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treatments

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Preventative recall program

  • This applies to patients of all ages.
  • Dependant on age, gingival health, and risk of decay.
  • Individuals who are high risk for periodontal disease or decay should be seen more frequently for monitoring.
  • Recall or periodontal exams will be performed on patients following their scheduled cleanings.
  • Digital dental radiographs (x-rays) will be taken on a case-by-case basis. Different types of x-rays are used to assess varying dental issues: symptomatic or painful teeth (periapicals), decay and bone levels (bitewings), and wisdom teeth/TMJ/bone pathology (panorex).
  • Digital x-rays are much safer than traditional film-based x-rays. They have significantly less radiation, are quick and easy to process with digital x-ray software, and can be displayed on a computer or television screen.
  • Although it is strongly recommended to take x-rays to properly diagnose a condition, it always remains up to the patient to have them performed. All risks of not taking x-rays will be informed to the patient prior to making a decision and treatment may be limited based on that decision.
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Restorative treatment

  • Includes decay removal, replacement of failing restorations, repairing of broken or fractured teeth, and improvement in tooth esthetics.
  • Types of fillings include composite (white), amalgam (if requested by patient), glass-ionomer (where fluoride release will help prevent future decay) and temporary filings when decay is deep and close to nerve.
  • Crowns are performed to protect heavily restored or root canal treated teeth, as these teeth are heavily weakened and prone to fracture. Crowns may be all-ceramic, porcelain-fused-to-metal, or full-metal crowns, depending on the dental situation and taking patient’s input into account.
  • Inlays, onlays, and cosmetic porcelain veneers are also restorative procedures that are provided by our office.
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Periodontal services

  • This involves scaling and root planning of teeth.
  • Used to control periodontal or “gum disease”.
  • 3, 4, 6, 9 or 12-month periodontal maintenance program depending on the status of gingival tissues, bone levels, genetic predisposition, and other patient specific factors (medical history, finances, etc.).
  • Specialized periodontal procedures that may not be performed in our office (e.g. gingivectomies, crown lengthening, connective tissue grafts) will be referred to our periodontist.
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Extractions

  • Removal of teeth that cannot be saved, either due to extensive decay, significant bone loss, or infection.
  • Includes wisdom tooth removal when symptomatic and safe to remove (not close to nerve or sinus).
  • If tooth removal will pose a significant risk (abnormal anatomy, close to nerve or sinus, complicated medical history etc.), extraction will be referred to an oral surgeon.
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Root canal treatment

  • Occurs when the nerve inside the tooth has significant inflammation that either cannot be reversed or is no longer vital.
  • Involves removing the damaged or dead nerve tissue in the tooth, cleaning the canal anatomy, and resealing the canal space from the apex (end) of the root to the pulpal chamber (where the canal spaces start).
  • Can be performed on all teeth (anterior, premolar, and molar teeth). If the anatomy of the tooth is complicated, the case may be referred to an endodontist who specializes in root canal treatment.
  • All retreatment cases will be immediately referred to the endodontist.
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Mouth guards/Sport guards

  • Clenching or grindings habits have become very common, resulting in the wearing of enamel (attrition), tooth flexure in the bottom third of the tooth (abfraction), and recession.
  • These habits can occur during the day, while sleeping at night, or during sports activities and may not even be noticed by the patient.
  • Mouthguards can protect during the night-time while sleeping, as well as during the day if clenching/grinding evident.
  • Sport guards are very important to prevent trauma and TMJ injuries, especially in sports with heavy contact.
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Prosthodontics

  • Area of dentistry involving dentures (partial/complete), bridges, and implants, all performed at our office.
  • Bridges, like crowns, may be all-ceramic (porcelain), porcelain fused to metal, or full metal.
  • Partial dentures may be cast metal or acrylic.
  • Relining of complete or partial dentures is available.
  • Surgical implant placement will be performed by an oral surgeon (which may include bone grafting, sinus lifts, or other forms of bone augmentation if necessary).
  • The final implant prosthesis (single crown, multiple crowns, bridge, or implant-supported denture) will be completed by our office.
  • Patients will be active participants in all phases of treatment and will help determine shade, contour and overall esthetics, comfort, and functionality.
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Temporomandibular issues

  • Patients may have TMJ issues (e.g. clicking, lock-jaw, limited opening, temporal discomfort, arthritis).
  • We refer to an osteopathic manual practitioner at Tri-Med to help alleviate and improve TMJ conditions.
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Tooth Whitening

  • Tooth whitening provided by our office is a take home kit involving custom-made whitening trays that are fabricated in-office.
  • Patients will be fitted for the whitening trays and shown how to properly apply the whitening agent.
  • Please follow the manufacturer’s instructions for the whitening agent.