Periodontics Periodontics is the branch of dentistry specializing in the prevention, diagnosis and treatment of periodontal disease. Periodontal diseases are bacterial infections that destroy the attachment fibers and supporting bone that hold the teeth in the mouth. Left untreated, these diseases can lead to tooth loss.

Our periodontist has extensive experience treating pediatric patients requiring periodontal care. This care may involve deep scaling (cleaning), gingival (gum) surgery and the placement of dental implants.

Implants Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth.

Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene.

Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet bio-compatible material like metal or ceramic.

Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.

Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure.

Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.

Endontics and Micro Surgery Root canals are tiny passageways that branch off from beneath the top of the tooth, coursing their way vertically downward, until they reach the tip of the root.

Many tooth problems involve infections that spread to the pulp, which is the inner chamber of the tooth containing blood vessels, nerves and other tissues. When the infection becomes worse, it can begin affecting the roots. A traumatic injury to a tooth can also compromise the pulp, leading to similar problems.

A diseased inner tooth brings a host of problems; pain and sensitivity are some of the first indications of a problem; but inside, a spreading infection can cause small pockets of pus to develop, leading to an abscess.

Root canal therapy is a remarkable treatment with a very high rate of success, and involves removing the diseased tissue, halting the spread of infection and restoring the healthy portion of the tooth. In fact, root canal therapy is designed to save a problem tooth; before the procedure was developed and gained acceptance, the only alternative for treating a diseased tooth was extraction.

Prosthodontics Teeth that are badly stained, shaped or crooked may be improved by a veneer placed on the surface of the affected teeth.

Veneers are thin pieces of porcelain or plastic cemented over the front of your teeth to change their color or shape. Veneers are used on teeth with uneven surfaces or on those that are chipped, discolored, oddly shaped, unevenly spaced or crooked. Little or no anesthesia is needed. Veneers have a longer life expectancy and color stability than bonding, and highly resist permanent staining from coffee, tea, or even cigarette smoking.

Veneers are usually made by a dental lab technician working from a model provided by your dentist. Veneers are usually irreversible because it's necessary to remove a small amount of enamel from your teeth to accommodate the shell.

Porcelain veneers can mask undesirable defects, such as teeth stained by tetracycline, by an injury, or as a result of a root-canal procedure, and are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may consider porcelain veneers.

Typically, veneers entail at least three appointments: diagnosis and treatment planning, preparation, and bonding.

During the tooth preparation visit, usually lasting one to two hours, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about a half a millimeter of the tooth is removed, which may require a local anesthetic. During the same visit, a mold is taken of the teeth, and sent to the laboratory for the fabrication of the veneers.

During the final "bonding" visit, also about one or two hours, the veneers are placed on the tooth surface with water or glycerin on the teeth to check their fit and get a sense of the shade or color. While the veneers are resting on your teeth, they can be adjusted with various shades of cement to match the color of your teeth. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a visible light beam, or laser, causes a catalyst to be released, hardening the cement.

During a two-week period of adjustment that follows, you may notice the change of size and shape in your teeth. It is important to brush and floss daily. After one or two weeks, you'll return for a follow-up appointment. Porcelain veneers are reasonable facsimiles of natural teeth, not perfect replacements. It's not uncommon to see slight variations in the color of porcelain veneers upon close inspection, as this occurs even in natural teeth.

Oral Sedation Oral sedation is a great option for many healthy adults. Our Doctors uses very safe, gentle medication in the form of a small pill. Often patients can be comfortably sedated with just one small pill!

What is an oral sedation appointment like?

Our doctors will give you a small pill to take an hour before your appointment. Your companion will bring you to the office, where we will start monitoring your vital signs. Then we will assess whether you need any more medication. Once you are relaxing comfortably in the dental chair, we'll cover you with a warm blanket. We'll begin the dentistry once you are totally relaxed. Before you know it, the appointment will be over.

Invisalign Invisalign's® invisible, removable, and comfortable aligners will give you the beautiful straight teeth you've always wanted. And best of all, no one can tell you're wearing them. Invisalign is great for adults and teenagers.

What is Invisalign®?

• Invisalign® is the invisible way to straighten your teeth without braces.
• Invisalign® uses a series of clear, removable aligners to straighten your teeth without metal wires or brackets.
• Invisalign® has been proven effective in clinical research and in orthodontic practices nationwide

How Does Invisalign® Work?

• You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
• As you replace each aligner with the next in the series, your teeth will move little by little, week by week - until they have straightened to the their final position.
• You'll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.
• Total treatment time averages 9 - 15 months and the average number of aligners during treatment is between 18 - 30, but both will vary from case to case.

How Are Aligners Made? You'd Be Amazed...

• The aligners are made through a combination of our expertise and 3-D computer imaging technology.

Visit the Invisalign® website