When the natural structure of a tooth has been extensively damaged or compromised due to dental decay, damaged fillings, root canals, or habitual clenching or grinding of the teeth, a dental filling may not be adequate for its repair. In such cases, dental crowns, also commonly referred to as caps, are recommended to effectively restore the natural integrity, function, and appearance of the affected tooth.
Out of all the materials that are available today for a full coverage restoration, metal-free crowns, also known as all ceramic crowns, offer the most lifelike and biocompatible results. Strong and durable, ceramic crowns are lighter in weight than dental crowns that incorporate a metal substructure and are also kinder to the surrounding soft tissues. Furthermore, ceramic crowns present no problems for individuals with sensitivities to various metals. Since they are fabricated of the highest grade of dental ceramics, ceramic crowns most closely approximate the natural translucency of your own teeth.
Custom fabricated for the optimal health and aesthetic of a patient's smile, ceramic crowns can also be indicated for an array of dental treatments, ranging from the cosmetic restoration of discolored teeth, to the coverage of a structurally damaged tooth, dental implant, or as the supporting ends of a dental bridge.
CEREC® is an advanced dental technology, which allows for the preparation and placement of same day ceramic restorations. Offering the utmost in terms of quality and convenience, this high-tech system eliminates the need for multiple dental visits, temporary crowns, as well as messy dental impressions.
Using the CEREC® method, the tooth to be crowned is scanned, a restoration is digitally designed and then a permanent ceramic restoration is precisely milled in the dental office on that very same day.
The process utilizes CAD/CAM technology, or computer aided design and computer aided manufacturing. A CEREC® single visit crown offers much more than a convenient approach to getting a dental crown. It is a high quality, naturally beautiful and extremely durable, permanent dental restoration.
When teeth are missing, a series of changes that can impact your overall dental health and jaw function may begin to develop. The adjacent teeth may start to drift or tilt into the space, and teeth in the opposing jaw may start to shift toward the area of the missing tooth. It is therefore important to replace either the single tooth or multiple teeth that are missing from this area. One of the best options to prevent the consequences of shifting teeth and to restore full function to a small edentulous section in the mouth is a dental bridge.
A dental bridge replaces the missing teeth with artificial teeth called “pontics,” and is supported on the ends by prepared natural teeth. Once fabricated and fitted a dental bridge will be permanently “fixed,” or cemented into place. Like crowns, bridges can be made of either porcelain baked on to a metal substrate or many of the new ceramic materials that have been developed.
A dental cleaning is a procedure done by a dentist or dental hygienist to get into hard to reach areas of the gums and teeth in order to remove bacteria and food debris. Dental cleanings should be scheduled at least once per year, so that patients can have plaque and tartar scraped off of their teeth. Plaque is a hard substance that adheres to the surface of a tooth. Too much plaque and tartar can cause gum disease and problems with teeth. A dentist has special tools that can remove this plaque and tartar so that teeth are fresh and clean again. Because plaque and tartar buildup happen on a daily basis, patients should still brush and floss regularly.
During a dental cleaning the dentist will get inside the hard to reach areas and clean out the spaces in between the gums and teeth. If the patient is suffering from gum disease or early gum disease, a deep cleaning, periodontal scaling or root planing may be administered. In this procedure, the dentist gets into the flaps of gum under the tooth and into the pockets where bacteria can hide. A patient with pockets deeper than 4 mm is usually recommended to have a root planing or scaling. Patients with periodontal disease may need to have more than one cleaning per year.
Dental Fillings are the most common type of dental restoration used to replace sections of teeth that are missing, damaged or decayed. While traditional dental materials like gold, amalgam, porcelain, and composite successfully restore teeth; recent advances in dental technology have made a wider and improved selection of restorative choices available. Some of the newest state-of-the-art filling materials, including ceramic and the latest composite materials, are not only strong and durable, they offer the most aesthetically pleasing and natural looking results.
Whether from disease, malnutrition, genetic disorders or an accident, it is occasionally necessary for patients to have some or all their upper and lower teeth extracted. While this can be upsetting news, partial or full dentures can be fabricated to restore an attractive smile, provide needed support for normal facial contours, and reestablish a highly functional occlusion.
A denture consists of natural looking artificial teeth set in a supportive base. It may be fabricated to replace either a small group of teeth, an entire upper arch, an entire lower arch, or used to restore both dental arches.
A complete denture refers to the replacement of all the teeth in a dental arch. It can be inserted either of two ways. It can be inserted some weeks after the extraction sites and other surgical procedures have had a chance to heal, or as an “immediate” denture placed the same day the last remaining teeth are extracted. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require multiple adjustments as the tissues remodel and heal following dental extractions or other surgical procedures.
In situations where some sturdy teeth remain, partial dentures can be fabricated. Partial dentures can achieve adequate retention and stability by having clasps on the teeth surrounding the edentulous areas.
In some cases, added stability for the dentures can be provided by strategically placed implants.
By using intra-oral optical scanning devices, the need for patients to have a messy conventional dental impression taken of their teeth is eliminated. Digital optical impressions enable the dentist to more efficiently and effectively obtain an accurate computer generated representation of their patient’s teeth along with the surrounding tissues. In addition to being much more comfortable for the patient, a digital impression eliminates the need for the dentist to either create a stone model from the impression, or to mail the impression directly to the laboratory for any type of work to be done. Digital impression information is transmitted electronically, significantly reducing the turnaround time of any needed outside laboratory work. Digital impressions are also integral to systems that produce same day, in-office ceramic restorations.
Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.
An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.
Among the many imperfections that can detract from the appearance of a healthy and well-aligned smile, are white spots on the front teeth. While some white spots may be barely noticeable, larger ones that look like opaque white clouds on otherwise smooth and translucent dental enamel are a common occurrence and are much more unsightly.
What causes these white, chalky looking areas? The truth is that white spots can be attributed to a number of different factors. Mostly an aesthetic concern and not typically an urgent problem unless signs of tooth decay are also present, white spots can be the result of anything from enamel hypoplasia, which has to do with defects in enamel formation, to the irregular white areas that may be seen in some people when their orthodontic appliances are removed. While the first type may be congenital or developmental and hard to prevent, the latter type of white spots is often due to inadequate oral hygiene practices that allow dental plaque, bacteria, and acids to accumulate around the braces. However, as disheartening as the appearance of white spots may be, both enamel hypoplasia and any white spot lesions that appear post-orthodontic treatment can now be effectively treated with outstanding results of care.
At our office, we maintain a position at the forefront of the latest advances in care to provide our patients with smiles that are as beautiful as they are healthy. With Icon®, an aesthetically pleasing, long-lasting and biocompatible dental resin, we can remove white spot lesions in just one visit! As an effective alternative to more complex and invasive methods of care, Icon uses breakthrough micro technology to fill and reinforce demineralized enamel. Best of all there’s no drilling involved, and for white spot lesions that are showing signs of caries, Icon also helps to arrest the progress of tooth decay.
All it takes is a few simple steps! Our dentist will gently clean and etch the teeth, apply Icon and allow it to penetrate into the targeted area. Any excess material is then cleared away and the resin is cured with a special light. As a final step in care, the Icon resin is polished to seamlessly blend with your smile for optimal aesthetics!
Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night causing an individual to wake up with any number of symptoms including jaw pain, headaches, and sore teeth that may feel loose. Although, stress and anxiety are the most common causes of bruxism there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.
To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events, including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.
In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom night guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.
Your first visit to our office is very important with regard to establishing your oral health baseline. We will begin by carefully reviewing your medical and dental histories and taking special note of all of your dental concerns, as well as any symptoms that you may be experiencing. This will be followed by a thorough clinical examination, including an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) plus a thorough examination of your teeth, their supporting structures, and the complete orofacial area. Any needed diagnostic dental films will be taken at this time.
At our office, we take pride in creating and maintaining beautiful and healthy smiles for our younger patients in an environment that is lighthearted and fun. With an emphasis on establishing oral health habits that last a lifetime, we offer a comprehensive program of preventive care and closely monitor the dental health of our pediatric patients as they grow.
As an added level of protection to guard against childhood dental decay, we recommend periodic fluoride treatments and the application of dental sealants on the biting surfaces of the newly erupted permanent back teeth.
Perio Protect is an innovative and non-invasive method of care to help halt the progression of gum disease by addressing destructive bacterial populations harbored in periodontal pockets. With Perio Protect treatment, optimal periodontal health is supported while the need for repetitive deep cleanings, surgical intervention, or the use of antibiotics to address gum disease is reduced.
However, if the treatment of advanced gum disease still warrants a surgical procedure, Perio Protect serves as a valuable adjunct to care; preventing harmful bacteria from recolonizing periodontal pockets and deterring recurrent infection.
Although brushing and flossing every day is essential for maintaining a healthy smile; even a thorough oral hygiene routine cannot effectively reach bacteria hidden deep inside a periodontal pocket. In the past, the only way to get to manage the biofilm growing periodontal pockets has involved multiple office visits and the physical debridement of the area by means of deep cleanings (scaling and root planing) or gum surgery.
As a more convenient and comfortable way to manage gum disease, the innovative Perio Protect Method uses easy-to-wear customized trays to deliver prescription-strength hydrogen peroxide gel into existing periodontal pockets. Once the gel is introduced into the pockets, it disrupts the formation of the oral biofilm, oxygenates the area and reduces the bacterial population.
Fighting gum disease is easier and more comfortable than ever before with the Perio Protect Method. By simply wearing the patented Perio Trays® with the recommended amount of medicated gel each day as prescribed by our office, patients can cleanse periodontal pockets and combat disease-causing bacteria. And, as an added benefit of care, Perio Protect freshens your breath and whitens your smile!
Periodontal disease damages the surrounding soft tissues and bone that support the teeth. It is predominantly caused by the accumulation of bacteria, mucus and other particles in the form of plaque or tartar that sit between the teeth and the gums. Periodontal disease can range in severity from a simple gum inflammation, known as gingivitis, to a more serious inflammation of the periodontal tissues. Left untreated periodontal disease can result in significant tissue damage and eventual tooth loss.
The problem with periodontal disease is that often the progression is painless. As a result the affected individual may not be aware of an ongoing disease process. This is why it is so important to recognize the signs of the earliest stage of periodontal disease, which is gingivitis. The symptoms of gingivitis typically include red, swollen and bleeding gums. Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen, and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.
Left untreated, gingivitis can escalate into periodontitis. However, there are other factors that can contribute to the escalation of periodontal disease, including smoking, genetic tendencies, and unchecked diabetes. In either case, when periodontal disease has progressed to a more advanced stage there is usually clinical and radiographic evidence of damage to the bone and soft tissues supporting the teeth. Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. This may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.
According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.
To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.
It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.
Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.
Endodontics, or root canal therapy, is employed when the nerve supply to a tooth has been irreversibly affected by damage or decay. It is a way to prevent or help resolve a dental infection and save a natural tooth from extraction. A root canal is performed when there is enough sound root and crown structure remaining to eventually restore form and function to the involved tooth.
Inside every tooth is either a single central chamber or multiple ones that contain connective tissue, a nerve supply, and blood vessels. These core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. A root canal procedure is required when this dental pulp is irreversibly damaged or has died.
Root canal therapy involves cleaning and shaping each canal, and then filling them with a special inert material. Following this they are sealed to prevent any subsequent infection. Once root canal therapy has been completed, the tooth should be fully restored as recommended.
Sleep apnea is a serious and potentially life threatening disorder involving repeated pauses in breathing while asleep. The most common form of this condition is obstructive sleep apnea. This occurs when there is an obstruction of an individual’s airway that interferes with the flow of oxygen through the nose or mouth during sleep. In someone afflicted with obstructive sleep apnea, the muscles of the throat and mouth relax during sleep to the point where they fall back into the upper airway and create a blockage that restricts breathing.
The signs and symptoms of this disorder during sleeping hours may include, loud snoring, episodes of breathing cessation, abrupt awakenings, episodes of gasping for air, along with difficulties getting a good night’s sleep. An individual with sleep apnea will exhibit problems during the day as well. Sleep apnea can lead to a morning headache, excessive daytime sleepiness, difficulty concentrating, and irritability.
A sleep study is typically conducted to determine the severity of the disorder. The results of this study along with other medical findings will play a role in determining the recommended therapy. The most common form of therapy is a CPAP machine that is worn when sleeping. This device provides a steady stream of pressurized air into the respiratory system through a mask.
In situations of mild to moderate sleep apnea, a dental appliance may be deemed the appropriate treatment. Worn in a similar fashion to a mouthguard or an orthodontic retainer, it is designed to help keep the tongue and soft tissues in the back of the throat from collapsing, thereby enabling the airway to stay open during sleep. An oral appliance is easy to wear, easy to care for, comfortable, and portable. Oral appliances are individually fabricated, and customized for both maximum effectiveness and comfort.
Getting a full night of sleep is essential to your overall health. Being well rested helps you to feel good and to function at your best. One of the most common problems that can affect the quality of your sleep is snoring. According to statistics about 90 million individuals in the United States snore while they sleep. While for about half of these people the problem is simply snoring, the others may be afflicted with a serious disorder known as sleep apnea. Therefore, before any type of treatment can be prescribed, it must be determined whether the problem is sleep apnea or “simple” snoring.
If it is determined that your problem is simply snoring, and you are what is known as a primary snorer, then an oral appliance can help you as well as any of your roommates enjoy a quieter and more comfortable sleep. A custom fabricated oral appliance to address snoring fits somewhat like a sports mouthguard or orthodontic retainer and is only worn while you sleep. As a removable and non-invasive treatment for snoring, your appliance slightly repositions your jaw to allow for a less restricted airflow to promote a quieter and more restful sleep.
Every year millions of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.
One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.
There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.
Teeth that have been stained or darkened by food, tobacco use, age, medications or injury can be lightened and brightened by means of a non-invasive process known as teeth whitening.
Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. While there are many over the counter options for teeth whitening, the most effective and safest teeth whitening systems are the professional strength ones available at the dentist’s office. A dental professional whitening system offers a higher concentration of whitening components and delivers them to the teeth in the most efficient manner to achieve optimal results.
At our office, we offer two exceptional options for tooth whitening. You can choose either an in-office tooth whitening procedure or a professional take home system. Both of these are top-of the-line systems. However, the biggest advantage of the in-office procedure is that in as little as one hour you can achieve a smile that is several shades whiter and brighter than the original color of your teeth.
Our professional strength take home system also produces excellent results. However, this is achieved by way of a more gradual process. Our take home kit may be prescribed alone, or after an in-office treatment to perfect or maintain the in- office result.
According to the National Institute of Dental and Craniofacial Research (NIDCR), temporomandibular joint disorders (TMJ), also referred to as temporomandibular disorders (TMD), are the most common source of chronic facial pain and jaw dysfunction. It is estimated that more than 10 million people in the United States are affected by temporomandibular joint problems.
What is the Temporomandibular Joint?
There are two temporomandibular joints that connect the left and right sides of the lower jaw to the temporal bone. Both joints and their associated muscles, ligaments and tendons work together to allow for all manner of oral function as the jaw moves up and down, front to back and from side to side. Containing a shock-absorbing, soft disc that sits between the rounded condyles of both sides of the lower jaw and the corresponding concavities in the skull’s temporal bone, the TMJ makes chewing, speaking, yawning and all jaw movements possible.
Since the TMJ is a joint with both up and down hinge-like movements, as well as side to side and front to back sliding motions to perform, it is often considered one of the most complicated joints in the body and one of the most difficult to treat when problems arise.
Types and Symptoms of TMJ Disorders
TMJ disorders can fall into one or more of the following three categories:
The risk for developing a TMJ problem is greater in the presence of long-term teeth grinding or bruxism, a jaw injury or various types of arthritis such as rheumatoid arthritis and osteoarthritis. Furthermore, the manifestations of a TMJ disorder can vary from person to person with a wide range of symptoms possible, including earaches, ringing in the ears (tinnitus), headaches, back and neck pain, vertigo, muscle spasms and joint tenderness as well as jaw pain, popping or grating sounds with jaw movement, jaw locking and limited jaw movement. For some people a TMJ disorder can be resolved within a relatively short period of time, while for others it will continue to persist despite extensive therapy.
Diagnosis and Treatment
When evaluating for the presence of a TMJ disorder, the dentist will perform a thorough clinical assessment of joint symptoms and function. Special radiographic imaging and other diagnostic tests will be ordered as needed. The treatment of a TMJ disorder may include oral appliances such as night guards or stabilization splints to alleviate strain on the joints. Other types of therapy may include steroid injections, occlusal adjustments as well as orthodontic or prosthodontic treatment to improve occlusion. In cases of persistent and serious TMJ problems, surgery may be recommended.
Methods of self-care can be helpful in alleviating some of the symptoms of a TMJ disorder. Patients are typically advised to eat soft foods, avoid extreme jaw movement such as wide yawning and gum chewing, to practice stress reduction and relaxation techniques and applying ice packs or moist heat as directed. If recommended, a patient should follow the dentist or therapist’s instruction for gentle stretching exercises. The short-term use of over-the-counter, non-steroidal, anti-inflammatory drugs and pain medications may provide relief. If not the dentist or physician may prescribe stronger pain or anti-inflammatory drugs, muscle relaxants or anti-depressants.
The VELscope® is an advanced oral assessment technology system that offers clinicians the ability to visualize oral tissue abnormalities that may indicate the presence of oral cancer or pre-malignant dysplasia. A VELscope evaluation is quick, painless, and can be easily incorporated into an oral cancer screening visit.
The VELscope is a handheld scope that utilizes an imaging modality that is sensitive to changes in the natural tissue fluorescence of the oral mucosa. The bright blue light of the VELscope can distinguish healthy soft tissue inside the mouth from soft tissue that has undergone pathological changes.
This ability to identify, evaluate and monitor abnormal soft tissue changes that might not be caught otherwise makes the VELscope an excellent addition to a periodic head and neck exam.
If your teeth suffer from gaps, chips, stains, or discolorations you may be a candidate for porcelain veneers, a highly effective and minimally invasive cosmetic procedure that can achieve beautiful results.
Porcelain veneers are thin facings custom-made of the highest quality ceramic materials that are designed to fit perfectly over the front of your teeth. One of the most conservative cosmetic treatments available, veneers can mask a host of dental imperfections to give you the smile that you have always wanted. Porcelain veneers not only enhance and improve the shape of your teeth, they are able to create an overall whiter and brighter smile.
One of the most appealing aspects of the process of fabricating porcelain veneers is that they involve minimal tooth preparation and take just a few visits. Porcelain veneers, once they are fabricated and fitted, are permanently bonded to the underlying teeth. The result is a naturally pleasing smile that is both strong and durable.