Our Services

Bonding and White Filling

Bridges

Crowns

Dentures

Extractions

Dental Hygiene and Periodontal Health

Extraction Site Preservation

Sedation

• Oral Conscious Sedation

• Nitrous Oxide

• Sedation Q & A

Night Guards

Post-Op Instructions

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Bonding and White Filling

Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.

A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile.

Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems.

Bridges

Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable.

The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.

We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive to make sure that the bridge is set.

The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth back again. You should eat soft foods for the first few days after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.

If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.

Crowns

Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient.

Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth.

The process of installing a crown takes 2-3 visits to the dentist. On the first visit the tooth will be reshaped by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that you do not experience any discomfort. Once the tooth has been reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental lab so that your new crown can be made so that it fits in the spot created for it and looks the same relative to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your permanent crown is ready.

The crown takes about 2-3 weeks to be returned to your dentist. At this time you will have another appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if you would like to learn more about how crowns can help restore your smile.

Dentures

Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.

• Conventional Full Dentures - This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.
• Immediate Full Dentures - Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed.

Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth. 

Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don't have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.

Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don't drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.

Extractions

Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.

The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

• Gelatin
• Pudding
• Yogurt
• Mashed Potatoes
• Ice Cream
• Thin Soups
• ...and other food you can eat without chewing.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call your dentist for a follow up.

Dental Hygiene and Periodontal Health

While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.

Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.

Extraction Site Preservation

When removing a tooth it is important to consider what will be done with the empty space after that tooth is removed.  If it is necessary to remove a tooth, plans should be made on what replacements will be used. If a tooth is removed and nothing is done to preserve the bone, the jaw bone will degenerate (shrink) and change shape during healing.  After a while, teeth will begin to shift.  Those above or below the space will move into the space made by the extracted tooth and those next to the space will lean into the space.

If you want to fill the space with a dental implant, a sturdy jaw bone is necessary to place the implant so placing a bone graft would be ideal. If you opt for a bridge, the bridge must be molded and placed before the teeth shift.

Your dentist is always open to a conversation on what you would like to do with your extraction site before removing a tooth. They will be able to make a recommendation and layout a treatment plan. Make sure to schedule follow up appointments to properly care for your extraction site.

Sedation

What if you could have all your dentistry that you have been putting off for years in the conventional dental office in one or two comfortable visits?

What if you could finally receive all of the treatment while sleeping- free of fear and pain?

We specialize in Sedation Dentistry and Sleep Dentistry, treating people with dental phobias and anxieties We offer different types of sedation dentistry. These include administering oral sedation, a pill, nitrous oxide (laughing gas), and intravenous sedation to deliver a combination of drugs. All this depends on the needs of the patient.

In this way the patient and the dentist are comfortable providing and receiving the best possible dental care-safe, and free of stress and pain.

What is Sedation Dentistry or Sleep Dentistry?

The patient is given oral medication about one hour before your appointment. The medicine puts you in a light state of sedation and you sleep thru your dental appointment. It is Safe! When you awaken your dental treatment is completed.

You need someone to drive you to and from your appointment. Once you arrive, you are allowed to rest comfortably in a warm, quiet room under a cozy blanket. During the entire time you are here, we will closely monitor you to ensure your safety.

Complex dental treatments that often require six or more appointments can be done in as little as one!

All while you sleep.

Oral Conscious Sedation

If the idea of going to the dentist for a procedure brings on feelings of fear or anxiety there are options to ease the anxiety. Oral conscious sedation is as easy as taking an aspirin and you will feel relaxed and at ease. Oral conscious sedation does not "knock you out" like some other forms of anesthesia. You will remain awake during your procedure, but you will be in a heightened state of relaxation. It is also possible that you will not remember part, or all, of your procedure.

Oral conscious sedation is extremely safe and easy. It is much less expensive than other forms of sedation, and you will be able to talk and breathe on your own during the procedure. It also makes long or complex procedures seem shorter, allowing you to have all of your work done in a single visit. As an added precaution a local anesthetic will be given to the area that is being worked on to ensure that there is no pain. You will need to have someone drive you to and from the office if you use oral conscious sedation for your safety.

Don't wait any longer to have necessary dental work performed because you are nervous. Ask your dentist about oral conscious sedation to see if it is right for you.

Nitrous Oxide

Nitrous Oxide, known to many as laughing gas, is the most commonly used form of sedation in dentistry. It is administered by having the patient inhale the gas, which is carefully monitored by your doctor. You will fall into a euphoric state and feel completely relaxed. All feelings of fear and anxiety fade away, leaving you to sit back peacefully while your dental procedure is performed. In most cases all dental work can be completed in one visit while you are sedated.

Nitrous oxide sedation is very safe and effective. Once the procedure is over the nitrous oxide will wear off fairly quickly, and you will probably be able to drive yourself home and return to your daily activities.

You will need to have a preliminary visit with your dentist to make sure that you are an eligible candidate for nitrous sedation. If you have been worried about your next dental visit its time to stop! Ask us about sedation dentistry and schedule your appointment today.

Sedation Q & A

Who is a candidate for sedation?

If you have anxiety or fear about going to the dentist you are a candidate for sedation dentistry. If you have a fear of pain, have had a traumatic dental experience in the past, or the sounds and smells of a dental office make you nauseous, sedation dentistry can help you get over your anxiety.

Some people have physical reasons, like a bad gag reflex or very sensitive teeth, which make them a candidate for sedation dentistry as well. If you are not sure if you are a candidate ask your dentist.

Will I be unconscious?

No, but you will be in a deep state of relaxation during your treatment. You will still be able to breathe on your own and communicate, but you will not feel any pain or anxiety. You may not even remember the procedure afterwards.

How long will I be sedated?

Sedation can last from about 2-6 hours depending on the strength of sedative you are given and how long your procedure takes.

Will I be monitored?

Yes, at all times during your sedation someone will be with you. We also monitor your vitals to make sure they remain at a normal level. Safety is of the utmost importance to us.

Are there any long term effects of sedation?

No. You will feel a little groggy and "out of it" after some forms of sedation, but after a few hours you will feel like yourself again. You will need to have someone drive you home from your appointment in these cases.

What procedures can be performed under sedation?

Just about any procedure can be performed with sedation. The sedation is not for the procedure itself, but for the anxiety that accompanies the procedure. Ask your dentist if sedation is available for a particular procedure.

How many appointments will I need to complete my dental work?

In most cases it only takes two appointments. The first appointment will be a consultation to check your health history and make sure you are a candidate for sedation. The next appointment will be to perform the necessary procedures. This can usually be done in one appointment, but may require a follow up visit.

Will my insurance cover sedation?

In most cases it will not be covered by your insurance provider. We will review your insurance coverage and let you know if it is covered or not. If it is not covered, we will let you know the cost and, if necessary, we can put together a financing plan for you.

Night Guards

Many people are afflicted with bruxism, or teeth grinding. Some people may do this consciously during the day, but it is a larger problem at night while you are asleep. Grinding your teeth can damage enamel, wear down teeth, cause jaw pain, or irritate your gums. The noise from teeth grinding can also disturb your spouse's sleep if loud enough.

If you grind your teeth you should consider a night guard. The night guard, which is very similar to a mouth guard worn by athletes, provides a barrier between your top and bottom teeth while you sleep. All night guards are custom fitted for comfort and to allow for proper breathing. Your dentist will take an impression of your teeth and have the night guard created by a dental lab. Night guards are very durable and can be used for up to 10 years.

There are also some things that you can do to try to stop teeth grinding. You can train your jaw to be free and easy rather than clenched. Refrain from chewing gum or on other objects like pens. You should also avoid alcoholic drinks and drinks with caffeine, as these can increase the likelihood you will grind your teeth. If you suspect you might be grinding your teeth at night set up an appointment with us today.

Post-Op Instructions

It is important to follow instructions after you have oral surgery to ensure proper healing and to avoid complications. As a rule of thumb, you should always wait two hours after surgery before eating to let the anesthesia wear off. Trying to eat before this could result in soft tissue damage because you are not able to feel all of your mouth. The instructions found below are guidelines. After your surgery the doctor or dental assistant will give you full instructions on how to properly recover from surgery.

Root Canal Therapy

You can expect soreness after a root canal procedure for a few days. You should avoid chewing on the side of your mouth where the procedure was performed so you do not irritate the area and also to ensure that the temporary restorative material properly sets. You will also need to take an antibiotic to treat any remaining infection in your tooth. If you notice an increasing amount of pain or tenderness, a reaction to the medication, or the loss of the temporary restoration (filling) call your dentist immediately.

Crowns and Bridges

Before you receive your permanent crown/bridge you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the permanent crown or bridge is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. Caring for your bridge or crown is just like caring for your own teeth. You should brush and floss regularly.

White Fillings (Bonding)

After the anesthesia wears off your teeth will likely be sensitive. You should avoid hot and cold food or drink for the next few days. After that initial period, your treated teeth will feel as good as new. Continue your normal hygiene plan to ensure that your fillings last for a long time.

Scaling and Root Planing

After this procedure your gums will probably be slightly sore and irritated for a few days. You should rinse your mouth with warm salt water (1 tsp salt/8 oz water) 2-3 times a day. This will relieve the pain and cleanse the area. Brushing and flossing should be continued right after the procedure, but you should brush gently so that you do not further irritate the area. If you experience any swelling or stiffness in the area you can place a cold compress on the area and take some pain relieving medicine. Avoid any hard or chewy foods for 2-3 days after the surgery to ensure the area heals correctly. If you continue to experience pain or swelling after a few days contact your dentist.

Veneers

Before you receive your permanent veneer you will first receive a temporary restoration. This is not as sturdy as the permanent version, so you should be careful when cleaning and eating. You should brush the area gently and should not pull up on the tooth when flossing because it could become dislodged. The same goes for eating. You should avoid sticky or chewy foods while you have the temporary in.

There may be some sensitivity and irritation after the temporary or permanent is placed. This is normal and will subside after the soft tissue heals. A warm salt water rinse will help, and you can also take Advil or Tylenol if the pain does not go away.

When the veneer is placed it may feel a little awkward for a few days. Your mouth needs to adjust to the new tooth, and it should feel like one of your natural tooth in less than a week. If your bite feels abnormal in any way, you should let your dentist know. When brushing and flossing you should pay close attention to the area between the veneer and the tooth at the gum line.

Extractions

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

• Gelatin
• Pudding
• Yogurt
• Mashed Potatoes
• Ice Cream
• Thin Soups...
• and other food you can eat without chewing.

When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don't feel that the extraction site is healing properly call your dentist for a follow up.