Adult Dental Services
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Regular Exams and Cleanings
Regular exams are an important part of maintaining your oral health. During your regular exam, we will:
- Review your medical and dental history
- Address your concern and discomfort
- Check for any problems that you may not see or feel
- Look for cavities or any other signs of tooth decay
- Screen for oral cancer
- Inspect your teeth and gums for gingivitis and signs of periodontal disease
- Determine the type of cleaning, such as regular cleaning(adult prophy) or deeper cleaning(scaling and root planing)
- Plan a comprehensive treatment
Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.
A detailed teeth cleaning, in which we will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth's surface will be schedule subsequently with a hygienist.
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 the tooth, 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 fillings instead of amalgam. Many patients prefer bonded fillings because the white color is much less noticeable than silver. Bonding fillings can be used on front or back teeth, depending on the location and extent of tooth decay.
Bonding is less expensive than other cosmetic treatments and can usually 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 can generally be easily patched or repaired in one visit.
Crowns are a restorative procedure used to improve a tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have large portions destroyed by tooth decay.
A crown is a “cap” cemented onto an existing tooth that usually covers the portion of the tooth above the gum line. In effect, the crown becomes the tooth’s new outer surface. Crowns can be made of porcelain, metal, and zirconia. Porcelain or zirconia are most often preferred because they mimic the shade of natural teeth. Both zirconia and metal crown are very strong, hence less chance of surface fracture frequently occurring to porcelain fused metal crowns.
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 the mouth, a crown is fabricated away from the mouth. A 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. The crown is then fabricated just for you so that his or her bite and jaw movements function normally once the crown is placed.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it isn’t restorable or puts the surrounding teeth at risk of decay, so the doctor may recommend its removal. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
The root of each tooth is encased within the jawbone in a “tooth socket”, and the tooth is held in that socket by a ligament. In order to extract a tooth, the dentist must expand the socket and separate the tooth from the ligament holding it in place. Duration of this treatment can vary depending on anatomy or positioning of the tooth. Thus, it is important to share with your doctor any concerns or preferences for sedation.
Traditional dental restoratives, or fillings, may include gold, porcelain, or composite. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are typically used on the front teeth where a natural appearance is important. There are two different kinds of fillings: direct and indirect. Direct fillings are fillings placed directly into a prepared cavity in a single visit. Indirect fillings generally require two or more visits. These fillings include inlays, and veneers fabricated with ceramics or composites.
Fluoride is effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth’s surface. A fluoride treatment in a dentist’s office takes just a few minutes. After the treatment, you may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or the doctor’s recommendation, a fluoride treatment may be required every three, six, or 12 months.
Whether your child wears braces or not, protecting his or her smile while playing sports is essential. Mouthguards help protect the teeth and gums from injury. If your child participates in any kind of full-contact sport, the American Dental Association recommends that he or she wear a mouthguard. Choosing the right mouthguard is essential. There are three basic types of mouthguards: the pre-made mouthguard, the “boil-and-bite” fitted mouthguard, and a custom-made mouthguard from the dentist. When you choose a mouthguard, be sure to pick one that is tear-resistant, comfortable and well-fitted for your mouth, easy to keep clean, and does not prevent your child from breathing properly. Your dentist can show your child how to wear a mouthguard properly and how to choose the right mouthguard to protect his or her smile.
If you often wake up with jaw pain, earaches, or headaches, or if you or your spouse see you clenching or grinding teeth, you may have a common condition called “bruxism”. Many people do not even know that they grind their teeth, as it often occurs when one is sleeping. If not corrected, bruxism can lead to broken teeth, cracked teeth, or even tooth loss.
There is an easy, non-invasive treatment for bruxism: nightguards. Nightguards are an easy way to prevent the wear and damage that teeth-grinding causes over time. Custom-made by a dentist from soft material to fit the teeth, a nightguard is inserted over your top or bottom arch and prevents contact with the opposing teeth.
In the past, if you had a tooth with a diseased nerve, you would probably lose that tooth. Today, with a special dental procedure called “root canal treatment”, your tooth can be saved. 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 it is also detrimental to his or her overall health.
Root canal treatment involves one to three visits. During treatment, the dentist will remove the affected tissue. Next, the interior of the tooth will be cleaned, disinfected, and sealed. Finally, the tooth is filled with a dental composite. If the tooth has 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 his or her teeth and gums with regular brushing, flossing, and checkups, the restored tooth can last a lifetime.
Sometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for a toothbrush to get in between the small cracks and grooves on your teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.
Dental sealants are a plastic resin that bonds and hardens in the deep grooves on your tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective against tooth decay.
Sealants are typically applied to your teeth as a preventive measure against tooth decay after the permanent teeth have erupted. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and your dentist will recommend sealants on a case-by-case basis.
Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealants come off, let your dentist know, and schedule an appointment for your teeth to be re-sealed.
You no longer need to hide your smile because of gaps, chips, stains, or misshapen teeth. With veneers, you can easily correct your teeth’s imperfections to have a more confident, beautiful smile. Veneers are natural in appearance, and they are a perfect option for patients wanting to make minor adjustments to the look and feel of their smile.
Veneers are thin, custom-made shells made from tooth-colored materials (such as porcelain), and they are designed to cover the front side of your teeth. To prepare for veneers, the doctor will create a unique model of your teeth. This model is sent to the dental technician to create the veneers. Before placing the new veneer, the doctor may need to conservatively prepare the tooth to achieve the desired esthetic result.
When placed, you’ll be pleased to see that veneers look like your natural teeth. While veneers are stain-resistant, the doctor may recommend that you avoid juices, tea, and other staining food and drinks to maintain the beauty of your new smile.
Wisdom teeth are types of molars found in the very back of your mouth. These teeth usually appear in late teens or early 20s, but they may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry. When a wisdom tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.
Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the tooth’s roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier as well as shorten the recovery time.
Fully erupted or partially erupted wisdom teeth can be extracted by your dentist at Jamestown, however, wisdom teeth extraction is routinely referred to an oral surgeon.