This remarkable technique requires only 4 implants in either the upper or lower jaw to support all the replacement teeth for that dental arch. All-on-4®* typically involves only one surgery to place all the implants, avoids the need for additional bone grafting procedures, and provides the instant gratification of receiving a full set of temporary teeth immediately on the same day as the initial procedure. As a permanent fixed replacement for all the teeth, the All-on-4® dental implant technique achieves unprecedented results with a minimal number of dental implants and surgical procedures, thereby making it an appealing cost-effective solution for permanently replacing a full set of teeth. Once post-surgical healing is complete and the All-on-4® dental implants have fully integrated with your jawbone, the temporary bridge is permanently replaced by your customized final bridge. These new permanent replacement teeth are completely secure and stable and function in a similar fashion as natural teeth.
*All-on-4 is a registered trademark of Nobel Biocare
A high-tech alternative to traditional dentures, the ALL-On-6® technique creates a comfortable and stable full set of upper and/or lower teeth using six strategically placed specialized dental implants. While conventional removable dentures can effectively replace a full complement of lost or missing teeth, ALL-On-6 dental implants provide a fixed and permanent method of reestablishing a complete set of teeth. This restores patients with a sense of having their own teeth and offers an improved quality of life as they can once again eat and speak with confidence. With ALL-On-6® dental implants the need for messy denture adhesives or having to take one’s dentures out to clean and sanitize them is eliminated. The replacement teeth are cared for in very much the same way as a set of natural teeth.
All-On-6® dental implants offer a less invasive and quicker way to restore a full upper or lower set of teeth than treatment with conventional dental implants. Requiring just six implants per jaw for a complete set of functional teeth, All-On-6® treatment may reduce the need for preliminary bone grafting surgery. Utilizing the All-On-6® method, temporary teeth can often be placed right away with a permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
When teeth are missing, a series of changes that can impact your overall dental health and jaw function may begin to develop. The adjacent teeth may start to drift or tilt into the space, and teeth in the opposing jaw may start to shift toward the area of the missing tooth. It is therefore important to replace either the single tooth or multiple teeth that are missing from this area. One of the best options to prevent the consequences of shifting teeth and to restore full function to a small edentulous section in the mouth is a dental bridge.
A dental bridge replaces the missing teeth with artificial teeth called “pontics,” and is supported on the ends by prepared natural teeth. Once fabricated and fitted a dental bridge will be permanently “fixed,” or cemented into place. Like crowns, bridges can be made of either porcelain baked on to a metal substrate or many of the new ceramic materials that have been developed.
Thanks to advances in modern dentistry, teeth that have been affected by a range of imperfections or that have sustained damage from trauma or dental caries can be fully restored to produce a naturally beautiful looking and functional smile. With the cosmetic dental solutions available today, your dentist can effectively improve and enhance the appearance of teeth that are stained, discolored, misshapen, chipped, fractured, gapped, crowded, or broken down as the result of dental disease or trauma.
Cosmetic dental solutions range from relatively quick and minimally invasive procedures to more comprehensive treatments designed to restore smiles, which have been affected by severely damaged, lost, or missing teeth.
Partnering with your dentist to discuss your expectations and smile goals is the best way to develop the most appropriate treatment plan to achieve the cosmetically pleasing and functional smile results that you desire.
Whether from disease, malnutrition, genetic disorders or an accident, it is occasionally necessary for patients to have some or all their upper and lower teeth extracted. While this can be upsetting news, partial or full dentures can be fabricated to restore an attractive smile, provide needed support for normal facial contours, and reestablish a highly functional occlusion.
A denture consists of natural looking artificial teeth set in a supportive base. It may be fabricated to replace either a small group of teeth, an entire upper arch, an entire lower arch, or used to restore both dental arches.
A complete denture refers to the replacement of all the teeth in a dental arch. It can be inserted either of two ways. It can be inserted some weeks after the extraction sites and other surgical procedures have had a chance to heal, or as an “immediate” denture placed the same day the last remaining teeth are extracted. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require multiple adjustments as the tissues remodel and heal following dental extractions or other surgical procedures.
In situations where some sturdy teeth remain, partial dentures can be fabricated. Partial dentures can achieve adequate retention and stability by having clasps on the teeth surrounding the edentulous areas.
In some cases, added stability for the dentures can be provided by strategically placed implants.
Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of theses advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.
An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.
At the pinnacle of advanced healthcare technology, the E4D CAD/CAM restorative systems and software solutions enable dental practices to provide their patients with “same day” in-office ceramic restorations. With E4D technology your dentist can take digital impressions, create virtual models, and precisely mill the highest quality ceramic restorations all on the very same day. Using this advanced approach to care eliminates the need for messy impressions, the inconvenience of multiple dental appointments and the extra wait required with outside laboratory-fabricated restorations.
Dental emergencies can come about in any number of ways. Your discomfort may be due to an injury to the oral facial area, the acute flare up of a longstanding problem, or the result of the sudden onset of seemingly inexplicable pain. Whatever the case may be, urgent dental care is needed to provide you with relief and to avoid any further consequences to your oral health or function, as well as your overall well being.
There are many reasons to seek emergency dental care, including severe toothaches, chipped or fractured teeth, a dental abscess, impacted teeth, loose or broken fillings, lost or dislodged crowns, broken dentures and more. While the pain of a toothache is one of the more common reasons that patients come to our dental office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one’s smile.
Whether your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, contact our office immediately for care. We will make every effort to see you as promptly as possible.
Sometimes it is necessary to extract a tooth. This can happen for a variety of reasons. Extractions are commonly performed in cases where a deciduous “baby” tooth is reluctant to fall out, a severely broken down and non-restorable tooth is present, or “wisdom tooth” is poorly positioned and unable to fully erupt into place.
To reduce any anxiety and insure patient comfort whenever a tooth extraction is necessary, the procedure, the post surgical instructions, as well as any restorative follow-up care will be carefully and completely explained.
Losing a tooth due to injury, dental decay, or gum disease can happen. However, in order to avoid causing problems for the adjacent teeth and your overall dental health, it is important to replace the tooth that has been lost. This can be done any number of ways including fixed bridges, removable partial or full dentures as well as a more recent procedure known as dental implants.
One of the most significant dental innovations in recent times, an implant is a small surgical fixture made of biocompatible metal or ceramic materials that is placed into the jawbone and functions in the same manner as the root of tooth. In the same way that natural root supports the natural crown of your tooth, an implant once it fully integrates with the surrounding bone, provides a stable and durable foundation for a replacement tooth. Implants often support a crown for an individual tooth, but can also be used as abutment teeth for a dental bridge, or strategically placed to help stabilize a denture.
Out of all the restorative choices available today, an implant comes the closest to replicating the look, feel and function of a natural tooth. Furthermore, it is the only method of tooth replacement that does not require the involvement or preparation of the adjacent teeth. A dental implant also stimulates bone remodeling to prevent shrinkage in areas where teeth are missing and helps to restore facial contours in areas where significant bone loss has occurred.
Invisalign®* is a form of orthodontic treatment that works to correct many different types of malocclusions through the use of a series of clear plastic trays called aligners. In many cases it provides an excellent treatment alternative to traditional orthodontic braces and metal wires.
Invisalign utilizes 3-D computer imaging technology to correct problematic bites or malocclusions by planning a complete sequence of custom-made clear aligners. This series of clear aligners, each of which is worn for a couple of weeks, incrementally move the teeth into place until the final desired corrections are reached.
The advantage and appeal of Invisalign appliances is that they are more cosmetic and more comfortable than most other orthodontic appliances. With Invisalign appliances orthodontic treatment is practically “invisible.”
*Invisalign is a registered trademark of Align Technology, Inc.
Among the many significant advances in modern dentistry has been the development of dental laser technology. Today, dental lasers are being increasingly used to treat tooth decay, periodontal disease, perform biopsies or for the removal of oral lesions, to cure restorative (filling) materials, as well to activate in-office teeth whitening systems.
Dental lasers combine laser energy with water and air to safely cut and shape targeted areas of soft or hard tissues in the mouth. Laser energy precisely cuts through tooth structure by exciting the water molecules in the tooth. It operates without direct contact to the tooth and without heat, vibration, or pressure thereby minimizing the discomfort of the procedure and the need for dental anesthesia. In addition, dental lasers can reduce anxiety for patients fearful of dental work, minimize post-operative bleeding and swelling, and preserve healthy tooth structure during the removal of decay.
While dental lasers may be an excellent treatment option in some situations, they cannot be used for every dental procedure.
As part of a comprehensive exam, the dentist will perform a screening for oral cancer. To start, the dentist will review the patient’s medical and dental histories and ask if there have been any changes to his or her oral health or overall health. The dentist will then carefully check in and around the oral cavity as well as the head and neck area for any of the following signs or symptoms that may indicate the presence of a problem:
- Mouth ulcers or sores that do not heal
- Red or white patches
- Persistent swelling of unknown origin
- Pain when swallowing, a painful tongue or a continuing ear or neck ache
- A constant feeling that something is stuck in the throat
- Tenderness or numbness in the mouth or lips
- Loose teeth
- Jaw pain or stiffness
If a suspicious lesion, tissue abnormality or unusual symptoms are present, the dentist will refer the patient for a more comprehensive assessment. Early detection of oral cancer offers the most favorable outcomes of care.
Oral Sedation means that you will be given a prescription for an oral medication prior to your appointment. Taken at the recommended time before your appointment, this medication allows you to fully relax by the time your procedure begins. When receiving oral sedation, a patient must have an escort on the day of the procedure to drive them to and from the oral surgeon’s office.
At our office, we take pride in creating and maintaining beautiful and healthy smiles for our younger patients in an environment that is lighthearted and fun. With an emphasis on establishing oral health habits that last a lifetime, we offer a comprehensive program of preventive care and closely monitor the dental health of our pediatric patients as they grow.
As an added level of protection to guard against childhood dental decay, we recommend periodic fluoride treatments and the application of dental sealants on the biting surfaces of the newly erupted permanent back teeth.
Periodontal disease damages the surrounding soft tissues and bone that support the teeth. It is predominantly caused by the accumulation of bacteria, mucus and other particles in the form of plague or tartar that sit between the teeth and the gums. Periodontal disease can range in severity from a simple gum inflammation, known as gingivitis, to a more serious inflammation of the periodontal tissues. Left untreated periodontal disease can result in significant tissue damage and eventual tooth loss.
The problem with periodontal disease is that often the progression is painless. As a result, the affected individual may not be aware of an ongoing disease process. This is why, it is so important to recognize the signs of the earliest stage of periodontal disease, which is gingivitis. The symptoms of gingivitis typically include red, swollen and bleeding gums. Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen, and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.
Left untreated, gingivitis can escalate into periodontitis. However, there are other factors that can contribute to the escalation of periodontal disease, including smoking, genetic tendencies, and unchecked diabetes. In either case, when periodontal disease has progressed to a more advanced stage there is usually clinical and radiographic evidence of damage to the bone and soft tissues supporting the teeth. Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. This may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.
Endodontics, or root canal therapy, is employed when the nerve supply to a tooth has been irreversibly affected by damage or decay. It is a way to prevent or help resolve a dental infection and save a natural tooth from extraction. A root canal is performed when there is enough sound root and crown structure remaining to eventually restore form and function to the involved tooth.
Inside every tooth is either a single central chamber or multiple ones that contain connective tissue, a nerve supply, and blood vessels. These core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. A root canal procedure is required when this dental pulp is irreversibly damaged or has died.
Root canal therapy involves cleaning and shaping each canal, and then filling them with a special inert material. Following this they are sealed to prevent any subsequent infection. Once root canal therapy has been completed, the tooth should be fully restored as recommended.
Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night causing an individual to wake up with any number of symptoms including jaw pain, headaches, and sore teeth that may feel loose. Although, stress and anxiety are the most common causes of bruxism there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.
To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events, including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.
In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom night guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.
Commonly referred to as “laughing gas,” nitrous oxide is used as a mild sedative to reduce anxiety and allow a level of relaxation during a procedure. Nitrous oxide is inhaled through a small mask over the nose. It is administered for the duration of the procedure and is turned off as the procedure is coming to an end. The effects of this method of sedation wear off very quickly.
The most common form of therapy for obstructive sleep apnea is a CPAP machine that is worn while sleeping. This device provides a steady stream of pressurized air into the respiratory system through a mask. However, in cases of mild to moderate sleep apnea, an oral appliance is often prescribed to treat the condition. Worn in a similar fashion to a mouthguard or an orthodontic retainer, the appliance is designed to help keep the tongue and soft tissues in the back of the throat from collapsing, thereby enabling the airway to stay open during sleep. Moreover, this appliance is easy to wear and easy to care for as well as comfortable, and portable.
At Center for Cosmetic Dentistry, our sleep apnea appliances are individually fabricated, and customized for both maximum effectiveness and comfort.
Getting a full night of sleep is essential to your overall health. Being well rested helps you to feel good and to function at your best. One of the most common problems that can affect the quality of your sleep is snoring. According to statistics, about 90 million individuals in the United States snore while they sleep. While for about half of these people the problem is simply snoring, the others may be afflicted with a serious disorder known as sleep apnea. Therefore, before any type of treatment can be prescribed, it must be determined whether the problem is sleep apnea or “simple” snoring.
If it is determined that your problem is simply snoring, and you are what is known as a primary snorer, then an oral appliance can help you as well as any of your roommates enjoy a quieter and more comfortable sleep. A custom fabricated oral appliance to address snoring fits somewhat like a sports mouthguard or orthodontic retainer and is only worn while you sleep. As a removable and non-invasive treatment for snoring, your appliance slightly repositions your jaw to allow for a less restricted airflow to promote a quieter and more restful sleep.
Every year million of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.
One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.
There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.
Teeth that have been stained or darkened by food, tobacco use, age, medications or injury can be lightened and brightened by means of a non-invasive process known as teeth whitening.
Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. While there are many over the counter options for teeth whitening, the most effective and safest teeth whitening systems are the professional strength ones available at the dentist’s office. A dental professional whitening system offers a higher concentration of whitening components and delivers them to the teeth in the most efficient manner to achieve optimal results.
At our office, we offer two exceptional options for tooth whitening. You can choose either an in-office tooth whitening procedure or a professional take home system. Both of these are top-of the-line systems. However, the biggest advantage of the in-office procedure is that in as little as one hour you can achieve a smile that is several shades whiter and brighter than the original color of your teeth.
Our professional strength take home system also produces excellent results. However, this is achieved by way of a more gradual process. Our take home kit may be prescribed alone, or after an in-office treatment to perfect or maintain the in- office result.
When evaluating for the presence of a TMJ disorder, the dentist will perform a thorough clinical assessment of joint symptoms and function. Special radiographic imaging and other diagnostic tests will be ordered as needed. The treatment of a TMJ disorder may include oral appliances such as night guards or stabilization splints to alleviate strain on the joints. Other types of therapy may include steroid injections, occlusal adjustments as well as orthodontic or prosthodontic treatment to improve occlusion. In cases of persistent and serious TMJ problems, surgery may be recommended.
Methods of self-care can be helpful in alleviating some of the symptoms of a TMJ disorder. Patients are typically advised to eat soft foods, avoid extreme jaw movement such as wide yawning and gum chewing, to practice stress reduction and relaxation techniques and applying ice packs or moist heat as directed. If recommended, a patient should follow the dentist or therapist’s instruction for gentle stretching exercises. The short-term use of over-the-counter, non-steroidal, anti-inflammatory drugs and pain medications may provide relief. If not the dentist or physician may prescribe stronger pain or anti-inflammatory drugs, muscle relaxants or anti-depressants.
If your teeth suffer from gaps, chips, stains, or discolorations you may be a candidate for porcelain veneers, a highly effective and minimally invasive cosmetic procedure that can achieve beautiful results.
Porcelain veneers are thin facings custom-made of the highest quality ceramic materials that are designed to fit perfectly over the front of your teeth. One of the most conservative cosmetic treatments available, veneers can mask a host of dental imperfections to give you the smile that you have always wanted. Porcelain veneers not only enhance and improve the shape of your teeth, they are able to create an overall whiter and brighter smile.
One of the most appealing aspects of the process of fabricating porcelain veneers is that they involve minimal tooth preparation and take just a few visits. Porcelain veneers, once they are fabricated and fitted, are permanently bonded to the underlying teeth. The result is a naturally pleasing smile that is both strong and durable.