Good oral hygiene is a must. The loss of a single tooth can have major impact on overall oral health and appearance. Although dentists will use every measure to prevent tooth loss, there are still some occasions when a tooth needs to be extracted. A tooth may need to be extracted if the following occurs:
Advanced gum disease
Infection or abscess
Fractured teeth or roots Impacted teeth
The dentist may suggest an extraction after careful examination and treatment, usually after taking x-rays to understand the shape and position of the tooth and surrounding bone before extracting the tooth. Based on the degree of difficulty, a dentist may refer you to an oral surgeon. A certain amount of pain and discomfort is to be expected following an extraction, but it can be minimized with pain killers and ice packs applied to the face for 15 minutes at a time. Discomfort should lessen within three days to two weeks. If you experience prolonged or severe pain, swelling, bleeding or fever, call our office immediately.
Teeth whitening is a popular procedure to make your teeth whiter and brighter, and therefore more attractive. Bleaching can be used to whiten stained and discolored teeth, or simply to enhance a dull smile. Either way, teeth whitening is a safe and relatively painless procedure for most patients. Whitening comes in strips, trays, or in-office procedures. We offer a wide variety of options for you at our practice. In-office bleaching procedures are ideal if you want immediate results. The whole process takes about an hour, taking little time out of busy lives. A protective gel is applied to your gums to protect the soft tissue. Then a special light-activated gel is applied to your teeth and light or laser is used to enhance the action of the agent. Finally, the patient receives a take-home gel and instructions to keep the smile bright. The result is dramatically whiter teeth that will last for years. Tray whitening is a less-expensive and convenient at-home whitening treatment. The results are more gradual. An impression is taken at the dentist's office in order to create a customized clear tray. Trays are generally ready within a few days, depending, and the patient must follow instructions for how to apply the gel in the trays and how often to use it. Maximum whitening results and a dazzling smile are achieved at the end of the set treatment period. An occasional treatment can be used to maintain the new smile. Whitening strips can be available at the local store or at dental practices. The dentist will have the best recommendations for your needs. Ask about our whitening options! Please consult us about use of over-the-counter whitening treatments.
Custom-designed mouth guards and night guards are made of flexible plastic and molded to fit the shape of your teeth. Mouth guards are recommended to protect the jaw, tongue, cheek lining and teeth during physical activity and sports such as boxing, football, basketball, or other activities where your mouth might get hit. Night guards are recommended for patients who clench or grind their teeth at night to protect their teeth. Guards generally last 3-10 years. Custom-made oral appliances can also be used as part of treatment for conditions like sleep apnea and TMJ disorders. In general, plastic appliances can be used to correct a variety of problems. If you are active in athletics or experiencing any concerning experiences with your mouth, teeth, or jaw, please let us know. If any kind of guard or appliance is a good option for you, we will take an impression of your teeth to create a custom-fit product for your specific needs.
Sealants are a common preventive treatment in dentistry. Some teeth have fine grooves or pits that accumulate plaque, not because the person doesn't brush, but because the grooves are too narrow to allow even one bristle into them. When plaque accumulates, it can lead to cavities and other types of tooth decay. To apply sealants, a plastic material is brushed onto the tooth, filling these narrow grooves and preventing the cavity-causing buildup. Sealants make healthy teeth possible.
It's estimated that more than half of U.S. adults have gingivitis. Gingivitis, in some cases, can lead to periodontitis (gum disease) and host of other health problems. Gum disease can cause bleeding, swelling, bad breath, pain, receding gums and tooth loss. But it doesn't always stop there. You oral health is the beginning point for your whole body's health and wellness. It is imperative that we stop problems before they even start! Gum disease causes a buildup of bacteria in deep pockets between the teeth and gums. That bacteria can transfer to your bloodstream when gums bleed, putting you at a much higher risk to develop the following health problems:
Periodontal treatment typically involves containing the infection through deep cleaning like scaling and root planing, clearing buildup at the root of the teeth. The dentist may also suggest specific toothpastes and mouth rinses. We may also prescribe antibiotics to fight infections. Surgery is required for the most severe cases. We examine you for gum health at every 6-month check-up. If you have been experiencing any symptoms like bad breath, bleeding or tender gums, please let us know. We will decide what is the best form of treatment to restore your gums to optimum health.
A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only 25 to 30 minutes. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling, root planing and polishing. Scaling and root planing is the process of removing plaque and tartar from all tooth surfaces with a variety of methods, depending on the amount of plaque and tartar. Dental hygienists traditionally perform scaling by hand. However, new and advanced technology has led to more modern methods such as ultrasonic scalers. This sophisticated tool allows dental cleanings to be performed more efficiently and in less time. Both ultrasonic and manual scaling methods can be combined to achieve the best results. Polishing completes the cleaning, making the surface of the teeth smooth and minimizing future plaque build-up.
A filling is a way to restore a tooth decayed tooth back to its normal shape and function. If you have a tooth that requires a filling, the dentist will first remove the decayed tooth material, then clean the affected area and fill the cleaned-out cavity with a filling material. This filling will help prevent further decay by closing off any cracks or spaces where bacteria might enter. There are a variety of filling materials available including gold, silver, plastic and porcelain. We will work with you to determine which material is best for you, depending on the extent of repair, the location of the filling and the cost. Each of the filling materials is briefly explained below: Gold fillings are custom-made in a laboratory and then cemented into place. While gold fillings are often the most expensive choice, many consider gold as the best filling material. Gold inlays are well-tolerated by gum tissues and may last more than 20 years. Amalgam (silver) fillings are a more inexpensive choice and are also well-tolerated. However, due to their dark color, they are more noticeable than porcelain or composite restorations and are not recommended for fillings in very visible areas such as front teeth. Composite (plastic) resin fillings are custom-made to the exact color of the patient's teeth, creating a more natural appearance. While these white fillings may be less noticeable than other materials, they usually only last between 3 and 10 years. They may not be ideal for larger fillings as they may chip or wear over time. They can also become stained from coffee, tea or tobacco. Porcelain fillings, called inlays or onlays, are created in a lab and they are bonded to the tooth. They can be matched to the color of the tooth, they resist staining, and they cost about the same as gold fillings. A porcelain restoration generally covers most of the tooth, making the filling nearly undetectable.
Bonding is a conservative way to repair slightly-chipped, discolored, or crooked teeth, often for cosmetic purposes. The process consists of placing a white filling on your tooth to improve its appearance. The filling "bonds" with your teeth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth. Bonding can also be used in place of regular amalgam fillings. Many patients prefer bonded fillings, because the white color is much less noticeable than the silver of the amalgam fillings. Bonding fillings can be used on front and back teeth, depending on the location and extent of tooth decay. Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and breaks more easily than other cosmetic treatments like porcelain veneers. If your bonding does break or chip, please let us know. We can generally patch or repair bonding in one visit.
A bridge is an ideal method to fill the space created by missing teeth. A bridge is one or more artificial teeth that are cemented into place using the real teeth on either side for support--hence the name. Bridges are a perfect option for filling the space created by a missing tooth. A bridge replaces the missing tooth both functionally and cosmetically. Bridge work is as much an art as it is an exact science. Bridge materials include gold alloys, porcelain bonded to metal alloy, or all-ceramic material made to match your natural tooth color. The choice of material depends on requirements for strength, wear, and/or aesthetics.
Veneers are a cosmetic dental procedure in which a thin layer of porcelain or composite material is placed over the outside of the tooth. They are used to improve aesthetics or help with tooth damage. Veneers are usually only performed on the front part of the teeth that are visible when talking or smiling. The procedure can be direct or indirect. The direct technique usually involves placing composite resin on the outside of the tooth using bonding. Because of that, the direct technique is usually referred to as bonding. The indirect technique usually involves two appointments because the veneers are fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions are taken, and the teeth are given a temporary covering. The veneers are back from the laboratory after two or three weeks. The temporaries are removed, and the veneers are bonded to the teeth.The laboratory-fabricated veneers are usually made using porcelain or pressed ceramic, and are aesthetically pleasing. The advantage of veneers versus crowns is that much less of the tooth material has to be removed, and the procedure is generally less uncomfortable. Veneers are not recommended for patients who have large fillings or little tooth structure. They are also typically recommended for the restoration of front.
Crowns are used to restore and enhance teeth that are damaged, or to replace missing teeth. A crown, also called a cap, is used to entirely cover a damaged tooth. A crown not only strengthens the tooth, but it can also dramatically improve the tooth's appearance, shape and alignment. Crowns may be used to:
Replace a large filling when there is little tooth structure remaining
Protect a weak tooth from fracturing
Restore a fractured tooth
Attach a bridge
Cover a dental implant
Cover a discolored or poorly-shaped tooth
Cover a tooth that has had root canal treatment
Root canal treatment, also referred to as root canal therapy or endodontic therapy, is used to save an infected or damaged tooth and avoid having to remove it. A root canal becomes necessary when a neglected cavity reaches all the way to the pulp at the center of the tooth, causing the pulp to become infected. Regular cleanings and checkups detect and prevent problems early on. Trauma can also cause deep damage to the nerve of a tooth. Once this occurs, the pulp becomes infected, and it begins to eat away at the surrounding bone (this is called an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. It can even weaken the entire immune system, making it very dangerous and painful. Symptoms of infected pulp may include sensitivity to hot/cold or sweets, pain, swelling, pain with biting or pressure, and a bad taste in the mouth. Sometimes, however, there are no symptoms, and you are unaware of any problem until a checkup. A root canal is performed to clean out the infected tooth pulp and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) is filled to prevent any further infection. Crowns are usually recommended to cover and restore a tooth after root canal therapy.
A dental implant is an ideal tooth restoration for people who are missing one or more teeth for reasons like injury or periodontal disease. To begin the implant process, a metal post is surgically positioned into the jaw. This post will act as a permanent "root" for the implanted tooth. Once it is in place, the surrounding bone and tissue needs time to heal.
Implant placement requires special training, as it is a surgical procedure. Our team is highly- trained in implant placement to meet your dental needs. Implants require healthy gums and adequate bone. A patient must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.
Please set up a consultation for this comprehensive procedure.
A dental implant is an ideal tooth restoration for people who are missing one or more teeth for reasons like injury or periodontal disease. After a metal post is placed, the restoration is completed with a replacement crown. While implants are typically more expensive than other methods of tooth replacement, they provide superior benefits. Implants are stronger than natural teeth and generally last 10-20 years. They are also a more favorable approach than bridgework, because they do not depend on neighboring teeth for support.
Implants require healthy gums and adequate bone. A patient must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.
Please let us know if you have any questions about the procedures involved in dental implants.
Invisalign® clear aligners user the most advanced technology to give you your best smile yet. Using a series of aligners made with advances, such as proprietary SmartTrack® material, Invisalign treatment can straighten your teeth with 75% more oredictability
1 Plus, your smile is shaped more comfortably than with braces.
2 The best part? Your lifestyle isn't interrupted, meaning you can still enjoy the activities you love and the foods you can't live without.
All with no unexpected trips to the doctor due to broken wires or brackets.
patient education software
You deserve to be in the loop when it comes to your dental care. There are a variety of computer programs available to help patients better understand conditions, procedures and treatment options. Our office invests in patient education software because we want you to feel confident in every dental decision you make. This investment helps us clearly communicate--and it helps you learn more.
Popular programs include GURU and Dental Master, among many others. If you have any questions about the program we use, we're happy to point you to the website. If you have any further questions about your oral health and procedures, don't hesitate to ask us.
The dentist performs most of his dental procedures while wearing a pair of funny looking glasses called surgical telescopes. These powerful glasses have magnifiers on them, allowing the dentist to see fine details that would go unnoticed to the naked eye.
automated appointment reminders
Society has made so many advances in communication in recent years—why not utilize that for appointment reminders? As dental offices go digital, reminders can go beyond the written cards or personal phone calls that are prone to human error. Systems are becoming computerized and automated, providing patients timely reminders through email and sometimes text messaging too. Ask our staff at the front desk about the options we provide so that we can set up a reminder system that is most convenient for you.
Paperless charting means more efficiency and more accuracy. An office that has "gone digital" records x-rays and charting with the aid of the computer and keeps all patients' dental records electronically. Additionally, it cuts back on paper use. With traditional paper charting, information can be lost in translation from doctor to hygienist to assistant. Even handwriting differences and coding make the charts look different. The computer eliminates this problem by standardizing charting methods, making it easy to understand dental charts, view up-to-date information and keep records accurately. When needed, this method also allows dental offices to more easily share information with other healthcare providers. If you have any questions in regards to your records with us, please let us know.
Laser dentistry is an important advancement in dental technology, treating a wide range of dental and cosmetic problems from cavities to gum disease. Hard tissue lasers are used to repair cavities, remove old fillings and prepare teeth for bonding. Soft tissue lasers are used on gum tissue. They are an alternative to the common hand-held scalpel, drills, or other tools. Lasers can even be used for teeth whitening. Laser dentistry works by directing an invisible energy beam on problem areas and allowing for efficient treatment of decayed teeth, enamel and gums. The biggest benefit of laser dentistry, by far, is that it can reduce pain and minimize use of anesthetic. Dental procedures can become much more comfortable for you! Dental lasers have been approved by the Food and Drug Administration and are safe for both adults and children. If you ever have any questions about the equipment we use at our office to enhance the quality of your experience, don't hesitate to ask.
Intraoral cameras, cameras about the size of a pen, help dentists see the condition of teeth and gums more clearly. This advanced technology allows us to zoom in on small diseased areas, cracks, chips and worn metal fillings to provide a more detailed view. The full-color images are sent to a computer screen, making it easy to see and diagnose dental problems much earlier than with traditional dental technology. Patients are also able to watch the whole process because the images are displayed on screens in treatment rooms.
Many offices utilize electronic claims processing. This means that rather than being sent through the mail, a dental claim is sent electronically to an insurance company with the click of a button. We can submit information more efficiently and with fewer errors. This benefits patients because the turn-around time on claims is faster, and fewer claims are returned or denied. We are happy to submit your dental claims to your insurance company on your behalf. Please let us know if you have any questions about the e-claim process.
Say goodbye to the old goop-filled dental impressions and hello to a faster, more comfortable scanning experience with the iTero Element® intraoral scanner. During your digital scan, Dr. Rami uses the iTero Element scanner wand to capture images of your tooth surfaces and gum tissue. Throughout this process, you and your dentist can follow the scanning progress on the iTero screen. Once the scan is completed, your dentist will have a 3D image of your mouth that can be used to create crowns, bridges, implants, and Invisalign® clear aligners and retainers.
We use digital imaging software in our office, which allows us to take a digital picture of you and use our imaging system to predict how a particular treatment or cosmetic procedure would change the appearance of your teeth. This software is beneficial for patients who are considering cosmetic procedures but are not sure if they're ready for dramatic changes. Digital imaging also allows us to document your dental case and procedures very well. We take digital images of your face, teeth and smile to provide us with a permanent dental record and to provide a visual documentation of treatment.