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+Preventive Dentistry
We take Benjamin Franklin’s axiom by heart when it comes to oral health. Our top priority is not to treat diseases, but rather providing guidance to as many patients as possible on how to prevent diseases. Prevention protects your investments in oral health. Prevention saves money and minimizes suffering. Prevention ensures that your youthful smiles will last, your self-esteem is boosted ,and you can concentrate on achieving other success in life. We designed a program that makes preventive measures easy and affordable.
Removing Diseases and Repairing Damages Prevention works the best when an oral cavity has no chronic diseases or interfering damages.

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If you are a new patient, we will always provide a complete examination of your teeth, gum, and other areas in your oral cavity. We will provide a detailed report and treatment proposals. You will be an active partner with us in formulating a treatment plan that fits your budget and time frame. As treatment progresses, you are constantly advised of what can be done to prevent the same problems from occurring again. You are in the know, and you are in control!
Home Care—the Most Important Part of Prevention We cannot emphasize enough the importance of brushing and flossing after each meal, and a comprehensive hygiene routine after dinner. It is important to know how to brush properly. We also recommend waterpik and interproximal brushes to help cleaning your teeth. Mouth rinses should be used after your teeth are properly brushed.
Periodical Dental Visits—Another Important Part of Prevention We recommend six-month regular check-ups and teeth cleaning for most patients, and three-month maintenance for patients with gum disease and other special conditions. During your regular visits, we will check your teeth and gums. If they need treatment, it is to your advantage to get them done promptly so that the damage is minimal.
Preventing Physical Damages Physical damages are preventable if you pay attention to them. We recommend mouth guard if you are active in sports activities, and night guard if you grind your teeth at night.
Orthodontic Treatment—Multi Factorial Prevention When front teeth are flared, it is easy to

suffer fracture or trauma. When teeth are crowded, it is much harder to perform proper home hygiene and consequently it is easy to get cavities, gum diseases and TMJ disorders. Therefore, we recommend braces or Invisalign to straighten your teeth so that a proper maintenance can be achievable.
Other Preventive Measures We recommend reduce consumption of food or drinks with high sugar contents, quit cigarette smoking, and get sealants and fluoride treatment for children. Patients who are pregnant, have diabetes, cardio-vascular diseases or cancer, or are on certain medications

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should consult us on how to customize a preventive program to maintain your oral health as well as your general well-being.

+Composites (also known as Bonding or White Fillings)
Bonding and tooth colored fillings are a group of restorative materials called composite resin. They are essentially plastic materials that are chemically bonded to natural tooth struncture to repair physical defects (such as chips, wear, gum line notches, etc) or to repair chemical defects (erosions) or to fill cavities (decays). They can also be used as low cost alternative cosmetic procedures for a variety of dental conditions, such as gaps , minor crooked/uneven teeth, discolorations, etc. Physical Defect Repair image017image018image019 Chemical Defect Repair (erosions) image020 Cavity Filling in the front teeth image021 Cavity Filling in the back teeth image022 Closing Gaps image023 Reshaping/Repositioning of Teeth image024 Color Modification image023 Composite bonding may look very similar to porcelain veneers when they are new. However, they do not last as long as porcelain, and not as color stable as porcelain. For more cosmetic and lasting smile enhancement, we recommend porcelain veneers
+Crown and Bridge
What is a Crown A crown – sometimes called a “cap” – is a tooth-like covering placed over a carefully prepared existing tooth. Used to strengthen, restore or improve the appearance of your natural tooth, a crown is placed on an individual tooth when there is no longer sufficient tooth structure left to place a filling. Crown is also required when a tooth has root canal treatment. Crowns are made of all porcelain or porcelain fused to metal, which looks almost like your natural tooth. However, there might be indications for all metal crown for back teeth (gold or other precious metal alloys), such as heavy grinders, etc. With advent of newer materials (i.e… Zirconium), the need for metal crowns has gradually diminished.

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IMG_11032014_120802_1 What is a Bridge and Why Are Crowns Involved? A bridge is a custom device anchored to neighboring teeth that replaces one or more missing teeth. When a lost tooth is replaced with bridgework, the teeth on either side of the missing one must be prepared as crowns to serve as abutments to hold the prosthetic teeth in place. This gold standard for replacing missing teeth has be challenged in recent years when dental implants becomes preferred treatment for missing teeth. However, if implant treatment is not possible, and your adjacent teeth were previously crowned and in need of replacement, we may still make bridges for you, and we will educate you on proper maintenance for long term success.

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What is Involved for Getting Crowns and Bridges? After careful examination of your teeth, bone and gum condition, and both the dentist and patient agree on a crown and/or bridge treatment, it takes two visits to finish the treatment, 2 weeks apart.

+Veneers
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 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.
+Implant Restoration
Dental implants are artificial tooth roots that are surgically placed into the bone and gum tissue. Once they have properly integrated with the existing bone, they will be able to support dental restorations that provide esthetics and functionality of natural teeth. Dental implants can be used to support dental crowns, dental bridges, and variety of dentures.

Single tooth missing

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When an implant is placed to replace a single missing tooth, the best restoration is an implant supported crown that looks and feels like the original tooth.
Multiple teeth missing

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When two or more consecutive teeth are missing, an implant supported fixed bridge is the best option for restoration. Comparing to one implant per missing tooth, it requires fewer implants, less surgery, and more affordable.
All teeth missing

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If all teeth are missing, there are many choices to restore the lost function and esthetics. We will present more detailed discussion with you at your free consultation appointment. Briefly, the more popular options are:

  1. One or more fixed implant bridges
  2. Hybride fixed denture
  3. Overdenture
+Dentures/Partials
What is Denture A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available — complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.
Complete Dentures Complete dentures can be either “conventional” or “immediate.” Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed. If patient cannot be without teeth right after teeth removal, an immediate denture can be made prior to teeth removal, and inserted right after teeth removal. Bear in mind this type of denture can only be used as a temporary solution and used mainly for cosmetic considerations. Patients who chooses this treatment should expect some initial discomfort and multiple Adjustment after.

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Partial Dentures A removable partial denture usually consists of replacement teeth attached to a pink -colored plastic base, which is connected by metal framework that holds the denture in place in the mouth. One or more metal clasps clips on natural teeth for retention. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw.

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Pros and Cons of Dentures (when compared to other treatment modalities, such as fixed bridges or implants)

  • Pros: economical, relatively short treatment time, no surgeries needed after teeth removal, easy to clean and easy to repair.
  • Cons: adaptation difficulty (especially full dentures) affecting speech, eating, salivation and unnatural mobility, multiple adjustments needed, continued jawbone reabsorption and gum shrinkage.

However, once patient gets used to dentures, many of the initial problems will disappear. For better alternatives, we recommend implant-retained over dentures or implant supported fixed bridges.

+Periodontal Treatment
What is Gum Disease? Gum disease is an infection of the gums and surrounding tissues. The two forms of gum disease are gingivitis, a mild form that is reversible with good oral hygiene, and periodontitis, a more severe form that can damage the soft tissues and bone that support teeth. If left untreated, periodontitis can lead to tooth loss. In its early stages, gum disease is usually painless, and many people are not aware that they have it. In more advanced cases, gum disease can cause sore and bleeding gums and pain when chewing. It also causes bad breath.

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What causes Gum Disease? Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless “plaque” on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.
Gingivitis–Reversible Gum Disease

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The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist. It does not involve bone loss.
Periodontitis–Involving Bone loss and Damaging Your Heart and Other Organs

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When gingivitis is not treated, it can advance to “periodontitis”. In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

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Periodontitis and Your General Health Due to chronic infection of the gums, our body produces high levels of C-reactive protein (CRP) which increases risks for heart attack, stroke and other systemic diseases. Women are more susceptible to gum disease due to hormonal fluctuations. Periodontitis during pregnancy may also harm your baby. Once treated, these harmful effects can decrease or disappear.
How to Prevent Gum Disease? Regular dental visits and due diligence with daily brushing and flossing are the most important steps in gum disease prevention. If gum disease is diagnosed, prompt treatment is imperative for better teeth and better health. Treating gum disease can improve your general health, your social life, and even your longevity.
Gum Recession (Noninfectious)—Under Treated but Prevalent Gum Disorders Gum recession can be caused by as simple as overzealous brushing. It can also be caused by abnormal biting force (night bruxism, crooked teeth, etc), aging, eating disorders, dipping tobacco, gum disease or adult braces treatment. When gums recede, tooth appears longer and shows black triangles. Also affected tooth may be sensitive to cold or even touch. Untreated gum recession deteriorates over time, and exposed roots may suffer decay. Eventually it may cause tooth loss.

+Root Canal Therapy
A root canal treatment (RCT) is a procedure used to save a tooth when the nerve of a tooth is infected due to deep decay, fracture or trauma. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form. This not only causes episodic pain to patient, the infection may spread to other vital organs resulting in more severe damages or even death.

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There are only two procedures that can be done to stop the infection: RCT or extraction. Taking an antibiotics can be a temporary help, but it cannot eradicate the infection. If tooth structure is still sound, a RCT is the treatment of choice to save it. If a tooth is severely damaged, and the foundation of it is compromised, tooth extraction and dental implant may be a better option. A canal in the center of a root contains nerves and blood vessels. A tooth’s nerve is not vitally important to a tooth’s health and function after the tooth has emerged through the gums. Its only function is sensory — to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth. RCT procedure involves administering a local anesthesia to numb the tooth, removing decays or damaged tooth structure, removing the nerves along with the other soft tissue in the canal, cleaning and shaping of the canal, and sealing the canal with a rubber-type material. Afterwards, a temporary filling material is placed to fill the tooth. The final step may involve further restoration of the tooth. Because a tooth that needs a root canal often is the one that has a large filling or extensive decay or other weakness, a post and a crown are needed to protect it, prevent it from fracturing, and restore it to its full function.

+Extractions
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+Zoom
The smart professional way to whiten your teeth. Only dental professionals have access to the professional strength whitening power of Zoom. Zoom whitening is the # 1 patient requested whitening treatment. Check out our Zoom page here to read more about this fabulous product.
+Invisalign
The clear removable aligners to straighten your teeth without braces or metal wires. Check out our Invisalign page here to read more about this fabulous product.

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