Procedures

Whether your dental needs are a complete exam and cleaning, a full-mouth restoration, or anything in between, we promise to provide you with exceptional care as we enhance the natural beauty of your smile.  Below are just some of the many procedures and services we regularly provide to our patients – with a gentle touch, and stunning results.  Your smile is our first priority, and we’ll give you something to smile about.

If you have any questions, concerns, or would like to schedule an appointment, please contact us today.  We look forward to providing you with the personal care you deserve.

Cleanings and Prevention

A preventive program is a cooperative effort by the patient, dentist, and dental staff to preserve the natural dentition and supporting structures by preventing the onset, progress, and recurrence of dental diseases and conditions.

Preventing dental disease starts at home with good oral hygiene and a balanced diet.  It is continued in the dental office by the efforts of your dentist and dental hygienist to promote, restore, and maintain your oral health.

Prevention also includes regular dental exams, cleanings, and x-rays. Sealants and fluoride are also great preventive treatments that help protect the teeth.

Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, beautiful smile.

Dental Exams and Cleanings

Dental Exam

A comprehensive dental exam will be performed by your dentist at your initial dental visit.  At regular check-up exams, your dentist and hygienist will perform the following:

  • Examination of diagnostic X-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.  X-rays also help determine tooth and root positions.
  • Oral cancer screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.
  • Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
  • Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
  • Examination of existing restorations: Check current fillings, crowns, etc.

Professional Dental Cleaning

Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists.  Your cleaning appointment will include a dental exam and the following:

  • Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface.  Calculus forms above and below the gum line and can only be removed with special dental instruments.
  • Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth.  It is a growing colony of living bacteria, food debris, and saliva.  The bacteria produce toxins (poisons) that inflame the gums.  This inflammation is the start of periodontal disease!
  • Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.
Dental X-Rays

Dental radiographs (X-rays) are essential, preventative, diagnostic tools that provide valuable information not visible during a regular dental exam.  Dentists and dental hygienists use this information to safely and accurately detect hidden dental abnormalities and complete an accurate treatment plan.  Without X-rays, problem areas may go undetected.

Dental X-rays may reveal:

  • Abscesses or cysts.
  • Bone loss.
  • Cancerous and non-cancerous tumors.
  • Decay between the teeth.
  • Developmental abnormalities.
  • Poor tooth and root positions.
  • Problems inside a tooth or below the gum line.

Detecting and treating dental problems at an early stage can save you time, money, unnecessary discomfort, and your teeth!

Are dental X-rays safe?

We are all exposed to natural radiation in our environment.  The amount of radiation exposure from a full mouth series of X-rays is equal to the amount a person receives in a single day from natural sources.

Dental X-rays produce a low level of radiation and are considered safe.  Dentists take necessary precautions to limit the patient’s exposure to radiation when taking dental X-rays.  These precautions include using lead apron shields to protect the body and using modern, fast film that cuts down the exposure time of each X-ray.

How often should dental X-rays be taken?

The need for dental X-rays depends on each patient’s individual dental health needs.  Your dentist and dental hygienist will recommend necessary x-rays based on the review of your medical and dental history, dental exam, signs and symptoms, age consideration, and risk for disease.

full mouth series of dental X-rays is recommended for new patients.  A full series is usually good for three to five years.  Bite-wing X-rays (X-rays of top and bottom teeth biting together) are taken at recall (check-up) visits and are recommended once or twice a year to detect new dental problems.

Home Care

A beautiful, healthy smile that lasts a lifetime is our ultimate goal when treating patients.  Your personal home care plays an important role in achieving that goal.  Your personal home care starts by eating balanced meals, reducing the number of snacks you eat, and correctly using the various dental aids that help control the plaque and bacteria that cause dental disease.

Tooth brushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.

  1. Place the brush at a 45 degree angle to the gums and gently brush using a small, circular motion, ensuring that you always feel the bristles on the gums.
  2. Brush the outer, inner, and biting surfaces of each tooth.
  3. Use the tip of the brush to clean the inside of the front teeth.
  4. Brush your tongue to remove bacteria and freshen your breath.

Electric toothbrushes are also recommended.  They are easy to use and can remove plaque efficiently.  Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.

Flossing – Daily flossing is the best way to clean between the teeth and under the gumline.  Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.

  1. Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
  2. Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
  3. Curve the floss into a “C” shape around each tooth and under the gumline.  Gently move the floss up and down, cleaning the side of each tooth.

Floss holders are recommended if you have difficulty using conventional floss.

Rinsing – It is important to rinse your mouth with water after brushing and after meals if you are unable to brush.  If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.

Use other dental aids as recommended by your dentist or dental hygienist:  interdental brushes, rubber tip stimulators, tongue cleaners, irrigation devices, fluoride, medicated rinses, etc., can all play a role in good dental home care.

How to Properly Brush and Floss

Brushing and flossing are of paramount importance to oral hygiene.  Though bi-annual professional dental cleanings remove plaque, tartar, and debris, excellent homecare methods are equally valuable.  Proper brushing and flossing can enhance the health of the mouth, make the smile sparkle, and prevent serious diseases.

Reasons why proper brushing and flossing are essential:

  • Prevention of tooth decay – Tooth decay is one of the leading causes of tooth loss, and its treatment often requires complex dental procedures.  Tooth decay occurs when the acids found in plaque erode the natural enamel found on the teeth.  This phenomenon can easily be prevented by using proper home hygiene methods.
  • Prevention of periodontal disease – Periodontal disease is a serious, progressive condition which can cause tooth loss, gum recession, and jawbone recession. Periodontal disease is caused by the toxins found in plaque and can lead to serious health problems in other parts of the body. Removing plaque and calculus (tartar) from the surface of the tooth using a toothbrush and from the interdental areas using dental floss, is an excellent way to stave off periodontal problems.
  • Prevention of halitosis – Bad breath or halitosis is usually caused by old food particles on or between the teeth.  These food particles can be removed with regular brushing and flossing, leaving the mouth healthier, and breath smelling fresher.
  • Prevention of staining – Staining, or yellowing, of teeth can be caused by a wide variety of factors such as smoking, coffee, and tea.  The more regularly these staining agents are removed from the teeth using brushing and flossing techniques, the less likely it is that the stains will become permanent.

The Proper Way to Brush

The teeth should be brushed at least twice a day, ideally in the morning and before bed.  The perfect toothbrush is small in size with soft, rounded-end bristles, and is no more than three months old. The head of the brush needs to be small enough to access all areas of the mouth, and the bristles should be soft enough so as not to cause undue damage to the gum tissue.  The American Dental Association (ADA) has given electric toothbrushes their seal of approval, stating that those with rotating or oscillating heads are more effective than other toothbrushes.

Here is a basic guide to proper brushing:

  1. Place the toothbrush at a 45-degree angle where the gums and teeth meet.
  2. Use small circular motions to gently brush the gumline and teeth.
  3. Do not scrub or apply too much pressure to the teeth, as this can damage the gums and tooth enamel.
  4. Brush every surface of every tooth, cheek-side, tongue-side, and chewing surfaces. Place special emphasis on the surfaces of the back teeth.
  5. Use back and forth strokes to brush the chewing surfaces.
  6. Brush the tongue to remove fungi, food, and debris.

The Proper Way to Floss

Flossing is a great way to remove plaque from the interdental regions (between the teeth).  Flossing is an especially important tool for preventing periodontal disease and limiting the depth of the gum pockets.  The interdental regions are difficult to reach with a toothbrush and should be cleansed with dental floss on a daily basis.  The flavor and type of floss are unimportant; choose floss that will be easy and pleasant to use.

Here is a basic guide to proper flossing:

  1. Cut a piece of floss to around 18 inches long.
  2. Wrap one end of the floss around the middle finger of the left hand and the other end around the middle finger of the right hand until the hands are 2-3 inches apart.
  3. Work the floss gently between the teeth toward the gum line.
  4. Curve the floss in a U-shape around each individual tooth and carefully slide it beneath the gum line.
  5. Carefully move the floss up and down several times to remove interdental plaque and debris.
  6. Do not pop the floss in and out between the teeth as this will inflame and cut the gums.

If you have any questions about the correct way to brush or floss, please contact our office. 

Periodontal Disease

The word periodontal means “around the tooth”.  Periodontal disease attacks the gums and the bone that support the teeth.  Plaque is a sticky film of food debris, bacteria, and saliva.  If plaque is not removed, it turns into calculus (tartar).  When plaque and calculus are not removed, they begin to destroy the gums and bone.  Periodontal disease is characterized by red, swollen, and bleeding gums.

Four out of five people have periodontal disease and don’t know it!  Most people are not aware of it because the disease is usually painless in the early stages.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy.  Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions.  Smoking also increases the risk of periodontal disease.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Signs and symptoms of periodontal disease:

  • Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
  • Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
  • New spacing between teeth – Caused by bone loss.
  • Persistent bad breath – Caused by bacteria in the mouth.
  • Pus around the teeth and gums – Sign that there is an infection present.
  • Receding gums – Loss of gum around a tooth.
  • Red and puffy gums – Gums should never be red or swollen.
  • Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.
What is Periodontal (Gum) Disease?

The term “periodontal” means “around the tooth.”  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease’s most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can cause shifting teeth, loose teeth, and eventually tooth loss.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.
  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.
  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.
  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.

Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.
  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.
  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.
  • Dental implants – When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.

Please contact our office if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

Periodontal Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination.  This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.  The depth of a healthy sulcus measures three millimeters or less and does not bleed.  The periodontal probe helps indicate if pockets are deeper than three millimeters.  As periodontal disease progresses, the pockets usually get deeper.

Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis

Gingivitis is the first stage of periodontal disease.  Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Plaque hardens into calculus (tartar).  As calculus and plaque continue to build up, the gums begin to recede from the teeth.  Deeper pockets form between the gums and teeth and become filled with bacteria and pus.  The gums become very irritated, inflamed, and bleed easily.  Slight to moderate bone loss may be present.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed.  Unless treated, the affected teeth will become very loose and may be lost.  Generalized moderate to severe bone loss may be present.

Periodontal treatment

Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues.  When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.  You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended.  It is usually done one quadrant of the mouth at a time while the area is numb.  In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing).  This procedure helps gum tissue to heal and pockets to shrink.  Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean.  Your dentist may also recommend that you see a periodontist (specialist of the gums and supporting bone).

Periodontal Maintenance

It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)!  Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.

Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year.  At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy.  Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.

In addition to your periodontal cleaning and evaluation, your appointment will usually include:

  • Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss.X-rays also help determine tooth and root positions.
  • Examination of existing restorations: Check current fillings, crowns, etc.
  • Examination of tooth decay: Check all tooth surfaces for decay.
  • Oral cancer screening: Check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer.
  • Oral hygiene recommendations: Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)
  • Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control!

Restorations

It’s great news that the incidence of tooth decay has significantly diminished over the years due to the use of fluorides and an increase in patient awareness.  However, teeth are still susceptible to decay, infection, and breakage and sometimes need to be restored back to health.  Through improved techniques and modern technology, we are now able to offer more options for restoring a tooth back to its normal shape, appearance and function.

Should your teeth ever require a restorative treatment, you can rest assured knowing we will always discuss with you the available options, and recommend what we believe to be the most comfortable and least invasive treatment.  Providing you with excellent care is our number one priority when creating your beautiful smile.

Reasons for restorative dentistry:

  • Enhance your smile.
  • Fill in unattractive spaces between teeth.
  • Improve or correct an improper bite.
  • Prevent the loss of a tooth.
  • Relieve dental pain.
  • Repair damaged and decayed teeth.
  • Replace missing teeth.
  • Replace old, unattractive dental treatments.
  • Restore normal eating and chewing.

Remember to give your teeth the attention they need today!

Composite Fillings

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

There are many types of filling materials available, each with their own advantages and disadvantages.  You and your dentist can discuss the best options for restoring your teeth.  Composite fillings, along with silver amalgam fillings, are the most widely used today.  Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or more visible areas of the mouth.

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.

How are composite fillings placed?

Composite fillings are usually placed in one appointment.  While the tooth is numb, your dentist will remove decay as needed.  The space will then be thoroughly cleaned and carefully prepared before the new filling is placed.  If the decay was near the nerve of the tooth, a special medication will be applied for added protection.  The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.

You will be given care instructions at the conclusion of your treatment.  Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.

Crowns (Caps)

A crown (or cap) is a covering that encases the entire tooth surface, restoring it to its original shape and size.  A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain (tooth colored crown) are the most popular.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  Porcelain crowns are made to match the shape, size, and color of your teeth, giving you a long-lasting, beautiful smile.

Reasons for crowns:

  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.
  • Tooth has a root canal.

What does getting a crown involve?

A crown procedure usually requires two appointments.  Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown.  A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.  Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment, your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

Dentures

A denture is a removable dental appliance and a replacement for missing teeth and surrounding tissue.  They are made to closely resemble your natural teeth and may even enhance your smile.

There are two types of dentures – complete and partial dentures.  Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain.  A partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.

A complete denture can be either “conventional” or “immediate.”  A conventional type is made after the teeth have been removed and the gum tissue has healed (usually takes 4 to 6 weeks).  During this time, the patient will go without teeth.  Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process.  Once the tissues shrink and heal, adjustments will have to be made.

Dentures are very durable appliances and will last many years but may have to be remade, repaired, or readjusted due to normal wear.

Reasons for dentures:

  • Complete Denture – Loss of all teeth in an arch.
  • Partial Denture – Loss of several teeth in an arch.
  • Enhancing smile and facial tissues.
  • Improving chewing, speech, and digestion.

What does getting dentures involve?

The process of getting dentures requires several appointments, usually over a period of several weeks.  Highly accurate impressions (molds) and measurements are taken and used to create your custom denture.  Several “try-in” appointments may be necessary to ensure proper shape, color, and fit.  At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.

You will be given care instructions for your new dentures.  Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.

Dental Implants

Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures.  Implants provide excellent support and stability for these dental appliances.

Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist – a specialist of the gums and supporting bone.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!

Dental implants are strong and durable and will last many years.  On occasion, they will have to be re-tightened or replaced due to normal wear.

Reasons for dental implants:

  • Replace one or more missing teeth without affecting adjacent teeth.
  • Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
  • Restore a patient’s confident smile.
  • Restore chewing, speech, and digestion.
  • Restore or enhance facial tissues.
  • Support a bridge or denture, making it more secure and comfortable.

What does getting dental implants involve?

The process of getting implants requires a number of visits over several months.

X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant.  While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself for up to six months.   Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place.  With other implants the post and anchor are already attached and placed at the same time.

After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor.  Because several fittings may be required, this step may take one to two months to complete.  After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.

You will receive care instructions when your treatment is completed.  Good oral hygiene and eating habits, alongside regular dental visits, will aid in the life of your new implant.

If you have questions about dental implants or would like to schedule a consultation, please contact our office.

Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges.  You and your dentist will discuss the best options for your particular case.  The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal.  This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years; however, they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

  • Fill space of missing teeth.
  • Maintain facial shape.
  • Prevent remaining teeth from drifting out of position.
  • Restore chewing and speaking ability.
  • Restore your smile.
  • Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits.  While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown.  Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated.  In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit.  Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge.  The new bridge will be permanently cemented at a later time.

You will receive care instructions at the conclusion of the procedure.  Proper brushing, flossing, and regular dental visits will aid in the life of your new, permanent bridge.

Surgical Instructions
While most dental surgery is performed on an out-patient basis, it remains an involved procedure that requires specific preparation and aftercare.  In an effort to provide safe, comfortable care, we encourage you to review our pre- and post-operative instructions, which are intended to facilitate a smooth operation and safer recovery.

If you have any questions or concerns about your surgery, please contact our practice today.

Before General Anesthesia

Prior to your dental surgery you will have the opportunity to address any concerns you might have during your pre-op appointment. We encourage you to ask questions and make us aware of any fears you might have. Our main goal is to create a secure, comfortable environment for our patients on the day of surgery so the more you communicate with us, the easier we can accommodate your needs. The following guidelines are meant to serve as reminders in helping you prepare for your dental surgery. If you have any questions, feel free to contact our practice.

Leading Up to the Day of Surgery

  • Fasting must begin at midnight the night before surgery for patients with a morning appointment.  If you have an afternoon appointment, do not eat anything 8 hours prior to your scheduled dental surgery.
  • While fasting, the patient may only drink clear fluids (Ex: water, apple juice, black coffee, and sports drinks).  Beverages that are not allowed to be consumed are alcohol, orange juice, milk, creamer, and other opaque drinks.  Patients should avoid drinking all fluids within 6 hours of their surgery.  If you are unsure about what can and cannot be consumed, please ask during your pre-op appointment.
  • Patients may continue taking the following medications with a small sip of water prior to surgery:

– Cardiac medications
– Pulmonary medications
– Steroids
– Anti-seizure medications
– Anti-Parkinson’s medications

  • Medications that patients are prohibited from taking are MAO inhibitors, anti-depressants, aspirins, anti-coagulants, and anti-inflammatory drugs. We request that patients stop taking these medications at least two days prior to surgery because they can create complications during dental surgery.
  • Patients are not to consume alcoholic beverages or use tobacco products within 24 hours of their appointment and are asked to refrain from drinking or smoking for 24 hours after their surgery.

Day of Surgery

  • If you are a minor, you must have a parent or guardian present for the extent of your surgery. All patients are required to have a licensed driver take them home after their appointment, and we prefer that you are accompanied by someone for at least 12 hours after your surgery.
  • Brush your teeth as usual, but be sure not to swallow any water or toothpaste. Do not wear any make up or nail polish.
  • If you regularly wear contact lenses, please remove them prior to surgery. Jewelry and dentures will also need to be removed before surgery.
  • We prefer that you wear loose, comfortable clothing and flat soled shoes. Shirts that have ¾ sleeve or shorter are ideal.
  • After surgery, you will not be fully aware, therefore cannot return to work or school, and cannot drive or operate other hazardous devices. Also, please make sure that you have assistance when climbing stairs or attempting other difficult tasks.

If you have any change in health the morning of you appointment, please contact the practice immediately. A cold or fever with chest and sinus congestion may dangerously affect surgery so it is imperative that our practice is made aware of the situation. If it is necessary to reschedule your appointment, we will notify you.

After Dental Implant Surgery

Following dental implant surgery, patients must take detailed care of the area surrounding their new implant.  For the first month the dental implant is still integrating with the bone and tissues so the patient’s care routine will be slightly more involved during this initial period.  Above all, do not disturb the wound in the initial days that follow surgery.  Avoid rinsing, spitting, and touching the mouth for 24 hours after surgery to avoid contaminating or irritating the surgical site.  After dental implant surgery it’s important to follow these care instructions:

  • Antibiotics – Patients should take all prescribed antibiotics to prevent infection at the surgical site.  Twenty-four hours after the surgery, patients should begin using the prescribed oral rinse twice daily alongside a warm saltwater rinse 4-5 times daily (preferably after every meal/snack).
  • Bleeding – Blood in the patients’ saliva is normal during the first 24 hours following surgery.  We suggest biting on gauze pads to help control and lessen blood flow.  Gently bite down on the gauze pad and try to maintain constant pressure, repeating as often as needed, or until bleeding lessens.
  • Dealing with pain – Shortly after your dental implant surgery the anesthetic will wear off.  You should begin taking pain medication before this happens. Any over-the-counter pain medication can be taken (e.g., Tylenol®, Aleve®, ibuprofen, etc.).
  • Diet – We recommend an initial diet of soft foods, but patients can resume a normal diet as soon as they feel capable of doing so. Stay hydrated. It is critical that you are drinking plenty of fluids.
  • Hygiene – In order for the dental implants to heal properly, the surgical site must be kept clean. Continue to brush your teeth as you normally would, but avoid any sutures and do not brush the implant. The antibiotic and saltwater rinses will disinfect the implant itself.
  • Swelling – After dental implant surgery some amount of swelling is to be expected. To help minimize swelling, try to keep your head elevated and lower your activity level as much as possible. Use ice packs for the first 48 hours and apply continuously, or as frequently as possible to minimize facial swelling.
  • Wearing your prosthesis or night guard – Partial dentures, flippers, full dentures, retainers, or night guards should not be used for at least 10 days following surgery. If there are any special circumstances, our practice will discuss those with you during your pre-operative consultation.
  • Smoking – Smoking after dental implant surgery has an increased risk of infection which also increases the risk of dental implants failing to integrate. We recommend that patients do not smoke for a minimum of 2 weeks after dental implant surgery.

What does recovery involve?

While each patient’s case is different, recovery after dental implant surgery happens in a series of phases. With your new dental implants, maintaining proper oral hygiene should be your primary focus. In order for the implant to properly fuse with the jawbone, it must remain clean. Also keep in mind that when properly cared for, a dental implant can serve its owner for life.

When maintaining proper hygiene, oral discomfort should gradually lessen. Swelling, bruising, and minor bleeding may still occur. If any pain does continue, feel free to continue using the pain medications.

Healing time differs depending on whether a patient receives immediate crown placement, or waits for the implant to fuse with the jawbone. Your recovery timeframe will depend on your individual case and treatment plan; follow-up appointments will be scheduled accordingly.

If you have any questions, please feel free to contact our office.

Dental Implants

One Team. One Location.

By working with ClearChoice our patients are provided with a Four Seasons experience. ClearChoice delivers a complete team of specialists and technicians under one roof to deliver you a beautiful smile, all in one day. Our practice relies on ClearChoice for their expertise in the placement of dental implants and designing your smile.

What to Expect from ClearChoice

ClearChoice was founded on the principle that there had to be a better way to perform dental implant procedures. They perform more dental implant procedures every year than any other facility or network because of our innovative approach to treating patients. That level of experience has given thousands of patients the confidence to take that first step towards a better smile.

One Team

Our team of doctors, which includes your general dentist and our specialists work together to deliver excellent treatment to you. We believe that when the doctor speaks directly with the oral surgeon and the lab technician, face-to-face, our team is able to deliver a better patient experience. Every ClearChoice doctor goes through a rigorous screening process to make sure that they will uphold our strict standards of quality. We look for doctors with experience and excellence in treating their patients. We believe that our dedicated team of professionals, with a specific focus on just dental implants, is a key strength of the ClearChoice Dental Implant centers.

One Location

Traditionally, dental implants require several visits to specialists in several locations, and the teeth are created at an off-site lab and shipped to the office. If any adjustments needed to be made, the teeth would need to be shipped back to the lab. At ClearChoice, we have combined all of the necessary elements for successful dental implant treatment in a single location.

 

Why We are Different

Understanding how we are different

Dental implants have given tens of thousands of people a second chance to enjoy the foods they love, to smile with confidence and to get their lives back after tooth loss. Our practice and ClearChoice have been leading the way with an innovative system that reduces recovery time and simplifies the entire process of getting dental implants. Working together we can deliver the smile that you deserve.

 ClearChoice Traditional Dental Implant Approach
A permanent solution that can last a lifetime
Bridges, crowns, and dentures typically only last 5-10 years. Dental implants are the only lifetime solution to failing or missing teeth and are the only solution has been shown to prevent bone loss.
Yes Yes
You will have implants that look, feel and function like natural teeth
Once you have recovered from your implant procedure, you can start enjoying the foods you love again and return to a healthy diet. You will even brush, floss and care for them like natural teeth.
Yes  Yes 
Patients Receive Teeth in just one day
Our all-on-four procedure, on-site labs, and dedicated team of specialist makes it possible for patients to leave with fully functioning teeth on the day of their procedure. After 6-8 months, you return to our practice to receive your final, permanent set of teeth.
Yes  No
Treatments are performed with full IV sedation
Many dental implant procedures are performed with local anesthesia. At ClearChoice, we provide our patients with full IV sedation to make the entire experience as comfortable as possible.
Yes  No

The Cost of Dental Implants

The price of dental implants is always one of the first things people want to know. The truth is, every situation is different, and without a full evaluation at one of our treatment centers it’s impossible to give a detailed price. If you are interested in receiving a personalized quote, please feel free to schedule a free, no obligation consultation at one of the ClearChoice centers, our practice can help schedule an appointment for you. ClearChoice will provide a free 3D CT scan, review your case with our on-site specialists, and give you an exact price for your procedure. There are no hidden fees, no additional costs for lab work, and no surprise costs after treatment has begun.

Paying for Dental Implants

ClearChoice is proud to be a part of each and every life-changing patient story, and we understand that this is a major decision. We have financing options available for patients who qualify, and we are dedicated to helping you find a way to afford treatment. If you are unsure if you can afford treatment, don’t let fear keep you from getting the facts. Schedule a free consultation today so you can make an informed decision about what is right for you

Patient Success

These Patients Received Their Teeth in Just One Day

Patients who struggle with missing or failing teeth are changing their lives in just one day.

Peace of Mind

If you’re ready for dental implants but fear is holding you back, don’t worry — you’re not alone. Fear and anxiety are common.  Oftentimes knowing what to expect can make all the difference when deciding whether or not to take that first step towards changing your life.

Real Patient Stories

We Use IV Sedation

Sometimes implant procedures are performed with just local anesthesia. Working together with the team at ClearChoice we provide you with IV sedation to ensure you are as comfortable as possible during your procedure.

Shorter Healing Times

Traditional implant procedures required several steps, each one requiring time to heal in between each step. By working with ClearChoice most of our patients can receive new teeth with only one procedure in just one day. That means patients may experience less pain, and it usually takes less time to fully recover from receiving your dental implants.

Outstanding Success Rates

Dental implant procedures generally have a 95% success rate, and ClearChoice patients generally have a 97% success rate. Their unique approach to implants means you have a dedicated team of specialists under one roof, working together with our practice towards your successful treatment.

The Dental Implant Treatment Process

Step 1:

Attend A Free Consultation

Every dental implant procedure begins with a free consultation. At this consultation, the ClearChoice doctors create a customized treatment plan just for you, and you will learn exactly how much dental implants will cost you, without having to worry about any surprise fees. To learn more about your free consultation, please visit  What to Expect page.

Step 2:

Pre-Procedure Exam

When you have decided that you are ready to move forward with dental implants, you will meet with a prosthodontist, who will finalize your treatment plan and begin to prepare everything you’ll need for your procedure. Once this exam is complete, you are ready to schedule your procedure.

Step 3:

Dental Implant Procedure

This is your big day. When you walk out of your procedure, your dental implants will be in place and you’ll go home with a temporary set of teeth that look, feel, and function like natural teeth.

Step 4:

Post Procedure Check Ups

It is important to keep in mind there is a recovery period following your dental implant procedure. Typically patients will be on a soft food diet for several weeks to a few months while their implants heal. During this time, the typical patient will come back in for several checkups to ensure that everything is healing properly. All of your post op checkups are at no additional cost. During this time, the typical patient will come back into ClearChoice for several checkups to ensure that everything is healing properly. All of your post op checkups are at no additional cost.

Step 5:

Receive Your Permanent Teeth back in our office

This is the final step! When your mouth has finished healing and your new dental implants have stabilized, you will receive your new permanent teeth right here in our office.

What are Dental Implants?

Everything You Need to Know About Dental Implants

Dental implants have given hope to thousands of patients that struggled with missing and failing teeth. With the highest success rate of any tooth-replacement option, dental implants are quickly becoming the preferred treatment for people suffering from dental health issues.

What Are Dental Implants?

Dental implants are the best long-term solution for missing teeth.  Our doctors use a medical-grade titanium implant fixture that actually fuses to living bone, and place a permanent crown on the implant, resulting in teeth that look and feel completely natural.

Single Tooth Replacement to Permanent Dentures?

Single Tooth Implants

If you have lost a single tooth due to an accident or from periodontal disease, that one tooth can be easily replaced using a dental implant.  Your new tooth will look and function just like your other natural teeth.

Multiple Implants

Occasionally a patient is missing more than one tooth, but still has healthy gums and surrounding teeth, and a multiple implant is the best solution. Two fixtures are implanted and the crown is attached, leaving other natural teeth intact. The multiple implant is not for everyone, and even if a patient is only missing a few teeth, it may be still be preferable to perform an all-on-four procedure.

Full-Arch Replacement

Patients who need to replace a full upper and/or lower set of teeth (full-arch) can now receive as few as four implants. An oral surgeon will place the implants and then attach a full set of teeth for your upper, lower, or both sets of teeth. This can be done in one day under sedation therapy.

All-On-Four Implants

Patients who need to replace a full upper and/or lower set of teeth can now receive all-on-four implants. An oral surgeon will place 4 implants and then attach a full arch of teeth, giving the procedure its name.

Why Get Dental Implants?

Dental Implants are a definitive solution to missing teeth. While alternative procedures may be right for some patients, dental implants provide many benefits over the traditional tooth replacement options. They prevent bone loss that occurs with missing teeth, they can last a lifetime, and since they transfer pressure directly to the bone like natural teeth, they do not cause additional wear and tear on adjacent teeth. Some patients even see an improvement in their overall health once they are able to eat hard foods again like nuts and certain fruits.

Comparison Chart
Tooth replacement technologies Flipper Dentures (partial or full) Bridge Implants
Longevity 1-3 years 5-7 years 7-10 years Lifetime
Preservation of healthy adjacent teeth Yes Yes No Yes
Transmission of force to: adjacent teeth adjacent teeth/gums adjacent teeth Bone
Prevent bone loss & preserve facial appearance No No No Yes
Requirement for periodic adjustments Yes Yes Yes No
Accelerated of adjacent teeth Yes Yes Yes No

Source: Premium Tooth Replacement, Deutsche Bank, January 26, 2006

What to Expect

Today could be the day that changes the rest of your life!

Every Journey Starts With A First Step

If you think dental implants may be the right solution for you, it’s time to take the next step. Ask about ClearChoice’s free, no-obligation consultation or call them at  888-888-3240.

What Can I Expect From My Free Consultation?

Meet Your Implant Team

You will meet with a dental implant consultant who will be by your side through your consultation process and as you meet the rest of your team. If you decide ClearChoice is right for you, they will remain a familiar face throughout your treatment. You will also meet with a restorative dentist, who works hand-in-hand with your general dentist throughout your dental implant treatment process. They will walk you through your treatment plan and answer any questions you may have.

Receive Your Treatment Plan

Every patient we treat has a unique situation that requires a unique solution. As part of your free consultation, we will take 3-D CT scan images that enable our team of doctors to develop a comprehensive treatment plan specifically for you.

Get Your Actual Price

You will leave your consultation knowing exactly how much dental implants will cost you. You can also learn about financing options and next steps if you think dental implants are right for you.