General Treatment

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.

Dental Exam

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

Your initial exam will last approximately one hour. Your dentist will thoroughly exam your teeth and gums, specifically looking for any potential problems. Depending on the patient, X-rays may be taken. If there are any signs of decay or other problems, your dentist will recommend treatment options and make notes of any conditions that may need future observation. Oral hygiene instructions will also be provided along with suggestions to help you care for your teeth. In most cases, we will also clean your teeth on this visit.

Routine Teeth Cleanings

Twice a year, you should schedule a routine dental cleaning. During these visits, one of our dental hygienists will remove plaque from your teeth, especially from places where your brush can’t reach, such as underneath the gum line and in-between teeth. We will then clean your teeth and apply fluoride to help protect your teeth once you leave the office.

Fluoride is a relatively recent but important advancement in dental and oral health. Studies consistently show that a moderate but consistent exposure of teeth to fluoride helps strengthen and rebuild tooth structure, and helps prevent future decay.

If you are due for your six month dental cleaning, please call our office to schedule an appointment.

Fillings

The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We offer both amalgam (metal) and composite (tooth colored) fillings to help restore your tooth. The location, type of cavity and patient expectations will help determine which type of filling would be most suitable for you.

Silver Amalgam Fillings – Metal fillings (also known as mercury fillings) are made from strong and durable materials that can withstand the forces applied to the teeth while chewing. They are not made for aesthetics and can make the surrounding tooth structure appear discolored. Generally, silver amalgam fillings are used for the back teeth as they are more durable for the chewing surfaces of your teeth.

Composite White Fillings – Tooth colored fillings are ideal for patients wishing to maintain the natural beauty of their smile. Composite fillings are closely matched to the natural color of your teeth and bond well to the tooth. While not as strong as metal fillings, tooth colored fillings are durable and should last up to 6-12 years. Composite fillings are usually used on the front teeth offering optimal aesthetics.

We will work with each patient individually to determine which type of filling would be best for you.


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Crowns and Bridges

Crowns

A crown is a custom-made covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

The treatment plan for a patient receiving a crown involves:

Numbing the tooth to remove the decay in or around it.
Re-sculpturing the tooth to provide an ideal fit for the crown.
Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the custom-made crown is being created.
Applying the custom-made crown (when received from the lab) by removing the temporary crown and fitting the custom-made one onto the tooth.
After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of two to three visits over a three to four week period. Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.


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Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
The cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.


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Veneers

Veneers are thin, semi-translucent “shells” typically attached to your front teeth. Veneers are customized from porcelain material that is bonded to your teeth. Veneers are a great alternative to otherwise painful dental procedures to improve the appearance of your smile.

Common problems that veneers are used for:

Spaces between the teeth
Broken or chipped teeth
Unsightly, stained or discolored teeth
Permanently stained or discolored teeth
Crooked or misshapen teeth

Veneers are a great aesthetic solution to your smile that may even help you avoid orthodontic treatment. Subtle changes to your smile can be achieved with veneers, and in most cases, veneer application is completed in only two office visits.

Please contact our office if you have any further questions on veneers.


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Tooth Extractions

General Extractions

An extraction is the complete removal of a tooth. Extractions are sometimes necessary if a primary tooth is preventing the normal eruption of a permanent tooth, if the tooth has suffered extensive tooth decay or trauma that cannot be repaired, if the patient has gum disease, or if the tooth is impacted (usually the wisdom teeth). Depending on the complexity of the case, an extraction can be performed surgically or non-surgically. A mild anesthesia is used to ensure your child is as comfortable as possible throughout the procedure.

Wisdom Teeth

Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions, with an absolute minimum of discomfort. Ask our staff for more information regarding tooth extractions if you feel you may need one.

Bonding

Bonding is a common solution for:

Fixing or repairing chipped or cracked teeth
Reducing unsightly gaps or spaces between teeth
Hiding discoloration or faded areas on the tooth’s surface

Often, composite boding is used to improve the appearance of your teeth and enhance your smile. As the name indicates, composite material, either a plastic or resin, is bonded to an existing tooth. Unlike veneers or crowns, composite bonding removes little, if any, of the original tooth.

Composite bonding has many advantages:

It is a quick process, which typically lasts less than one hour.
It does not reduce the tooth’s original structure and is relatively inexpensive.
Composite resins come in many different shades and provide better matching of shades to the natural color of your teeth.
Composite bonds, however, are not as durable and long-lasting as veneers and crowns and may need to be re-touched or replaced in the future.

Composite bonds stain more easily and therefore require proper care and regular cleaning. In order to ensure the longest possible duration of the bonding, composites should be brushed and flossed daily. Common staining elements include coffee, tea, tobacco, foods and candy.

Root Canal

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.

A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.

This procedure involves:

The patient undergoes anesthesia.
A dental dam is used to isolate the tooth.
The tooth is opened to allow for removal of infected or dead dental pulp.
The tooth is comprehensively cleaned, including any cracks and canals.
With special tools, the doctor reshapes the canals.
The tooth is filled again with cutting edge biocompatible filling material.
A temporary covering is used to cover the access opening.

Patients must see their regular dentist quickly for a restoration of the tooth.

Dental Implants

Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

Single Tooth Replacement
Anterior Replacement
Posterior Replacement
Full Upper Replacement

If the missing tooth space has no surrounding teeth, the dentist may decide an implant is the most appropriate treatment choice or option.

Post Implant Care

Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

ZOOM! Whitening

Your teeth will darken over time. Changes in the color of your teeth can be caused by such factors as the food and beverages consumed (like coffee, tea and soda). Other known factors for discoloration may include childhood medications or illnesses, tobacco use or improper oral hygiene.

If you're looking for a fast way to dramatically whiten your teeth, the Zoom! In-Office Whitening System may be the answer for you.

In a little over an hour, this safe and effective system can give you the instant results you've been wanting. A specially designed light activates the Zoom! Whitening Gel to gently break down stains on your teeth to put the sparkle back in your smile!

Zoom! Whitening is very safe while under the supervision of a trained dentist. It is one of the safest procedures in cosmetic dentistry. However, we do not recommend this procedure for pregnant women or children under age 13.

You will be given some post-whitening care instructions after your procedure. It is important to maintain a good oral hygiene regimen post-whitening to preserve your bright, white smile. We also recommend occasional touch-ups with the Zoom! Take-Home Gel. Your smile will always be brighter than it was before the procedure, but by following these simple instructions, you can retain your results for a long time!

ZOOM! Post-Procedure Care

After Your ZOOM! Whitening:
During the whitening process, a protective layer called the acquired pellicle is removed from your teeth. This layer contains the surface dental stains and serves as a barrier for your teeth. It takes 12 to 24 hours for the barrier to fully develop again. It is important to avoid the following items during that time.

You may also experience some tooth sensitivity symptoms. You may take whatever you would normally use for a headache.

Please feel free to contact us, should you have any questions or concerns:

Day Phone: (732) 321-1151 After Hours: (732) 321-1151

We recommend that you avoid the following for the next 24 hours:

Red Wine
Dark Colas
Coffee or Tea
Red Sauces
Mustard or Ketchup
Soy Sauce
A-1 Sauce
Smoking

Or basically anything that would stain a white shirt

White and clear foods you may consume for the next 24 hours:

Milk, Water, Clear Soda
Bananas, Apples (no peel)
White Bread, Flour Tortillas
Oatmeal, Cream of Wheat
Plain Yogurt, White Cheese, Sour Cream, Cottage Cheese
White Rice, Baked Potato
Plain Pasta and White Sauce
Turkey, Chicken Breast (no skin), White Fish


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