- Hygiene Therapy
- Periodontal Maintenance
Fillings can best be detected during routine exams and xrays. Bitewing xrays allow us to see between the teeth where we cannot see clinically. We offer both tooth colored composite fillings and amalgam fillings. For the composite fillings we will match a shade of filling that is closest to your natural tooth shade. Depending on the depth of the filling and how close it is to your pulp, we may suggest using local anesthetic to help numb the area so you are comfortable for the procedure. After removing the decay and/or smoothing off any fractured areas we will fill the affected area and adjust the filling to your unique bite. If the cavity was very deep, it is normal to feel sensitivity to extreme temperatures for a few days following the filling.
When damage to a person’s tooth is extreme from fractures or decay, we can use porcelain or porcelain fused to metal crowns to make a the smile appear “new”. Crowns form an extra layer of protection from further destruction. Depending on the existing restorations or decay on the tooth, the tooth may need a filling under the crown to act as a solid substructure. It is usual for these treatments to last for 10-20 years , which is as close to permanent as dental treatment can get. For crowns and bridges it is important to brush and floss daily as well as have routine cleanings to prevent decay or cavities forming.
How long does it take to fit a dental crown?
Fitting a crown requires at least 2 visits in our office. At the first appointment we will remove the decay, shape the tooth, take an impression template of the crown and fit with a temporary crown with a tooth colored plastic to your bite. We use a lab that fabricates the crowns so that we have to remove minimal tooth structure to fit the crown.
At the following visit we will remove the temporary crown and fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth. This second appointment is usually a short appointment lasting 10-20 minutes.
Key benefits of dental crowns:
- Provide protection for weakened endodontically treated teeth (teeth with root canals)
- Offers support to large fillings or badly broken teeth
- Looks natural
Bonding and Composite Resin Restorations
Bridges and Removable Partial Dentures:
Removable partial is used when there are natural teeth left and the missing teeth are replaced by the partial denture. The partial uses both the soft tissue ridges and teeth to hold them in place. The foundation of the partial denture can be plastic or a combination of plastic and metal. Metal clasps are the most common and they may or may not be visible. The denture can often be made to fit the existing shape of your teeth or it may be necessary to alter your remaining teeth. We will indicate which design will be most appropriate for you.
An extraction is the removal of the tooth. If the tooth is not restorable, it may need to be extracted. Depending on the reason for the extraction and how badly broken down the tooth is, your extraction may be a simple or surgical extraction. They differ in that a surgical extraction requires a small amount of bone to removed in order to remove the tooth or roots affected. The more broken down the tooth is near the gumline or the more splayed your roots are, increases the chances of your extraction needing to be surgical.
Bridge City Dentistry offers a splint for those needing one for bruxism, perio splinting, ortho stabilization, or TMJ dysfunction to prevent destruction of the dentition. The splints are created with a thermoplastic polymer that can be fabricated to either your upper or lower arch. It uses undercuts on the cheek side of your teeth and spaces between your teeth for retention.
Root Canal Therapy:
The innermost layer of your tooth consists of nerves, arteries, veins and lymph vessesls. When the pulp becomes infected due to a deep cavity or facture the blood supply to the tooth may be lost and the tooth may die. Pressure may build within a tooth that cannot be relieved causing pain that is felt when biting down or consuming hot or cold foods and drinks.
Without the root canal treatment the infection will spread and the bone around the tooth will degenerate, possibly causing the tooth to fall out. Root canal therapy removes the damaged or dead pulp and fills it with a rubber-like material called gutta percha to prevent recontamination of the tooth.
Usually a tooth with a root canal will require a buildup and crown for added durability. Although the root canal therapy is the best option to “save” a tooth, the process overall weakens the tooth since it is not your original tooth structure.
There may be some inflammation around the gum tissues which may cause discomfort for a few days which can usually be controlled by an over-the counter pain reliever such as ibuprofen.
The only alternative to root canal therapy is to extract or remove the tooth which can result in the surrounding teeth to crowd into the open space. Although a simple extraction may be perceived as less expensive, the empty space left behind will require an implant or bridge, which ultimately can be more costly than a root canal.
Academy of General Dentistry, for more information about root canal therapy visit www.agd.org
Dental Implant Restorations:
Implants are a screw-like device that are surgically anchored into the jaw to hold a crown, bridge or denture in place. The major benefit of implants is that they do not rely on neighboring teeth for support and are permanent and stable. Impants are a good solution to tooth loss because they look and feel like nautral teeth.
After surgery it may take as long as 6 months for the jaw to grow around the anchor to hold it firmly in place. At this time we refer implants being placed to oral surgeons or periodontists whom have had further educational training for the placement of implants. Implants are not for everyone. The patients must be in good health and adequate bone to support the implants. Just like most restorations, poor hygiene is the main reason implants fail. Although an implants is a replacement tooth, it is important for the patient to keep up daily hygiene care of brushing and flossing daily.
Depending on the surgical situation, the implant may be restored at Bridge City Dentistry with a crown at time of placement or at a later time. The crown is fabricated to “blend” into your natural dentition by shape and color. If you have any other further questions don’t hesitate to set up a consult at Bridge City Dentistry (701)845-4221.
Dental veneers are a thin layer of material that cover the tooth structure to help with stability of the tooth structure or to improve aesthetics due to discoloration. Porcelain veneers are a good option for patients whose remaining teeth are stable and any disease has been removed or controlled.
Your teeth darken as minerals penetrate their outer enamel layer. Darkening of the enamel may be caused by food and drinks, tobacco products or the natural aging process. We can prescribe a whitening system that will safely lighten the stains giving you a whiter, brighter smile.
First we will examine your teeth and your mouth to make sure whitening is an appropriate option for you. We have three options in our office for whitening. 1. In office bleaching treatment, 2. Custom fit take home bleaching trays that include upper and lower trays and 3. Disposable take home bleaching trays.
For the take home bleaching trays, we then take impressions of your teeth and use the impressions to make models of your teeth. Using the models we make a personalized tray that fits tightly over your teeth allowing optimum results.
At home you will fill the tray with whitening gel and place it over your teeth while keeping it in place for several hours each day. You can wear the trays while you sleep or during the day, whichever you prefer. Typically patients see results in two to three weeks. When the process is complete your smile will be noticeably whiter and brighter.
Some sensitivity may happen during the whitening process. This is normal and should subside shortly. Please let us know if you experience this and we can suggest toothpaste that will help alleviate the sensitivity. It is important to avoid foods and beverages that stain or brush after consuming them. Seeing us periodically for touch-ups to remove new stains will also help keep your smile whiter and brighter. Call Bridge City Dentistry for a consult or ask us any questions at your next appointment.
Bridge City Dentistry follows guidelines to choose which radiographs are taken. Radiographs allow us to see areas you of your mouth we aren’t able to see clinically. They allow us to see cavities between your teeth, the depth of the cavity, determine bone level, examine roots and nerves of teeth, diagnose lesions such as cysts or tumors as well as assess damage when trauma occurs.
At Bridge City Dentistry we use digital x-rays and we are able to view images on the computer monitor, instead of holding the x-ray film up to a light box. Digital x-rays also results in less radiation exposure pared to conventional radiography.
Nitrous Oxide (Laughing Gas):
Nitrous Oxide is safe, sweet-smelling, non-irritating, colorless gas which you can breathe. It is found naturally in the air we breathe.
Nitrous Oxide has been a primary means of sedation for many years. The patient is able to breathe on their own and remain in control of all bodily functions.
Advantages of using Nitrous oxide include:
- The depth of sedation can be altered at any time to increase or decrease sedation
- There is no after effect such as a “hangover”
- It relaxes and helps eliminate fear, nervousness and tension
Contradictions to Nitrous oxide:
Patients should not utilize Nitrous Oxide if they have been diagnosed with chronic obstructive pulmonary disease (COPD). Although there are no other major contraindications to using nitrous oxide, you may not want to use it if you have breathing difficulties such as emphysema or a cold.
Scaling And Root Planing (Deep Cleaning):
Periodontal disease affects the hard and soft supporting tissues of the teeth. Bacteria gets under your gums and forms calculus. If left untreated, you can develop even further destruction of the gums and bone. The hard tissue of calculus cannot be removed by simple brushing and flossing, it requires the use of the hygienist.
With extensive supporting tissue loss the teeth can become very mobile. To diagnose and monitor if you have periodontal disease, readings are taken of your current bone level at exams.
Orthodontics (Clear Correct):
Dr. Berg and Dr.Lagein both are offering ClearCorrect. It is a system of clear aligners that are comfortable, removable and nearly invisible. Most people don’t notice you are wearing them. Since you can easily remove them while you eat, you don’t have to change your diet as much as if you had braces. Clear aligner therapy can treat most patients but some severe cases do require metal braces. Call Bridge City Dentistry for a consult today at (701)845-4221.
After being approved for treatment, your dentist will take impressions, x-rays and photos of your teeth. Every six weeks or so, you will meet with your dentist to check your progress and they will give you your next two sets of aligners. Treatment usually takes 6-18 months but you will start to see results right away.