General, Initial, and Maintenance Care

Dental Exam

The secret to a bright, healthy smile is actually no secret at all: brush, floss and get a professional dental exam at least once every six months. Professional dental exams are all about prevention – preventing existing problems from getting worse and preventing dental problems from developing in the future. Regular dental exams make it possible to identify and treat a problem in its earliest stage – which is not only good for your oral health but also good for your budget!

There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.

Dental X-Ray and Photos

Dental X-rays have come a long way. Today’s dental X-rays are safer, faster, more comfortable and more informative than the X-rays of years past. Digital X-rays, one of the latest and most advanced dental technologies, produce high-quality images of your teeth that can be viewed instantly by you and your dentist on a LCD monitor. Digital X-rays reduce radiation by up to 90% and provide exceptional diagnostic information to ensure that potential problems are caught in their earliest stages. Intraoral photography is another alternative to traditional dental X-rays.

With intraoral photography, problems such as cavities, fractures and loss of gum tissue around the teeth are captured through clear and sharp photographic images that are taken with a digital camera.
 

Teeth Cleaning

No matter how often you brush and floss, plaque and tartar deposits can still build up on your teeth. A professional teeth cleaning is the single most effective way to remove these deposits and prevent them from causing more serious problems in the future. While a traditional teeth cleaning involves manually scraping away these deposits with special dental tools, advances in dental technologies now give you more options for teeth cleanings.

An ultrasonic cleaning is a popular alternative to traditional teeth cleanings. An ultrasonic scaler can be used to remove stain and hardened deposits and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find it more comfortable and quicker than traditional teeth cleanings.

A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothed. A deep cleaning can help prevent bone loss and restores gum tissues to a healthy state.

Oral Cancer Screening

Oral cancer affects nearly 35,000 Americans every year. The keys to surviving oral cancer are early detection and early treatment. This starts with a regular oral cancer screening – at least once every six months. An oral cancer screening takes just minutes, is pain-free and can be performed during regular dental exams. If you are male, a regular oral cancer screening is especially critical: Oral cancer is more than twice as common in men as it is in women. Other people at high risk of oral cancer include people over the age of 60, tobacco smokers and heavy drinkers.

Dental Fillings

If you've been told you need a dental filling, you're not alone: 92% of Americans have had at least one cavity. Dental fillings are the tried-and-true treatment for treating cavities – and they come in a variety of options to suit every need. Dental fillings can be made of silver amalgam, composite, porcelain and even gold. Amalgam fillings have been used by dentists for more than a century and are still the most common and cost-effective type of dental filling. But composite fillings, which are made of a tooth-colored plastic and glass composite, are quickly becoming the preferred dental filling due to their natural appearance and durability. The type of dental filling used is determined by a number of factors, including size and location of the cavity, as well as your budget.

Dental Crowns

A dental crown may not make you feel like royalty, but it is one of the best treatments for teeth with extensive decay or damage. Dental crowns can also be used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. With good oral hygiene and professional maintenance, your beautiful new dental crowns can last over 10 years.

If the tooth has had major wear, decay, or previous large filling, often to create a healthy crown  with a great long-term prognosis, you will need to see a periodontist for a crown lengthening. See Esthetic Periodontal Treatments.

Dental Bridges

Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.

Dental bridges typically take 2-3 weeks to complete and are a good option when the neighboring teeth have large fillings or old crowns. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.

Dentures

Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.

The process of getting dentures may take a few months and several dental visits. In some cases, however, same-day dentures are also possible. With same-day dentures, the dentures are created right in the dentist's office instead of at an offsite laboratory. Same-day dentures aren't for everyone, though. If your dentures require a lot of customization, same-day dentures may not be right for you.

Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last several years before being remade. During that time, you need to see a dentist for periodic denture exams to see whether a denture still stays in comfortably without denture paste or to see if you may have any oral soft tissue diseases. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.

Dental Braces

Dental braces have come a long way – today's dental braces look, feel and function better than ever. Along with traditional metal braces, there are now a variety of dental braces to fit every need and budget. Clear dental braces use an innovative sliding technology instead of wires and have small, clear brackets that are virtually invisible. Lingual dental braces are metal braces placed on the back of teeth, completely hidden from view. Invisible dental braces don't use brackets at all; they include a customized set of clear plastic aligners that can be removed while eating, drinking, brushing and flossing. If a beautiful, straight smile is what you're after, you can't go wrong with dental braces – no matter what your age!

Often braces will be recommended to adults to correct a bite problem that  is causing excessive wear or jaw joint pain. Sometimes it will be more expensive to treat with crowns than with braces to correct the bite problem.

Gum Disease Treatment

Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planing to remove stubborn deposits below the gum line. Laser gum surgery, a new alternative to scaling and root planing, uses beams of high-speed light to remove plaque and tartar buildup. If non-surgical methods of gum disease treatment are ineffective to reach the bugs causing the disease, periodontal surgery may be necessary.

TMJ Treatment

If you've been living with persistent jaw pain, ear pain and headaches, you could have TMJ – temporomandibular jaw disorder. TMJ can often be traced back to an improper bite, misaligned jaw joints, or an injury to the jaw or face. TMJ treatment from a dentist can relieve the discomfort. Although TMJ treatment varies from patient to patient, it typically involves one or several procedures, including the use of an orthotic splint, enamel reshaping, dental crowns, dental braces or night guards. The goal of TMJ treatment is to stabilize your bite so that your teeth, jaw muscles and jaw joints work properly together without strain – and without pain!