Bonding & White Filling
Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.
A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile.
Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution for many dental problems.
Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable.
The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.
We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive to make sure that the bridge is set.
The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth back again. You should eat soft foods for the first few days after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.
If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.
Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or bonding will not be sufficient.
Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth.
The process of installing a crown takes 2-3 visits to the dentist. On the first visit the tooth will be reshaped by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that you do not experience any discomfort. Once the tooth has been reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental lab so that your new crown can be made so that it fits in the spot created for it and looks the same relative to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your permanent crown is ready.
The crown takes about 2-3 weeks to be returned to your dentist. At this time you will have another appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if you would like to learn more about how crowns can help restore your smile.
Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.
- Conventional Full Dentures—This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.
- Immediate Full Dentures—Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heals. The dentures will need to be tightened after the jaw bone has healed.
- Partial Dentures—Another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth.
Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don’t have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.
Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don’t drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.
Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.
Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated during the procedure.
The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.
After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours you should call your dentist. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. Your dentist will prescribe you pain medication, so if you become sore take as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.
You will be limited to soft foods for a few days after your surgery. Some recommended foods are:
- Mashed Potatoes
- Ice Cream
- Thin Soups
- …and other food you can eat without chewing.
When drinking, make sure you do not use a straw. The sucking motion can loosen your sutures and slow the clotting process. The same goes for smoking. If you have prolonged pain, bleeding, irritation, or don’t feel that the extraction site is healing properly call your dentist for a follow up.
Dental Hygiene & Health
While at our office, we make sure that you receive the highest level of service and ensure that our dental work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that will keep your teeth healthy and white. If you have any questions about your current hygiene plan please ask us.
Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well. We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists. Please let us know if you have any questions.
Extraction Site Preservation
When removing a tooth it is important to consider what will be done with the empty space after that tooth is removed. Wisdom teeth are in the back of the mouth, so that site will heal on its own with no complications. If it is necessary to remove another tooth, plans must be made. If a tooth is removed and nothing is done with the extraction site, the jaw bone will degenerate and change shape during healing and can cause your teeth to shift. This can create problems in your bite and affect your ability to speak and chew.
If you want to fill the space with a dental implant, a sturdy jaw bone is necessary to install the implant. If you opt for a dental bridge, the bridge must be molded and placed before the teeth shift.
Your dentist is always open to a conversation on what you would like to do with your extraction site before removing a tooth. They will be able to make a recommendation and layout a treatment plan. Make sure to schedule follow up appointments to properly care for your extraction site.
Inlays and Onlays
Inlays and onlays are often referred to as partial crowns. They use the existing tooth as a base and fit the inlay or onlay onto the tooth. This is done to strengthen the tooth, restore its shape, and prevent further damage. An inlay is done when there is no damage to the cusps of the tooth and the inlay can be placed right on the tooth. An inlay is used when the damage is a little more extensive.
The decayed area of the tooth is first removed during the procedure. A mold of the tooth is then taken and sent to a dental lab. They create a restoration made from porcelain, gold, or a composite resin. The restoration takes about 2-3 weeks to make, so a temporary inlay or onlay will be placed on the tooth for that time. During your next visit the inlay or onlay will be placed into your mouth and set with cement. Your tooth will look natural and you or anyone else won’t be able to tell the difference.
TMJ is the acronym for temporomandibular joint, which connects your lower jaw (the mandible) to your skull at the temporal bone. This joint controls many jaw functions, like chewing. If the chewing muscles or the joint itself are causing you pain you may have temporamandibular disorder, or TMD. TMD can be caused by stress, continual clenching of the jaw muscles, or teeth grinding.
Some of the symptoms of TMD are:
- Pain when opening or closing mouth
- Trouble chewing
- Jaw becoming stuck open or shut
- Headaches or ear pain
- Clicking or popping sounds when opening your mouth
- Teeth Grinding
Many of these symptoms can often be associated with other health problems, so only a medical professional can tell you if it is due to TMD. Teeth grinding is an especially problematic symptom because it can lead to further problems. Prolonged teeth grinding, or bruxism, can cause enamel to wear off teeth and expose dentin. This material is softer than enamel and more susceptible to decay. Sensitivity to hot and cold food or drink may also develop from excessive teeth grinding.
If you suspect you may have TMD come in for a consultation. We can help diagnose you and provide relief for your symptoms. Pain relievers and hot/cold compresses are short term methods to provide relief for pain symptoms. A night guard can be used to help prevent or lessen the effects of teeth grinding at night. This can lead to a more permanent solution. In very severe cases of TMD surgery may be required, but behavioral treatments to change the way you use your jaw muscles are usually enough to provide relief.
Many people are afflicted with bruxism, or teeth grinding. Some people may do this consciously during the day, but it is a larger problem at night while you are asleep. Grinding your teeth can damage enamel, wear down teeth, cause jaw pain, or irritate your gums. The noise from teeth grinding can also disturb your spouse’s sleep if loud enough.
If you grind your teeth you should consider a night guard. The night guard, which is very similar to a mouth guard worn by athletes, provides a barrier between your top and bottom teeth while you sleep. All night guards are custom fitted for comfort and to allow for proper breathing. Your dentist will take an impression of your teeth and have the night guard created by a dental lab. Night guards are very durable and can be used for up to 10 years.
There are also some things that you can do to try to stop teeth grinding. You can train your jaw to be free and easy rather than clenched. Refrain from chewing gum or on other objects like pens. You should also avoid alcoholic drinks and drinks with caffeine, as these can increase the likelihood you will grind your teeth. If you suspect you might be grinding your teeth at night set up an appointment with us today.
Specialties and Surgery
Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are better than other alternatives like bridges because no additional teeth need to be altered to place the new tooth.
The entire implant process is performed over the course of a few months. The first part of the process is to install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that the implant can be inserted. Multiple implants can be placed at once if necessary. After the implants are placed the gums are sutured.
The implant must be allowed about 3-6 months to heal, and during this time the jaw bone will form around the implant in a process called osseointegration. During this healing time you can have temporary crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for your smile.
After the implant has healed it is time to place an abutment on the implant. The abutment serves as the base for your new tooth. Once this is placed an impression of the abutment is taken and is used to create your permanent restoration. Some offices have an onsite lab to create the crown, but others will have to send it to an outside lab. Once the restoration is completed you can return to the office to attach the restoration permanently. Your smile will look just like it used to, and after a short period of getting used to the implant it will feel just like one of your own teeth.
Dental Implants FAQ
- What are dental implants?
- Simply stated, dental implants are titanium cylinders that are permanently placed in the jaw bone. The implants provide the support for the replaced teeth. They are permanent and very successful.
- Why should you consider dental implants?
- Implants are affordable and permanent. Unlike dentures, once the implants are in, you can forget them. When you consider the ease and affordability of implants, there is no reason to live with missing teeth or loose dentures.
- What are some of the benefits of dental implants?
- Dental implants offer the next best option to your teeth. They look and feel like your natural teeth. They improve the appearance of your mouth and smile. With dental implants, you are not restricted to certain foods and can eat corn on the cob and chew gum. Dental implants also reduce the bone atrophy and shrinkage that is common with lost teeth.
- Who will place a dental implant in my mouth?
- A periodontist, an oral surgeon, or an implantologist are all qualified to place dental implants. In addition, a restorative dentist completes the crowns once the implants are complete.
- Is dental implant surgery painful?
- No. Local anesthetic is used during the procedure to eliminate pain. After surgery, you may feel a bit sore for a day, but the pain and discomfort is minimal.
- What are dental implants?
Mini dental implants are about half the size in diameter of a regular dental implant. This offers many benefits, and they can also be used in situations where regular implants cannot. If an implant needs to be placed in a narrow space, mini implants are the preferred method because of their smaller size.
A main use for mini implants is to install a full upper or lower denture. A series of mini implants (4-6) are placed along the gum line and they serve as the base of the denture. Rather than placing a single implant for a single tooth, an entire lower or upper set of teeth are directly attached to the gum line.
The small size of mini implants often means that no incision needs to be made to place the implant. They can usually be inserted right through the gum into the bone. This eliminates the need for a recovery period, and the restoration can usually be placed right away or only a short time after.
Mini implants are also less expensive than regular implants. Only your dentist knows if mini implants are right for you, so call for your consultation today.
Lumineers are very thinly shaped porcelain that is bonded to your tooth. The fact that they are very thin allows us to minimize the preparation of the tooth to create beautiful transformations of your teeth.
Due to the fact that there is minimal preparation, there is often little to no discomfort in this procedure. The procedure often requires 1-2 visits.
Give us a call today to see if Lumineers will work for your smile!
Whitening & Bleaching
Keeping our teeth their whitest is a lot harder than it sounds. With all the coffee, wine, smoking and other foods that have the ability to stain our teeth on a daily basis, even proper maintenance sometimes leaves them a little lackluster. Teeth whitening is an excellent way to restore the natural color of your teeth or even make them whiter than your natural color if you would like.
To accomplish the whitening of your teeth, we utilize a tray whitening system. This tray whitening system is completed in 2 steps. The first step is to make an impression of your teeth. With this impression, we’ll craft you custom whitening trays that you can use over and over. Finally, you will take the whitening gel and put it in the gel for a short period of time over a period of a few days. This often results in a whiter smile of 4 – 8 shades!
Please contact us today to see if you are a candidate for this type of whitening.
Veneers are an excellent way to redesign and reshape your entire mouth. Veneers are a very thin ceramic shell that covers your existing tooth structure. In placing these new veneers on your teeth, you are able to fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth and many other issues.
In terms of the process to place veneers, it is a process that takes approximately two to three visits. In the first visit, we will discuss the new shape and look of what we are going to accomplish by placing the veneers. Once we have put a plan in place, we will carefully prepare the teeth for the placement of the new veneers. As we complete this piece of the process, the next step is to take an impression of the newly prepared teeth. This impression will be sent to our laboratory for the final product to be fabricated. We only utilize the highest standard laboratory for fabrication of all of our work. This process at the laboratory takes between 10-14 days. While the new veneers are being fabricated at the lab, we will provide you with a beautiful temporary solution to wear for this time.
As the veneers are finalized, we will make every effort to make sure that your new veneers will feel just like your natural teeth. We will bond them into place ensuring that you can enjoy your new smile for a very long time!
Bone grafting is where the jawbone is built up to accommodate a dental implant or other restorative device. Bone grafting is a common procedure that is used frequently for dental implants and other periodontal procedures. The bone used to graft is taken from a sample from the patient. Many times, the bone is taken from another area of the mouth when drilling takes place. The bone fragments are suctioned from the mouth and used for the graft. Cadaver bone fragments are also used. They are harvested by bone banks and are a very safe source for bone donation.
It is no secret that dentists are committed to saving teeth. This is why we fill a cavity, instead of pulling the tooth.
Cavities can decay to tooth to the point where restoration is virtually impossible without a procedure called crown lengthening. Crown lengthening is a routine surgical procedure, which remodels the contour of the gum line. The procedure does not actually lengthen the crown, but rather lowers the gum line. When there is not enough tooth structure to affix a crown, this is the only option. Sometimes a tooth has been broken below the gum line. In this instance, crown lengthening is very successful in exposing more of the tooth, so that the dentist has something to work with.
Periodontal (Gum) Disease
Periodontal (gum) disease is insidious. It is an infection of the gums that starts out as plaque, an opaque film on the teeth that hardens to form tartar. As tartar accumulates, it harbors bacteria that attack the soft tissue around the gums. This is the early stage of gum disease known as Gingivitis. Left untreated, Gingivitis becomes Periodontitis which ultimately destroys the tissue surrounding your teeth AND the bone that holds your teeth in place. Except for bad breath and gums that bleed, there are very few early warning signals. The disease advances silently, often without pain, and before you know it, you are losing your teeth and you don’t know why.
Tooth loss is only the most obvious indicator of gum disease. Scientific research has discovered linkage between gum disease and stroke, heart disease, diabetes – even an increased risk for pregnant women. When your gums become diseased, your entire immune system is weakened.
In the past, fear of painful dental surgery has kept people with gum disease from seeking the care they needed. Well, those days are gone forever.
Scaling & Root Planing
Gingivitis is a generative disease that left untreated, will cause significant tooth and gum deterioration. Just the word gingivitis can strike panic in a patient’s mind. The reality is that the treatment is simple and performed right in your dentist’s office.
Plaque and tarter that sits on the teeth provides an environment which allows bacteria to thrive and multiply. The bacteria cause the gums to become inflamed and bleed. The condition becomes more noticeable when you brush your teeth or sometimes when you eat. These are signs of the early stage of gingivitis. Gingivitis is easily treated by having the hygienist scale and polish the teeth. If gingivitis is left untreated, the condition will progress and the roots will need a planing. The difference between scaling and root planing is simple. Scaling is the removal of the dental tartar from the tooth surface. Root planing is the process of smoothing the root surfaces and removing the infected tooth structure.
As a non-surgical procedure, scaling and planing is performed without any anesthesia, in the dentist’s office. While the procedure is usually painless, advanced stages of gingivitis may make it necessary to numb the area for complete comfort. Deep scaling and root planing is usually broken down into one section of the mouth per appointment. This allows for adequate healing time, and reduces the time for each appointment.
Do you wake in the morning with sore jaws?
When you bite, do you feel like your jaw is lopsided? If so, then you may need an occlusal adjustment.
An occlusal adjustment corrects the alignment of the bite that is a result of loose, shifting, crowded, or missing teeth. The result is an evenly distributed bite that eliminates irregular pressure on one side of the mouth. Once your bite is adjusted, your teeth will meet properly. Occlusal adjustment causes minimal pain, and only a little discomfort. The adjustment is made by using a dental drill using a fine filing stone. In addition to the actual adjustment, removal mouthpieces are also utilized, to protect the tooth surface, and relax the jaw muscles once the adjustment is completed.
Who is a good candidate for an occlusal adjustment? Patients with loose or shifting teeth will many times not meet correctly. Patients who grind or clench their teeth, will have an uneven bite and pressure distribution in the mouth, which is also corrected through an occlusal adjustment. Sometimes tooth sensitivity can be corrected through an occlusal adjustment as the treatment reduces pressure on the sensitive tooth.
New technology allows dentists to accurately identify the areas which need adjustments. The dentist utilizes a computer scan of the mouth, which records hundreds of bite registrations per minute, and notes even the slightest irregularity. That data allows the dentist to make only the adjustments that are absolutely necessary, which ensures a well aligned bite and minimal tooth wear.
If you suspect that you may need an occlusal adjustment, schedule an appointment.
Periodontal Splinting (Weak Teeth)
Loose teeth are uncomfortable, especially when you try to eat food or chew gum. The feeling of the tooth pulling away from the gum is enough to send chills down your spine. It seems like an eternity, waiting for either the tooth to become loose enough to be extracted or strong enough to no longer be a problem.
Teeth become loose because of lost gum tissue, injury, orthodontic treatment, or pressure caused by tooth misalignment. A new technique called periodontal splinting attaches weak teeth together, turning them into a single unit that is stable and stronger than the single teeth by themselves. The procedure is most commonly performed on the front teeth. The procedure is as simple as using composite material to attach, or splint, the loose teeth to the adjoining stable teeth. Tooth splinting is a common procedure that has gained popularity due to its effectiveness.
Life is too short to live with loose teeth.
Contact our office today for a consultation.
Osseous Surgery / Pocket Reduction
Sometimes the effects of periodontal disease create permanent changes in the tooth and gum structure that will cause issues in the future. Enlarged gum pockets between the tooth and the gum line are common after having advanced gum disease. Sometimes these gaps are cosmetic in nature, and affect the appearance of the gums. More commonly, the gaps put the teeth at future risk for tooth and gum disease, as they are just one more place that plaque and bacteria can collect. Pocket reduction surgery is designed to thwart the after effects of periodontal disease and restore your mouth to a healthy state.
The goal of periodontal surgery to gain access to the tooth root and to clean the damaged areas. Once the dentist can visually see the damage, it can be removed completely. Removing the plaque and decayed gum tissue leaves a pocket between the gum and the tooth. Sometimes the gum returns to its original position, but still the pocket is present. The pocket requires more frequent cleanings as the patient is unable to get to the pockets with regular brushing and flossing. Once the swelling from the periodontal treatment has subsided, the dentist may need to suture the gum to where the bone has resorbed. The goal is to create a space large enough so it can be reached through daily oral hygiene, but small enough that it is not a breeding ground for plaque and bacteria.
Sealants are a great way to protect against tooth decay and cavities on your back teeth (molars). These are the teeth that are most vulnerable to cavities and decay because they are used in the chewing process, and are the most difficult to reach and clean. Molars first come in at around 5-7 years of age, with a second set coming in between the ages of 11-14. It is best to have a sealant placed when the molars first come in to ensure they are protected early.
To place a sealant, an adhesive is first applied to the teeth. The sealant is then placed over the adhesive as a liquid, as if it is painted right onto the tooth. The liquid then hardens and creates a barrier between your tooth and any plaque, food particles, and bacteria. Sealants last for about 10 years and can be reapplied if necessary.
Root Canal (Endodontics)
Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.
The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then drill down into the tooth to create an opening into the canal. They will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space is filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.
“Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology have made it much less “scary”. Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases. There may be some soreness following the procedure, but that is normal for most dental procedures. Over the counter painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your dentist today.
Root Canal Retreatment
With proper care, most teeth that have had endodontic (root canal) treatment can last as long as other natural teeth. Root canals can have a 95% success rate. In some cases, however, a tooth that has received endodontic treatment fails to heal. Occasionally, the tooth becomes painful or diseased months or even years after successful treatment.
Why do I need retreatment?
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 were not treated during the initial procedure.
- Complicated canal anatomy 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.
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 a new infection. A tooth sustains a fracture. Retreatment is performed in two visits and involves the following:
- At the initial visit the endodontist will examine the tooth, take x-rays and discuss your treatment options. If you and your endodontist choose retreatment, the retreatment will be scheduled at that time for a future date.
- At the retreatment appointment the endodontist will administer local anesthetic to numb the tooth. After the tooth is numb, the endodontist will reopen your tooth to gain access to the root canal filling material. In many cases, complex restorative materials (crown, post and core material) must be disassembled and removed to permit access to the root canals.
- After removing the canal filling, the endodontist can clean the canals and carefully examine the inside of your tooth using a microscope, searching for any additional canals or unusual anatomy that requires treatment.
- After cleaning the canals, the endodontist will fill and seal the canals and place a temporary filling in the tooth. Post space may also be prepared at this time.
- After your endodontist completes retreatment, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function.
- If the canals are unusually narrow or blocked, your endodontist may recommend endodontic surgery.
Snoring and Sleep Apnea
Snoring is one of the signs of a more serious sleep disorder. Snoring is the harsh sound you hear when a snorer inhales during sleep. The noise occurs when the soft palate and uvula vibrate against the back of the throat or the base of the tongue.
Chronic snoring itself may actually be a cause of some cases of obstructive sleep apnea (OSA), which is the most common type of sleep apnea. With OSA, your airway collapses or becomes blocked as you sleep. This causes shallow breathing or pauses in breathing. When you try to breathe again, any air that squeezes past the blockage can cause loud snoring.
A custom mouthpiece, much like a sports mouth guard, can help alleviate your sleep apnea symptoms. Dr. Moore can make a custom-fitted plastic oral appliance for treating sleep apnea. The oral appliance will adjust your lower jaw and your tongue to prevent your airway from collapsing as you sleep.
After a car accident or other facial trauma, you may require surgery to correct the damage. Oral and Maxillofacial surgeons are specially trained to perform all types of surgery that is needed after facial trauma. Facial trauma can be repaired in a local hospital or outpatient surgery center. Some of the types of facial trauma, which may require surgery, include facial lacerations, knocked out teeth, broken or fractured cheek, nose, jaw, or eye socket.
Facial trauma causes a high degree of physical and emotional trauma to the patient. Correcting facial trauma requires special training and an in depth understanding of the long term functioning and appearance of the face. Oral and Maxillofacial surgeons take into consideration the patient’s prior appearance and any permanent damage that will affect the results.
Same-Visit Crowns (CEREC)
Never worry about keeping a temporary crown in place. We proudly use CEREC technology for single visit, same-day crowns. The whole process takes just a few hours.
No Temporary. No Messy Impressions. One Easy Appointment.
What is CEREC?
CEREC is an advanced dental technology that is utilized for the restoration of decayed, cracked, or chipped teeth. CEREC can create full crowns, inlays, onlays, and veneers. The CEREC machine crafts a restoration in a matter of minutes. CEREC restorations are made of compressed porcelain. The most beneficial feature of receiving a CEREC restoration is that it is accomplished in one visit. In addition to the benefit of a one visit restoration, there is no uncomfortable impression material to bite on or temporary to wear.
Watch CEREC in Action
The procedure for placement of a CEREC restoration is very simple. The first step is to remove all decay from the tooth. The doctor will then shape the tooth in preparation to take a digital picture. The tooth is then sprayed with a very fine powder. This allows the digital camera to take an acceptable image. Once this image is captured, the tooth will appear on a computer screen in 3D. This will allow the doctor to design the restoration right in front of you. Once the design is completed, the CEREC will mill the restoration. This step takes approximately 15 minutes. You can actually watch this process if you would like. When the restoration is finished milling, the doctor will place the restoration. The entire process should take just over an hour.
Digital x-rays are quickly becoming adopted by a large percentage of the dental industry. A digital x-ray allows the dentist to take an image of the tooth or teeth and put it into an imaging program. Within this imaging program, there are a number of tools that will allow the dentist to take a very close look at the teeth and surrounding structures with amazing accuracy. As a benefit to the patient, the digital x-ray also provides nearly 80% less radiation than a standard x-ray. This is due to the fact that the digital version of the x-ray is much more sensitive to this radiation and has been specifically designed with the patient in mind.
Oral Cancer Screenings
Oral cancer screenings are a very important part of the dental visit for the patient. With the advances in modern technology, we are now able to pinpoint the start of a potential problem much earlier in its evolution. The ability to do so is extremely important in being able to treat any issues prior to them becoming a major irreversible problem.
The oral cancer screening is often completed with an ultraviolet light or similar device that allows us to view issues that can’t always be detected by the human eye under normal conditions.
Certain lifestyle choices can have a great impact on the health of tissues and your overall health in the mouth. If you are a smoker or heavy drinker, make sure to get regular screenings when you visit the dentist.
Endodontics, more commonly known as root canal, is a procedure where the roots or nerves of the tooth are removed. This is often due to the fact that they are infected and the tooth is causing pain.
Rotary Endodontics is a way of performing the root canal utilizing a specific electrical handpiece. This tool often makes the process faster and allows the dentist to perform the process with greater ease.
Fees For Top 15 Procedures
(as required by the state)
D1110 — Adult Cleaning — $112.00
D0120 — Periodic Exam — $56.00
D0274 — Bitewing X-ray — $76.00
D2740 — Porcelain Crown — $12.65
Single P.A. X-ray
D0220 — Single P.A. X-ray — $35
D0140 — Limited Exam — $56
1 Surface Posterior Composite Filling
D2391 — 1 Surface Posterior Composite Filling — $210
2 Surface Posterior Composite Fillings
D2392 — 2 Surface Posterior Composite Fillings — $272
Full Mouth X-rays
D0210 — Full Mouth X-rays — $153
D0150 — Comprehensive Exam — $99
D4910 — Periodontal Maintenance — $187
D1120 — Child Cleaning — $85
D2950 — Build Up — $336
Topical Fluoride Treatment
D1206 — Topical Fluoride Treatment — $56
One Surface Anterior Composite
D2330 — One Surface Anterior Composite — $189
As required by the Colorado State Legislature, the cash fee is provided for the 15 services listed above. The health care price listed for any given health care service is an estimate. Actual charges for the health care service are dependent on the circumstances, including any complications or exceptional treatment, at the time the service is rendered.
If you are covered by health insurance or a dental plan, you are strongly encouraged to consult with your insurer or plan to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office. If you are not covered by health insurance or a dental plan, you are strongly encouraged to contact our billing office at (719) 633-4028 to discuss payment options prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility.
Remember, dentistry is not a commodity. The toothpaste you buy at Safeway, Sam’s Club, or King Soopers is exactly the same. Dental providers are not. An informed consumer looks beyond price and develops a relationship with their physician, dentist, or other healthcare provider that transcends cost.