General Treatment

Composite Bonding | Veneers | Tooth Extractions | Crowns & Bridges

The focus of our practice is on comprehensive restorative and cosmetic dental treatment.   To achieve our treatment objectives we look at many contributing factors such as periodontal health, TMJ/TMD status, orthodontic relationships, head & neck examination findings, oral cancer examination,  cosmetic concerns and emotional considerations.  In taking a comprehensive approach to our diagnosis and treatment planning, we are able to develope a kind of "architectural blue-print " plan that , if followed, allows a patient  to achieve a life time of  maintainable oral health and an attrative smile.   From the beginning we emphasis the importance of  preventive care for our patients and perform a comprehensive examination at every check-up.

When and as needed, we include and partner with many specialty practices  such as oral surgeons, periodontists, endodontists and orthodontists in order to achieve our treatment objectives using the best and most current treatment protocols available..  This combined with a highly successful recall and hygiene program allows our patients  to achieve and maintain optimum oral health throughout their life-time.


Composite Bonding

Bonding is a common solution for:

  • Fixing or repairing chipped or cracked teeth
  • Reducing unsightly gaps or spaces between teeth
  • Hiding discoloration or faded areas on the tooth’s surface

Often used to improve the appearance of your teeth and enhance your smile. As the name indicates, composite material, either a plastic or resin, is bonded to an existing tooth. Unlike veneers or crowns, composite bonding removes little, if any, of the original tooth.

Composite bonding has many advantages:

  • It is a quick process, which typically lasts less than one hour.
  • It does not reduce the tooth’s original structure and is relatively inexpensive.
  • Composite resins come in many different shades and provide better matching of shades to the natural color of your teeth.
  • Composite bonds, however, are not as durable and long-lasting as veneers and crowns and may need to be re-touched or replaced more frequently in the future.

Composite bonds stain more easily and therefore require proper care and regular cleaning. In order to ensure the longest possible duration of the bonding, composites should be brushed and flossed daily. Common staining elements include coffee, tea, tobacco, foods and candy.

Back to top


Veneers

Veneers are thin, semi-translucent “shells” typically attached to your front teeth. Veneers are customized from porcelain material and permanently bonded to your teeth. Veneers, where indicated, can be a less invasive treatment alternative to crowns in improve the appearance of your smile.

Common problems that veneers are used for:

  • Spaces between the teeth
  • Broken or chipped teeth
  • Unsightly, stained or discolored teeth
  • Permanently stained or discolored teeth
  • Crooked or misshapen teeth

Veneers are a great aesthetic solution to your smile that may even help you avoid orthodontic treatment. Subtle changes to your smile can be achieved with veneers, and in most cases, veneer application is completed in only two office visits.

Please contact our office if you have any further questions on veneers.

Back to Top


Tooth Extractions

Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions, with an absolute minimum of discomfort. Ask our staff for more information regarding tooth extractions if you feel you may need one.

Back to Top


Crowns and Bridges

Crowns

A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable than gold.

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes a few weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
  5. Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place. This process generally consists of a minimum of 2-3 visits over a three to four week period.

Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are a number of bridge  types:

  • Fixed bridge- this is the most popular and consists of a filler tooth that is attached to two crowns which fit over the existing adjacent  teeth holding the bridge in place.  Such a bridge is cemented to the supporting teeth and does not come out.
  • Implant supported fixed bridge - this is similar to a tooth supported fixed bridge except that it is supported by implants placed into the bone. 
  • Removable bridge- also called a partial denture, can replace missing teeth with a removable appliance that clips to remaining natural teeth and can be removoved for cleaning.
  • Removable implant supported bridges - For people missing most or all of their natural teeth, implant supported removable bridge-work can offer a stable and secure alternative to conventional dentures.
  • The “Maryland” bridge  (or "bonded bridge") is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The Cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.

Back to Top