Services

1. Whitening
If you would like to have your teeth whiter than they are now, we offer 3 different levels of bleaching that may help.
Diagnosis first.
Diagnosing your situation and assessing your mouth is the first step before beginning any bleaching process. This is because you may not be a good candidate for the bleaching process. Examples are if you have exposed roots, have sensitive teeth, tetracycline stains, or multiple fillings / crowns in on your front teeth. Though there are ways around these issues, they should be discussed with you before proceeding.
Level I - Over the counter products
There are many of these products available in pharmacies and other stores. For some patients, they can be a good, inexpensive method if not very much whitening is needed. Several of these products actually contain good whitening agents, and some may get good enough results from this method.
The challenge we see with these products is that none of them are able to keep the solution against the teeth in a high enough concentration for a long enough period of time to get much more that a mild result. This is because whether these products use strips, paint, boil and bite trays, or any other non - customized method to hold the material, non -customized retaining methods do not achieve a seal effective enough to keep the material from leaking out or becoming diluted by saliva to quickly to be truly effective.
Even so, there are patients that try this level and do achieve a mild result, and that may be good enough. If after you give this level a try, and still feel you need more, there are the other 2 levels.
Level II - At home professional bleaching
This method is in the low - moderate fee range, very simple, and for many patients is very effective.
The initial procedures:
a) We will take impressions of your upper and lower teeth to create your at-home bleaching trays. These trays are thin, clear vinyl mouthpieces customized to fit comfortably in your mouth. Each tray has a gap or reservoir on the outside of each tooth (except for the molars). These reservoirs hold the excess bleaching solution and seal the tray to your teeth at the gum line.
Once we’ve created the trays, we will make sure they fit properly, give you the bleaching products and materials, and go over the instructions on what to do.
b) At home professional bleaching instructions
We recommend that you wear the trays for 21 consecutive nights. If possible, avoid skipping nights since this slows the whitening process. During this time, we also recommend that you stay away from foods, drinks, and other products (such as tobacco) that may stain your teeth. Since your teeth are conditioned to absorb more oxygen, they will also absorb any stain causing agents.
  [Note: The materials used for this level are different than the level above or below, and therefore the wearing instructions are different for each level].
We also suggest that you brush your teeth with whitening toothpaste, such as Rembrandt Plus, or if you have sensitive teeth, Rembrandt for Sensitive Teeth. This helps start the bleaching process and stops protein in your saliva from inhibiting the bleaching agent.
When you’re ready to apply the trays, squeeze the bleaching gel into each reservoir on the inner side of the outer walls of the trays. Place the tray in your mouth and firmly push it against the teeth to seal it to the gum. If you use too much bleaching gel, use a tissue to wipe away any excess that leaks out from the trays. If you’ve used too little, you will be able to see through the tray and the reservoirs will only be partially full. If this happens, DON’T REMOVE THE TRAY. Instead, apply more gel to your trays the next night.
In the morning, remove the trays and rinse your mouth with lukewarm water. Your teeth may be sensitive to hot or cold. You should also clean the trays with cotton swabs under running water and place them carefully in their storage cases. Store the case in a safe, cool place for the next night.

Level III - Deep bleaching
Deep bleaching is a method that combines a preliminary in - office power bleaching session that conditions the teeth to get them ready for additional steps, along with at home professional bleaching with different materials than level II, and these 2 steps are followed by a final in office power bleaching session that achieves the final result. As you can see, this method involves more steps than the other 2 levels, and it consequently has the highest fee of the 3 levels, but it also is the most effective of all the methods and produces the most dramatic results.
Deep Bleaching vs. Other Whitening Systems
You may wonder how Deep Bleaching differs from over-the-counter bleaching products and in-office whitening treatments. This method gets teeth whiter and helps people who have had tough stains or bleach resistant teeth to get their smiles as white as they would like. Most importantly, Deep Bleaching is safe and long lasting.
Beginning The Deep Bleaching Treatment
Before your first in-office Deep Bleaching treatment, we will take impressions of your upper and lower teeth to create your at-home bleaching trays. These trays are thin, clear vinyl mouthpieces customized to fit comfortably in your mouth. Each tray has a gap or reservoir on the outside of each tooth (except for the molars). These reservoirs hold the excess bleaching solution and seal the tray to your teeth at the gum line.
Once we’ve created the trays, we’ll schedule your first in office power whitening session in our office. During this session, we will apply a conditioning solution to your teeth so they will absorb oxygen from the bleaching gel you’ll use in your at-home kit. The oxygen removes microbes and other debris to deep-clean your teeth. After this first session, we’ll give you your bleaching kit. In it, you’ll find several syringes of bleaching gel to use in your trays and a storage case for the trays.
Deep Bleaching At Home
You should apply the Deep Bleaching trays immediately before you sleep. If you read or watch TV in bed, wait to apply the trays until you’re ready to turn off the light. Before you apply the trays, however, we recommend that you take Aleve, Advil, or a similar over-the-counter inflammatory medication to control possible inflammation and soreness. We also suggest that you brush your teeth with whitening toothpaste, such as Rembrandt Plus, or if you have sensitive teeth, Rembrandt for Sensitive Teeth. This helps start the bleaching process and stops protein in your saliva from inhibiting the bleaching agent.
When you’re ready to apply the trays, squeeze the bleaching gel into each reservoir on the inner side of the outer walls of the trays. Place the tray in your mouth and firmly push it against the teeth to seal it to the gum. If you use too much bleaching gel, use a tissue to wipe away any excess that leaks out from the trays. If you’ve used too little, you will be able to see through the tray and the reservoirs will only be partially full. If this happens, DON’T REMOVE THE TRAY. Instead, apply more gel to your trays the next night.
In the morning, remove the trays and rinse your mouth with lukewarm water. Your teeth may be sensitive to hot or cold. You should also clean the trays with cotton swabs under running water and place them carefully in their storage cases. Store the case in a safe, cool place for the next night.
What To Expect After Deep Bleaching
We recommend that you wear the trays for fourteen consecutive nights or until your final office bleaching session if your appointment is scheduled for longer than fourteen days. If possible, avoid skipping nights since this slows the whitening process. During this time, we also recommend that you stay away from foods, drinks, and other products (such as tobacco) that may stain your teeth. Since your teeth are conditioned to absorb more oxygen, they will also absorb any stain causing agents.
Your teeth and gums may be sore and sensitive during the first three to four nights that you wear the rays. That’s why we recommend taking an over-the-counter pain reliever, such as Advil. If the soreness and sensitivity does not pass after four days, call our office to talk to the dentist.
You may also notice white spots on your teeth or dark areas near the gum line. Or your tooth color may appear too chalky or your lower teeth are lighter than your upper teeth. Don’t worry. These are all normal effects of bleaching and the color will even out by the final bleaching session.
Maintaining Your Beautiful Smile
When you come in for your final bleaching session, we will apply a clear, glossy protective coating to your teeth. This will help maintain the color for a long time. If you have leftover bleaching solution, we recommend that you store the remaining gel syringes in the refrigerator to use for future touch-ups.
The Deep Bleaching treatment will help you have a brilliantly white smile for many months. To maintain the color, we recommend using Rembrandt brand toothpaste. They use a natural enzyme from the papaya fruit to dissolve away the stains, so your teeth stay very glossy on the surface and won’t absorb stains quickly. Rembrandt toothpastes also have bleaching agents in them to keep your tooth color stable. We also recommend wearing the bleaching trays for one night at least every four months.
If you have stained and discolored teeth and want your smile to be the whitest, brightest it can be, talk to the dentist to see if the Deep Bleaching technique is right for you. We know you are going to be thrilled with the result.
 

2. Cosmetic dentistry
A. All porcelain crowns
 New technology
White crowns used to only be made of porcelain fused to metal, often leaving a dark gray area at the gum-line. Now, we have the technology to create your crown entirely from porcelain. All-porcelain crowns are translucent, like your natural teeth, so they look great!

Strength and beauty
An all-porcelain crown is a custom-made restoration that is bonded to your tooth, covering it completely. They repair and strengthen damaged teeth, and can also be used to improve your appearance by covering discolored or misshapen teeth.

The procedure
Crowns require at least two visits. We'll prepare and shape your tooth, then take impressions. A dental lab will make a model from these impressions, and use the model to create your natural-looking new all-porcelain crown.

B. Porcelain Veneers

What are porcelain veneers?
Veneers are thin shells of porcelain that are fabricated with the help of a dental laboratory. They generally cover the tops and front of teeth. Veneers can be used to whiten teeth as well as correct problems like chipped, misshapen, crooked or worn teeth.

The procedure
Porcelain veneers are custom created to precisely fit your teeth. On your first visit, we carefully remove a thin layer of enamel. Then we take impressions of your teeth. A dental lab uses these impressions to build a model of your teeth, then creates the veneers on that model.

You'll love your new smile!
Once they're in place, veneers virtually become part of your teeth. You can use them like you would your own teeth, because the bond is extremely strong. Your final result is a more beautiful, natural-looking new smile!

C. Onlays/ Inlays

Inlays restore back teeth
We often recommend inlays to restore back teeth, because they are one of the highest quality options available. They preserve tooth structure, and are more durable than some of our other choices. Inlays are custom made to fit precisely between the cusps of your teeth.

The procedure
Restoring your teeth with inlays takes several steps. We carefully prepare your teeth, then take an impression and send it to a dental laboratory. There, a model of your teeth is made and is used to create your crown from porcelain, gold or other alloys, or a combination, depending on your situation.

A precise fit
On your next visit, the inlays are placed in your teeth, and are adjusted for a precise fit. Once that's achieved, we cement the inlays, polish them, and again check the accuracy of your bite. Then, the appearance and function of your teeth will be restored!

D. Tooth colored (white) fillings

New technology, new options
Silver and gold fillings used to be our only choices for restoring your damaged or decayed teeth. But advances in dental materials technology have created strong new synthetic tooth-colored restorative materials that help you look your best.

A beautiful choice
If you decide you'd like your tooth restored with a white material, we can use either porcelain or composite resin, which is a plastic-like substance. We'll carefully match the chosen material to your natural teeth, so the restoration will blend in well.

Strong and durable
Both porcelain and composite resin bond securely to your tooth, so the restorations are extremely strong and durable. Also, because they are bonded, we can be more conservative when we prepare your tooth for the filling, so you retain more of your natural, healthy tooth.

3. Bridges

Why do I need a bridge?
When a tooth is missing, it can cause a chain reaction of problems. Surrounding teeth may shift, causing stress to your jaw joint (TMJ) when you chew. It's much harder to clean teeth that have shifted, so harmful tartar can build up, which can cause cavities and gum disease.

The procedure
A bridge fills in this space, using the adjacent teeth for support. These teeth will be reduced and contoured, and then we'll make a precise impression of your teeth. Using this impression, a dental lab will make a model, and it's on this model that your bridge is created.

What will my new bridge look like?
We will consider the function as well as the appearance of your replacement teeth when we select the material for your new bridge. We may use porcelain, acrylic, gold or other alloys, or a combination of these materials, depending on your situation.

4. Removable Dentures and partial dentures
These are used to replace multiple missing teeth, which will help you chew and look better.
 
5. Implants

What are dental implants?
Dental implants are small titanium cylinders that are surgically inserted into the bone of the jaw. A restoration is then anchored to the implant. Since the implant is inserted into the jaw, surrounding teeth are not affected. Also, bone levels are preserved...an added plus.

The procedure
We'll create a model of your mouth, which will allow us to make precise measurements and pinpoint the optimum location for the implant. Either we, or if your case requires it, a specialist, will surgically place the titanium cylinder. When the area is healed, we'll attach the custom-made restoration.

Will they work for you?
Implants are a great way to replace missing teeth, whether it's a single tooth, multiple teeth, or a full set of dentures that you're replacing. Dentures, bridges or individual teeth attached to implants provide stability, a more secure fit, and a more natural look and feel.
What are Mini - implants?
Mini - implants are small diameter (1.4mm) implants that require no surgical procedure to place.
How are they placed?
They are self tapping, and only require a very small pilot hole and specialized wrenches to turn them into place.
What can they do for me?
These are very useful for helping to retain a full denture to prevent the denture from moving, thereby making wearing a denture much more comfortable.

 
6. Periodontal (gum) treatments

What is periodontal disease?
Periodontal (gum) disease is an infection of the teeth, gums and bone. It's caused by plaque, the sticky film of food and bacteria that forms constantly on your teeth. You may have gum disease, and not even know it, because it's rarely painful in its early stages.

How does it affect my teeth?
If plaque isn't removed each day, it hardens to become tartar, and only a professional cleaning will remove it. If it's not removed, tartar invades the root surfaces of your teeth. Here, harmful bacteria thrive and cause toxins to form, destroying gum and bone tissue.

What are the symptoms?
If bone tissue is destroyed, your teeth can loosen. So let us know if you have persistent bad breath, if your gums are swollen, soft or tender, or if they bleed when you I brush or floss. If we diagnose gum disease early, we can stop the destruction and save your teeth.

An open doorway for bacteria
Researchers recently discovered that this chronic infection in your mouth creates an open doorway for plaque bacteria to enter the blood stream. These bacteria -Streptococcus sanguis - may cause blood clots that can block your arteries and even trigger a heart attack.

Other problems
Other ailments have been linked to periodontal disease, including respiratory disease, pneumonia, strokes, ulcers, difficult-to-control diabetes, low birth weight babies, and infective endocarditis, a dangerous infection of the heart valves.

Smoking increases your risk
It's common knowledge that smoking has been linked to both lung and heart disease. But smoking can also increase your risk of periodontal disease. Smokers are more likely to have a build up of tartar on their teeth, where disease-causing bacteria thrive.

A chronic infection
Periodontal disease is essentially a chronic, open infection in your mouth. Smoking worsens the condition by damaging the natural processes your body uses to fight the periodontal infection; smoking reduces saliva' levels, restricts blood flow, and damages your immune system.

There is no good news
There are over 4000 chemicals in cigarette smoke, including formaldehyde, carbon monoxide, ammonia and arsenic. Also, smokers are four times more likely to have advanced periodontal disease, and are twice as likely to lose their teeth.

Having your gums in good shape not only makes your breath fresher, and your mouth healthier, but it can lead to better overall general health as well.

7. Fresh Breath Treatment
As mentioned above, keeping your oral hygiene up is certainly one important aspect of keeping your breath fresh, but for some people, there may be other factors in play. If you would like to have your breath be its freshest, having regular professional cleanings, brushing and flossing daily with proper technique are an important first step. A second step we always recommend it to brush your tongue daily as well. There are little ‘hairs’ on the top of the tongue that tend to trap debris. The proteins in that debris eventually degrade and breaks down into other substances, one of which is volatile sulfur compounds. These are in 90% of all cases are what cause bad breath. A daily tongue brushing will help eliminate this problem.
For some people, there may still be a problem with their breath even after all of these steps. For them, we do have a program that includes introducing you to products that contain substances such as stabilized chlorine dioxide and Zinc Ion / Oxidation technology products (Tri-Oral), that breaks up the volatile sulfur compounds and gets your breath its freshest.

8. Patient comfort and sedation
  We use the latest techniques to assure you are comfortable during each procedure. Depending on your individual situation, we can use topical anesthesia, Vibraject, intraosseous anesthesia, Nitrous Oxide analgesia (laughing gas), audio analgesia, pre-operative anti anxiety medications, and utilizing
advance technologies like air abrasion, may be able to complete some of your treatment without numbing at all. We can also provide a warm blanket for your comfort as well.
These options will be discussed with you during
the treatment planning consultation.
  If there is anything else you need to make you more comfortable, please do not hesitate to ask our friendly and courteous staff.

9. Root Canals
These provide immediate relief from toothache pain and saves the tooth. We have so many modern medications and techniques for providing anesthesia, you will not feel anything.

10. Oral Surgery
We can do many varied surgical procedures from extractions when necessary, to biopsies, to bone grafting, to mini-implant placements. There are some instances when a specialist will be required, but we provide many routine surgical procedures should your care require it.
 

11. Custom appliances for night grinding, TMJ therapy, Obstructive Sleep Apnea (OSA).
TMJ - The TMJ is the joint on which your jaw rotates and translates. The joint itself lies just in front of each ear, and you can feel it’s motion by placing your fingers in front of your ears and open and close your mouth. It should be smooth. If you feel it pop or grind, or if that area or the surrounding muscles are painful, you may have Temporo-mandibular joint Dysfunction Syndrome.
What is TMD?
TMD is a cycle of pain, muscle spasms and joint imbalance where the jaw meets the skull. Some the symptoms of this condition are:
a). Pain in the muscles and joints of the jaw that can radiate to the face, neck, and head and even the shoulders.
b). Difficulty opening the mouth all the way
c). Clicking and popping noises when chewing, yawning, kissing or moving the joint.

What causes the problem?
Within the TMJ is a thin disc of cartilage that acts as a cushion between these two bones. When the balance in this important joint is lost, you can suffer from mild to searing pain, headaches, earaches, stiffness, muscle spasms and clicking or popping in the joint.
The most common causes of TMJ are a poor bite, and stress, combined with grinding of the teeth, especially at night. Gum chewing can make this problem even worse.

Easing the symptoms
To restore balance to the area, we may crown your teeth, fill in spaces, adjust your bite, provide you with a mouth splint, or even re-align teeth. Moist heat, anti-inflammatory drugs and muscle relaxants, muscle massage, and a soft diet may lessen pain.

Obstructive sleep apnea (OSA)-
People with sleep apnea literally stop breathing repeatedly during their sleep, often for a minute or longer and as many as hundreds of times during a single night. Sleep apnea can be caused by either complete obstruction of the airway (obstructive apnea) or partial obstruction (obstructive hypopnea-- hypopnea is slow, shallow breathing), both of which can wake one up.
The inability to achieve or maintain the deeper stages of sleep can lead to excessive daytime sleepiness, nonrestorative sleep, automobile accidents, personality changes, decreased memory, impotence, and depression.
If you have any of these symptoms, we encourage you to visit http://www.excessivesleepiness.com. Once there, go the 2nd box and click on the Epworth sleepiness scale. There you can take a very short test to see if you may have a problem. If your score indicates you might, talk to us or your physician to help guide you on a course of action that can really make a big change in your life.
Though your actual diagnosis must be done by a physician, and probably involve a sleep study, and there are many treatments available for this condition, one of the treatment options involves the use an oral appliance, and it is there that we can help in concert with your physician.

12. Oral Cancer screening - This is done as a routine part of your hygiene maintenance visits.

13. Laser Cavity Detection

It is our goal to help you maintain or improve your oral health
To achieve this goal, the dental care that you and your family receive in our office always includes state of the art equipment that can benefit you in many ways. Among the newest technologies is a small laser instrument called the DIAGNOdent, which scans your teeth with harmless laser light searching for hidden decay.

We can't cure what we can't see!
Locating hidden decay before it destroys tooth structure (from the inside out) is a big problem in modern dentistry. The wide-spread use of fluoride supplements in dental materials, toothpastes and drinking water have made tooth surfaces harder and more resistant to decay. However, diagnosing cavities is more challenging because the disease process can start through microscopic defects in the hard surface enamel and can readily spread into the softer tooth structure beneath the surface.
Meanwhile, the external surface of the tooth still appears to be healthy. X-rays and probing with an explorer are simply unreliable in detecting sub surface decay, particularly when the cavity is in its early stages. Fortunately, the new DIAGNOdent is a major breakthrough that allows the dentist to monitor tooth surfaces. The DIAGNOdent allows the dentist to locate hidden decay, and with treatment stop the spread of disease before it destroys the tooth from within. If we can detect cavities when they are small emough, in many cases, we can fix them without numbing.

Patient friendly, especially for children.
This unique instrument provides instant feedback on the health of the tooth. A pen like probe simply glides over tooth surfaces constantly checking the health of the tooth. A number scale and an alarm signals the operator when there are signs of hidden decay. This new technology is completely safe and pain free.

14. Orthodontics - If your case fits the right parameters, we may be able to straighten your teeth and give you a much more attractive smile with the newest straightening techniques such as Invisalign aligner therapy, Simpli 5, and Essix Cosmetic Aligners. These are all clear plastic aligners that can straighten your teeth without braces.

15. Prevention services

Cleaning, X-rays

Cleaning
Getting your teeth cleaned twice a year will keep you smiling and more importantly, will allow the dentist to detect any unseen problem areas. So schedule your cleaning visit today!

X-rays
As part of your twice annual visit to the dentist, x-rays are beneficial in detecting tooth decay and problem areas that you may not be aware of.

Baby Bottle Tooth Decay

What causes it?
Baby bottle tooth decay, also called bottle syndrome, is a serious condition that can destroy your child's primary (baby) teeth. It occurs when teeth are frequently exposed to liquids that contain sugar, such as milk, formula or fruit juice.

Harmful bacteria feed on sugars
The liquid from the bottle pools around your child's teeth, providing food for decay-causing bacteria. The bacteria form acids that dissolve tooth enamel, causing decay. Any liquid containing sugar - even breast milk - can cause decay-producing acid attacks on your child's teeth.

Preventing baby bottle tooth decay
• Clean your child's teeth after each feeding
• Never give a bottle in bed, unless it contains only water
• Begin flossing your child's teeth daily once all primary teeth have come in
• Bring your child in to see us as soon as the first tooth erupts.
Still have questions? Ask us for more information.

Fluoride Treatment

Fluoride is vital for dental health
Fluoride combines with your tooth enamel to strengthen it and increase its resistance to attacks from harmful decay-causing acids. Plus, if you already have some decay, fluoride can work to repair damaged tooth structure, often slowing or even stopping the decay process.

Beneficial for all ages
Fluoride is the greatest breakthrough in preventive dentistry in more than 50 years. It has dramatically reduced the incidence of tooth decay in children. Plus, it can reduce root decay and root sensitivity in older adults, and it strengthens and rebuilds tooth enamel in all ages.

Where can you get fluoride?
Most toothpaste contains fluoride, and many cities fluoridate their water. If yours doesn't, we can prescribe fluoride in the form of a gel, tablets, drops or prescription toothpaste. It's also helpful to have a fluoride application immediately after a cleaning in our office.

Intraoral Camera

A tiny video camera
Because we want you to be well informed about all aspects of your dental health, we've invested in an intraoral video camera. About the size of a pen, it allows you to see broken fillings, gum problems or small cracks, even in back teeth!

A better understanding
With the intraoral camera, we can zoom in on one tooth magnified to 25 times its size, or we can give you a "tour" of the inside of your mouth. You'll see precisely what we see, so you'll better understand your treatment problems and options.

We can treat problems early
The intraoral camera can reveal a problem while it's relatively simple to treat. The full-color images produced by this unique instrument give you the knowledge you need to make informed decisions regarding your dental health.

These are not the only services we offer, but it does give an overview of what is available in our practice. If you did not see what you are interested in, please call us. For more information on any of the above services as well as others that are available, please go to the links page.

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