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