925-372-4747

Family Dentistry

Our office does see children; the recommended age is about 2-3 years old, and the first visit usually consists of “counting teeth,” to give them a good first dental experience. Referrals to the orthodontist are given as necessary. Our goal is to provide comprehensive dental health care to the whole family. Our children love our toy treasure chest.

Bleaching

Bleaching Information Sheet
We have been providing brighter, whiter smiles for our patients for over 15 years. The peroxide based formulas that we use are safe and effective. We currently offer 3 different methods of bleaching. See which one may be right for you!

Here is an overview of bleaching options we provide:

Boost: This is a one-time, one and a half hour bleaching treatment done in our office. Prior to the procedure you will be given prescription-strength, fluoride toothpaste for you to use for 2 weeks to help reduce sensitivity that may occur during and after treatment. The unique aspect of this treatment is that your teeth will continue to lighten for 24-48 hours after your in-office treatment. During this time you will need to stay away from foods and beverages that may re-stain teeth (i.e.: coffee, tea, dark sodas, berries, tobacco, red wine, curry and red sauces) until your teeth naturally become resistant again. Includes take-home bleaching trays

Take-home bleach trays: This is the preferred method for most people. Impressions are taken of your teeth and custom trays are made. The bleaching is done at home every day for 1-2 hours (or overnight) for 2-4 weeks. The advantage to these take-home trays is that you are in control of the final result. You can use your trays to do touch-ups as you please. (Bleach refill kits are avail. in office)

Crest Professional White-strips: This is the most economical way to bleach your teeth and it works well in most cases. Our professional strips are about 40% more powerful than the Crest bleaching strips sold in drug stores. The Crest Strips are simply placed right over the front side of your teeth and wrap around to the back. They are used twice a day for 30 minutes for a total of 1 hour per day. The most effective result will be reached by finishing the entire 28-day cycle of strips.

A small percentage of our patients have not been able to complete their bleaching due to tooth sensitivity. Bonded tooth-colored fillings and porcelain crowns and bridges are not affected by the bleach.

**Bleaching results differ from person to person. Dramatic results may not be achieved. **

Snoring / Sleep Apnea

  • Did You Know? 87 million Americans snore. 40 million Americans are chronic sufferers of sleep disorders. But only 10% have been treated or diagnosed.
  • If your spouse or partner has observed you snoring or stopping breathing during the nights……you may have sleep apnea.

Snoring can be very disruptive, and may disrupt or even strain your relationships with your spouse, family members or roommates. Snoring may also be a sign of sleep apnea, in which you actually stop breathing at times during the night, and it can potentially be very serious. The stoppage of breathing can last anywhere from 10 to 30 seconds per incident, up to nearly 7 minutes over the course of a single night with multiple occurrences.

Sleep apnea is not age specific. It can affect anyone from childhood up to old age. Both men and women can develop sleep apnea, but it is more common to men; particularly middle-age men who are also overweight.

Some general symptoms of sleep apnea or snoring can be waking up tired, even after a full night’s sleep, or waking up with a headache. Additionally, some people may feel very sleepy or fall asleep at inappropriate times. Because your sleep is repeatedly interrupted many times during the night, you may never truly get a full night’s sleep.

Other symptoms include: instances of irritability, short temper, trouble with concentration or memory, lethargy, anxiety, depression, frequent nightmares and sexual dysfunction. There are also indications that high blood pressure, with the added risk of heart attack and stroke (particularly early morning or during the night) may be attributed to snoring and sleep apnea.

 

So You Have a Sleeping Disorder, What Now?

We recommend you go directly to a sleep specialist, such as an ENT (Ears, Nose and Throat) physician. Or we suggest you go to one of our recommended sleep disorders centers and, with the proper physician referral, undergo an overnight sleep study. Through the use of various sophisticated physiological monitors, your heart rate, breathing, brain waves, muscle activity and grinding activity can all be measured and recorded. The results will be analyzed, and the sleep center will then determine if your sleep apnea is mild, moderate or severe, and advise you on the proper courses of further treatment.

 

What to Expect When You Visit Our Office

Your initial consultation will be complimentary and will consist of reviewing your completed sleep study results and discussing your dental appliance options based on a thorough examination of your teeth, mouth, TMJ and with the possible need for x-rays of your jaw joints. It will also consist of impressions/dental molds and photos, from which you may be fitted with a dental appliance, if chosen to do so.

At your next visit, we will choose an appliance based on our examinations. We will show you how to place the appliance in your mouth, how to care for it and how to use it. We will check with you in a few weeks to make sure you are comfortable with your appliance and wearing it regularly. To ensure that the device is actually effective in treating your snoring or sleep apnea condition, it is possible that we will be referring you back to your physician or sleep specialist for a follow-up sleep lab.

We will then see you at regular intervals several months apart to maintain and to adjust the appliance, when necessary, so that it remains effective.

Cerec (Same Day Crowns)

No Temporary.

No Messy Impressions.

One Easy Appointment.

CEREC is an advanced dental technology that is utilized for the restoration of decayed, cracked, or chipped teeth. CEREC can create full crowns, inlays, onlays, and veneers. The CEREC machine crafts a restoration in a matter of minutes. CEREC restorations are made of compressed porcelain. It is for this reason that they are stronger than laboratory restorations, which are layered porcelain. The most beneficial feature of receiving a CEREC restoration is that it is accomplished in one visit. In addition to the benefit of a one visit restoration, there is no impression material or temporary to wear.
Procedure
The procedure for placement of a CEREC restoration is very simple. The first step is to remove any decay or chips that might be present in the tooth. The doctor will then shape the tooth in preparation of taking digital pictures. The tooth is sprayed with a very fine powder to allow the digital camera to take acceptable images. Once these images are captured, the tooth will appear on a computer screen in 3D. This will allow the doctor to design the restoration right in front of you. Once the design is completed, the CEREC will mill the restoration. You may watch some or all of this process- it takes 15 minutes. When the restoration is finished milling, the doctor will place the restoration. The entire process should take just over 2 hours.

To learn more about Cerec:

http://www.cereconline.com/cerec/

http://www.cerecstories.com/

New Patient Examination

Your first appointment with our office will include a comprehensive examination of your oral condition. This oral examination will include a visual examination of your teeth and gums, as well as x-rays to aid in the diagnosis of dental decay and gum disease. Our goal is to help you understand your dental condition and work with you to develop a treatment plan that best fits you.

Early Detection of Decay

Our office uses the Diagnodent, a laser assisted detection system which accurately detects the presence or absence of decay. We also recommend yearly bitewing radiographs (x-rays), and every 5 years, a full mouth series of radiographs. Exams are recommended every 6-12 months, depending on your dental needs. Radiographs and exams are useful in being able to detect caries early.

Precision treatment rendered under magnification

Our dentists utilize magnification (loupes) for most dental procedures, it is now well accepted that dentistry done under magnification achieves more accurate and consistent results.

Full Mouth Cosmetic Dentistry

For those patients who have experienced a breakdown in their dentition from wear, decay or other means, our office is experienced in providing safe, gentle cosmetic dental reconstruction.

Root Canal Treatment

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. The pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth. Contrary to popular conceptions, most root canals can be done painlessly, in a two hour appointment.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Implants

Implants are placed in areas of missing teeth, and are surgically placed below the gums. They fuse to the jawbone, making them feel more natural than some conventional ways of replacing missing teeth (i.e. dentures). Implants need to have healthy gums and enough bone support for long term success. (feel free to take a look at our Smile Gallery for recent implant cases we have done)

 

 

Partial / Complete Dentures

A denture is a removable dental appliance 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.

Cleanings & Prevention

A good preventive dental 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 the dentist and dental hygienist to promote, restore, and maintain your oral health. In our office, as well as many offices, we recommend cleanings at least every six months.

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

Prevention helps avoid serious and costly dental problems and is the key to having healthy teeth.

Crowns and Bridges

Crowns

A crown covers a tooth to restore it to its normal shape and size. A crown can also cover and support a tooth that has a large existing filling when there isn’t enough tooth structure left. It can also be used to protect a weakened tooth or restore one that has broken.

In certain applications, all-porcelain crowns or bridges can be used in an area where esthetics is a concern.

Bridges

A bridge replaces missing teeth and “bridges” the gap where one or more missing teeth may have been. A bridge is cemented in permanently and provides a non-removable sturdy option to replace missing teeth.

Same Day Crowns (Cerec)

We are happy to announce the addition of Cerec AC CAD-CAM technology to our practice. With this new technology we can make porcelain crowns and inlays in a single visit, so there is no need for impressions or temporaries.

Instead of taking an impression, your teeth are scanned into a computer. The crown is then designed in the office by the doctor and then made by a milling machine while you wait, thus eliminating the need for a second appointment and the temporary crown.

Click here for Same Day Crowns

Temporomandibular Disorders (TMD)

Patients with habits such as clenching or grinding can be fitted with a mouth guard to protect their teeth from more damage. A hard guard can be fitted for the upper teeth or the lower teeth. A hard guard for the lower teeth can be beneficial for those that tend to grind or clench during the day. Please download our TMJ fact sheet for more information about alleviating TMJ symptoms.

Periodontal Therapy

  1. Periodontal disease is considered a chronic bacterial infection in the gums, and is known also as gum disease. In the United States, periodontal disease is the primary reason for adult tooth loss. This silent infection occurs when harmful bacteria travel under the gumline and create “pockets”—a space in between the gums and bone around the teeth. If left untreated, the pocket can harm the surrounding bone around the tooth, and can cause tooth loosening and ultimately tooth loss.
  2. Pockets – Our office measures the pockets between the gum and tooth approximately every other cleaning. A 2-3mm reading is a “good” pocket. A 4-5mm reading may be an “at risk” pocket. A 6-7mm reading usually means some degree of gum disease has started.
  3. Deep scaling treatments can aid in cleaning out the pocket, and can sometimes help the pocket reattach at a higher level, making the “pocket” smaller. We offer deep scaling treatments in our office when indicated. An adjunct to the deep scaling treatment is Arestin therapy.
  4. Arestin is a small amount of antibiotic powder that is easily placed into the affected periodontal pocket which can help aid in the reduction of pocket depth.

Extractions

We do simple extractions at our office. When the teeth’s roots have curvatures, or if we believe that an oral surgeon may be better equipped for the extraction, we generally will refer the patient to an oral surgery office. We generally do not extract wisdom teeth, although there are exceptions.

Cosmetic Dentistry

Porcelain Veneers
Veneers are tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.

Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions. Veneers can be used to close spaces between teeth, to change the shapes of the teeth, to change the color of permanently stained teeth, and to give the appearance of straight teeth.

Bleaching Information:
We have been providing brighter, whiter smiles for our patients for over 15 years. The peroxide based formulas that we use are safe and effective. We currently offer 3 different methods of bleaching. See which one may be right for you!

Here is an overview of bleaching options we provide:

Boost: This is a one-time, one and a half hour bleaching treatment done in our office. Prior to the procedure you will be given prescription-strength, fluoride toothpaste for you to use for 2 weeks to help reduce sensitivity that may occur during and after treatment. The unique aspect of this treatment is that your teeth will continue to lighten for 24-48 hours after your in-office treatment. During this time you will need to stay away from foods and beverages that may re-stain teeth (i.e.: coffee, tea, dark sodas, berries, tobacco, red wine, curry and red sauces) until your teeth naturally become resistant again. Includes take-home bleaching trays

Take-home bleach trays: This is the preferred method for most people. Impressions are taken of your teeth and custom trays are made. The bleaching is done at home every day for 1-2 hours (or overnight) for 2-4 weeks. The advantage to these take-home trays is that you are in control of the final result. You can use your trays to do touch-ups as you please. (Bleach refill kits are avail. in office)

Crest Professional White-strips: This is the most economical way to bleach your teeth and it works well in most cases. Our professional strips are about 40% more powerful than the Crest bleaching strips sold in drug stores. The Crest Strips are simply placed right over the front side of your teeth and wrap around to the back. They are used twice a day for 30 minutes for a total of 1 hour per day. The most effective result will be reached by finishing the entire 28-day cycle of strips.

A small percentage of our patients have not been able to complete their bleaching due to tooth sensitivity. Bonded tooth-colored fillings and porcelain crowns and bridges are not affected by the bleach.
**Bleaching results differ from person to person. Dramatic results may not be achieved. **

 

Bonding
Bonding can improve the appearance of teeth that are broken, chipped, cracked, stained, or have spaces between them. Bonded fillings are tooth colored, and adhere to natural tooth structure.

Composite (tooth colored) fillings are often done in our office when there is decay present or when we are replacing old, broken, deteriorating silver fillings.

Inlays and onlays are recommended when only partial restoration of a posterior tooth is required.