whiter smile: At-home bleaching and In-office bleaching.

In-Office Bleaching usually requires only one office visit. A protective gel or a rubber shield is placed over the gums to protect the soft tissue. A bleaching agent containing carbamide peroxide is applied to the teeth, and a bright light is then used to enhance the action of the whitening agent.

At-Home bleaching requires an impression of the teeth (taken using our CAD/CAM computer camera) in order to fabricate a customized mouth guard to hold the whitening gel (which contains the bleaching agent) against the teeth. Once the mouth guard is made, it is worn for a period of time, as instructed by our office. The amount of time may vary from a couple of hours a day, or all night, for up to four weeks or longer.

Invisalign® takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligner trays are made by scanning your teeth with our CAD/CAM intraoral camera. Using the camera eliminates the need to take messy impressions. The Invisalign® trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist plans out for you. There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won’t even know that you’re straightening your teeth.

Learn More About Invisalign®

Porcelain veneers are thin “jackets” of porcelain which usually cover the front surface of the 6 anterior upper &/or lower teeth. Veneers can also be placed on only one or two teeth. Veneers are used to recreate the natural look and contour of teeth, while covering stained or darkening teeth. Frequently, a lighter shade is chosen to brighten your teeth to create a “perfect” smile.

In preparing the teeth, only a very small amount of the original tooth enamel is removed. The teeth are then imaged with our CAD/CAM intraoral camera. The veneers are individually designed and than the porcelain is milled for each tooth. Afterwards, an adhesive layer is placed between the slightly prepped tooth and the veneer and set with a curing light.

Additional Services

Additional Services
CAD/CAM is an acronym that stands for computer-aided design/computer-aided manufacturing. CAD/CAM technology is used to help the dental team fabricate precise shapes and sizes for dental restorations including inlays, onlays, veneers, crowns and bridges. This technology provides patients with durable, esthetic, well-fitted single and multiple tooth restorations in a more efficient manner. The first step in using CAD/CAM technology is tooth preparation. Next, a digital impression is taken that sends the prepared tooth’s exact dimensions into a computer

Afterwards, the computer software creates a virtual restoration replacement part for the missing areas of the tooth. The software then sends the virtual restoration data to the milling machine, where the replacement part is carved out of a solid block of ceramic or composite resin. The restoration is adjusted in the patient’s mouth and cemented or bonded in place.

Lasers in dentistry al ow for many dental procedures to be performed with no noise, minimal pain, faster recovery times and often fewer appointments. All lasers work by delivering energy in he form of light.

When used for surgical and dental procedures, the laser acts as a cutting instrument.

Use of our laser may be required to recontour the gum tissue (ginigival curettage) around a tooth where decay spreads below the gum line.

The temporomandibular joint (TMJ) is similar to a sliding hinge that connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement.

To treat TMJ disorders, the cause must first be identified. Causes of TMJ pain included trauma, arthritis, and occlusal disharmony. Occlusal disharmony is the number one cause of most TMJ problems.

We have many years of experience in helping people with jaw joint pain. It has been our experience that developing proper harmony between the upper and lower teeth is essential to avoid such problems.

Scaling and root planing is a non-surgical procedure used to treat gum disease. During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Planing is the procedure used to smooth the tooth’s root after the scaling process. Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface.
Root canals are most often necessary when decay has reached the nerve of the tooth, the tooth has become infected, or the tooth has broken exposing the nerve.

Our office will refer you to one of our highly regarded Endodontists if root canal treatment is deemed necessary. Soon after the root canal is performed, the tooth will be restored in our office using a dental crown or filling to protect the tooth and to restore normal tooth function.

A tooth that can not be saved with restorative materials may need to be removed. Our office will refer you to a highly trained professional for the extraction.

Options for replacement of the tooth will be discussed including implants, a bridge, or removable denture.