What we Offer

Teeth bleaching or vital tooth whitening is a frequently requested service. Who doesn’t want whiter teeth? Well, we offer custom at home vital teeth whitening. The procedure is easy, painless and done in the privacy of your own home. At an initial visit, we make impressions of your teeth from which we make stone models. These stone models are used to fabricate custom bleaching trays, which are used to hold the professional whitening gel against your teeth for a desired amount of time. We determine the proper program for you (material concentration, daily time and duration) to reach your goal. This usually takes 2 weeks to reach a light youthful shade.

When teeth chip of break we can usually restore them back to their proper shape and color with various tooth colored dental resin or composite materials. By blending various shades and translucencies we are often able to artistically recreate your tooth so that no one knows that it was ever broken!

Many people have naturally occurring spaces between their teeth called diastemas. If the space is not too large, we can shape various tooth colored dental resin or composite materials to close the spaces matching your teeth shade while maintaining a natural appearance.

Some people want to change the size and shape of their teeth to improve their smile without having crowns made. After careful study and design with models of their teeth, we can often shape various tooth colored dental resin or composite materials to change size, shades, and close spaces between teeth while maintaining a natural appearance. Of course there are limitations as to how much change can be accomplished with resins alone, so we take quite a bit of time with you to determine the proper course of action before we start.

Many people have slightly rotated or crooked teeth, which makes them uncomfortable about smiling. While we usually recommend seeking an orthodontic consultation to consider tooth movement to permanently resolve the problem, often we can shape various tooth colored dental resin or composite materials along with recontouring of some tooth enamel to create a more harmonious appearance.

Many people have one or two teeth a bit darker than the others which makes them uncomfortable about smiling. We can usually restore them back to their proper color with various tooth colored dental resin or composite materials. By blending various shades and translucencies we are often able to artistically recreate your tooth so that it doesn’t stand out from the others.

Some people want to change the size and shape of their teeth to improve their smile without having crowns made. The teeth may be too dark to lighten to your desired shade with bleaching, too short, slightly rotated and/or have spaces between them. After careful study and design with models of their teeth, we can often shape various tooth colored dental resin or composite materials to create a natural appearance at a desired shade. Of course there are limitations as to how much change can be accomplished with resins alone, so we take quite a bit of time with you to determine the proper course of action before we start.

Replacing a missing tooth can be accomplished by fabricating and cementing a dental prosthesis called a Fixed Bridge. This is usually accomplished in two appointments. During the first visit the supportive teeth are prepared to hold crowns or onlays which will connect to and support the replacement tooth or pontic. An impression is made of these prepared teeth and other teeth in the arch, for the dental lab to work with. Then a provisional or temporary bridge is made and affixed to wear in the interim. At the second visit the lab made final Fixed Bridge is checked for marginal fit, proper biting (adjustments are made as necessary) and cemented into place.

Teeth that are badly broken down, fractured, or at risk for fracture are usually restored with a Crown. A Crown covers the entire surface of a tooth (after it is prepared or reduced) with either Porcelain Fused to Metal (PFM), Gold (FGC) or All Ceramic. The restorative material chosen depends the circumstances.

The evolution of porcelain or ceramics has made them ideal for making crowns. All Ceramic crowns can be made to match the shade of teeth so that no one knows that it is not totally natural. Also porcelain can be treated so that it can be chemically bonded right to the tooth structure for superior adhesion. The fabrication of an ALL CERAMIC crown can be accomplished by layering of porcelain powder, casting heated ingots in dental laboratories or milled as we do right in our office.

A type of porcelain or ceramic call eMax or lithium disilicate can be cast by a dental laboratory or milled and crystallized to completion. We utilize CEREC dental technology by Sirona to fabricate, mill and crystallize eMax crowns - all in one visit. During your visit the tooth is prepared to hold the crown. An image of the prepared structure is captured with the CEREC AC camera and the crown is designed with the CEREC software. When the design is complete a lithium monosilicate ‘blue block’ (by Ivoclar Vivadent) is milled to fit your tooth. This crown appears to be purple but it will transform to a preselected shade during the crystallization process in a ceramic oven. So after the ‘purple’ crown is checked for fit and proper bite, a ceramic glaze is added (along with characterization shades as desired) and it is crystallized. The final crown is bonded into place and is extremely hard to chewing forces and very beautiful so that it appears totally natural.

A type of porcelain or ceramic call Empress can be cast by a dental laboratory or milled to fabricate an ALL CERAMIC crown. We utilize CEREC dental technology by Sirona to fabricate and mill EMPRESS crowns - all in one visit. During your visit the tooth is prepared to hold the crown. An image of the prepared structure is captured with the CEREC AC camera and the crown is designed with the CEREC software. When the design is complete an EMPRESS block (by Ivoclar Vivadent) of the proper shade and translucence is milled to fit your tooth. This crown is checked for fit and proper bite, and can be either polished or have a ceramic glaze added (along with characterization shades as desired) to complete the process. The final crown is bonded into place to be hard enough to withstand normal chewing forces and very beautiful so that it appears totally natural.

For many years gold was the standard material for making crowns. Gold is a ductile metal that can be cast into a proper shape, is highly polishable, and will withstand chewing forces. It is an exceptional choice for people who excessively grind their teeth. The drawbacks of making full or partial gold crowns are that it is a very expensive metal and it does not appear natural. Making a GOLD crown is usually accomplished in two appointments. During the first visit the tooth is prepared to hold the crown. An impression is made of this prepared tooth and other teeth in the arch, for the dental lab to work with. Then a provisional or temporary crown is made and affixed to wear in the interim. At the second visit the lab made final GOLD crown is checked for marginal fit, proper biting (adjustments are made as necessary) and cemented into place.

A PFM or porcelain fused to metal crown was developed to be more esthetic than full gold crowns. Layers or porcelain powder are applied to a metal base (cast to fit the prepared tooth) in a dental lab, to match proper dental shades. Where PFMs were known for their metal margin lines which were visible at the patient’s gum line, advances in ceramic technology allow for all porcelain margins on the face of the crowns. PFMs can be very esthetic (depending on the skill of the dental lab ceramist) and very helpful if the tooth is needed to support a removable partial denture or otherwise contain a precision attachment. Making a PFM crown is usually accomplished in two appointments. During the first visit the tooth is prepared to hold the crown. An impression is made of this prepared tooth and other teeth in the arch, for the dental lab to work with. Then a provisional or temporary crown is made and affixed to wear in the interim. At the second visit the lab made final PFM crown is checked for marginal fit, proper biting (adjustments are made as necessary) and cemented into place.

Dental Implants are used to replace missing teeth. An Implant restoration is made up of three components. First there is an Implant Fixture which is an artificial root so to speak made of titanium, and placed by a dental surgeon. We work with the surgeon to design the proper placement of the fixture. After the Fixture integrates into bone (Osteointegration) to support it, an artificial tooth core or Abutment (component two) is attached to the Fixture to hold a Crown or Overdenture (component three). This final component can be made via an impression utilizing a dental laboratory, or by direct scan with our CEREC Technology. Often we can complete the Implant restoration (after the Fixture is osteointegrated) in one visit using eMax (lithium disilicate) porcelain with our CEREC.

An Inlay is an indirect dental restoration made and then cemented or bonded into a tooth that does not replace any of the cusps. An Onlay is an indirect dental restoration made and then cemented or bonded into a tooth that does replace a number of the cusps without covering the entire tooth as a Crown does. Inlays or Onlays are used when additional support of high strength in needed in a dental restoration beyond what amalgam or composite can offer. Inlays or Onlays (like crowns) can be made from cast metal (usually gold) or ceramic. We prefer to fabricate these type of restorations with or CEREC Technology, so we can complete the restoration in a single visit.

An Occlusal Guard (commonly called a Bite or Night Guard) is a dental appliance made to cover the surfaces of your teeth to prevent traumatic wear from grinding or clenching. Grinding or Clenching of the jaws can lead to joint problems/pain (TMJ), cracking or breaking of teeth and extreme wear. An Occlusal Guard can be made to fit the upper or lower arch and can be of a soft resilient material, a hardened resin, or a combination of both. The choice of material depends on the symptoms being treated.

We have experienced, skilled and kind Dental Hygienists to examine your teeth and gums, clean your teeth and help you learn what you need to do to maintain proper oral hygiene. For most of our patients we recommend this type of Recall visit once every six months, but we may recommend more frequently if you have greater needs. Through oral and radiographic examinations, we can see developing issues and prevent problems from growing into larger dental needs.

When all of the teeth are lost from the upper, lower or both jaws they can be replaced with a type of Denture. There are several types of Dentures. The most commonly thought of Denture where there are no teeth or roots present is called a Complete Denture. Fabricating a Complete Denture requires several appointments to make a number of impressions or molds, establish a proper interjaw height and tooth placement, a preview try-in, and finally delivery. When a Denture is made to replace several existing teeth, it is called an Immediate Denture. The procedures required to fabricate an Immediate Denture are very similar to those of a Complete Denture, except that one or several natural teeth (usually front teeth) are retained throughout the process, replaced on the Immediate Denture prosthesis and removed at the final delivery appointment. An Overdenture is a type of Denture prosthesis that uses retained natural teeth roots and/or Implants with precision dental attachments to firmly hold the prosthesis in place. Again there are several steps required to make the prosthesis with the additional requirements of placing the attachments into the roots or on Implant fixtures and then into the Overdenture upon delivery. We partner with local dental laboratories to make natural looking comfortable dentures.

When multiple teeth are missing in your upper or lower jaw, and Implant retained or fixed bridge restorations are not viable options, we can made a Removable Partial or simply Partial Denture. This type of appliance, commonly called a Partial or RPD is a dental laboratory fabricated appliance that holds onto several of you existing teeth (or retained roots with dental attachments) to provide you with a more complete set of teeth for chewing and esthetics. These appliances are removable to be cleaned and allow proper cleaning or the supportive teeth and gums.

Accidents happen, so we have the facility to do most Denture or Partial Denture repairs in our office. When your Denture is broken, or a tooth comes out, we can usually repair it using proper colored resins while you wait. If a tooth is lost or needs to be replaced we may have prosthetic resin teeth that we can contour and match to your existing Denture teeth and cure into place right here in our office. Occasionally repairs require more processing than we can accommodate in our office, so we partner with a local dental laboratory who often will complete the repair in one day so we can return your Denture to you before the end of the day.

Root Canal Therapy or Endodontics will often send a chill up your spine … that is unless you have severely broken your tooth or are having a raging toothache. When a tooth badly broken, has an irreversible inflammation or infection of its pulp or nerve it hurts! Root Canal Therapy is a procedure used to remove the diseased nerve tissue, and infective bacteria to sterilize and seal the tooth’s root structure so it can be retained as part of your natural dentition. In our office we treat anterior teeth, bicuspid teeth and molars. Using modern dental anesthetics and rotary instruments we are often able to complete Root Canal Therapy in a single visit. If we determine that the care needed is beyond what we expect to be successful treating, we will refer you to one of several Endodontic specialists that we work with.

Restoring cavities in front teeth was the reason dental resins were invented. We remove the decayed tooth structure, while your teeth are comfortably numb, and fill them with layers of tooth colored resins to match the shade and translucence of the remaining tooth structure.

Cavities along your gum lines (which we call class five restorations) are usually restored with white or tooth colored resins. By bonding these resins to the defects along your gum line we can relieve a great deal of hypersensitivity to cold in these areas.

For many years cavities in back teeth were repaired with silver (amalgam) materials. While dental amalgam has been deemed by the American Dental Society to be totally safe for your teeth, it isn’t the prettiest surface in the world. Many of our patients prefer us to use white or tooth colored resins to restore their teeth. Once the tooth decay is removed, while your teeth are comfortably numb, we fill them with layers of tooth colored resins to match the shade and translucence of the remaining tooth structure. It takes a bit of sculpting to match the complex anatomy of the surfaces of back teeth, but in most cases you can not tell that the tooth was ever restored.