General & Cosmetic Dentistry

General & Cosmetic Dentistry: 
Preventive, Diagnostic & Cosmetic


Comprehensive Evaluation / Oral Examination

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

Cleaning

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

Whitening

Tooth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.

Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.

Tooth whitening is not permanent. A touch-up maybe needed every several years, and more often if you smoke, drink coffee, tea, or wine.

 

Reasons for tooth whitening:

Fluorosis (excessive fluoridation during tooth development).
Normal wear of outer tooth layer.
Stained teeth due to medications (tetracycline, etc.).
Yellow, brown stained teeth.
What does tooth whitening involve?
This type of tooth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays.

At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.

You will receive care instructions for your teeth and trays, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.

Composite (white) Fillings

Tooth-colored fillings are the most lifelike material used to fill cavities. Composite fillings can be done in one visit. Once the decay is removed from the tooth, it is filled with this composite material and left to harden immediately afterwards.
As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.

Reasons for composite fillings:
• Chipped teeth.
• Closing space between two teeth.
• Cracked or broken teeth.
• Decayed teeth.
• Worn teeth.

Invisalign

One of the primary concerns people often have about dental braces is the aesthetic impact of the metalwork on their smile. Especially for adults, the prospect of wearing unattractive metal braces for long periods of time can be very discouraging. Invisalign® offers an almost invisible aligning system that straightens teeth fast and contains no metal.

Invisalign® treatment consists of a series of custom-made aligning trays. The dentist changes the trays every several weeks to fit the new tooth configuration. In addition to the reduced visual impact, Invisalign® aligning trays can be temporarily removed for important occasions – meaning that treatment duration is patient-controlled. A great number of people report complete satisfaction with both the Invisalign® treatment and the stunning results.

What kind of bite problems can Invisalign® correct?

Invisalign® corrects the same dental problems as traditional metal braces; the only difference is that Invisalign® trays are almost invisible to the naked eye, and can be removed at will.

Here are some problems that are commonly corrected with Invisalign®:
• Overcrowding – This occurs when there is too little space for the teeth to align normally in the mouth. Overcrowding can cause tooth decay and increase the likelihood of gum disease.
• Large gaps between teeth – This can sometimes occur because teeth are missing or because the jaw continues to grow abnormally.
• Cross bite – This common dental problem occurs when one or multiple upper teeth bite inside the lower teeth. As a consequence, uneven wear can lead to bone erosion and gum disease.
• Overbite – This problem occurs when the upper teeth project further than, or completely cover, the lower teeth. Eventually, jaw pain and TMJ may occur.
• Under bite – This is the inverse of the overbite; the lower teeth project further than, or completely cover, the upper teeth. Eventually, jaw pain and TMJ can occur.

What advantages does Invisalign® offer over traditional braces and veneers?

Traditional dental braces, Invisalign® aligning trays and dental veneers are three different ways to perfect the alignment of the teeth. There are many different considerations to make when considering which treatment will be best, and each of these options works better in certain situations.

Invisalign® differs from traditional braces in that the aligning trays are fully removable. This means that more discipline and commitment is required from the patient. This is not usually a problem since the trays are comfortable and nearly invisible. Almost identical results can be obtained by using either treatment.

Invisalign® is preferable to veneers in many cases because unlike veneers, Invisalign® actually straightens the teeth. Veneers are thin covers that the dentist permanently affixes to the teeth. Teeth must be etched beforehand, meaning that to remove dental veneers, an alternative covering must be constructed. In addition to being somewhat expensive, veneers can break and often last for less than 20 years.

What does Invisalign® treatment involve?

First, the dentist needs to devise an initial treatment plan before creating the special aligning trays. Three-dimensional digital images are taken of the entire jaw. These images allow the dentist to move specific teeth on the screen, view the jaw from different angles, and also foresee what the face might look like in years to come. In essence, this technology can show how Invisalign® trays will change the facial aesthetics.

Once planning is complete, a unique set of aligners is made. The total amount of aligners required varies with each individual case, but 20-29 sets per arch is typical.

What are some considerations when wearing Invisalign® trays?

Life with Invisalign® aligning trays may take several weeks to get used to. The trays should be worn constantly, except when eating and drinking. It is important to remove the trays when consuming food or drink because food can become trapped between the tray and the teeth, causing tooth decay.

Usually, new trays are necessary every two weeks and progress between appointments can be seen with the naked eye. There is no doubt that Invisalign® aligning trays have revolutionized orthodontics. Invisalign® is renowned for being both comfortable and effective.

If you have questions about Invisalign®, please ask your dentist.

Custom Mouth Guards

Many sports require athletes to use a Mouth Guard to protect their teeth while practicing and playing. Frequently used in contact sports, the mouth guard covers the gums and teeth to provide protection for lips, gums, teeth and arches. A properly fitted mouth guard can reduce the severity of dental injuries.
Pre-formed, ready-to-wear mouth guards can be purchased inexpensively at many sporting stores, but they do not always fit well. They can be uncomfortable and interfere with talking and even breathing.

Sporting goods stores also offer semi-custom mouth guards, in which the plastic is heated and then the athlete bites on it while still warm to provide some level of custom fit.

Your dentist can make a custom mouth guard by taking an impression of your teeth and then creating a device fitted to your mouth for the highest level of both comfort and protection. A custom fitted mouth guard can be particularly important for athletes who wear braces.

Be sure to bring your mouth guard to your dental appointments so your doctor can be sure it still fits you well.

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