From routine cleanings and fillings to bruxism devices, we are equipped to handle all of your dental needs. To help you understand your options, we’ve included descriptions of some of our leading services on this page.
- Bonding or Cosmetic Fillings
- Cosmetic Contouring
- Crowns and Bridges
- Root Canal Therapy
- Scaling and Root Planing
- Dentures and Partials
Replacing Silver Fillings with a Tooth Colored Restoration
You can have your silver fillings replaced with tooth-colored restorations (composite bonding or porcelain). Composite restorations can be done in one appointment whereas porcelain restorations require two appointments. The cost of porcelain is higher than composite but they will last longer.
Crowns and Bridges
Crowns are synthetic caps, usually made of a material like porcelain, placed on the top of a tooth. Crowns are typically used to restore a tooth’s function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth.
A bridge is a device used to replace missing teeth which attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable. Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.
If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.
Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or that are chipped, discolored, oddly shaped, unevenly spaced or crooked. They have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, and even cigarette smoking.
Veneers are usually made by a dental lab technician working from a model provided by your dentist. A veneer is usually an irreversible treatment because it is necessary to remove a small amount of enamel from your teeth to accommodate the shell of porcelain.
Porcelain veneers can mask undesirable defects, such as teeth stained by tetracycline, by an injury, or as a result of a root canal procedure, and are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may consider porcelain veneers.
Typically veneers entail at least three appointments: diagnosis and treatment planning, preparation, and bonding.
During the tooth preparation visit, usually lasting one to two hours, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about half a millimeter of the tooth is removed, which may require a local anesthetic. During the same visit, an impression is taken of the teeth and sent to the laboratory for the fabrication of the veneers.
During the final “bonding” visit, also about one or two hours, the veneers are placed on the tooth surface with water or glycerine on the teeth to check their fit and get a sense of the shade or color. While the veneers are resting on your teeth, they can be adjusted with various shades of cement to match the color of your teeth. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a visible light beam causes a catalyst to be released, hardening the cement.
Whitening procedures have effectively restored the smile of people with stained, dull, or discolored teeth. More and more people today are choosing tooth-whitening procedures to reverse the effects of aging and staining from food and tobacco.
Food particles are naturally attracted to a tooth’s enamel by a certain protein. Products like coffee and tea, berries and soy sauce are notorious for staining teeth. Over time, teeth actually become more absorbent and vulnerable to staining from food and other substances.
Intrinsic stain, one that is caused by traumatic injuries, medications and fluorosis, actually begins inside the tooth. Therefore, brushing and flossing will not remove it. Another type of stain which is caused by external factors such as food, called extrinsic stain, can be more easily attacked by brushing , flossing and rinsing.
Some commercially available “whitening toothpastes” can be somewhat effective at removing stains and making teeth a few shades brighter. However, many of these products have abrasive substances that can actually wear away your tooth’s enamel.
Whitening agents actually change the color of your teeth, but are only effective on certain types of stains. For example, bleaching agents have a difficult time removing brownish or grayish stains and will not lighten any teeth with crowns, bridges, tooth colored fillings or porcelain veneers.
Highly effective in preventing decay on the biting surfaces of your chewing teeth, dental sealants are a simple procedure in which a tooth-colored acrylic “coating” is painted onto the surface of the tooth. This effectively “seals” the deep grooves, acting as a barrier and protecting enamel from plaque and acids.
Sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can’t reach.
Easy to apply, sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed.
Children and adults can benefit from sealants in the fight against tooth decay.
Root Canal Therapy
Root canals are tiny passageways that branch off from beneath the top of the tooth, coursing their way vertically downward, until the reach the tip of the root. Root canal therapy involves removing the nerve and blood supply from the root canal and filling the space with a rubber-like material called gutta percha.
Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.
Not everyone is a candidate for a dental implant. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.
Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like titanium.
Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal or ceramic posts are inserted into the implant during a follow-up procedure to connect the crown, bridge or denture.
We do not place implants in our office but we do restore them. If a patient needs implants, we would give them a referral to an oral surgeon or periodontist for the surgical placement of the implant.