Restorative Dentistry

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Tooth Colored Fillings

Bonding, including tooth colored fillings, is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored teeth.

A composite resin tailored to match your specific tooth/teeth is used. It is molded and sculpted over an adhesive gel that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin, which is then polished to give you a fresh, new smile.

Tooth colored fillings are an obvious improvement over unsightly silver amalgam fillings. With the advancements in dental technology, tooth colored fillings usually lasts for over 10 years. They are a safe, affordable, and attractive solution for many dental problems.

Dental bridges are a great way to replace missing teeth. Your existing teeth are used to literally create a bridge to cross the area where your tooth is missing. Bridges are made from gold, metal, alloys, or porcelain to ensure that they are strong and durable. 

The process of creating a bridge begins by creating abutments out of your existing teeth where the bridge will be attached. The existing teeth are recontoured to provide a base for the bridge. After the abutments have been created, a mold is taken of the area which is sent to a dental lab. The lab is able to use the mold to create a bridge that will fit properly and feel as close to your natural teeth as possible. The bridge consists of two crowns on either end to place on the abutments and a pontic, which is the new tooth that replaces your missing tooth.

We will fit you with a temporary bridge while we wait for the lab to craft your permanent bridge. This will protect the abutments and the exposed gum areas and look more appealing than having a missing tooth. When the permanent bridge has been created, you will have a follow up visit to set the bridge. It will be placed on the abutments and the dentist will then use an adhesive to make sure that the bridge is set.

The bridge may take a little while to get used to, but after a few days it should feel like you have your own teeth back again. You should eat soft foods for the first few days after having your bridge placed. After the initial phase, you will be able to eat whatever you want with no issues.

If you are missing a tooth you should strongly consider having it replaced. Besides the aesthetic disadvantage of missing a tooth, it could also cause structural changes to your mouth and jaw, as well as making it difficult to eat or speak properly. Set up an appointment today to restore your smile.

Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks, discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your smile. If your dentist notices that a tooth is decayed or seems weakened/cracked, a crown may be necessary to make sure that there are no additional problems with the tooth. In cases like this, a filling or bonding will not be sufficient.

Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural look and feel, a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This will allow it to blend in and appear just like one of your natural teeth.

The process of installing a crown takes 2-3 visits to the dentist. On the first visit, the tooth will be reshaped by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that you do not experience any discomfort. Once the tooth has been reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental lab so that your new crown can be made to ensure that it fits in the spot created for it and looks the same relative to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your permanent crown is ready.

The crown takes about 2-3 weeks to be returned to your dentist. At this time, you will have another appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if you would like to learn more about how crowns can help restore your smile.

Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are better than other alternatives, like bridges, because no additional teeth need to be altered to place the new tooth.

The entire implant process is performed over the course of a few months. The first part of the process is to install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that the implant can be inserted. Multiple implants can be placed at once, if necessary. After the implants are placed, the gums are sutured.

The implant must be allowed about 3-6 months to heal while the jaw bone forms around the implant in a process called osseointegration. During this healing time, you can have temporary crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for your smile.

After the implant has healed, it is time to place an abutment on the implant. The abutment serves as the base for your new tooth. Once this is placed, an impression of the abutment is taken and is used to create your permanent restoration. We use an outside lab to create the actual crown. Once the restoration is completed, you can return to the office to attach the restoration permanently. Your smile will look just like it used to, and after a short period of getting used to the implant, it will feel just like one of your own teeth.

Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures are used when all of the natural teeth are removed from the mouth and replaced with a full set of dentures. There are two types of full dentures.

  • Conventional Full Dentures – This is when all the teeth are removed and the tissue is given time to heal before the dentures are placed. It could take a few months for the gum tissue to heal completely, and during this time you will be without teeth.
  • Immediate Full Dentures – Prior to having your teeth removed, your dentist takes measurements and has dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth heels. The dentures will need to be tightened after the jaw bone has healed.

Partial dentures are another option when not all of your teeth need to be removed. This is similar to a bridge, but it is not a permanent fixture in your mouth.

Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over your gums. Some people say that it feels bulky or that they don’t have enough room for their tongue. Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better than the alternative of not having teeth.

Even though dentures are not real teeth, you should care for them like they are. You should brush them to remove plaque and food particles before removing your dentures. After they have been removed you should place them directly into room temperature water or a denture cleaning solution. Never use hot water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when handling them so you don’t drop them. Also, never try to adjust your dentures yourself. You could ruin them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.

Root canals are probably the most notorious procedure in dentistry and the most common procedure relating to endodontics. When a tooth becomes infected, it is usually related to the nerves in the root of the tooth. The infected nerves need to be removed. If left untreated, an infection can turn into an abscess, which is a much more serious problem that includes bone loss in the jaw.

The area around the tooth is numbed with a local anesthetic to start the procedure.

Dr. Waind will then drill down into the tooth to create an opening into the canal. He will then be able to remove infected tissue and clean the canal. After the infection has been removed, the space is filled with a sealant called gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown. This will improve the appearance of the tooth, and will also make it much more likely that the root canal is successful.

“Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and advances in dental technology that we use have made it quite palatable. Local anesthetics and proper pain medication allow the procedure to be performed with little to no pain in most cases and many of our patients tell us that Dr. Waind is gentle in his care with this procedure. There may be some soreness following the procedure, but that is normal for most dental procedures. Over-the-counter painkillers are usually enough to relieve any pain afterwards, but Dr. Waind may prescribe medication. The procedure will also relieve you from pain caused by the infection allowing you to enjoy all of the foods you love without any pain from heat, cold, or biting too hard. If you are experiencing pain, consult with Dr. Waind today.

Wisdom teeth extractions are a fairly common procedure. Wisdom teeth often cause problems as they are trying to protrude through the gums. When a wisdom tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.

When a wisdom tooth only emerges partially, a flap of skin, called an operculum, may form over the tooth. This can make the tooth hard to clean and pieces of food may be caught under the skin. This makes it easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes swelling and pain in the area.

Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed. Extractions can range from a single tooth, to removing all four wisdom teeth at once. In many cases, a local anesthetic could be used to numb the areas where the teeth will be extracted.

The gum tissue around the wisdom tooth is cut open to reveal the tooth. The tooth is loosened by gripping it tightly and wiggling it back and forth until it can be lifted out of the gums. Sometimes a tooth may be impacted so tightly that it cannot be simply lifted out of the gums. In cases like this, the tooth will be broken up into pieces first before being removed. Depending on the incision and extraction site, sutures may be needed to close the area. Soluble sutures are the best option, which will dissolve on their own.

After the surgery you will need to rest. You need to be driven home by a friend or family member because of the anesthesia. You can expect for the extraction site to bleed for a little while after the surgery. Gauze will be applied at the completion of the surgery, and you will need to change it when it becomes soaked. If bleeding continues for longer than 24 hours, you should call our office. Rest when you return home, but do not lie flat. This could prolong the bleeding. Prop your head up on a pillow when lying down. In many cases, Dr. Waind will prescribe you pain medication, so if you become sore, take the medication as directed. You can also use an ice pack for the pain. Your dentist might also provide you with a cleaning solution to clean the extraction site.

You will be limited to soft foods for a few days after your surgery. Some recommended foods are:

          • Gelatin
          • Pudding
          • Yogurt
          • Ice Cream
          • Mashed Potatoes
          • Thin soups
          • And other foods that you can eat without chewing.

In many cases, Dr. Waind will prescribe you pain medication, so if you become sore, take the medication as directed. You can also use an ice pack for the pain.