General Services

An oral examination is a visual inspection of the mouth, head, and neck, performed to detect abnormalities.  Radiographs allow for a more complete examination, helping the doctor to detect cavities, problems in existing dental restorations, gum and bone recession, or other abnormal conditions within the mouth, head, and neck area.

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A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces. Once all the tooth surfaces have been cleaned of tartar and plaque, the teeth are polished.

Many sports require athletes to use a mouth guard to protect their teeth while practicing and playing. Frequently used in contact sports, the mouth guard covers the gums and teeth to provide protection for lips, gums, teeth, and arches. A properly fitted mouth guard can reduce the severity of dental injuries.

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Composite fillings use tooth-colored material to restore teeth with cavities and maintain a natural appearance. Once the decay is removed, the tooth is filled with a composite material which is then cured using a specialized light to harden the material. Composite fillings can be done in one visit.

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An inlay or onlay is a partial crown restoration that can be placed when there is not sufficient tooth structure to support a filling but enough tooth structure left that a full crown is not needed. Inlays/onlays are made of porcelain or gold, and they aesthetically and functionally replace the missing tooth structure.

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A crown is a dental restoration that completely covers the outside of a tooth that is cracked, broken, worn down, or severely decayed. Dental crowns are usually completed in two visits. During the first visit, the tooth is prepared (shaved down) and an impression is taken. A temporary crown is placed while the permanent crown is fabricated. During the second visit, the permanent crown is carefully fitted and then cemented into place.

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A bridge can replace missing teeth without the use of a denture or dental implant. A bridge is composed of two crowns and a replacement tooth or teeth. Crowns are typically placed on the teeth on either side of the space, with the fabricated tooth or teeth attached in between.

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For multiple missing teeth, an implant may be used to anchor the bridge.

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Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of a biocompatible metal called titanium, which are placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow custom made restorations such as crowns, bridges and dentures to be placed on the dental implants to complete your new smile.

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A denture is a removable replacement for missing teeth. There are two types of dentures, complete (full) and partial dentures.

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Whitening, also known as bleaching, is the procedure used to brighten teeth. There are two different ways to achieve a desired whiter smile, In-Office Bleaching and At-Home Bleaching.

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Learn More About ZOOM! Teeth Whitening

Porcelain veneers are thin pieces of porcelain used to recreate the natural appearance of teeth. To place a veneer, a thin layer of the original tooth enamel must be removed. Afterward, an adhesive layer is placed between the prepared tooth and the veneer. The adhesive is then hardened with the use of a specialized curing light.

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Cosmetic bonding is the process of filling or restoring teeth with a tooth-colored material in order to improve a tooth’s appearance. In order to bond a tooth, composite material is added to the tooth structure to adjust the size, shape, or color of the existing tooth.

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Scaling and root planing is a non-surgical procedure used to treat gum disease.

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Root canals are most often necessary when decay has reached the nerve of the tooth or the tooth has become infected.  When root canal therapy is performed, infected or inflamed pulp is removed from the tooth chamber. The inside of the tooth is then cleaned and disinfected before being filled and sealed to limit the possibility of future infection.  Soon after the root canal is performed, the tooth is restored with a dental crown or filling to protect the tooth and restore normal tooth function.

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A tooth that can not be saved with restorative materials may need to be removed. Before removal of the tooth, the area will be numbed with anesthesia. The tooth is loosened from the jawbone and surrounding ligaments and tissues with a gentle rocking motion. Once it is loose, it is gently removed. Stitches may be necessary after the removal of a tooth.

The temporomandibular joint (TMJ) is similar to a sliding hinge that connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement.

To treat TMJ disorders, first the cause has to be identified. In less severe cases TMJ disorders can be treated with self-managed care (easting soft foods, using ice packs, avoiding extreme jaw movement) or nonsurgical treatments (anti-inflammatory medications, Botox injections, stabilization splints).

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Lasers have numerous functions in dentistry and can be used on both hard and soft tissues.  Dental offices may use lasers to:

• Place dental implants
• Reshape gum tissue
• Biopsy or remove of soft tissue lesions and ulcers
• Remove areas of tooth decay
• Increased rate of retention of implants
• Eliminate infection in gum tissue pockets
• Fuse tissues
• Perform frenectomies (such as correction of ankyloglossia)
• Perform oral surgery and extractions

Nitrous Oxide

Nitrous oxide, sometimes referred to as “laughing gas,” is an effective and safe sedation agent that is inhaled through a mask that fits over your nose to help you relax. Mixed with oxygen, Nitrous oxide allows you to breathe normally through your nose and begins to take effect within just a few minutes. You may feel light-headed or experience a tingling in your arms and legs. Some patients comment that their legs and arms feel heavy. Ultimately, you should feel comfortable and calm. The effects of nitrous oxide wear off quickly after the small mask is removed. Ask us about whether nitrous oxide would be a good option for you.

IV Sedation

IV Sedation/General Anesthesia, uses medications to allow the patient to go to sleep while receiving dental treatment. Surgical patients or patients with high levels of anxiety, or special needs may benefit from IV Sedation/General Anesthesia. The doctor can discuss the benefits of general anesthesia and help patients determine if it is the best choice for them.

Conscious Oral Sedation

Conscious oral sedation is an alternative minimal sedation that allows you to remain awake but relaxed. For people who have a fear of dental procedures, conscious sedation may take away some of the anxiety. The doctor will combine the use of oral sedation along with a local anesthetic so you have little to no discomfort. You should plan to have someone bring you to the appointment and be available to drive you home following treatment.

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