Dental Exam & Cleaning

Dental Exam - Your dentist will perform a comprehensive dental exam on your initial visit. The following will be included during your

Regular check up exam:

Examination of Diagnostic X-Rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-Rays also help determine tooth and root position.

Oral Cancer Screening: Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer.

Gum Disease Evaluation: Check the gums and bones around the teeth for any signs of periodontal disease.

Examination of Tooth Decay: All tooth surfaces will be checked for decay with special dental instruments.

Examination of Existing Restorations: Check current fillings, crowns, etc.

Professional Dental Cleaning - Your Cleaning appointment will include a dental exam and the following:

•Removal of Calculus (tartar): When plaque has been left on the tooth for some time it then hardens and firmly attaches to the tooth, it then becomes calculus. Calculus forms above and below the gum line and can only be removed with special dental instruments.

•Removal of Plaque: Plaque is usually a pale yellow almost invisible film that forms on the surface of your teeth. This consist of living bacteria, food debris, and saliva causing gums to inflame. The inflammation of your gums can be the start to periodontal disease.

•Teeth Polishing: During tooth brushing and scaling we remove the remaining stains and plaque.
Dental X-Rays

Dental radiographs also known as x-rays offer us valuable information such as hidden dental abnormalities that aren't visible during an exam. Your healthcare professional will then be able to create an accurate dental treatment plan based on this information. Finding and treating dental problems early can save your teeth in addition to time, unnecessary discomfort, and money.
Are dental x-rays safe?

Dentists take all necessary precautions to limit the amount of exposure to radiation. They use a modernized film that cuts down the amount of exposure time in addition to a lead apron used to protect and shield the body.

*Everyone is exposed to natural radiation daily. The amount of radiation an individual received in one single day is equivalent to full month series of x-rays.

How often should dental x-rays be taken?

A full series of x-rays is recommended for all new patients and are usually good for 3 to 5 years. During a regular check-up a bite-wing-x-ray is taken to detect new problems. Reminder: It's recommended to visit the dentist twice a year

Bite Wing X-Ray: Radiograph of top and bottom teeth biting together
The need for a dental x-ray depends on the individual. A patients medical & dental history, dental exams, signs, symptoms, risk of disease, and age consideration will be a factor in the recommendation for necessary x-ray.
Dental x-rays may reveal the following:

•Bone loss
•Abscesses or cysts
•Cancerous and non-cancerous tumors
•Decay between the teeth
•Development Abnormalities
•Poor tooth and root positions
•Problem inside a tooth or below the gum line

Home Care

Brushing your teeth at least twice a day, especially before going to bed at night and using a variety of dental aids that help control plaque and bacteria are highly recommended to prevent future dental problems from happening. Electric toothbrushes are also recommended and approved by the ADA (The American Dental Association). They are easy to use and can remove plaque efficiently.

*Reducing the number of snacks that are consumed in addition to eating balanced meals plays a role in your home care treatment.
Brushing instructions:

1. Place the toothbrush at a 45 degree angle to the gums and gently brush using small, circular motion, ensuring that you always feel the bristles on the gums.

2. Brush the outer, inner and biting surface of the tooth.

3. Use the tip of the brush to clean the inside of the front teeth.

4. Brush your tongue to remove bacteria and freshen your breath.

Flossing - The best way to clean between the teeth and under the gum-line is to floss daily. This also prevents damage to the gums, teeth, and bone. Floss holders are recommended if you have difficulty using conventional floss.

Flossing Instructions:
1. Take 12-16 inches of dental loss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
2. Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
3. Curve the floss into a "C" shape around each tooth and under the gum-line. Gently move the floss up and down, cleaning the side of
each tooth.

Rinsing - Rinsing your mouth with water after brushing and also after meals is important if you are unable to brush. Please consult with your dentist if you are using an over-the-counter rinsing product.

Brushing and flossing prevents the following:

•Prevention of Tooth Decay: This occurs when the acid found in plaque erodes the natural enamel found on teeth. **This requires complex dental procedures and is the leading cause of tooth loss.

•Prevention of Periodontal Disease:This is a very serious and highly progressive condition. This too can cause tooth loss in addition to gum recession, and jawbone recession. This is caused by toxins found in plaque and can cause serious health problems to other part of the body.

•Prevention of Halitosis:Halitosis also known as bad breath is caused by old food particles on or between the teeth. This can easily be removed with regular brushing and flossing.

•Prevention of Staining:The yellowing or staining of the teeth can be due to several factors such as Coffee, tea, and smoking just to name a few. Regular brushing and flossing will prevent these stains from becoming permanent.
Through oral home care routines should be practiced on a daily basis to avoid future dental problems.

Oral Hygiene Aids
Here are the most common oral hygiene aids for home care
•Dental Floss
•Interdental Cleaners
•Mouth Rinses
•Oral Irrigators (Water Jets and Waterpiks)
•Rubber Tip Stimulators
•Tongue Cleaners
•Toothbrushes
•Electric Toothbrushes (Recommended)

If you have any questions about oral hygiene aids, please ask us!

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Composite Fillings

A composite is a tooth colored filling and is most widely used as it can be closely matched with the existing tooth. This is also best suited for visible teeth. There are a variety of different filling materials available. Ask your dentist which option is best for you as they each offer their own advantages and disadvantages.

Composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile. 

Usually a composite filling is placed in the duration of one appointment. Initially after your tooth is numb, the dentist will remove all decay and clean tooth prior to placing new filling. Sometimes, The decay is near the nerve and it requires special medication for added protection. In many occasions, sensitivity to hot or cold may occur once placed. However, it will subside once the filling is shaped,  polished and restored to its original shape. Good oral hygiene practices, eating habits, and regular dental visits will help in the life of your new fillings. 

Reasons for composite fillings:

• Chipped teeth 
• Closing space between teeth 
• Cracked or Broken teeth
• Decayed teeth
• Worn teeth 

Crowns

With a crown the tooth is protected, covered and encased restoring it to its original shape and size. There are many different types of crowns. Porcelain crowns are extremely durable and made to match the shape, size, and color of your teeth giving a more natural smile. 

In most cases a crown procedure usually requires two appointments. During your first initial visit several accurate molds (impressions) will be used to create a temporary and new crown. The dentist will then numb the tooth and prepare it by removing all decay and shaping the surface to properly fit crown. The crown will then be placed with temporary cement followed by a bite check to ensure your biting properly. The temporary crown will be placed on your tooth for about two weeks or until your new crown is fabricated by a dental laboratory. Then at your next visit, a temporary crown will be removed, tooth will be cleaned and replaced with your new crown. The dentist will then ensure the bite and spacing are accurate.

Regular dental visits are recommended to check your new crown.

Reasons for crowns: 

• Broken or fractured teeth
• Cosmetic enhancement
• Decayed teeth
• Fractured filling 
• Large filling
• Tooth has a root canal

Dental Implants 

Dental implants are artificially natural looking roots and teeth providing a fixed and great solution to replacing missing teeth. They are surgically placed on to the upper or lower jaw bone and last many years. Sometimes due to normal wear they may have to be re-tightened or replaced.  

Getting implants requires a numerous amounts of visits over several months. During you first visit, x-rays and impressions of your jaw and teeth will be taken to determine bone, gum tissue, and spacing available for implant. After numbing the area, the implant will be surgically placed into the bone allowing it to heal and integrate onto the bone. In some cases, a second surgery is required. After several weeks of healing, one to two months of several fittings may be required. Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant. 

Reasons for dental implants:

• Replace one or more missing teeth without affecting adjacent teeth
• Resolve joint pain or bite problems caused by teeth shifting into missing tooth space
• Restore a patient's confident smile
• Restore chewing, speech, and digestion
• Restore or enhance facial tissue
• Support a bridge or denture, making them more secure and comfortable

Dentures & Partial Dentures

Dentures are removable dental appliances made to resemble your natural teeth. They are very durable but sometimes have to be repaired, reajusted or even remade due to normal wear. 

Getting dentures requires several appointments. During your first few appointments, impressions & measurements will be taken to create your very own, highly accurate, customized dentures. Then at your final appointment, the complete denture will be placed to ensure you receive a natural, comfortable, and perfect fit. To lengthen the life of your dentures, it is encouraged to thoroughly clean your appliance, have good hygiene, and visit the dentist regularly. 

Types of dentures:

Full Dentures - designed to replace all missing teeth. 

Partial Dentures - designed to replace a few missing teeth (in a row), and prevents others from shifting.

Immediate dentures are inserted on the same day and conventional dentures are placed once the gum tissue is healed, which could take 4 to 6 weeks. 

Reasons for dentures:

• Complete dentures - Loss of all teeth in an arch
• Partial Dentures - Loss of several teeth in an arch
• Enhancing smile and facial tissues
• Improving chewing, speech, and digestion

Fixed Bridges

Fixed bridges are a great way to replace missing teeth. These non-removable appliances are usually made of porcelain fused to metal. A bridge consistst of two crowns that cover two anchoring teeth bonded with a pontice (artificial tooth) to fill in gaped space.  Fixed bridges last many years and are extremely durable. Sometime they may need to be recemented due to normal wear. 

Getting bridges requires a couple of visits. At your first visit, the dentist will prepare the anchoring teeth by removing a portion of the enamel. Then after your impressions (mold) are made, they will be sent to a dental laboratory where your bridge will be constructed. You will then be supplied with a temporary bridge until your new one is ready. Once your new bridge is ready, it will be adjusted and cemented to ensure a perfect fit. It's highly recommended and encouraged to properly floss, brush, and visit the dentist regularly to prolong the life of your new permanent appliance. 

Reasons for a fixed bridge:

• Fill space of missing teeth 
• Maintain facial shape
• Prevent remaining teeth from drifting out of position
• Restore chewing and speaking ability
• Restore your smile 
• Upgrade from a removable partial denture to a permanent dental appliance

Inlay Restorations 

Inlay restoration is a custom made filling that uses composite material, tooth colored porcelain, or gold.  Inlay restoration is made in a dental laboratory, and it's cemented into the tooth permanently by the dentist. Since inlays are a conservative approach to repairing teeth, it is used for defective fillings, decay, or trauma.  The most conventional inlay and composite fillings are silver.  Unlike a crown, an inlay restoration is less evasive. Though inlay restoration repairs the tooth, it is not necessarly permanent and may need to be replaced.  However, it is extremely proficient, and with quality care, it can last many years with a beautiful smile! 

An inlay restoration involves two dental visits.  The first visit includes an evaluation that incorporates several impressions that will be used to create a custom inlay. During the procedure, when the tooth is numb, the decay and/or filling material removal will occur.  The space will be completely cleaned, prepped, and shaped to ensure proper fitting of the inlay restoration.  During this visit, a temporary filling will be applied while your inlay is being made. On the second visit, the new inlay will be properly fitted and carefully cemented into place.  With a few adjustments to ensure a proper fit, it will be secured and made comfortable for your bite.

In order to maintain the inlay restoration, it is recommended to practice good oral hygiene, a proper diet, and schedule routine dental check ups to ensure your inlay restoration will be long lasting.

Reasons for inlay restorations:

• Broken or fractured teeth
• Large Fillings
• Cosmetic enhancement 
• Decayed teeth
• Fractured filling

 Onlay Restorations

Onlay restorations are the use of composite material in order to create a custom made filling.  The material could be gold or tooth-colored porcelain.  An onlay has often been called a partial crown.  This has been created in a professional dental laboratory, and your dentist will make cement onlay onto tooth. Onlays are used to repair teeth that have large defective fillings, decay, or trauma.  Since onlays are less evasive, it is an ideal alternative to crowns.  Basically, onlays are identical to inlays, however the exception is that one or more of the chewing cusps have been affected and need to be included in the restoration.  Similar to other dental restorations, only is not necessary permanent and could require replacement.  However, they are extremely efficient and durable making your smile better than ever.

An onlay procedure can require two appointments. The first appointment is an evaluation that involves several highly efficient impressions that will be used to mold a custom onlay and temporary restoration. After numbing the tooth, the decay, filling, or fractured teeth will be removed. The space will be clean proficiently and prepped, making the area properly shaped to ensure a proper fit. There will be a temporary filling that is used to protect the tooth while the onlay becomes fitted. Onlay's are made in a dental laboratory. On your second visit, the new onlay will be fitted and carefully set with the use of cement to create a permanent placement. There may be a few adjustments, however, this is done to ensure comfortable fit and a successful restoration.

Once your onlay restoration is applied, maintain good oral hygiene, practice a proper diet, and regularly schedule routine dental visits, which will make the onlay have a longer lifespan.

Reasons for onlay restorations:

• Cosmetic enhancement
• Broken or fractured teeth 
• Fractured filling
• Decayed teeth
• Large Fillings

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Porcelain Inlays

Inlay restoration is a custom made filling that uses composite material, tooth colored porcelain, or gold.  Because porcelain inlays have a natural look, they are the most popular. Inlay restoration is made in a dental laboratory, and it 's cemented into the tooth permanently by the dentist. Since inlays are a conservative approach to repairing teeth, it is used for defective fillings, decay, or trauma. Though porcelain inlays repair the tooth, it is not necessarily permanent and may need to be replaced.  However, it is extremely proficient, and with quality care, it can last many years with a beautiful smile! 

An inlay restoration involves two dental visits.  The first visit includes an evaluation that incorporates several impressions that will be used to create a custom inlay. During the procedure, when the tooth is numb, the decay and/or filling material removal will occur.  The space will be completely cleaned, prepped, and shaped to ensure proper fitting of the porcelain inlay.  During this visit, a temporary filling will be applied while your inlay is being made. On the second visit, the new porcelain inlay will be properly fitted and carefully cemented into place.  With a few adjustments to ensure a proper fit, it will be secured and made comfortable for your bite.

In order to maintain the inlay restoration, it is recommended to practice good oral hygiene, a proper diet, and schedule routine dental check ups to ensure your inlay restoration will be long lasting.

Reasons for inlay restorations:

•Broken or fractured teeth

•Large fillings

•Cosmetic enhancement 

•Decayed teeth

•Fractured filling

Porcelain Onlays

An onlay restoration is the use of composite material in order to create a custom made filling. Because porcelain onlays offer a natural  tooth-colored look, they are the most popular. Onlays are often been called a partial crown. Porcelain onlays are created in a professional dental laboratory.  In regards to onlays purpose, it is used to repair teeth that have large defective fillings, decay, or trauma.  Since onlays are less evasive, it is an ideal alternative to crowns.  Basically, Onlays are identical to inlays, however the exception is that one or more of the chewing cusps have been affected and need to be included in the restoration.  Similar to other dental restorations, only it's not necessary permanent and could require replacement.  However, they are extremely efficient and durable making your smile better than ever.

An onlay procedure can require two appointments. The first appointment is an evaluation that involves several highly efficient impressions that will be used to mold a custom onlay and temporary restoration. After numbing the tooth, the decay, filling, or fractured teeth will be removed. The space will be clean proficiently and prepped, making the area properly shaped to ensure an onlay fit. There will be a temporary filling that is used to protect the tooth while the onlay becomes fitted. Your onlay will then be made in a dental laboratory. On your second visit, the new onlay will be fitted and carefully set with the use of cement to create a permanent placement. There may be a few adjustments, however, this is done to ensure comfortable fit and successful restoration.

Once your onlay restoration is applied, maintain good oral hygiene, practice a proper diet, and regularly schedule routine dental visits, which will make the onlay have a longer lifespan.

Reasons for onlay restorations:

•Cosmetic enhancement

•Broken or fractured teeth 

•Fractured filling

•Decayed teeth

•Large Fillings

Porcelain Veneers

Veneers are customized thin pieces of tooth shaped porcelain, used to bond onto the front of the teeth completely reshaping your teeth creating a beautiful smile. Veneers are an ideal solution to treating many dental conditions. Although they are extremely durable and will last many years, they are not permanent and may some day need replacement.  They too are fabricated at a dental laboratoy. 

The process of getting porcelain veneers usually takes a couple visits. With little or no anesthesia the dentist will prepare by lightly buffing and shaping the surface. Then an impression (mold) will be taken and the dentist will decide what color/shade will be chosen for your new veneers. During your next visit your teeth will be thoroughly cleansed to achieve a very durable bond. Once both tooth and veneers are bonded with a special cement,  a light beam will be used to harden and set the bond. As always it's recommended to brush, floss and visit the dentist regularly to prolong the life of your new veneers. 

Reasons for porcelain veneers:

•Worn or chipped teeth

•Crooked teeth

•Unwanted or uneven spaces

•Teeth that are too small or large

•Severely discolored or stained teeth

•Cosmetically creating a uniform, white, beautiful smile 

Tooth Whitening 

Tooth whitening is a non-invasive and simple way to change the color of your natural tooth enamel. This is also a great way to enhance the beauty of your smile. This is known to be the number one aesthetic concern of most patients. However, there are several ways to achieve this goal. One of the most popular methods is using the at home whitening system that will dramatically whiten your teeth. Being that tooth whitening only works on natural tooth enamel, it is highly important to evaluate the replacement of any fillings, crowns, etc. These are then replaced after whitening goal is achieved to match the newly bleached teeth. Since whitening is not permanent, a touch-up may be needed every few years. If you drink coffee, tea, wine, or even smoke, a touch-up maybe needed more often.

This type of tooth whitening requires only two visits. During your first visit, impressions (molds) of your teeth will be made to create a customized, clear plastic, tray. Then at your following visit, you will try on the tray to ensure proper fit. During this time adjustments will be made if need be. 

These trays will be worn twice a day for 30 minutes, or overnight depending on degree of staining or until desired level or whitening has been achieved. Feeling sensitivity during this time is normal, but it will subside once you have stopped bleaching. It's encouraged to regularly visit the dentist to keep-up and maintain a beautiful, white smile! 

Reasons for tooth whitening:

•Yellow or brown stained teeth 

•Fluorosis (excessive fluoridation during tooth development)

•Stained teeth due to medications (Tetracycline, etc)

•Normal wear of outer tooth level

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Root Canal Therapy

Root canal therapy is necessary when the nerve of the tooth is affected by decay or infection. In this case to save the tooth, the nerves, bacteria, decay, and the living tissue inside the tooth also known as the pulp are removed. Then the space is filled with medicated, dental materials, which restore the tooth to its full function.

Having a root canal, is a choice to save your tooth that otherwise would die and have to be removed. You may think that removing a tooth would serve as a solution, but in reality extracting a tooth will ultimately cause problem to the adjacent teeth and will be more costly. This treatment is highly successful and last a lifetime, although at times will have to be retreated due to new infections.

This procedure may require a couple appointments. During your visit, your tooth will be numb and a rubber dam will be placed around the tooth to keep it free of saliva and dry. After the access opening is made on the top surface of the tooth, a series of root canal files are placed into the opening. This allows for pulp, nerve tissue, bacteria, and decay to be removed. Then the tooth will be thoroughly cleaned and sealed with a permanent or temporary filling if additional appointment is needed. Tooth may be sensitive after treatment, but it will subside once tooth is healed and inflammation has diminished. Scheduling regular dental visits and good oral hygiene will help in the life of your root canal treatment. 

Signs and symptoms for possible root canal therapy:

•Sensitivity to hot or cold 

•Sometimes no symptoms are present 

•Swelling and/or tenderness

•An abscess (or pimple) on the gum

•Severe toothache pain 

Reasons for root canal therapy:

•Infection or abscess have developed inside the tooth or at the root tip. 

•Decay has reached the tooth pulp (the living tissue inside the tooth)

•Injury or trauma to the tooth.

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What is Periodontal Gum Disease

Periodontal (around the tooth) disease is condition that affects the supporting and surrounding soft tissue of the tooth. In some advanced stages it can even reach the jawbone. This disease is often proceeded by gingivitis (bacterial infection in the gums). Bacterial infections affect the gums and are caused when toxins in plaque start to irritate and inflame the gum tissue. Bacteria then colonizes in the gum pockets between the teeth, where it becomes much more difficult to remove or even treat. Being that this condition is progressive, it can lead to destruction of the connective tissue and jawbone. If this is not treated it can lead to shifting teeth, loss teeth, or in worst cases tooth loss. 

 Periodontal Gum Disease is the most common cause of tooth loss among adults. 

Treatment for Periodontal Disease:There are many treatments for periodontal disease depending on condition of teeth, gums, and jawbone. Before any treatment is done a thorough examination will be performed to then evaluate form of treatment. 

Scaling and Root Planing: Removing the  bacteria and tartar (cause of infection) in order to preserve the health of the gum tissue. The gum pockets are then cleaned and treated with antibiotics to help alleviate the infection. Sometimes a mouthwash may be prescribed and incorporated into daily cleaning routines. 

Tissue Regeneration: Regrowth can be actively encouraged using grafting procedures when bone and gum tissue have been destroyed.  

Pocket elimination surgery (flap surgery): a surgical treatment which can be performed to reduce the pocket size between both teeth and gum. To eliminate indentations in the bone jawbone surgery may be another option. 

Dental Implants: In many cases periodontal disease causes tooth loss. Therefore the aesthetic and functionality of the mouth could be restored by implanting prosthetic teeth into the jawbone.  It may be required to also have a tissue regeneration procedure before placement of dental implants to strengthen bone. 

Signs & Symptoms of Periodontal Disease

Periodontal disease is the leading cause of tooth lost amongst adults. This progressive condition occurs when the toxins found in plaque begin to irritator inflame the gum tissue. Periodontal disease can result to Gingivitis, a bacterial infection that can lead to destruction of the gum tissue and underlying bone. 

Some of the common types of periodontal disease are aggressive, chronic, necrotizing, and periodontitis associated with systematic disease. Each giving it's own and distinct characteristics and symptoms. They all require immediate treatment to prevent bone and tissue loss. 

Common Signs & Symptoms

If you have any of the following signs or symptoms, we highly advise you to schedule an appointment and visit us soon. 

Unexplained Bleeding - one of the most common symptoms is bleeding when brushing, flossing and eating food. The tissue is prone to bleeding when the toxins in plaque cause bacterial infection. 

Pain, Redness or Swelling - If this infection is present it can cause your gums to be swollen, red or even painful for no apparent reason. It's important to treat this infection prior to gum tissue and jaw bone being affected. It's even more critical to catch and treat this infection before it spreads to the bloodstream and other areas in the body. 

Longer-looking teeth - This infection can lead to gum recession. The bacteria produced toxins can destroy the supporting tissue and bones, reason for teeth appearing to look longer. 

Bad Breath/Halitosis -  Breath odor is caused form retained food particles or tobacco use and originates from the back of the tongue , lungs and stomach. The foul odor is caused by the deep gum pockets that house debris and bacteria.

Loose Teeth/ Change in Bite Pattern - The loosing or shifting of teeth in an affected area is a rapidly progressive sign of periodontitis. The teeth that were firmly attached to the jaw bone become loose or may shift in position as the bone tissue gets destroyed. 

Pus - Pus oozing from between the teeth is a result of the body trying to fight the bacterial infection and is a definitive sign that your periodontal infection is in progress. 

Treatment of Periodontal Disease

Severe Periodontal disease can be treat in several different ways...

Laser Treatment - used to reduce the size of the pockets between the teeth and gums 

Tissue and bone grafting -This is when bone or gum tissue has been destroyed. The dentist may decide to graft new tissue by inserting membrane to stimulate tissue growth. 

Pocket eliminator surgery - At times the dentist may decide to perform flap surgery to reduce the size of the gum pockets. 

Oral Cancer Exam 

The American Cancer Society has conducted research that conclude that more than 30,000 of oral cancer is diagnosed each year.  Approximately 7,000 of these cases have resulted in the death of a patient. Please keep in mind that oral cancer CAN EASILY BE DIAGNOSED, TREATED & CAUGHT in the earliest stages if an annual oral cancer exam is completed. 

The oral Cancer process begins with an asymptomatic stage during which the usual cancer signs may not be readily noticeable. This is why an effective oral cancer exam is critical and very important. There are different types of of oral cancers such as teratoma, adenocarcinoma, and melanoma. The most common type of all oral cancers  is the malignant squamous cell carcinoma. This type usually originates in the lip and mouth tissue. 

Oral cancers commonly occur in the following locations:

•Lips

•Mouth

•Tongue

•Salivary Glands

•Gums

•Face

•Salivary Glands

Reasons for oral cancer examinations 

It's important to consider that 75% of oral cancers are linked with modifiable behaviors (Example: smoking, tobacco use, and excessive alcohol consumption). 

Treatment for oral cancer is generally very effective when diagnosed. Any visible abnormalities in the gums, tongue, mouth, or even surrounding areas should be evaluated by your dental health professional. 

During the oral cancer exam the following signs are thoroughly evaluated:

Lumps - lumps, soreness or the general thickening of tissue anywhere in the throat or mouth can be a sign of disease.

Red patches & sores - red patches on the floor of the mouth, the front and side of the tongue, white or pink patches which fail to heal and slow healing sores that bleed easily can be indicative of pathologic (cancerous)changes.

Leukoplakia - This is a hardened white or gray, slightly raised lesion that can appear anywhere inside the mouth. This can be cancerous or become cancerous if treatment is not sought out. 

Oral cancer exams, diagnosis and treatment

The oral cancer examination is a painless process. During the visual portion of the examination, the dentist will look for abnormality and feel the face, glands and neck for unusual bumps. Lasers which can highlight changes are a wonderful tool for oral cancer checks. The laser can check below the surface for abnormal signs and lesions which would otherwise be invisible to the naked eye. 

If abnormalities are  detected, the dentist will implement a diagnostic impression and treatment plan. A biopsy of the area will be performed id the initial treatment plan is ineffective. 

Periodontal Scaling & Root Planing 

The objective in scaling & root planing is to remove etiologic agents which cause inflammation to gingival tissue and surrounding bone.  These non-surgical procedures which completely cleanse the periodontium, work very effectively for individuals suffering from gingivitis or periodontal disease. 

Scaling - the is performed with special dental instruments and may include an ultrasonic scaling tool. this tool removes calculus and plaque from the surface of the crown and root surfaces. In many cases, the scaling tool includes an irrigation process that can also be used to deliver an antimicrobial agent below the gums that can help reduce oral bacteria. 

Root Planing - This procedure is a specific treatment which serves to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed in order to promote good healing. Having clean, smooth root surfaces helps bacteria from easily colonizing. 

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Bruxism

Bruxism is one of the most common known sleep disorders and causes most damage during sleep hours.  It is an Oral para-functional activity which occurs in most humans at some point in there lives. Some main characteristics of this condition would be the grinding of teeth and the clenching of the jaw. This can occur both during the day and night. This happens when the reflex nerve control center in the brain turns off and the reflex pathways become active during sleeping hours and at times even during naps. 

When your front 6 upper and lower teeth (incisors and canines) grind against each other, it puts a strain on the medial Pterygoid muscles and the temporomandibular joints. Earache, depression, headaches, eating disorders and anxiety are amongst the most common symptoms of Bruxism. This is often accompanied by chronic stress, Alzheimer's disease and alcohol abuse. 

Many times Bruxism is either misdiagnosed or even not diagnosed at all. This is also considered to be one of the several potential causes of tooth wear. Only a trained professional can tell the difference between wear caused by aggressive brushing, acidic soft drinks, abrasive foods or actual Bruxism wear. 

Reasons for treatment

Gum recession and tooth loss: Bruxism is one of the leading causes of gum recession and tooth loss; firstly because it damaged the soft tissue directly, and secondly because it leads to loose teeth and deep pockets where bacteria can colonize and destroy the supporting bone. 

Occlusal trauma: The abnormal wear patterns on the occlusal (chewing)surfaces can lead to fractures in the teeth, which may require restorative treatment. 

Arthritis: Bruxism can lead to painful arthritis in the TMJ (temporomandibular) joints in severe and chronic cases. 

Myofascial pain - The grinding associated with bruxism can eventually shorten and blunt the teeth. This can lead to muscle pain in the myofascial region and debilitating headaches. 

Treatment Options for bruxism

There are several helpful devises and tools that are available to help bruxism. Some being the following:

•Mouthguard's - An acrylic mouthguard can be designed from impressions to minimize the abrasive action of the tooth surfaces during normal sleep. Mouthguard's should be worn on a long-term basis to help prevent tooth damage, damage to the temporomandibular joint and help to stabilize the occlusion.

•NTI-tss device - This device only covers the front teeth and is fitted by a health professional. This device will prevent the grinding of the rear molars by limiting the contraction of the temporails muscle. 

•Botox - This is an excellent treatment for bruxism. This will weaken the muscle just enough to prevent the grinding. However, this will not effect typical everyday functions such as chewing and speaking. The Botox will basically relax and weaken the muscles. 

 There are also other methods that can be implemented when the bruxism is under control. If you have any questions, please ask us!

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Wisdom Teeth Extractions

Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt surface in the mouth, generally making their appearance between the ages of 17 to 25, they are located at the back of the mouth (top and bottom), near the entrance of the throat. The term "Wisdom" stems from the idea that the molars surface at a time typically associated with increased maturity of "wisdom". 

In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (Struck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors. 

Wisdom teeth examination

As with any dental procedure, we would first conduct an initial examination of the wisdom and surrounding teeth. Panoramic or digital x-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exist, or the likely hood of any potential future problems. The x-Ray can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment is recommended in order to identify potential problems and to improve  the results for patients requiring wisdom teeth extractions. Only after a thorough examination can we provide you with the best options for your particular case. 

What does the removal of wisdom teeth involve?

Wisdom teeth removal is a common procedure, generally performed under local anesthesia, sedation, or general anesthesia by our dentist. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication if necessary, to help manage any swelling or discomfort. 

There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:

Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth's crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain swelling. 

Partial Bony Impaction: The tooth has partially erupted and a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it's difficult to keep the area clean, infection will commonly occur. 

Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques. 

Reasons to remove wisdom teeth

While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay, or infection, or as a preventative measure to avoid all serious problems in the future. if impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:

• Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (Cavities), periodontal disease (gum disease) and possible bone loss. 
• Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.
• Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger. 

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Sleep Apnea

Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep. The term sleep apnea is derived from greek etymology meaning "without breath" . Breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Ongoing disrupted breathing causes an imbalance between the carbon dioxide and oxygen levels in the bloodstream, as not enough carbon dioxide is exiting and not enough oxygen is entering the body. 

Sensing this imbalance, the brain sends a message to the body, telling it to wake up to restart the breathing process. People with sleep apnea will partially awake as they struggle to breath, and this is often accompanied by loud snoring or chocking sensations. Because people with sleep apnea don't always completely awake during the episodes, they are often unaware they have a sleeping disorder and it can remain undiagnosed. 

Initially, we will want to conduct a test in order to investigate, diagnose and pinpoint a suitable treatment. The dentist can offer many different treatment options which depend largely on the exact diagnosis and the health of the patient. The dentist may advise the patient to halt some habits that aggravate sleep apnea such as smoking, alcohol, consumption, and tranquilizer use. 

Sleeping masks were traditionally used to keep the patient's airways open while they slept, but nowadays there are some less intrusive options. Dental devices that gently tease the lower jaw forward are very effective in preventing the tongue from blocking the main air passage. These dental devices are gentle easy to wear and often help patients avoid unwanted surgeries. 

Having surgery that sections the lower jaw is a more permanent solution that helps pull the bone holding the tongue forward slightly. This type of surgery has an impressive success rate, but first the dentist needs to make a diagnosis of each individual case before recommending the best course of action. 

Types of Sleep Apnea:

Central Sleep Apnea: Occurs when the brain fails to send important signals to the breathing muscles. 

Obstructive Sleep Apnea: Occurs when air cannot flow through the nose or mouth even though the body is still trying to breathe. Obstructive sleep apnea is far more prevalent and easily treatable by the dentist. 

Common signs of obstructive sleep apnea can include severe early morning headaches, sleepiness in the daytime, and insomnia. Fortunately the dentist is equipped with the necessary technology and expertise to treat sleep apnea in several different ways. 

Reasons for treating sleep apnea

It's very important to seek medical attention if sleep apnea is suspected. A sufferer can completely stop numerous times per hour, and this can quickly turn into a deadly situation. Obstructive sleep apnea occurs when the soft tissue lying at the back of a patient's throat collapses into the airway. The tongue then falls towards the back end of your throat, which tightens the blockage and prevents oxygen from entering the lungs.

The problem worsens when the chest region, diaphragm, and abdomen fight for air. The efforts they make to obtain vital oxygen only cause a further tightening of the blockage. The patient must arouse from deep sleep to tense the tongue and remove the soft tissue from the airway. 

Because sleep apnea causes carbon dioxide levels to skyrocket in the blood and oxygen levels to decrease, the heart has to pump harder and faster to compensate for the lack of oxygen. Sleep apnea has been linked to a series of serious heart-related conditions, and should be investigated by your dentist at the earliest opportunity.  

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Forms "Print & Fill-Out"

Just click on the following forms to print and fill-out at your convenience prior to appointment. 

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APPONTMENT POLICY

The Bite Dental will work with you to schedule appointment times that are convenient for you. We do not overbook patients in anticipation of no-shows or last minute cancellations therefore it is important that you keep scheduled appointments. When appointments are scheduled our dentists time is reserved for you and is unavailable to other patients.

We reserve the right to charge for office visits canceled or broken without advanced notice. Notifications are imperative to allow us time to schedule another appointment during this time slot. Please find our standard office policy regarding broken appointments in our Appointment Policy Form.

24 hour notice for preventative treatment (cleanings) - 48 hour notice for restorative appointments (filling, extractions, etc.)