Pro-Dental Care

Products And Services

• Cleanings & Prevention

  A preventive program is a cooperative effort by the patient, dentist, and dental staff to preserve the natural dentition and supporting structures by preventing the onset, progress, and recurrence of dental diseases and conditions. Preventing dental disease starts at home with good oral hygiene and a balanced diet. It is continued in the dental office by the efforts of your dentist and dental hygienist to promote, restore, and maintain your oral health. Prevention also includes regular dental exams, cleanings, and x-rays. Sealants and fluoride are also great preventive treatments that help protect the teeth. Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, beautiful smile.

  Link: Cleanings & Prevention

• Dental Exams & Cleanings

  Dental Exam A comprehensive dental exam will be performed by your dentist at your initial dental visit. At regular check-up exams, your dentist and hygienist will include the following: Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions. Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer. Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease. Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments. Examination of existing restorations: Check current fillings, crowns, etc. Professional Dental Cleaning Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists. Your cleaning appointment will include a dental exam and the following: Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments. Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease! Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

  Link: Dental Exams & Cleanings

• Cosmetic Dentistry

  In the past decade there has been a dramatic interest in cosmetic dentistry. We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we are able to improve our teeth and smiles with quick, painless and surprisingly affordable treatments. Cosmetic dental treatments can: Change the size, shape, and alignment of certain teeth. Fill in unattractive spaces between teeth. Improve or correct bites. Lighten or brighten the color of teeth. Repair decayed, broken, cracked, or chipped teeth. Replace missing teeth. Replace old, unattractive dental treatments. Remember, your smile speaks before you even say a word!

  Link: Cosmetic Dentistry

• LUMINEERS®

  LUMINEERS® are an excellent option for people who are unhappy with the cosmetic appearance of their teeth. These ultra-thin, porcelain slips fit perfectly over teeth, making them look cosmetically perfect and completely beautiful. An off-white or crooked smile can cause serious confidence problems. LUMINEERS® are a fantastic alternative for patients wanting a beautiful smile without surgery, harsh chemicals or painful treatments. For LUMINEERS® to be applied, the underlying teeth, bone and gums must be healthy. Patients with gum disease or tooth decay must be treated prior to LUMINEERS® placement. Unlike dental veneers, LUMINEERS® can be left in place for over 20 years or removed upon request to expose the intact original teeth. LUMINEERS® can be fitted in just two appointments, and instantly add pizzazz to the smile. Here are some of the problems that LUMINEERS® can solve: Large gaps between the teeth. Misaligned teeth. Misshapen teeth. Stained teeth. Uneven gums and teeth. Unnatural looking bridges and crowns. How can LUMINEERS® benefit me? LUMINEERS® provide a wide range of advantages over similar treatments. The most meaningful advantage to anxious patients is that no painful alterations of the teeth are required prior to the LUMINEERS® application. The covers themselves are so thin and unobtrusive that speech and eating are seldom affected. Here are some of the other advantages of LUMINEERS®: Last over 20 years. No harsh drilling of inner tooth mechanisms. No injections. No pain or discomfort. Only two dental visits required. Option to place multiple LUMINEERS® at one time. Perfect, pearly-white teeth. Thickness of a contact lens. Totally reversible treatment. Are LUMINEERS® strong enough? LUMINEERS® are constructed from Cerinate® porcelain, which is known for its exceptional strength. Even though LUMINEERS® are thinner than dental veneers, they are less likely to break or chip. Additionally, Cerinate® porcelain can be color-modified and balanced. This means that different levels of opaqueness and translucency can be utilized. How are LUMINEERS® applied to the teeth? One of the main reasons LUMINEERS® are so easy to fit is that little etching has to be done beforehand. With veneers, many teeth might have to be permanently altered or drilled to ensure the best fit. However, LUMINEERS® offer a beautiful end product without any drilling, anesthesia or extensive etching. This factor alone can reduce the time in the dental chair by almost half, when compared to traditional veneers. During the initial visit, bite impressions and X-rays are taken to determine the exact way the teeth fit together. The dentist also thoroughly examines the teeth to ensure that no tooth decay and no signs of gum disease are present. Together, the dentist and patient choose the color of the LUMINEERS® and the desired level of transparency. The bite impressions are sent to the laboratory to be custom-crafted. The LUMINEERS® are bonded to the teeth at the second appointment. If bonding substance has oozed out from beneath the LUMINEERS®, this is carefully removed using a beveled featheredge margin. Once the LUMINEERS® are in place, the dentist polishes them until they are completely smooth. The advantage of this smoothness is that bacteria and staining agents cannot easily adhere to the surface of the LUMINEERS®. The LUMINEERS® are finally separated. Up until this point, they are still attached where the bite impressions suggest teeth would naturally join. The treatment is finished, leaving a beautiful white smile, and perfect, healthy teeth. If you have questions or concerns about LUMINEERS®, please contact out practice.

  Link: LUMINEERS®

• Porcelain Veneers

  Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile. Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions. As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile. Reasons for porcelain veneers: Cosmetically, to create a uniform, white, beautiful smile. Crooked teeth. Misshapen teeth. Severely discolored or stained teeth. Teeth that are too small or large. Unwanted or uneven spaces. Worn or chipped teeth. What does getting porcelain veneers involve? Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist. On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond. You will receive care instructions for veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.

  Link: Porcelain Veneers

• Periodontal Disease

  The word periodontal means “around the tooth”. Periodontal disease attacks the gums and the bone that support the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it turns into calculus (tartar). When plaque and calculus are not removed, they begin to destroy the gums and bone. Periodontal disease is characterized by red, swollen, and bleeding gums. Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy. Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions. Smoking also increases the risk of periodontal disease. Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease. Signs and symptoms of periodontal disease: Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss. Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone). New spacing between teeth – Caused by bone loss. Persistent bad breath – Caused by bacteria in the mouth. Pus around the teeth and gums – Sign that there is an infection present. Receding gums – Loss of gum around a tooth. Red and puffy gums – Gums should never be red or swollen. Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.

  Link: Periodontal Disease

• Restorations

  It’s great news that the incidence of tooth decay has significantly diminished over the years due to the use of fluorides and an increase in patient awareness. However, teeth are still susceptible to decay, infection, and breakage and sometimes need to be restored back to health. Through improved techniques and modern technology, we are now able to offer more options for restoring a tooth back to its normal shape, appearance and function. Should your teeth ever require a restorative treatment, you can rest assured knowing we will always discuss with you the available options, and recommend what we believe to be the most comfortable and least invasive treatment. Providing you with excellent care is our number one priority when creating your beautiful smile. Reasons for restorative dentistry: Enhance your smile. Fill in unattractive spaces between teeth. Improve or correct an improper bite. Prevent the loss of a tooth. Relieve dental pain. Repair damaged and decayed teeth. Replace missing teeth. Replace old, unattractive dental treatments. Restore normal eating and chewing. Remember to give your teeth the attention they need today!

  Link: Restorations

• Root Canal Therapy

  Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function. Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth. Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections. Signs and symptoms for possible root canal therapy: An abscess (or pimple) on the gums. Sensitivity to hot and cold. Severe toothache pain. Sometimes no symptoms are present. Swelling and/or tenderness. Reasons for root canal therapy: Decay has reached the tooth pulp (the living tissue inside the tooth). Infection or abscess have developed inside the tooth or at the root tip. Injury or trauma to the tooth. What does root canal therapy involve? A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist). While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments. Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed. At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function. After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed. You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

  Link: Root Canal Therapy

• Dental Implants

  Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances. Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist - a specialist of the gums and supporting bone. The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile! Dental implants are strong and durable and will last many years. On occasion, they will have to be re-tightened or replaced due to normal wear. Reasons for dental implants: Replace one or more missing teeth without affecting adjacent teeth. Resolve joint pain or bite problems caused by teeth shifting into missing tooth space. Restore a patient’s confident smile. Restore chewing, speech, and digestion. Restore or enhance facial tissues. Support a bridge or denture, making it more secure and comfortable. What does getting dental implants involve? The process of getting implants requires a number of visits over several months. X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself for up to six months. Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place. With other implants the post and anchor are already attached and placed at the same time. After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step may take one to two months to complete. After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient. You will receive care instructions when your treatment is completed. Good oral hygiene and eating habits, alongside regular dental visits, will aid in the life of your new implant. If you have questions about dental implants or would like to schedule a consultation, please contact our office.

  Link: Dental Implants

• Botox® as an Alternative Treatment for TMJ

  Temporomandibular joint disorders (TMJD or TMJ), are notoriously difficult to diagnose and treat. Many of the related symptoms, such as headaches and earaches, often lead doctors to diagnose a sinus condition, as opposed to a problem with the jaw joint. TMJ symptoms often change in severity, depending on how much stress the sufferer is experiencing. During an intensely stressful period, grinding teeth, debilitating earaches, and lockjaw may occur. Botox® injections are sometimes an effective and painless way to alleviate tension in the temporomandibular joint, reducing jaw pain, headaches, and suffering. Botox® is commonly associated with cosmetic practices, including eliminating glabellar lines and facial wrinkles. Recently however, Botox® has become an increasingly popular TMJ treatment. Although some TMJ symptoms may improve without any specific treatment, Botox® offers fast and long-lasting relief for those that do not. Here are several of the major benefits Botox® offers TMJ sufferers: Elimination of headaches caused by nighttime grinding. Minimization of lockjaw. Reduced discomfort when using the jaw. Reduced shoulder and neck pain. Substantially reduced jaw tension. How does Botox® work? The temporomandibular joint is located on both sides of the head where the skull adjoins the jawbone. This joint is constantly being used for a variety of daily activities, such as chewing, biting, speaking, and swallowing. The most prominent causes of TMJ are jaw displacement and stress-related involuntary jaw movements. Botox® expediently alleviates temporomandibular tension by relaxing the jaw muscles, thus preventing unconscious jaw movement and ending grinding-related headaches. One of the major advantages of Botox® is that normal functions such as speaking, swallowing, and biting are left unaffected. The only major change is the reduction in pain and discomfort. In addition, controlling TMJ can also prevent serious dental problems from occurring later. TMJ, if left untreated, can contribute to tooth decay, gum disease, and the loosening of teeth. What’s involved when getting Botox® injections? Prior to administering Botox® injections, the dentist needs to check the patient’s suitability for treatment. When used in conjunction with certain medications and substances, Botox® may not produce the desired results. It is exceptionally important therefore, to be honest about prior medical history. Botox® is not recommended for pregnant or lactating women. The Botox® injections take 10-20 minutes to administer, depending on the amount required. Because it is non-surgical, the Botox® procedure will be performed at the dental office. Driving ability will not be impaired by the treatment, so there is no need for a designated driver. The injections are no more painful than a bug bite or pinprick, but nitrous oxide (laughing gas) can be used to reduce anxiety if necessary. Normal activity can be resumed immediately after the Botox® treatment, but strenuous activity should be avoided for 24 hours after treatment. It may take several days to feel the full benefits of the treatment, but Botox® will continue to work for up to 3 months. If you have any questions or concerns about TMJ or Botox® treatment, please contact our office.

  Link: Botox® as an Alternative Treatment for TMJ

• Orthodontics

  Orthodontics is a branch of dentistry specializing in the diagnosis, prevention, and treatment of jaw, face and bite irregularities (malocclusions*). Orthodontic treatment is provided by an oral health care provider known as an orthodontist, who has completed two to three years of additional training beyond dental school. Recent years have brought about many changes within the dental industry, specifically with regards to orthodontic treatment and care. Now more than ever patients are experiencing fewer incidences of cavities and missing teeth due to the heightened awareness of fluoride use and preventative dentistry. This increasing awareness on the health and look of a patient’s smile has fueled the desire for many to seek out orthodontia not only as a medical necessity, but for cosmetic reasons as well. Whether it’s traditional braces or custom made removable appliances, orthodontics can help you have the healthy, straight, beautiful smile you’ve been waiting for! Give us a call today and schedule your orthodontic consultation! *Malocclusion is the technical term for teeth that don’t fit together correctly. Malocclusions not only affect the teeth, but also the appearance of the face. Most malocclusions are inherited; however some are due to acquired habits such as thumb sucking and tongue thrusting. The spacing left from an adult tooth being extracted or an early loss of a baby tooth can also contribute to a malocclusion.

  Link: Orthodontics

• Invisalign®

  One of the primary concerns people often have about dental braces is the aesthetic impact of the metalwork on their smile. Especially for adults, the prospect of wearing unattractive metal braces for long periods of time can be very discouraging. Invisalign® offers an almost invisible aligning system that straightens teeth fast and contains no metal. Invisalign® treatment consists of a series of custom-made aligning trays. The dentist changes the trays every several weeks to fit the new tooth configuration. In addition to the reduced visual impact, Invisalign® aligning trays can be temporarily removed for important occasions – meaning that treatment duration is patient-controlled. A great number of people report complete satisfaction with both the Invisalign® treatment and the stunning results. What kind of bite problems can Invisalign® correct? Invisalign® corrects the same dental problems as traditional metal braces; the only difference is that Invisalign® trays are almost invisible to the naked eye, and can be removed at will. Here are some problems that are commonly corrected with Invisalign®: Overcrowding – This occurs when there is too little space for the teeth to align normally in the mouth. Overcrowding can cause tooth decay and increase the likelihood of gum disease. Large gaps between teeth – This can sometimes occur because teeth are missing or because the jaw continues to grow abnormally. Crossbite – This common dental problem occurs when one or multiple upper teeth bite inside the lower teeth. As a consequence, uneven wear can lead to bone erosion and gum disease. Overbite – This problem occurs when the upper teeth project further than, or completely cover, the lower teeth. Eventually, jaw pain and TMJ may occur. Underbite – This is the inverse of the overbite; the lower teeth project further than, or completely cover, the upper teeth. Eventually, jaw pain and TMJ can occur. What advantages does Invisalign® offer over traditional braces and veneers? Traditional dental braces, Invisalign® aligning trays, and dental veneers are three different ways to perfect the alignment of the teeth. There are many different considerations to make when deciding which treatment will be best, and each of these options works better in certain situations. Invisalign® differs from traditional braces in that the aligning trays are fully removable. This means that more discipline and commitment is required from the patient. This is not usually a problem since the trays are comfortable and nearly invisible. Almost identical results can be obtained by using either treatment. Invisalign® is preferable to veneers in many cases because unlike veneers, Invisalign® actually straightens the teeth. Veneers are thin covers that the dentist permanently affixes to the teeth. Teeth must be etched beforehand, meaning that to remove dental veneers, an alternative covering must be constructed. In addition to being somewhat expensive, veneers can break and often last for less than 20 years. What does Invisalign® treatment involve? First, the dentist needs to devise an initial treatment plan before creating the special aligning trays. Three-dimensional digital images are taken of the entire jaw. These images allow the dentist to move specific teeth on the screen, view the jaw from different angles, and also foresee what the face might look like in years to come. In essence, this technology can show how Invisalign® trays will change the facial aesthetics. Once planning is complete, a unique set of aligners is made. The total amount of aligners required varies with each individual case, but 20-29 sets per arch is typical. What are some considerations when wearing Invisalign® trays? Life with Invisalign® aligning trays may take several weeks to get used to. The trays should be worn constantly, except when eating and drinking. It is important to remove the trays when consuming food or drink because food can become trapped between the tray and the teeth, causing tooth decay. Usually, new trays are necessary every two weeks, and progress between appointments can be seen with the naked eye. There is no doubt that Invisalign® aligning trays have revolutionized orthodontics. Invisalign® is renowned for being both comfortable and effective. If you have questions about Invisalign®, please contact our office.

  Link: Invisalign®

• Oral & Maxillofacial Surgery

  Oral and maxillofacial surgeons are specialists with advanced training and expertise in the diagnosis and treatment of various head and neck conditions and injuries. After four years of dental school, an oral and maxillofacial surgeon completes four to six years of additional formal training in treating the craniomaxillofacial complex. This specialty is one of 9 dental specialties recognized internationally and by the American Dental Association (ADA). An oral and maxillofacial surgeon can diagnose and treat a wide variety conditions. The following are just some of the many conditions, treatments and procedures oral and maxillofacial surgeon deal with on a daily basis: TMJ, Facial Pain, & Facial Reconstruction Dental Implants Tooth Extractions & Impacted Teeth Wisdom Teeth Misaligned Jaws Cleft Lip & Palate Apicoectomy Oral Cancers , Tumors, Cysts, & Biopsies Sleep Apnea Facial Cosmetic Surgery Whether your dentist refers you to our office, you have pain or symptoms causing you concern, or you simply have questions you would like answered, please contact our office today to schedule an appointment. We are here to answer your questions and provide the treatment you deserve!

  Link: Oral & Maxillofacial Surgery

• Sleep Apnea

  Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep. The term sleep apnea is derived from the Greek etymology meaning “without breath”. Breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Ongoing disrupted breathing causes an imbalance between the carbon dioxide and oxygen levels in the bloodstream, as not enough carbon dioxide is exiting and not enough oxygen is entering the body. Sensing this imbalance, the brain sends a message to the body, telling it to wake up to restart the breathing process. People with sleep apnea will partially awake as they struggle to breathe, and this is often accompanied by loud snoring or choking sensations. Because people with sleep apnea don’t always completely awake during the episodes, they are often unaware they have a sleeping disorder and it can remain undiagnosed. There are two main types of this disorder; central sleep apnea which occurs when the brain fails to send important signals to the breathing muscles, and obstructive sleep apnea which occurs when air cannot flow through the nose or mouth even though the body is still trying to breathe. Obstructive sleep apnea is far more prevalent and easily treatable by the dentist. Common signs of obstructive sleep apnea can include severe early morning headaches, sleepiness in the daytime, and insomnia. Fortunately, the dentist is equipped with the necessary technology and expertise to treat sleep apnea in several different ways. Reason for treating sleep apnea It is very important to seek medical attention if sleep apnea is suspected. A sufferer can completely stop breathing numerous times per hour, and this can quickly turn into a deadly situation. Obstructive sleep apnea occurs when the soft tissue lying at the back of the patient’s throat collapses into the airway. The tongue then falls towards the back of the throat which tightens the blockage and prevents oxygen from entering the lungs. The problem worsens when the chest region, diaphragm, and abdomen fight for air. The efforts they make to obtain vital oxygen only cause a further tightening of the blockage. The patient must arouse from deep sleep to tense the tongue and remove the soft tissue from the airway. Because sleep apnea causes carbon dioxide levels to skyrocket in the blood and oxygen levels to decrease, the heart has to pump harder and faster to compensate for the lack of oxygen. Sleep apnea patients can technically “die” many times each night. Sleep apnea has been linked to a series of serious heart-related conditions, and should be investigated by the dentist at the earliest opportunity. What does sleep apnea treatment involve? Initially, the dentist will want to conduct tests in order to investigate, diagnose, and pinpoint a suitable treatment. The dentist can offer many different treatment options which depend largely on the exact diagnosis and the health of the patient. The dentist may advise the patient to halt some habits that aggravate sleep apnea such as smoking, alcohol consumption, and tranquilizer use. Sleeping masks were traditionally used to keep the patient’s airways open while they slept, but nowadays there are some less intrusive options. Dental devices that gently tease the lower jaw forward are very effective in preventing the tongue from blocking the main air passage. These dental devices are gentle, easy to wear, and often help patients avoid unwanted surgeries. A more permanent solution is to have surgery that sections the lower jaw and helps pull the bone holding the tongue forward slightly. This surgery has an impressive success rate and is simple for the dentist or oral surgeon to perform. The dentist needs to formally make a diagnosis of each individual case before recommending the best course of action. If you feel you may benefit from sleep apnea treatment, contact our practice today.

  Link: Sleep Apnea

• Endodontics

  Endodontics is a specialized branch of dentistry that deals with the complex structures found inside the teeth. The Greek word “Endodontics” literally means “inside the tooth” and relates to the tooth pulp, tissues, nerves, and arterioles. Endodontists receive additional dental training after completing dental school to enable them to perform both complex and simple procedures, including root canal therapy. Historically, a tooth with a diseased nerve would be removed immediately, but endodontists are now able to save the natural tooth in most cases. Generally, extracting the inner tooth structures, then sealing the resulting gap with a crown restores health and functionality to damaged teeth. Signs and symptoms of endodontic problems: Inflammation and tenderness in the gums. Teeth that are sensitive to hot and cold foods. Tenderness when chewing and biting. Tooth discoloration. Unexplained pain in the nearby lymph nodes. Reasons for endodontic treatment Endodontic treatment (or root canal therapy) is performed to save the natural tooth. In spite of the many advanced restorations available, most dentists agree that there is no substitute for healthy, natural teeth. Here are some of the main causes of inner tooth damage: Bacterial infections – Oral bacteria is the most common cause of endodontic problems. Bacteria invade the tooth pulp through tiny fissures in the teeth caused by tooth decay or injury. The resulting inflammation and bacterial infection jeopardize the affected tooth and may cause an abscess to form. Fractures and chips – When a large part of the surface or crown of the tooth has become completely detached, root canal therapy may be required. The removal of the crown portion leaves the pulp exposed, which can be debilitating painful and problematic. Injuries – Injuries to the teeth can be caused by a direct or indirect blow to the mouth area. Some injuries cause a tooth to become luxated or dislodged from its socket. Root canal therapy is often needed after the endodontist has successfully stabilized the injured tooth. Removals – If a tooth has been knocked clean out of the socket, it is important to rinse it and place it back into the socket as quickly as possible. If this is impossible, place the tooth in special dental solution (available at pharmacies) or in milk. These steps will keep the inner mechanisms of the tooth moist and alive while emergency dental treatment is sought. The tooth will be affixed in its socket using a special splint, and the endodontist will then perform root canal therapy to save the tooth. What does an endodontic procedure invlove? Root canal therapy usually takes between one and three visits to complete. Complete X-rays of the teeth will be taken and examined before the treatment begins. Initially, a local anesthetic will be administered, and a dental dam (protective sheet) will be placed to ensure that the surgical area remains free of saliva during the treatment. An opening will be created in the surface of the tooth, and the pulp will be completely removed using small handheld instruments. The space will then be shaped, cleaned, and filled with gutta-percha. Gutta-percha is a biocompatible material that is somewhat similar to rubber. Cement will be applied on top to ensure that the root canals are completely sealed off. Usually, a temporary filling will be placed to restore functionality to the tooth prior to the permanent restoration procedure. During the final visit, a permanent restoration or crown will be placed. If you have questions or concerns about endodontic procedures, please contact our office.

  Link: Endodontics

• Root Canal Therapy

  Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function. Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth. Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections. Signs and symptoms for possible root canal therapy: An abscess (or pimple) on the gums. Sensitivity to hot and cold. Severe toothache pain. Sometimes no symptoms are present. Swelling and/or tenderness. Reasons for root canal therapy: Decay has reached the tooth pulp (the living tissue inside the tooth). Infection or abscess have developed inside the tooth or at the root tip. Injury or trauma to the tooth. What does root canal therapy involve? A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist). While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments. Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed. At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function. After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed. You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

  Link: Root Canal Therapy

• Dental Emergencies

  Dental emergencies are quite frightening and often painful. Prompt treatment is almost always required to alleviate pain and to ensure the teeth have the best possible chance of survival. Sometimes, teeth become fractured by trauma, grinding, or biting on hard objects. In other cases, fillings, crowns, and other restorative devices can be damaged or fall out of the mouth completely. If there is severe pain, it is essential to contact our office immediately. The pain caused by dental emergencies almost always gets worse without treatment, and dental issues can seriously jeopardize physical health. Types of dental emergency and how to deal with them Avulsed tooth (tooth knocked out) If a tooth has been knocked clean out of the mouth, it is essential to see a dentist immediately. When a tooth exits the mouth, tissues, nerves, and blood vessels become damaged. If the tooth can be placed back into its socket within an hour, there is a chance the tissues will grow to support the tooth once again. Here are some steps to take: Call our office. Pick up the tooth by the crown and rinse it under warm water. DO NOT touch the root. If possible, place it back into its socket – if not tuck it into the cheek pouch. If the tooth cannot be placed in the mouth, put the tooth into a cup of milk, saliva, or water as a last resort. It is important to keep the tooth from drying out. Get to our office, quickly and safely. We will try to replace the tooth in its natural socket. In some cases, the tooth will reattach, but if the inner mechanisms of the teeth are seriously damaged, root canal therapy might be necessary. Lost filling or crown Usually, a crown or filling comes loose while eating. Once it is out of the mouth, the affected tooth may be incredibly sensitive to temperature changes and pressure. Crowns generally become loose because the tooth beneath is decaying. The decay causes shape changes in the teeth – meaning that the crown no longer fits. If a crown has dropped out of the mouth, make a dental appointment as soon as possible. Keep the crown in a cool, safe place because there is a possibility that we can reinsert it. If the crown is out of the mouth for a long period of time, the teeth may shift or sustain further damage. When we are not immediately accessible, here are the steps to take: Apply clove oil to the tooth to alleviate pain. Clean the crown, and affix it onto the tooth with dental cement. This can be purchased at a local pharmacy. If the crown is lost, smear the top of the tooth with dental cement to alleviate discomfort. DO NOT use any kind of glue to affix the crown. We will check the crown to see if it still fits. If it does, it will be reattached to the tooth. Where decay is noted, this will be treated and a new crown will be made. Cracked or broken teeth The teeth are strong, but they are still prone to fractures, cracks, and breaks. Sometimes fractures are fairly painless, but if the crack extends down into the root, it is likely that the pain will be extreme. Fractures, cracks, and breaks can take several different forms, but are generally caused by trauma, grinding, and biting. If a tooth has been fractured or cracked, there is no alternative but to schedule an appointment as quickly as possible. Where a segment of tooth has been broken off, here are some steps that can be taken at home: Call our office. Rinse the tooth fragment and the mouth with lukewarm water. Apply gauze to the area for ten minutes if there is bleeding. Place a cold, damp dishtowel on the cheek to minimize swelling and pain. Cover the affected area with over-the-counter dental cement if you cannot see us immediately. Take a topical pain reliever. The nature of the break or fracture will limit what we are able to do. If a fracture or crack extends into the root, root canal therapy is often the most effective way to retain the tooth. In the case of a complete break, your dentist will usually affix the fragment back onto the tooth as a temporary measure. Dislodged/loose teeth When a tooth has been dislodged or loosened from its socket by trauma or decay, it might be possible to save it. If the tooth remains in the mouth still attached to the blood vessels and nerves, there is a good chance root canal therapy will not be necessary. It is important to call our office immediately to make an appointment. In the meantime, use a cold compress and over-the-counter medications to relieve pain. Your dentist will reposition the tooth and add splints to stabilize it. If the tooth fails to heal, root canal therapy might be required. If you have questions or concerns about dental emergencies, please contact our office.

  Link: Dental Emergencies