Botox® can be used for therapeutic treatments to alleviate muscles tensions associated with the Temporal Mandibular Joint (TMJ ) and migraine headache or to ease muscle contractions and improve facial esthetics. As part of the aging process wrinkles and furrows can develop between the brows and crow’s feet can appear around the eyes. These age-related imperfections can result in a tired and weary appearance. Fortunately, there is a non-invasive cosmetic procedure available today that can effectively address these unwanted signs of aging, and muscles associated with the TMJ in conjunction with excessive clenching and grinding.
Botox is a prescription medicine that can be injected into the affected areas to dramatically improve the look of these fine lines and furrows. Made from a toxin produced by the bacterium Clostridium botulinum, Botox gives the skin a smoother, more refreshed appearance. It works by blocking nerve impulses and temporarily paralyzing the muscles that are causing these wrinkles and furrows.
Just a single short treatment with a few minor injections of Botox can produce a noticeable improvement that will last several months. Studies also suggest that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.
If the pleasure of eating a delicious bowl of ice cream or sipping a soothing cup of tea is overshadowed by dental pain that makes you wince, it's time to contact our office. As skilled providers of care, we'll determine what's causing your discomfort and perform the treatment required to alleviate your symptoms and get you back on the road to oral health.What causes a cavity to develop?
Cavities develop because of an infectious process that causes progressive damage to tooth structure. Despite starting as a pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay progressively compromises more and more healthy tooth structure as it works its way to the inner layers of your tooth.Symptoms of tooth decay
Depending on the extent of the cavity present in your tooth, you might experience anything from a little periodic tooth sensitivity to extreme and continuous discomfort. As untreated cavities deepen, they produce significant damage to the dental enamel and inner layers of the tooth. By continuing to put off care, irreversible damage to the nerve of the tooth, a dental infection, tooth loss, and more severe consequences to your overall health and well-being are possible.If a cavity is present
Prevention is the best way to reduce your risk of tooth decay and protect the health of your smile. However, even if a cavity is present, our skilled and experienced professional team will restore your oral health.
Your smile is in the best of hands at our office! We provide precise and gentle care to remove tooth decay along with any damaged tooth structure and will restore your smile with seamless results. Our office uses the latest technology and most advanced generations of tooth-colored filling materials to create restorations that are naturally beautiful and long-lasting!
When the natural structure of a tooth has been extensively damaged or compromised due to dental decay, damaged fillings, root canals, or habitual clenching or grinding of the teeth, a dental filling may not be adequate for its repair. In such cases, dental crowns, also commonly referred to as caps, are recommended to effectively restore the natural integrity, function, and appearance of the affected tooth.
Out of all the materials that are available today for a full coverage restoration, metal-free crowns, also known as all ceramic crowns, offer the most lifelike and biocompatible results. Furthermore, ceramic crowns present no problems for individuals with sensitivities to various metals. Since they are fabricated of the highest grade of dental ceramics, ceramic crowns most closely approximate the natural translucency of your own teeth.
Custom fabricated for the optimal health and aesthetic of a patient's smile, ceramic crowns can also be indicated for an array of dental treatments, ranging from the cosmetic restoration of discolored teeth, to the coverage of a structurally damaged tooth, dental implant, or as the supporting ends of a dental bridge.
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 decay, can be restored to produce a naturally beautiful looking and functional smile. The cosmetic dental solutions available today 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 decay.
Cosmetic dental procedures can range from treatments that are relatively quick and non-invasive to more comprehensive plans of care to restore incomplete smiles that have been affected by severely damaged, lost, or missing teeth.
In terms of repairing dental imperfections, masking of discolorations, or the closure of gaps between teeth, a dental bonding procedure is considered one of the most effective, economical, and quickest methods of care. Unlike porcelain veneers or ceramic crowns, which are necessary to conceal more significant defects, a dental bonding procedure is a minimally invasive way to transform a less-than-perfect tooth into one that appears flawless.Bonding Procedures Restore The Look And Integrity Of Your Smile
At Riley Dental Associates, we use the latest generations of dental materials and composite resins to perform bonding procedures that restore tooth structure lost to dental chips, or decay, as well as to conceal stains or discolorations, close gaps, and improve the look of misshapen or undersized teeth. Our skilled and experienced professional team combines the art and science of dentistry to achieve aesthetically pleasing, durable, and long-lasting results of care. Your new dental bonding will appear naturally beautiful so that you can feel confident sharing your smile with the world.To find out more about how we can improve the look, health, and function of your smile with dental bonding procedures, or one of the many other restorative and cosmetic dental solutions that we provide, give us a call today.
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.
A dental cleaning is a procedure done by a dentist or dental hygienist to get into hard to reach areas of the gums and teeth in order to remove bacteria and food debris. Dental cleanings should be scheduled at least twice per year, so that patients can have plaque and tartar scraped off of their teeth. Plaque is a hard substance that adheres to the surface of a tooth. Too much plaque and tartar can cause gum disease and problems with teeth. A dentist has special tools that can remove this plaque and tartar so that teeth are fresh and clean again. Because plaque and tartar buildup happen on a daily basis, patients should still brush and floss regularly.
During a dental cleaning the dentist will get inside the hard to reach areas and clean out the spaces in between the gums and teeth. If the patient is suffering from gum disease or early gum disease, a deep cleaning, periodontal scaling or root planing may be administered. In this procedure, the dentist gets into the flaps of gum under the tooth and into the pockets where bacteria can hide. A patient with pockets deeper than 4 mm is usually recommended to have a root planing or scaling. Patients with periodontal disease may need to have more than one cleaning per year.
Dental Fillings are the most common type of dental restoration used to replace sections of teeth that are missing, damaged or decayed. While traditional dental materials like gold, amalgam, porcelain, and composite successfully restore teeth; recent advances in dental technology have made a wider and improved selection of restorative choices available. Some of the newest state-of-the-art filling materials, including ceramic and the latest composite materials, are not only strong and durable, they offer the most aesthetically pleasing and natural looking results.
Having a dental lab on premises enables our office to provide the highest quality services and the most convenient options in care.
In our in-house laboratory, your dental restorations and dental appliances can be fabricated for the most precise fit as well as fully customized as needed to match the appearance of your smile. An onsite dental lab also means that we can offer our patients a quicker turnaround time and more efficient repairs in case of damage or breakage of dental appliances.
Lost or missing teeth can diminish the appearance of your smile as well as affect your ability to speak clearly and properly chew food. In fact, an incomplete smile can even have an effect on your overall well being. Fortunately, modern dentistry offers several cosmetically pleasing and functional methods of teeth replacement to rebuild your smile.
Today, many individuals are interested in receiving dental implants to replace their missing teeth in order to reestablish a complete and beautiful smile. A dental implant is a small, biocompatible post that is placed directly into the jawbone during a minor surgical procedure. It behaves in much the same way as the root of a natural tooth. As the most advanced method of tooth replacement modern dentistry offers, a dental implant comes the closest to replicating the look, feel and function of a natural smile. Dental implants may be used to support either a single dental crown or multiple ones, as your smile requires. Special dental implants can also be placed in certain cases to provide added stability to a removable denture.
Once your dental implant has been placed and has had the time to integrate with the surrounding dental bone, it is ready to provide strong support for your new replacement teeth. At this time our office will fabricate the most cosmetically pleasing and durable crowns or dental bridges to give you back a smile that you can enjoy for many years to come.
As part of your dental prevention program, dental sealants are often recommended to protect your teeth from developing dental decay. In fact according to the American Dental Association, dental sealants reduce the risk of cavities in molars by approximately 80%.
Dental sealants afford additional protection from dental decay by providing a strong plastic-like protective coating for the chewing surfaces teeth. They basically fill in the pits, fissures and grooves on these teeth to seal out harmful bacteria and food particles. Beyond preventing the development of cavities, sealants may also be useful over areas of incipient dental decay to stop further damage from occurring.
Applying dental sealants is a quick and painless process. They are simply brushed on in a series of steps during a dental visit and then cured (set) with a light wand. Sealants are strong and durable and can last for several years. The condition of your dental sealants will be evaluated at each checkup and reapplied if the need arises.
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.
By using intra-oral optical scanning devices, the need for patients to have a messy conventional dental impression taken of their teeth is eliminated. Digital optical impressions enable the dentist to more efficiently and effectively obtain an accurate computer generated representation of their patient’s teeth along with the surrounding tissues. In addition to being much more comfortable for the patient, a digital impression eliminates the need for the dentist to either create a stone model from the impression, or to mail the impression directly to the laboratory for any type of work to be done. Digital impression information is transmitted electronically, significantly reducing the turnaround time of any needed outside laboratory work. Digital impressions are also integral to systems that produce same day, in-office ceramic restorations.
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 these 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.
A dental emergency can arise for many reasons. It may be due to a traumatic oral injury, a cracked or fractured tooth, extensive tooth decay, a broken filling, periodontal abscess, dental infection, problematic wisdom tooth, or a painful soft tissue lesion- just to name a few. Whatever the case may be, it’s always a good idea to get a timely evaluation and prompt care. If left untreated, dental problems often worsen, leading to more serious consequences to your oral health and overall well-being.
And, while painful dental problems are typically the reason for an urgent dental visit, we also provide prompt care for broken dental appliances or dentures and dislodged crowns, which are frequently more unsightly and inconvenient than uncomfortable.
Pain is your body’s way of signaling that something is not quite right and though there are many reasons for oral pain, one of the most common complaints and reasons for seeking urgent dental care is a toothache. Whether you simply need a filling, a crown, or require a root canal procedure to save your tooth, we’ll alleviate your discomfort and restore the look and function of the involved tooth.
Dental trauma can result in a defect as minor as a small chip in tooth enamel to a more extensive and painful crack or fracture. With sufficient force, a tooth can even be displaced or completely knocked out of its socket. With prompt emergency care, many injured teeth can be restored and saved.
The last teeth in your mouth to develop, wisdom teeth often do not have enough room to fully erupt or may be positioned in the wrong direction. These issues can affect your dental health as well as overall well-being. Our office provides skilled care to address the complications caused by problematic wisdom teeth.
A broken or lost dental prosthesis or restoration can cause embarrassing gaps in your smile as well as compromise your ability to eat and speak with ease. If you’ve lost or broken a dental filling, denture, crown, or other dental appliance, you can rely on our office to perform a prompt repair or provide a durable and cosmetically pleasing replacement as quickly as possible.
If your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, our office will make every effort to see you as soon as possible for care. While emergency dental care is a service we hope you'll never need, you can rest assured that your oral health is in the best of hands at our office!
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.
Prosthodontists are often called upon to treat the most difficult restorative and challenging cosmetic dental cases. Sometimes these cases involve multiple procedures to address complex dental problems that are affecting an individual’s entire occlusion. The term “full mouth reconstruction” is applied to these situations.
The process of full mouth reconstruction often involves rebuilding and/or replacing many, if not all of the teeth in the mouth, and can require the coordinated approach of a number of dental specialists. Candidates for full mouth reconstruction are individuals who have been cosmetically and functionally debilitated by extensive tooth loss, dental trauma, dental decay, dental habits, TMJ jaw-joint disorders, grinding their teeth, have suffered the effects of long-term acid erosion of tooth structure, or been affected by medical conditions or therapies involving the head and neck area. Additionally, individuals with congenital disorders that have dental manifestations like missing teeth or defective tooth structure may also be candidates for full mouth reconstruction.
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.
An innovative, discreet, and effective system of care, Invisalign® treatment offers a cosmetic way to align your smile with minimal interference to daily activities.
With aligners that are practically invisible, only you will know that you’re undergoing orthodontic care!
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 incrementally move the teeth into place until the final desired corrections are reached.
As pioneers in the field of aligner development and technology, the folks at Align Technology, Inc. gather data from millions of treated smiles to design treatment systems that:
Custom-made to the exact specifications of your smile, Invisalign clear aligners are designed to incrementally move your teeth into their correct positions over time. Simply swap-out last week’s aligner for the next one in the series and watch as your smile progressively shows signs of improvement.
And, because Invisalign clear aligners are removable for short periods of time, you can still enjoy the foods you love as well as brush and floss your teeth with ease!
Remember, a beautiful smile begins today! Contact our office for more information and to schedule a consultation for care.
Your doctor will examine your teeth and show you what Invisalign treatment can do for you.
Start with a fast, precise digital scan. Then your doctor will map out a custom treatment plan just for you. You will even get a preview of your smile.
Your clear aligners are created using industry leading technology based on your customized treatment. Your aligners are created with comfort in mind.
From the first day of treatment to the last, you're never on your own — your doctor will be with you every step of your way.
*Invisalign is a registered trademark of Align Technology, Inc.
One of the 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 the removal of oral lesions, to cure restorative (filling) materials, as well as to activate in-office teeth whitening systems.
Dental lasers combine laser energy with water and air to safely cut and shape target 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 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.
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.
Oral cancer accounts for 2.9% of all diagnosed cases of cancer in the United States. According to the American Cancer Society it is estimated that 51,000 people across the country will develop oral cancer this year and that 10,000 fatalities are expected from the disease.
Oral cancer can occur anywhere in the orofacial complex but is most often found on the tongue, the tonsils and oropharynx, the gums, floor of the mouth, lips, cheek lining or the hard palate. While the disease can affect anyone, men are twice as likely to develop oral cancer as women. Those particularly at risk for oral cancer are men over the age of 50 who are heavy smokers and frequently drink alcohol. Additional risk factors may include UV exposure from the sun or sunlamps, GERD (gastro-intestinal reflux disease), prior head and neck radiation treatment, exposure to certain chemicals and poor diet. While the death rate from oral cancer has been decreasing in the past several decades thanks to early detection and advanced methods of treatment improving the outcomes of care, there has been a recent rise in the incidence of oropharyngeal cancer due to increased transmission of the sexually transmitted human papillomavirus (HPV).
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
Your first visit to our office is very important with regard to establishing your oral health baseline. We will begin by carefully reviewing your medical and dental histories and taking special note of all of your dental concerns, as well as any symptoms that you may be experiencing. This will be followed by a thorough clinical examination, including an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) plus a thorough examination of your teeth, their supporting structures, and the complete orofacial area. Any needed diagnostic dental films will be taken at this time.
According to the National Institute of Dental and Craniofacial Research (NIDCR), 3.75% of adults 20 to 64 in the United States are completely edentulous. For the overall population in this age group, the average number of remaining teeth is 24.92 out of a total of 32 permanent teeth.
One of the ways to replace missing teeth to restore oral function and appearance is with dentures. Depending upon the needs of a case, dentures can be used to replace either a few teeth that have been lost or all of the teeth in the upper or lower jaws. In addition to reestablishing the look of a complete and natural smile, dentures also restore support to the natural contours of the face to eliminate the “sunken” appearance that results from losing multiple teeth. Whether teeth have been lost for reasons of tooth decay, gum disease, a medical condition, congenital anomaly, or trauma, dentures are an effective method of care.
Dentures are removable appliances that are designed to precisely and comfortably rest on top of the gums that cover the jawbones. They can be taken out of the mouth for brief periods of time to fulfill the oral hygiene requirements of maintaining the underlying tissues, cleaning the dentures, and sleeping.
A partial denture is a type of removable prosthesis that is designed to restore a complete and functional smile in cases where multiple teeth are missing or require extractions, while some healthy teeth remain in the dental arch. Custom fabricated for a precise fit and cosmetically pleasing appearance, partial dentures are typically secured and stabilized with clasps or precision attachments to select teeth adjacent to the edentulous areas. Depending upon the number of teeth being replaced as well as the functional and aesthetic requirements of the case, a partial denture can be fabricated from a combination of cast metal and acrylic materials, acrylic alone, or thermoplastic resins such as ValplastTM, Flexite®, Duroflex® and tcs®.
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 plaque 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.
According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.
To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.
It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.
Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.
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.
By performing a deep cleaning, which is also known as a scaling and root planing, your dentist and dental hygienist can remove any excessive buildup of plaque and tartar that has accumulated around your teeth in the area below the gumline. The goal of this procedure is to treat periodontal disease by eliminating inflammation and reducing the size of pockets between the teeth and gums. While a dental scaling is intended to carefully eliminate any accumulated deposits on the surface of the tooth below the gumline, a root planing goes deeper to smooth the surface of the root so that the gums can properly reattach and heal.
The dentist will determine how many visits your scaling and root planing will require and how many sections of your mouth will be addressed at each appointment. Deep cleanings coupled with an excellent regimen of oral hygiene at home can be effective in restoring your periodontal health. If the tissues do not respond to this intervention, additional procedures including periodontal surgery will be considered.
Sleep apnea is a serious and potentially life threatening disorder involving repeated pauses in breathing while asleep. The most common form of this condition is obstructive sleep apnea. This occurs when there is an obstruction of an individual’s airway that interferes with the flow of oxygen through the nose or mouth during sleep. In someone afflicted with obstructive sleep apnea, the muscles of the throat and mouth relax during sleep to the point where they fall back into the upper airway and create a blockage that restricts breathing.
The signs and symptoms of this disorder during sleeping hours may include, loud snoring, episodes of breathing cessation, abrupt awakenings, episodes of gasping for air, along with difficulties getting a good night’s sleep. An individual with sleep apnea will exhibit problems during the day as well. Sleep apnea can lead to a morning headache, excessive daytime sleepiness, difficulty concentrating, and irritability.
A sleep study is typically conducted to determine the severity of the disorder. The results of this study along with other medical findings will play a role in determining the recommended therapy. The most common form of therapy is a CPAP machine that is worn when sleeping. This device provides a steady stream of pressurized air into the respiratory system through a mask.
In situations of mild to moderate sleep apnea, a dental appliance may be deemed the appropriate treatment. Worn in a similar fashion to a mouthguard or an orthodontic retainer, it 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. An oral appliance is easy to wear, easy to care for, comfortable, and portable. Oral 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 millions 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.
According to the National Institute of Dental and Craniofacial Research (NIDCR), temporomandibular joint disorders (TMJ), also referred to as temporomandibular disorders (TMD), are the most common source of chronic facial pain and jaw dysfunction. It is estimated that more than 10 million people in the United States are affected by temporomandibular joint problems.
What is the Temporomandibular Joint?
There are two temporomandibular joints that connect the left and right sides of the lower jaw to the temporal bone. Both joints and their associated muscles, ligaments and tendons work together to allow for all manner of oral function as the jaw moves up and down, front to back and from side to side. Containing a shock-absorbing, soft disc that sits between the rounded condyles of both sides of the lower jaw and the corresponding concavities in the skull’s temporal bone, the TMJ makes chewing, speaking, yawning and all jaw movements possible.
Since the TMJ is a joint with both up and down hinge-like movements, as well as side to side and front to back sliding motions to perform, it is often considered one of the most complicated joints in the body and one of the most difficult to treat when problems arise.
Types and Symptoms of TMJ Disorders
TMJ disorders can fall into one or more of the following three categories:
The risk for developing a TMJ problem is greater in the presence of long-term teeth grinding or bruxism, a jaw injury or various types of arthritis such as rheumatoid arthritis and osteoarthritis. Furthermore, the manifestations of a TMJ disorder can vary from person to person with a wide range of symptoms possible, including earaches, ringing in the ears (tinnitus), headaches, back and neck pain, vertigo, muscle spasms and joint tenderness as well as jaw pain, popping or grating sounds with jaw movement, jaw locking and limited jaw movement. For some people a TMJ disorder can be resolved within a relatively short period of time, while for others it will continue to persist despite extensive therapy.
Diagnosis and Treatment
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.
When tooth structure is eaten away or otherwised damaged by dental decay, cracks or fractures, it can often be repaired by means of the placement of a dental filling. While traditional fillings were typically composed of amalgam, a mixture of different metals, today’s fillings are frequently tooth-colored. These “white fillings” invisibly restore the form and function of the involved tooth so that it seamlessly blends in with the remaining tooth structure. Tooth colored fillings are made of the latest generation of composite resin materials in which filler particles are bound together when set by a hard matrix material. Strong and durable, tooth colored fillings are chemically bonded to fill and rebuild a tooth once the decayed or damaged tooth structure has been removed. First placed as a putty-like material, tooth colored fillings are carefully shaped to restore the contours of a healthy natural tooth and then cured (set) with a light wand. In addition to restoring teeth affected by damage or decay, composite resins can also be used to cosmetically change the size, color or shape of teeth with imperfections or minor alignment issues such as spacing.
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.