SERVICES

 A comprehensive dental exam will be performed by your dentist at your initial dental visit.  At regular check-up exams, your dentist and hygienist will include the following:

• Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.  X-rays also help determine tooth and root positions.
• Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.
• Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
• Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
• Examination of existing restorations: Check current fillings, crowns, etc.

Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists.  Your cleaning appointment will include a dental exam and the following:

• Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface.  Calculus forms above and below the gum line and can only be removed with special dental instruments.
• Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth.  It is a growing colony of living bacteria, food debris, and saliva.  The bacteria produce toxins (poisons) that inflame the gums.  This inflammation is the start of periodontal disease!
• Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

 What happens during the first visit? During the initial visit, the dentist will advise parents to implement a good oral care routine, ask questions about the child’s oral habits, and examine the child’s emerging teeth.  If the infant’s teeth appear stained, the dentist may clean them.  Oftentimes, a topical fluoride treatment will be applied to the teeth after this cleaning. 

Bonding is a cosmetic procedure that allows the dentist to reshape or repair your smile using composite resin. Cosmetic bonding is particularly ideal if you’re insecure about the appearance of your smile or want an affordable alternative to invasive and more costly procedures such as orthodontics or veneers. With bonding, chipped or uneven teeth can be repaired easily and affordably, restoring your self-confidence. Additionally, bonding is often completed in a single visit and doesn’t require any anesthetic! As with most cosmetic procedures, bonding will wear and discolor over time, eventually needing to be replaced; however, bonding is very durable and typically lasts many years.  Reasons for cosmetic bonding:

• Closing spaces or gaps
• Fixing chipped teeth
• Fixing decayed teeth (teeth with cavities)
• Lengthening uneven teeth
• Protecting roots exposed by receding gums
• Restoring badly discolored teeth

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size.  A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations. Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they most resemble your natural teeth.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile. Reasons for crowns:

• Broken or fractured teeth.
• Cosmetic enhancement.
• Decayed teeth.
• Fractured fillings.
• Large fillings.
• Tooth has a root canal.

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth. There are several types of bridges.  You and your dentist will discuss the best options for your particular case.  The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal.  Porcelain fixed bridges are most popular because they resemble your natural teeth.  This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth. Dental bridges are highly durable and will last many years; however, they may need replacement or need to be re-cemented due to normal wear. Reasons for a fixed bridge:

• Fill space of missing teeth.
• Maintain facial shape.
• Prevent remaining teeth from drifting out of position.
• Restore chewing and speaking ability.
• Restore your smile.
• Upgrade from a removable partial denture to a permanent dental appliance.

Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures.  Implants provide excellent support and stability for these dental appliances. Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist - a specialist of the gums and supporting bone.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile! Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear. Reasons for dental implants:

• Replace one or more missing teeth without affecting adjacent teeth.
• Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
• Restore a patient’s confident smile.
• Restore chewing, speech, and digestion.
• Restore or enhance facial tissues.
• Support a bridge or denture, making them more secure and comfortable.

Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile. Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth.  The most popular method is using a home teeth whitening system that will whiten teeth dramatically.  Since teeth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc.  Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth. Teeth whitening is not permanent.  A touch-up may be needed every several years, and more often if you smoke, drink coffee, tea, or wine. Reasons for teeth whitening:

• Fluorosis (excessive fluoridation during tooth development).
• Normal wear of outer tooth layer.
• Stained teeth due to medications (tetracycline, etc.).
• Yellow, brown stained teeth.

Add an answer to this item. One of the primary concerns people often have about dental braces is the aesthetic impact of the metalwork on their smile. Especially for adults, the prospect of wearing unattractive metal braces for long periods of time can be very discouraging.  Invisalign® offers an almost invisible aligning system that straightens teeth fast and contains no metal. Invisalign® treatment consists of a series of custom-made aligning trays.  The dentist changes the trays every several weeks to fit the new tooth configuration.  In addition to the reduced visual impact, Invisalign® aligning trays can be temporarily removed for important occasions – meaning that treatment duration is patient-controlled.  A great number of people report complete satisfaction with both the Invisalign® treatment and the stunning results. What kind of bite problems can Invisalign® correct? Invisalign® corrects the same dental problems as traditional metal braces; the only difference is that Invisalign® trays are almost invisible to the naked eye, and can be removed at will. Here are some problems that are commonly corrected with Invisalign®:

• Overcrowding – This occurs when there is too little space for the teeth to align normally in the mouth.  Overcrowding can cause tooth decay and increase the likelihood of gum disease.  
• Large gaps between teeth – This can sometimes occur because teeth are missing or because the jaw continues to grow abnormally.  
• Crossbite – This common dental problem occurs when one or multiple upper teeth bite inside the lower teeth.  As a consequence, uneven wear can lead to bone erosion and gum disease.  
• Overbite – This problem occurs when the upper teeth project further than, or completely cover, the lower teeth.  Eventually, jaw pain and TMJ may occur.  
• Underbite – This is the inverse of the overbite; the lower teeth project further than, or completely cover, the upper teeth.  Eventually, jaw pain and TMJ can occur.