Occlusal Disease
Occlusal disease is caused by a misalignment or incorrect relation between the teeth of the upper and lower dental arches, also called malocclusion. If left untreated, occlusal disease can damage your teeth, the supporting bones and gums around your teeth, temporomandibular joints, and the jaw muscles you use for chewing.
Many people dismiss excessive or abnormally accelerated tooth wear as "natural aging or wearing" of teeth, but your dentist can provide treatment to alleviate the pain and discomfort caused by occlusal disease.
Signs and Symptoms of Occlusal Disease
- Enamel wear
- Tooth cracking or breakage
- Tooth sensitivity
- Gum recession
- Loss of bone support
- Muscle pain
- TMJ symptoms
Our goal is to preserve the oral health of our patients, as well as to anticipate the long-term results when restorative treatment is provided. Treating occlusal disease can lead to a long life of optimal oral health and restorative treatment success.
Prosthodontics
A beautiful smile is important to your health, hygiene, confidence, and self-esteem. At our office, we can help you have the most attractive, natural-looking smile possible through advanced prosthodontic care. Prosthodontics, or prosthetic dentistry, is an area of dentistry that concentrates on the aesthetic restoration and replacement of teeth to their proper form and function.
As a comprehensive dental practice, we offer our patients a wide range of prosthodontic treatments. Prosthodontic care focuses on complete oral rehabilitation and treatment of numerous dental conditions, such as:
- TMJ/TMD
- Traumatic injuries to the mouth’s structures
- Congenital or birth anomalies to teeth
- Snoring and sleep disorders
- Oral cancer reconstruction and continuing care
Prosthodontic Treatment Options
In order to restore your smile, we may recommend the following prosthodontic treatments:
Bridges
A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite. A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support.
Crowns
Crowns are a restoration used to improve your tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay. Think of a crown as a “cap” cemented onto an existing tooth which fully covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Dental Implants
An implant is an artificial tooth made of metal and porcelain that looks just like your natural tooth. It's composed of two main parts: one is the titanium implant body that takes the place of the missing root, and the second part is the tooth-colored crown that is cemented on top of the implant. With dental implants, you can smile confidently knowing that no one will ever suspect you have a replacement tooth.
Dentures
Dentures are natural-looking replacement teeth made by your dentist that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all of the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed.
Fillings
A filling is often used to repair a tooth that is affected by wear, decay, cracks, or fractures. The decayed or affected portion of the tooth is removed and replaced with a filling, which can be made up of many different materials, such as gold, porcelain, composite, ceramic, and plastic compound.
Occlusal Disease Treatment
Occlusal disease is caused by a misalignment between the teeth of the upper and lower dental arches, also called malocclusion. If left untreated, occlusal disease and can damage your teeth, the supporting bones and gums around your teeth, temporomandibular joints, and the jaw muscles you use for chewing. Many people dismiss excessive or abnormally accelerated tooth wear as natural aging or wearing of teeth, however, prosthodontic treatment can alleviate the pain and discomfort caused by occlusal disease.
Veneers
Veneers are thin, custom-made shells made from tooth-colored materials, such as porcelain, designed to cover the front side of your teeth. Veneers are natural in appearance and a great option for patients who want to make adjustments to the look and feel of their smile.
Traumatic Dental Injuries
While most traumatic dental injuries occur in children and teenagers, people of all ages can be affected, usually as a result of sports mishaps, automobile accidents, or bad falls. If you've experienced a traumatic dental injury it is important to visit your endodontist in order to determine any necessary treatment. Any dental injury, even if apparently mild, requires examination by a dentist or an endodontist immediately. Sometimes, neighboring teeth suffer an additional, unnoticed injury that will only be detected by a thorough dental exam.
Chipped or Fractured Teeth
Chipped teeth account for the majority of dental injuries. Most chipped or
fractured tooth crowns can be repaired either by reattaching the broken piece or by placing a tooth-colored filling. If a significant portion of the tooth crown is broken off, an artificial crown or "cap" may be needed to restore the tooth.
Injuries in the back teeth often include fractured cusps, cracked teeth, or a more serious split tooth. If cracks extend into the root, root canal treatment and a full coverage crown may be needed to restore function to the tooth. Split teeth may require extraction.
Dislodged (Luxated) Teeth
During an injury, a tooth may be pushed sideways out of or into its socket. Your endodontist will reposition and stabilize your tooth. Root canal treatment is usually needed for permanent teeth that have been dislodged and should be started a few days following the injury.
Children between seven and 12 years old may not need root canal treatment, since teeth are still developing. For those patients, your endodontist will monitor the healing carefully and intervene immediately if any unfavorable changes appear.
Knocked-Out (Avulsed) Teeth
If a tooth is completely knocked out of your mouth, time is of the essence. The tooth should be handled very gently, avoiding touching the root surface itself. If it is dirty, quickly and gently rinse it in water. Do not use soap or any other cleaning agent, and never scrape or brush the tooth. If possible, the tooth should be placed back into its socket as soon as possible. The less time the tooth is out of its socket, the better the chance for saving it.
Once the tooth has been put back in its socket, your endodontist will evaluate it and will check for any other dental or facial injuries. If the tooth has not been placed back into its socket, your endodontist will clean it carefully and replace it. A stabilizing splint will be placed for a few weeks. Depending on the stage of root development, your endodontist may start root canal treatment a week or two later.
Root Fractures
A traumatic injury to the tooth may also result in a horizontal root fracture. The location of the fracture determines the long-term health of the tooth. If the fracture is close to the root tip, the chances for success are much better. The closer the fracture is to the gum line, the poorer the long-term success rate. Stabilization with a splint is sometimes required for a period of time.
Traumatic Dental Injuries in Children
Chipped primary (baby) teeth can be aesthetically restored. Dislodged primary teeth can, in rare cases, be repositioned. However, primary teeth that have been knocked out typically should not be replanted. This is because the replantation of a primary tooth may cause further and permanent damage to the underlying permanent tooth that is growing inside the bone.
Children's permanent teeth that are not fully developed at the time of the injury need special attention and careful follow-up, but not all of them will need root canal treatment. In an immature permanent tooth, the blood supply to the tooth and the presence of stem cells in the region may enable your endodontist to stimulate continued root growth.
Root Resorption
Resorption occurs when your body, through its own defense mechanisms, begins to reject your own tooth in response to the traumatic injury. Following the injury, you should return to your endodontist to have the tooth examined or treated at regular intervals to ensure that root resorption is not occurring and that surrounding tissues continue to heal.
With any traumatic dental injury, time is of the essence. Contact us immediately.
Endodontic Treatment
Endodontic treatment, also known as a root canal treatment, is a treatment of the tooth aimed at clearing infection as well as protecting the tooth from subsequent infections.
When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but is detrimental to your overall health as well. Without the proper treatment, your tooth may have to be removed.
Teeth that require endodontic treatment are not always painful. However, signs you may need a root canal include:
- Severe toothache
- Pain upon chewing or application of pressure
- Prolonged sensitivity to heat or cold
- Dark discoloration of the tooth
- Swelling and tenderness in the nearby gums
What happens during endodontic treatment?
Root canal treatment generally involves one visit. After the tissue is removed, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental restoration. If your tooth had extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.
Most teeth can be saved by endodontic treatment but tooth extraction may be necessary if:
- Roots are severely fractured
- The tooth does not have adequate bone support
- The tooth cannot be restored
- Root canals are inaccessible
Endodontic treatment is intended to help save your tooth from extraction. Missing teeth can make you self-conscious, affect your ability to bite, chew, or speak and cause other healthy teeth to shift, and have a negative impact on your overall health. By choosing to receive endodontic treatment, you are choosing to keep your smile healthy and beautiful for years to come.
Endodontic Retreatment
Whenever possible, it is best to save your natural tooth. Retreated teeth can function well for years, even for a lifetime.
As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial endodontic therapy (root canal treatment) for a variety of reasons. If the infection did not heal properly, placement of the crown or other restoration was delayed, or new decay has formed, you may need endodontic retreatment in order to save your tooth.
Retreatment Procedure
First, your endodontist will discuss your treatment options. If you and your endodontist choose retreatment, your endodontist will reopen your tooth to gain access to the root canal filling material. Removal of restoration and filling material allows access to blocked canals.
After removing the canal filling, the endodontist can clean the canals and carefully examine the inside of your tooth using magnification and illumination, searching for any additional canals or unusual anatomy that requires treatment.
Your endodontist will clean the canals, seal them, and place a filling in the tooth. If the canals are unusually narrow or blocked, your endodontist may recommend endodontic surgery.
After your endodontist completes retreatment, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to its full function.
Endodontic Surgery
Endodontic surgery can help save your tooth in a variety of situations. The benefit of choosing endodontic surgery could be a healthy, functioning, natural tooth for the rest of your life.
Usually, a tooth that has undergone a root canal can last the rest of your life and never need further endodontic treatment. However, in a few cases, a tooth may not heal or may become infected. A tooth may become painful or diseased months or even years after successful treatment. If this is true for you, surgery may help save your tooth.
Sometimes calcium deposits make a canal too narrow for the instruments used in nonsurgical root canal treatment to reach the end of the root. Your endodontist may perform endodontic surgery to clean and seal the remainder of the canal.
Surgery may be used as a diagnostic tool if you have persistent symptoms but no problems appear on your X-ray. In such a case, surgery allows your endodontist to examine the entire root of your tooth, find the problem, and provide treatment.
Surgery may also be performed to treat damaged root surfaces or surrounding bone.
Apicoectomy (Root-End Resection)
Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy, or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.
In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gums to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.
Other types of Endodontic Surgery
In certain cases, a procedure called intentional replantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket.
Other surgeries endodontists might perform include dividing a tooth in half, repairing an injured root, or even removing one or more roots. Your endodontist will be happy to discuss the specific type of surgery your tooth requires.
Endodontic Surgery Alternatives
Often, the only alternative to surgery is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge, or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting. No matter how effective modern artificial tooth replacements are, nothing is as good as your natural tooth.
Dentures
Dentistry is all about smiles, and having a confident, healthy, beautiful smile is important even for patients wearing dentures. Our practice provides personalized denture services that meet the needs and comfort levels of our patients. All of our patients are unique and we create one-of-a-kind dentures that feel good and look natural.
What are dentures?
Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial.
- Full dentures are given to patients when all of the natural teeth have been removed. Conventional full dentures are placed after the gum tissue has healed, which can take several months. Immediate full dentures are placed immediately after the teeth have been removed and may require frequent adjustments during the first couple of months of use.
- Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed. Partial dentures are considered a removable alternative to bridges.
How do I know if dentures are the right choice for me?
Dentures are not for everyone. If you're interested in learning more about dentures and want to know if they are the right choice for you, please schedule an appointment. Our team will be happy to answer any questions you might have, and can determine the best course of treatment for your ongoing dental health.
Caring for your dentures
Dentures, just like natural teeth, require daily maintenance to stay clean and keep bacteria from growing inside of your mouth. Keep your dentures clean and your smile healthy:
- When handling your dentures, stand over a clean, folded towel or a sink full of water. This way, if you accidentally drop your dentures, they are less likely to break.
- Your dentures are not immune from plaque and tartar build-up, so it's important that you brush your dentures every day. To brush your dentures, use a soft-bristled brush and gently brush the surfaces of the dentures, being careful not to break or bend the plastic. Between brushings, it's important to rinse your dentures after each meal.
- Use a gentle cleanser to clean your dentures. Many toothpastes, household cleaners, and mouthwashes can be too hard on your dentures, so it is recommended that you use a mild hand or dish soap to get your dentures clean. Be sure to check for the American Dental Association (ADA) seal of approval to choose products that are safe for your dentures, or ask your dentist about which products may be best for you.
- When you are not wearing your dentures, they need to be kept moist. Dentures that are not kept in a denture cleaning solution or in water can dry out, lose their shape, or even crack and break. Certain styles of dentures require certain soaking solutions, so be sure to ask your dentist which solution is best for you.
- Even if you have a full set of dentures, it's important to keep your gums and tongue clean. Be sure to use a soft-bristled brush to gently clean your gums and tongue every day.
If by chance your dentures do break, please contact our practice and schedule an appointment as soon as possible. Broken dentures that don't fit properly can cause irritation to your gums and mouth. Also, remember to continue scheduling regular dental checkups every six months to make sure that your smile stays healthy for many years to come.
CAD/CAM
Dentists can create customized fittings of crowns, bridges, inlays, onlays, and other dental restorations using Computer-Aided Design (CAD) and Computer-Aided Manufacturing (CAM). Through the CAD/CAM technology, your dentist can provide you with the most precise restorations possible.
By using CAD/CAM, your dentist is able to create durable, well-fitting, individual or multiple-tooth restorations. CAD/CAM technology also delivers advantages when it comes to office visits. Traditional tooth restorations may take several days and multiple office visits, but with CAD/CAM technology, we are able to perform single-visit tooth restorations! In just one visit you can have a beautiful, healthy smile.
To learn more about CAD/CAM technology and how it can benefit you, please contact our practice and schedule an appointment with your dentist.
Same-Day Crowns
Crowns are a cosmetic restoration used to strengthen a tooth or improve its shape. Crowns are most often used for teeth that are broken, worn, or partially destroyed by tooth decay.
Crowns are "cemented" onto an existing tooth and fully cover the portion of your tooth above the gum line. In effect, the crown becomes your tooth's new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength remaining to hold a filling. Unlike fillings which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth. Your crown is created in a lab from your unique tooth impression which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so that your bite and jaw movements function normally once the crown is placed.
Bridges
A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite.
A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials, and is bonded onto surrounding teeth for support.
The success of any bridge depends on its foundation — the other teeth, gums, or bone to which it is attached. Therefore, it's very important to keep your existing teeth, gums, and jaw healthy and strong.
Bonding
Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto 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.
Tooth bonding can also be used for teeth fillings instead of amalgam fillings. Many patients prefer bonded fillings because the white color is much less noticeable than the silver 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 usually can be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments such as porcelain veneers. If it does break or chip, tell your doctor. The bonding generally can be easily patched or repaired in one visit.
CEREC®
We are your local CEREC dentist for single-visit tooth restorations. Why go to the dentist a second time if you don't have to?
What is CEREC?
CEREC is a technology for restoring damaged teeth, and this restoration can be completed in a single visit to the doctor's office. It makes your teeth stronger and more beautiful, all while keeping your teeth looking natural. The restoration is metal-free, and the high-grade ceramic material is compatible with the natural tissue found in your mouth.
The CEREC Process
During your appointment, you and your doctor will discuss the details of the procedure and your doctor will answer any questions you may have. Your doctor will then use a special 3D imaging camera to take a photo of your tooth. Using CEREC's proprietary software, your restoration will be designed according to your tooth's appropriate form and function. Then, CEREC will use diamond burs to create your restoration out of a piece of ceramic. Finally, the ceramic restoration is bonded to your tooth using state-of-the-art adhesive dentistry.
Why Choose CEREC?
There are many advantages of using CEREC over traditional crown technology.
Time: CEREC crowns are made in one visit, saving you considerable time away from your job and family.
Comfort: With CEREC, there is no need for a temporary crown, eliminating significant potential discomfort.
Aesthetics: The strong, tooth-colored ceramic materials of CEREC restore your teeth to their natural strength, beauty, and function, and closely match the composition of your natural tooth structure.
Strength: Milled ceramic is stronger than the traditional method of layering and pressing, so your smile will stay beautiful for years!
Fillings: CEREC material and technology can also be used for fillings. Since these fillings are made out of porcelain, they are more durable than white composite fillings
Pre-Operative Instructions
Post-Operative Instructions
- MDC Connective Tissue Graft Post Operative Instructions ODT
- MDC Extraction & Bone Grafting Postoperative Instructions ODT
- MDC Immediate Dentures Postoperative Instructions ODT
- MDC Implant Surgery Postoperative Instructions ODT
- MDC Sinus Precaution Postoperative Instructions ODT
- MDC Wisdom Teeth Postoperative Instructions ODT