Common Procedures

Topics on this page

Regular Exams and Cleanings | Bonding | Bridges | Crowns | Dentures | Extractions | Fillings | Fluoride | Implant Restoration | Mouthguards | Nightguards | Root Canals | Sealants | Veneers | Wisdom Teeth


exams and cleanings

Regular Exams and Cleanings

Regular exams are an important part of maintaining your oral health. During your regular exam, I will:

  • Check for any problems you may not see or feel
  • Look for cavities or other signs of tooth decay
  • Inspect your teeth and gums for gingivitis and signs of periodontal disease
  • Perform a thorough teeth cleaning

Your regular exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, during which I will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth’s surface.

Visiting my office every six months gives you the chance ask me any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact my practice today to schedule your next dental exam and teeth cleaning.

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Bonding

Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling “bonds” with your tooth. Because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.

Tooth bonding can also be used for fillings instead of silver amalgam. Many patients prefer bonded fillings because the white color is much less noticeable than silver. Bonded fillings can be used on front or back teeth, depending on the location and extent of tooth decay. I have not used silver-colored fillings in 23 years. They usually contain mercury, which is a toxic material.

Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to my office. However, it can stain, and is easier to break than other cosmetic treatments, such as porcelain veneers. If it does break or chip, let me know, since a bonding can generally be easily repaired in one visit.

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Bridges

bridgesA bridge may be used to replace missing teeth, help maintain the shape of your face, or alleviate stress on your bite.

A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support. It will prevent shifting of teeth and it can fix certain “bite” problems.

The success of any bridge depends on its foundation: the other teeth, gums, or bone to which it is attached. Therefore, it’s very important to keep your existing teeth, gums, and jaw healthy and strong.

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Crowns

fillingsCrowns are a restorative procedure used to improve your tooth’s shape or strengthen it. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay.

Think of a crown as a “cap” cemented onto an existing tooth that fully covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or ceramic. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.

Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth.

Your crown is created in a lab from your unique tooth impression, which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so your bite and jaw movements function normally once the crown is placed.

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Dentures

denturesDentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all the natural teeth have been removed. Partial dentures are attached to a metal or plastic frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed.

Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they’re not in use, and be sure to keep your tongue and gums clean as well.

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Extractions

extractionsThere are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt.

At other times, a tooth may have so much decay that it puts the surrounding teeth at risk, so I may recommend removal, and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

When it is determined that a tooth needs to be removed, I may extract it during a regular checkup or request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament. In order to extract a tooth, I must expand the socket and separate the tooth from the ligament holding it in place.

Once a tooth has been removed, neighboring teeth may shift, and cause problems with chewing or your jaw joint function. To avoid these complications, I highly recommend that you replace the extracted tooth. My recommendations will depend on each person’s specific situation.

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Fillings

crownsTraditional dental restoratives, or fillings, may include gold, porcelain, or composite. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are typically used on the front teeth where a natural appearance is important.

There are two different kinds of fillings: direct and indirect. Direct fillings are placed into a prepared cavity during a single visit. Indirect fillings generally require two or more visits. These fillings include inlays, and veneers fabricated with ceramics or composites.

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Implant Restoration

implantsIf you are missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. When teeth are missing, your mouth can shift and even cause your face to look older. Implants are a great way to replace your missing teeth, and if properly maintained, can last many years!

An implant is a new tooth made of metal and porcelain that looks just like your natural tooth. It’s composed of two main parts: one is the titanium implant body that takes the place of the missing root, and the other is the tooth-colored crown cemented on top of the implant. With implant treatment, you can smile confidently, knowing no one will ever suspect you have a replacement tooth.

In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth so you have a more natural-looking smile.

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Mouthguards

mouthguardWhether you wear braces or not, protecting your smile while playing sports is essential. Mouthguards help protect your teeth and gums from injury. If you participate in any kind of full-contact sport, the American Dental Association recommends that you wear a mouthguard.

Choosing the right mouthguard is essential. The best one is a custom-made mouthguard made in an office. It is tear-resistant, comfortable and well-fitted for your mouth, easy to keep clean, and does not prevent you from breathing properly.

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Nightguards

nightguardIf you often wake up with jaw pain, earaches, or headaches, or you find yourself clenching or grinding your teeth, you may have a common condition called “bruxism.” Many people do not even know they grind their teeth, because it often occurs during sleep. If not corrected, bruxism can lead to broken teeth, cracked teeth, or even tooth loss.

There is an easy, non-invasive treatment for bruxism. Nightguards are an easy way to prevent the wear and damage that teeth-grinding causes over time. Custom-made by me from soft material to fit your teeth, a nightguard is inserted over your top or bottom arch and prevents contact with the opposing teeth.

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Root Canals

root canalsIn the past, if you had a tooth with a diseased nerve, you’d probably lose that tooth. Today, with a dental procedure called “root canal treatment,” your tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but it is also detrimental to your overall health.

Root canal treatment usually involves one to three visits. During treatment, I remove the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the decayed internal aspect is replaced with a strong filling.

If your tooth has extensive decay, I may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last for years.

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Sealants

sealantsSometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for your toothbrush to get between the small cracks and grooves on your teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.

Dental sealants are plastic resins that bond and harden in the deep grooves on your tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective against tooth decay.

Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. However, adults can also receive sealants on healthy teeth. 

Sealants last from one to three years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealants come off, let me know, and schedule an appointment for your teeth to be re-sealed.

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Veneers

veneersYou no longer need to hide your smile because of gaps, chips, stains, or misshapen teeth. With veneers, you can easily correct your teeth’s imperfections to help you have a more confident, beautiful smile. Veneers are natural in appearance, and a perfect option for patients who want to make adjustments to the look and feel of their smile.

Veneers are thin, custom-made shells made from tooth-colored materials (such as porcelain), and they are designed to cover the front side of your teeth. A custom-made model of your teeth will be fabricated and sent to a special laboratory to create the veneers. I may need to prepare your tooth conservatively to achieve the desired aesthetic result.

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Wisdom Teeth

wisdom teethWisdom teeth are molars found in the very back of your mouth. They usually appear in the late teens or early twenties, but may become impacted (fail to erupt) due to lack of room in the jaw, or angle of entry.

When a wisdom tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.

Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the roots have not fully formed and the bone surrounding the teeth is less dense. They are the last teeth to come into the mouth.

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