Teeth Whitening

Teeth Whitening

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Smoking, drinking dark-colored beverages (such as coffee or wine), and simple everyday wear and tear are a part of modern life for the most people. These are just some of the things that cause our teeth to become yellow and dark. In our offices we are pleased to offer you affordable, in-office, professional whitening and at-home whitening.

In-Office Teeth Whitening

This procedure is performed in the dental office. During your appointment, a dental professional will apply a whitening gel to the surface of your teeth. The entire office visit generally takes about 90 minutes and you will be able to see noticeable results before you leave.

At-Home Teeth Whitening

This procedure is performed at home. The procedure consists of 2 steps. At your first appointment, the dentist will take an impression of your teeth for your custom whitening trays. Once the custom teeth whitening trays have been fabricated, the dentist will give you detailed instructions and a demonstration on how to apply the whitening gel and place the trays in your mouth. Then all you will need to do is apply the whitening agent at home. As the peroxide in the gel breaks down, hydroxyradicals help whiten stained teeth. Follow the home use instructions and within 2 weeks there will be a dramatic difference in your smile.

Don’t hesitate to contact us so that we can provide you with special prices for bleaching!!!

Periodontics

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We provide a wide range of treatment options for patients with gum disease.

Our periodontal services include:

  • Scaling and Root Planing
  • Crown lengthening
  • Open flab debridement
  • Osseous surgery
  • Periodontal maintenance
  • Arestin® injection

Scaling and Root Planing

Scaling and root planing are types of non-surgical procedures implemented in order to treat gum disease before it can progress and cause further oral damage. The procedures involve removing all of the plaque and tartar accumulation that are found in between teeth, on the gums and on the roots. It may involve just a few teeth or may need to be implemented on all of the teeth.

Crown lengthening

Your teeth may actually be the proper lengths, but they are covered with too much gum tissue. Crown lengthening is a procedure to correct this condition. During this procedure, excess gum and bone tissue is re-shaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Crown lengthening can make a restorative or cosmetic dental procedure possible. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored.

The open flap debridement

The open flap debridement (also referred to as pocket reduction surgery) procedure is a surgical periodontal treatment where the gums are cut to increase accessibility to the teeth. When pockets begin to develop between the teeth and the gums they become difficult to clean and inhibit your dentist’s ability to treat your periodontal disorder. These gum pockets are susceptible to plaque and tartar accumulation and surgery is required to remove these hazardous materials before they cause further damage. Certain periodontal treatments can only be implemented with complete access to the gums. For example, before a scaling and root planing procedure, an open flap debridement is needed to increase access. During the procedure the developed pockets in the gums are reduced, this isolates where the plaque and bacteria can move to. The gum tissue is then lifted or folded away from the tooth and surrounding bone and the diseased root surfaces are removed using the scaling and root planing procedure. Following the procedure the tissues are secured using stitches.

Osseous surgery

One of the most common surgical procedures, incisions are made around the tooth, and the gum tissue is pulled back slightly. This provides access to thoroughly remove all plaque and calculus. Irregularities of the bone caused by the disease are smoothed over and the tissue placed at a higher level around the tooth, closer to the bone. When the procedure is completed, sutures are used. A protective dressing often is placed around the necks of the teeth to cover the surgical area and to help secure the new gum-to-tooth relationship. You will need to be seen in 7-10 days to remove any remaining sutures and evaluate your healing. By moving the gum closer to the bone, the pockets will be reduced or eliminated. However, the tooth will appear longer and the spaces between the teeth will be larger. In cosmetic areas, other treatment options may be considered depending on how much gum tissue is exposed.

Periodontal maintenance

Periodontal maintenance is a cleaning procedure performed to thoroughly clean the teeth.  Maintenance is an important dental treatment for halting the progression of periodontal disease. Periodontal disease and gingivitis occur when bacteria from plaque colonize on the gingival (gum) tissue, either above or below the gum line.  These bacterial colonies cause serious inflammation and irritation which in turn produce a chronic inflammatory response in the body.  As a result, the body begins to systematically destroy gum and bone tissue, making the teeth shift, become unstable, or completely fall out.  The pockets between the gums and teeth become deeper and house more bacteria which may travel via the bloodstream and infect other parts of the body.

Arestin® injection

Arestin® is an effective antibiotic treatment that comes in powder form. This powder is placed inside infected periodontal pockets just after the dental professional finishes the scaling and root planing (SRP) procedure. Arestin ® powder contains “Microspheres” which are tiny, bead-like particles that are smaller than grains of sand and are not visible to the eye. The Microspheres are filled with the antibiotic minocycline, and they release the drug over time into the infected periodontal pocket, killing bacteria that live there. Arestin ® Microspheres continue to fight the infection for up to 21 days after SRP. In clinical studies, Arestin ® has been proven to be more effective than using SRP alone. Arestin ® also significantly reduced the size of periodontal pockets compared to SRP alone.

Orthodontics

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Traditional braces

Braces use constant, gentle pressure, which over time, move teeth into their proper position. Your braces are at work every moment of your orthodontic treatment. The two main components of your braces are: the brackets that are placed on your teeth and the main arch wire that connects them. The bracket is a piece of shaped metal or ceramic that we affix to each tooth. The arch wire gradually supports the brackets to straighten and level your bite. The wire threads through the brackets and, as the wire tries to return to its original shape, it applies pressure to move your teeth, achieving an ideal alignment and bite. Attached to your braces, elastics (rubber bands) exert the proper force that creates the right amount of pressure to move teeth.

Clear Braces

Clear braces have become increasing popular because of their ability to maintain a natural aesthetic throughout the alignment process. Unlike traditional metal wires and brackets, clear braces use aligners made of ceramic. The aligners attach to your teeth and look virtually invisible. Each aligner is specifically calibrated to move specific teeth until your entire smile has been straightened. Sometimes even the wire that is used (which is traditionally metal) can be clear to make the braces even less noticeable.

Invisalign®
Invisalign® takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible
plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist or orthodontist plans out for you. There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won’t even know you’re straightening your teeth.
Why Invisalign®?
Invisalign®  is a virtually invisible way to straighten teeth and give you the beautiful smile you have always wanted. Straight, properly aligned teeth not only look great but are easier to keep clean and promote optimum oral health. For some patients, unresolved localized areas of gum inflammation and bone loss due to crowded teeth can be resolved by correcting the position of the teeth.
ClearCorrect
Looking for an alternative to braces? ClearCorrect is the clear and simple choice. No wires. No brackets. Just clear, convenient comfort every reason to smile. What Is ClearCorrect?
ClearCorrect is the clear and simple way to straighten your teeth without wearing braces so you can show off your smile!
With ClearCorrect, your dentist or orthodontist can straighten your teeth using a series of clear, custom, removable aligners. Each aligner moves your teeth just a little bit at a time until you eventually get straight teeth.
Why ClearCorrect?
You deserve a smile you can be proud of, and ClearCorrect can make it happen. Our clear aligners are comfortable, removable, and, best of all, nearly invisible. Most people won’t even notice that you’re wearing them. And because you can easily remove the aligners to eat, you don’t have to change your diet like you might with braces. You can show off your smile with almost no impact on your daily life. Some severe cases of misalignment do require metal braces, but most patients can be treated just as effectively with clear aligners. The cost and length of treatment are generally comparable.

Retainer

Retainer is a device that holds the position of your teeth after orthodontic treatment. Without a retainer, your teeth will gradually shift back toward their original position. For that reason, it is absolutely necessary to wear your retainers if you want to preserve that beautiful smile you paid so much for. There are three types of retainers: Hawley retainer, plastic retainer, and fixed retainer. Hawley retainers are basically metal wires that surround your front teeth. Plastic retainers are made of clear plastics called polyvinylchloride. They are similar to Invisalign aligners, but they are made stronger to provide longer life expectancy. Fixed retainers are metal bars bonded on the tongue side of your front teeth. The metal bar is what holds your teeth in place. Generally, lingual bar is only placed on the lower teeth, so it does not retain the position of your upper teeth. It is not removable by the patient, so you will need to visit a dentist if you need to remove it for any reason.

To discuss getting braces, please feel free to contact us to schedule an appointment.

Oral Surgery

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Oral surgery is any procedure that includes cutting into or removing tissue from your mouth. It includes procedures that range from removing a tooth to gum surgery. Our staff is trained to assist with intravenous sedation and general anesthesia within our office setting.

Complex tooth removal

The surgical tooth extraction procedure is more complex than a routine extraction and may involve: cutting the gum to enable access to the tooth, removing some of the bone that holds it in place, cutting the tooth into pieces and removing the pieces separately. Some general dentists are proficient at performing surgical extraction procedures, whereas others may prefer to refer you to a specialist oral surgeon.

Biopsy

A biopsy is a simple surgery that removes a sample of gum tissue, tooth, or jaw from the body for a pathologist to examine under a microscope, to determine if it is cancerous. The goal is to find the source of an abnormality or lesion, which may be caused by illness or injury. The lesion may be in the area of soft tissue or bone that looks abnormal. This can be a lump or a patch of skin that has a different color or texture. There are two types of biopsies: incisional and excisional. An incisional biopsy removes a piece of tissue from the lesion for a sample, while an excisional biopsy removes the entire lesion altogether.

Wisdom teeth extraction

The wisdom teeth are the last teeth to come in and are located in the very back of you mouth. Most people have four wisdom teeth – one in each corner. As wisdom teeth struggle to find room to grow in a crowded mouth, these teeth may grow in sideways, partially emerge, or even remain trapped under the gums. When wisdom teeth are partially or completely trapped in the gums, they are called impacted. While wisdom teeth can cause obvious issues such as misaligned and crowded teeth, impacted wisdom teeth may cause many unseen and serious problems, such as jaw and nerve damage. Removing wisdom teeth can not only resolve current problems with overcrowding and misalignment, but can also help prevent more serious issues such as infection, decay, and jaw and nerve damage. With our experienced and skilled oral surgeons, your wisdom teeth can be removed easily and safely.

Tori removal

Tori are excess bone that develops either in the upper or lower jaw. When present in the roof of the mouth (palate), the condition is referred to as torus palatinus. When present in the lower jaw, it is called torus mandibularis. Tori may develop due to genetic or environmental influences such as local irritation, grinding your teeth (bruxism), or misaligned teeth causing an uneven bite (malocclusion). In most cases tori are benign and do not require treatment. However, tori will need to be surgically removed to accommodate upper or lower dentures and upper or lower partial dentures. Tori may also be removed to aid in minimizing food impaction under the excess bone, which will promote improved home care. In certain cases tori may contribute to plaque accumulation and periodontal pockets, and therefore will require removal to improve oral hygiene by allowing better angulation of the toothbrush. Once tori are removed, recurrence is rare. In situations where tori do reappear, regrowth is typically very slow.

Sedation dentistry

Imagine undergoing a complex dental treatment like oral surgery. When your treatment is complete, you have no recollection of the time it took, the pain, the noise, or the discomfort you were expecting. We are pleased to offer our patients the option of comfortable, safe, and effective sedation dentistry. Sedation dentistry allows your doctor to provide a variety of dental treatments safely and comfortably for patients who experience anxiety when visiting the dentist. There are several benefits to sedation dentistry, including:

  • No memory of undergoing the procedure
  • No sense of time while under sedation
  • No sense of smell or sound
  • No fear or anxiety during treatment

Please, contact any of our office to get more information and schedule the appointment.

Prosthodontics

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Prosthodontists specialize in the restoration and replacement of missing or damaged teeth. Our prosthodontists primarily see patients referred by general dentists. Our prosthodontists focus on managing complex dental cases. Furthermore, they form an interdisciplinary team focused on achieving the pinnacle of function and esthetics.

Complex crowns and bridges

A crown usually covers or caps a damaged tooth to protect it. Our prosthodontists will gently reshape the damaged tooth and then cover it with either an all-metal crown or a metal-free tooth-colored crown.

A bridge, sometimes called a fixed prosthesis, replaces one or more missing teeth with crowns to represent artificial teeth. Our prosthodontists will carefully attach the bridge to adjacent natural teeth for a permanent, authentic replacement.

Dentures and partials

Dentures are removable prostheses designed to replace natural teeth. If you have missing teeth and need dentures, our prosthodontists can create complete removable dentures and partial removable dentures just for you.

Implants

Implants can be the solution when you find it difficult or impossible to wear a removable denture or need an alternative to conventional dentures or bridges. The implant procedure is usually performed in two steps. First, a prosthodontist places the implant in the jaw where it remains for three to six months while healing takes place. Next, the final crown, bridge, or denture is fabricated and attached after healing is complete. The prosthesis looks like natural teeth and is made by our prosthodontists to fit on top of one or more of the implants.

Bone grafting

Bone grafting is a surgical procedure that is required when patients do not have enough bone to support a dental implant. Because a dental implant is screwed directly into the jawbone, sufficient bone volume is imperative. This procedure can literally “build” the bone — increasing height and thickness — to provide better anchorage for the implant. Bone grafts may either simultaneously accompany or may be performed six months prior to your implant placement surgery. The exact sequencing of treatment varies depending on circumstances specific to your case.

Sinus lift

A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you’ve lost bone in that area due to reasons such as disease or tooth loss, you may be left without enough bone to place implants. Sinus lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Undergoing sinus lift surgery has been shown to greatly increase your chances for successful implants that can last for years to come. Many patients experience minimal discomfort during this procedure.

Obstructive sleep apnea

Obstructive Sleep Apnea (OSA) is a condition that is potentially life-threatening and is one of the most overlooked sleep disorders. OSA is associated with obstructions of airflow to the lungs during sleep, preventing you from breathing for ten seconds or longer. These disruptions in breathing cause the person to wake up periodically during the night, making the person extremely tired and irritable. If left untreated, obstructive sleep apnea can lead to high blood pressure, thickening of the heart muscle and a potentially fatal irregular heart beat (arrhythmia). If you think you might have a sleep disorder, see a physician. A sleep physician is responsible for detecting and diagnosis of sleep disorders and recommending treatment. Once diagnosis is made, a dentist can provide treatment by making an oral appliance specifically for sleep apnea. A sleep apnea dental appliance is a custom made device worn in the mouth during sleep. It maintains an open airway in the throat while sleeping. It’s easy to wear and non-invasive.

Sport Guard

Anyone enjoying contact sports such as football, rugby or lacrosse needs to protect their teeth using a sports guard. Custom designed sports guards are more comfortable, less bulky, non-chafing and provide better cushioning so they’re more likely to be worn.

Veneers and Laminates

This is one way to quickly get that beautiful smile. Veneers and Laminates are a thin shell of porcelain or resin that is bonded to the surface of the teeth. This can change their shape, shade, and position to improve the cosmetics of your teeth and smile. They are also used to replace and restore any lost tooth structure where indicated. Your dentist will do a complete examination of your teeth to determine if veneers are ideal for you. Veneers often provide the opportunity to dramatically transform the aesthetics of your teeth and smile. Veneers can enhance the shape of your teeth, make your teeth as white as you want, and give you the smile you have always desired. Additionally, Veneers are bonded to your tooth structure, which gives them strength. Since they are very thin, Veneers are considered one of the most conservative treatments available. Most of the time, very little or no tooth structure is removed before placing veneers. Ask our dentist how veneers can improve your smile.

Endodontics

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Our professional and skilled team is pleased to provide you with endodontic procedures such as root canal therapy, endodontic retreatment, and apicoectomy.

Root canal therapy

During root canal treatment, the inflamed or infected pulp (nerve) is removed and the inside of the tooth is carefully cleaned and disinfected. The tooth is then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection. After restoration, the tooth continues to function like any other tooth.

Unlike the stigma surrounding it, modern root canal treatment is very similar to having a routine filling performed. It can usually can be completed in one or two appointments, depending on the condition of your tooth and your doctor’s assessment.

Saving the natural tooth with root canal treatment has many advantages:

  • Efficient chewing
  • Normal biting force and sensation
  • Natural appearance
  • Protects other teeth from excessive wear or strain
  • Preserving bone that will eventually recede if the tooth is extracted
  • Avoiding the financial burden of replacing the tooth if it is extracted

Endodontic treatment helps you maintain your natural smile, continue eating the foods you love, and limits the need for ongoing dental work. With proper care, most teeth that have had root canal treatment can last as long as other natural teeth and often for a lifetime.

Endodontic retreatment

With proper care, even teeth that have had root canal treatment can last a lifetime. But sometimes, a tooth that has been treated doesn’t heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth.

As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:

  • Narrow or curved canals that were not treated during the initial procedure.
  • Accessory canals that went undetected in the first procedure.
  • The placement of the crown or other restoration was delayed following the endodontic treatment.
  • The restoration did not prevent salivary contamination to the inside of the tooth.

In other cases, a new problem can jeopardize a tooth that was successfully treated. For example:

  • New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth.
  • A loose, cracked or broken crown or filling can expose the tooth to new infection.
  • A tooth sustains a fracture.

During retreatment, the endodontist will reopen your tooth and remove the filling material that was placed in the root canals during the first procedure. The endodontist then carefully examines the tooth, looking for additional canals or new infection.  He/She will then remove any infection, clean and shape the canals, and place new filling material. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it.

Apicoectomy

If both of the above options have been exhausted and there still remains an infection in the tooth, there is one more procedure that can potentially save the tooth.

During an apicoectomy an incision is made in the gum tissue to expose the bone and surrounding inflamed tissue. The damaged tissue is removed along with the end of the root tip. A root-end filling is placed to prevent reinfection of the root and the gum is sutured. The bone naturally heals around the root over a period of months restoring full function.

Following the procedure, there may be some discomfort or slight swelling while the incision heals. This is normal for any surgical procedure. To alleviate any discomfort, appropriate homecare instructions will be discussed and remedies recommended.

General Dentistry

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General dentistry can give you a smile you’re happy to show off.

You and your entire family will be provided with all-inclusive general dental care in our office.

General dentistry, which we provide includes:

  • Exam
  • X-rays
  • Cleaning
  • Oral cancer screening
  • Sealants
  • Fluoride treatment
  • Fillings
  • Crowns
  • Root canals
  • Bridges
  • Inlays, Onlays
  • Dentures, flippers, flexible dentures
  • Mouth Guards

Our dentists recommend getting an exam, x-rays, and a cleaning every 6 months. Please ask your doctor about the status of your teeth and gums. You may also ask your doctor to perform an oral cancer screening.

Sealants are protection against tooth decay! These are thin plastic coatings that are applied to the grooves on the chewing surfaces of the back teeth to protect them from tooth decay. Most tooth decay in children and teens occurs on these surfaces. Sealants protect the chewing surfaces from tooth decay by keeping germs and food particles out of these grooves.

Fluoride is a naturally occurring element that strengthens teeth. This can help to prevent tooth decay. Experts say the best way to prevent tooth decay is to use several sources of fluoride.

Cavities are holes in your teeth formed by decay. They are the number one cause of toothaches and dental cavities also cause infections that can lead to tooth loss. Tooth pain is also the leading reason for children staying home from school. Treating cavities early prevents unnecessary pain and expense. When you have a cavity, we’ll remove the decay, clean the tooth and add a filling to make your tooth pain-free and good as new.

A dental crown is a cap put over a tooth to strengthen it and make it look better. If you’ve lost part of your natural tooth, sustained a tooth fracture, or if your dentist feels it necessary, we will prepare the tooth, and fit you with a new crown.

Every tooth has at least one root. A large molar in the back of the mouth can have up to four roots. An abscess can form at a tooth’s root, causing inflammation and pain. When this happens, our dentists clean out the canals of the affected tooth, treat the abscess, fill the canal with gutta percha (a rubber-like material), top it off with a filling, and cap the tooth with a new crown so that it won’t break. In some more complicated cases, our doctors may refer you to an endodontist (root canal specialist).

Bridges are made to replace missing teeth. They can replace one or multiple teeth next to each other. Unlike partial dentures, a bridge is permanently set in your mouth.

Porcelain inlays and onlays protect and restore your tooth when large portion of the tooth is damaged or decayed.  Inlays correct areas of decay within the tooth cusps, whereas onlays are for larger areas of decay that extend to the outside surfaces. A tooth that is too damaged for an onlay will need a porcelain crown. Porcelain inlays and onlays are very effective options for anyone interested in enhancing their smile. They are a durable type of tooth-colored filling designed to blend beautifully with your natural tooth color, for a metal-free, cavity-free smile. They differ from white fillings in that they are not done directly on the teeth and they are custom fitted.

Dentures have been used for centuries to replace missing teeth. If you have missing teeth and need dentures for the first time, we can make a quality set of full or partial dentures just for you.

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.