Treatment Options

CEREC | Crowns & Bridges | Composite Restorations | Implants | Root Canals
Sealants | Fluoride | SomnoMed | Whitening

CEREC

In our continuing efforts to provide the best quality dental care with comfort and convenience, we are happy to announce an innovative piece of technology that will allow us to perform tooth restorations - from fillings to crowns - using strong, tooth-colored ceramics for beautiful esthetics.
CEREC gives us the ability to design and fabricate these restorations on site versus sending them out to a lab so we are able to perform certain procedures in one visit rather than two. We realize that your time is valuable and want to get you smiling and back to your day!

Remember: a smile can ease stress, display confidence, light up a room,
show your beauty, and last a lifetime.
Let us show you what your smile can do for you!


Crowns & Bridges

Crowns

A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

 

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
  5. Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of 2-3 visits over a three to four week period.

Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

  • Fixed bridge- this is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
  • The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The Cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.

Composite Restorations

Bonding is a common solution for:

  • Fixing or repairing chipped or cracked teeth
  • Reducing unsightly gaps or spaces between teeth
  • Hiding discoloration or faded areas on the tooth’s surface

Often used to improve the appearance of your teeth and enhance your smile. As the name indicates, composite material, either a plastic or resin, is bonded to an existing tooth. Unlike veneers or crowns, composite bonding removes little, if any, of the original tooth.
Composite bonding has many advantages:

  • It is a quick process, which typically lasts less than one hour.
  • It does not reduce the tooth’s original structure and is relatively inexpensive.
  • Composite resins come in many different shades and provide better matching of shades to the natural color of your teeth.
  • Composite bonds, however, are not as durable and long-lasting as veneers and crowns and may need to be re-touched or replaced in the future.

Composite bonds stain more easily and therefore require proper care and regular cleaning. In order to ensure the longest possible duration of the bonding, composites should be brushed and flossed daily. Common staining elements include coffee, tea, tobacco, foods and candy.


Fillings

The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/metal fillings that contain traces of mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

With today’s advancements, no longer will you have to suffer the embarrassment of unsightly and unhealthy silver/mercury fillings or metal margins of the past. Eliminate the dark, black appearance in your teeth with new-age, state-of-the-art, tooth-colored resin or porcelain materials.

Comparing White Fillings Versus Silver Amalgam Fillings:

  • White fillings bond to the tooth; they strengthen the tooth by restoring most of its original shape. Silver amalgams, on the other hand, weaken the teeth and make them more susceptible to breaking. Broken teeth can be very expensive to replace; white amalgam can actually save time and money in the long run.
  • White filling composites are preferred by most patients. This is due to the natural color, strength and overall appearance and feel. Composites are naturally more comfortable.
  • Hot and cold sensitivity is greatly reduced with composite material compared to the silver/mercury amalgams.
  • Restorations with composites require less removal of tooth, less structure to place than those with amalgams and especially with new cavities. Dramatically smaller holes are needed with a composite.
  • White fillings are healthier because no traces of mercury are used, unlike silver amalgams.

Implants

Dental Implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient's need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant's usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

  • Single Tooth Replacement
  • Anterior Replacement
  • Posterior Replacement
  • Full Upper Replacement

Types of Implants

There are three main types of implants:

  • The root implant
  • The plate form implant
  • The subperiosteal implant

The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient's natural tooth. This implant is often as strong as the patient's original tooth. The implant or artificial root is placed into the jawbone under local anesthesia, then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.
The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form implant is long and thin, unlike the root implant, and anchors into thin jawbones. It is inserted the same way as a root implant. In certain cases, the plate form implant is immediately fitted with the restoration without waiting for the healing process to run its course.
The subperiosteal implant is used when the jawbone has receded to the point where it can no longer support a permanent implant.


Root Canals

 

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.
A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.

Procedure:

  • The patient undergoes anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.

Apicoectomy

Also known as a root-end resection, an apicoectomy literally means the removal of the apex of the root of the tooth. This procedure, done following a root canal, treats the bony area surrounding the end of your tooth, which has become inflamed or infected. By folding back the gum near the tooth, the doctor can access the underlying bone and extract the inflamed tissue. At the same time, the very tip of the root is removed and usually replaced with a small plug or filling. At this time, the doctor may treat the area with antibiotics and will then close the area with a small suture. Eventually, the jaw surrounding the tooth will fill in with bone, supporting the tooth as before. This procedure helps ensure the lasting result of your endodontic treatment.


Sealants

The grooves and depressions that form the chewing surfaces of the back teeth are extremely difficult (if not impossible) to clean of bacteria and food. As the bacteria reacts with the food, acids form and break down the tooth enamel, causing cavities. Recent studies indicate that 88 percent of total cavities in American school children are caused this way.
Tooth sealants protect these susceptible areas by sealing the grooves and depressions, preventing bacteria and food particles from residing in these areas. Sealant material is a resin typically applied to the back teeth, molars and premolars and areas prone to cavities. It lasts for several years but needs to be checked during regular appointments.


Fluoride

In our practice we strongly believe in the benefits of Fluoride, not only for children but adults as well. This is why we recommend a Fluoride treatment to ALL our patients at each hygiene maintenance visit. Some of the benefits that fluoride provides for you are:

  • Strengthens enamels to help fight against decay.
  • Remineralization of tooth surfaces that are starting to break down.
  • Highly beneficial during orthodontic treatment as hygiene is more difficult to keep surfaces strong.
  • Helps with sensitivity and strengthening of root surfaces for any patient with gingival recession. (This is almost anyone over 30)
  • Keeps margins strong around crowns, veneers, or any large restorations.

SomnoMed: Treatment of Obstructive Sleep Apnea

Snoring and Obstructive Sleep Apnea (OSA) are breathing disorders, which occur during sleep, due to the narrowing or total closure of the airway. Snoring is a noise created by the partial closure of the airway and is often no greater problem than the noise itself. However, consistent long snoring with OSA symptoms has been linked to medical disorders such as hypertension and stroke. OSA occurs when the airway completely closes many times during the night. It can significantly reduce oxygen levels in the body and disrupt sleep. To varying degrees, this can result in excessive daytime sleepiness, irregular heartbeat, hypertension, and occasionally heart attack and stroke. If you suspect that you have symptomatic snoring or OSA, you should consult your general medical practitioner.

SomnoMed has created an effective method to assist in breathing during sleep. This oral appliance helps keep the lower jaw and tongue forward allowing the airway to remain open. Although results vary by person - this method has substantially reduced snoring and OSA for many people. Speak to your medical practitioner or sleep specialist to see if an oral appliance is right for you.


Whitening

Your teeth will darken over time. Changes in the color of your teeth can be caused by such factors as the food and beverages consumed (like coffee, tea and soda). Other known factors for discoloration may include childhood medications or illnesses, tobacco use or improper oral hygiene. Restoring your natural white smile is a priority for our dental team. We can provide a variety of options for whitening your smile.

Tooth whitening services are growing in popularity, and it’s one of the most requested services offered by our practice. Everyone sees the growing consumer market focused on whiter teeth. The reality is that over-the-counter, “too good to be true” solutions typically don’t work.

We are trained professionals using industry-approved methods. Our goal is to meet the needs of every patient, and every patient’s needs are different.

Call us today for a whitening evaluation and we will help find the whitening option that is best for you.
Nothing improves your appearance more than a Bright, White SMILE!

 

 

 

 

 

 

Dedicated To Making You Smile!