Cosmetic Dentistry

Crowns

Indications
1. Teeth that have had root canal treatment
2. Teeth with symptomatic cracks (Cracked Tooth Syndrome)
3. Teeth with large existing fillings and severely broken down teeth

Material Choices
1. Full Gold Crown
2. Porcelain Fused to Metal Crown (PFM)
3. Full Porcelain/all ceramic crowns

Procedure
This procedure is done in 2 appointments:  
1. Your dentist will reduce the tooth in size and take an impression of the new shape of the tooth. This impression is then sent to a laboratory where they will fabricate a crown for your tooth. This process typically takes 2 weeks for the lab to complete.   In the mean time you will have a temporary crown placed on your tooth.
2. Once the crown has returned from the lab you will come in for your second appointment to have the crown permanently cemented to the tooth.  Upon cementation of the crown you are now able to care for this tooth just like any other tooth you have. (regular brushing and flossing)

Things to Know
1. Whenever a crown is prepared on a live tooth there is a 6% chance that the tooth will require a root canal prior to the cementation of the permanent crown.
2. It is normal to experience sensitivity while you have a temporary crown on your tooth.  Using Advil/Ibuprofen &/or Tylenol often will help soothe the tooth.
3. Temporary crowns are made of plastic and cemented only temporarily so you must be careful to avoid any hard or sticky foods so as not to dislodge the temporary.  You must brush and floss the temporary with caution as well.
4. If your temporary falls off contact our office so that your dentist can re-cement the crown as soon as they can.  If you leave your temporary off of the tooth it can cause sensitivity or may cause your tooth to shift so much that the permanent crown will not fit.


Replacing Teeth

Implants
An implant is a titanium screw that is placed within the bone that once supported the roots of your teeth.  Once the bone has healed around the implant (called osteointegration) the implant will be used as the supporting structure to replace the tooth/teeth you are missing.  This is considered the Gold Standard for replacing single missing teeth.

Indications
1. Replacing a single tooth (link to Casey video of single implant)
2. Replacing multiple teeth with individual implants or implant supported bridge (link to Casey video of implant supported bridge)
3. To help support partial or complete dentures (link to Casey video of implant supported dentures)

Procedure
You will first be scheduled for a consultation to see if you are a candidate for implants.  Often you will have diagnostic models taken and multiple X-rays to help the dentist determine if you may require additional treatment prior to placing implants
 (ie. gum/bone grafting).

At the next appointment the implant will be surgically placed in the bone and then will be allowed to heal for 3-6 months.  At this stage you will not have a new tooth to chew on as we are waiting for the implant to fuse to the bone first prior to use.

At the final stage of treatment the dentist will be taking impressions of the implant location so that the lab can fabricate your new crown(s), bridge, or denture.

Bridge

When replacing teeth using a bridge your dentist will have to prepare the tooth &/or teeth adjacent to the space

Indications
1.  Replacing single/multiple missing teeth

Material Choices
1.  Full Gold Bridge
2.  Porcelain Fused to Metal Bridge
3.  Full porcelain/ all ceramic bridge

Procedure

This is a treatment that will require multiple appointments:
1. In the first appointment you will have impressions taken to develop study models so that prior to preparing your teeth for a bridge your dentist will have a custom impression tray made and a template to create a temporary bridge 
2. At this appointment your dentist will reduce the adjacent teeth in size and take an impression of the new shape of the teeth.  This impression is then sent to a laboratory where they will fabricate your new bridge.  This process typically takes 2 weeks for the lab to complete.   In the mean time you will have a temporary bridge placed on your teeth.
3. Once the bridge has returned from the lab you will come in for your third appointment to have the bridge permanently cemented to the tooth.  Upon cementation of the bridge we will demonstrate to you how to properly care for your bridge to help ensure this treatment lasts as long as possible.

Things to Know
1.  Whenever a bridge is prepared on live teeth there is a 6% chance that the teeth will require a root canal prior to the cementation of the permanent bridge.
2.  It is normal to experience sensitivity while you have a temporary bridge on your teeth.  Using Advil/Ibuprofen &/or Tylenol often will help soothe the tooth.
3.  Temporary bridges are made of plastic and cemented only temporarily so you must be careful to avoid hard or sticky foods so as not to dislodge the temporary.  You must brush and floss the temporary with caution as well.
4.  If your temporary falls off contact our office so that your dentist can re-cement the bridge as soon as they can.  If you leave your temporary off of the teeth it can cause sensitivity or may cause you teeth to shift so much that the permanent bridge will not fit.


Upper/Lower Partial Dentures

Indications
1.  Used to replace multiple missing teeth
a.  This treatment modality is the most economical way to replace multiple missing teeth.

Material Choices
1.  Acrylic Partial Denture-
a.  Used to replace missing teeth immediately after a tooth is extracted while the area has a chance to heal.
b.  Does not provide a lot of function due to its lack of strength.  Meant to maintain position of adjacent teeth and your aesthetics if you have lost a front tooth.

2.  Cast Partial Denture-
a.  Has a cast metal substructure that helps support the teeth.
b.  This option will help provide both function and aesthetics unlike the acrylic partial denture

Procedure
In order to make a partial denture it requires multiple appointments.  We take a series of impressions, select the color/ shape of your teeth, and sometimes have try-in appointments prior to delivering the completed partial dentures.  Each and every patient is different and your dentist will be able to discuss with you the number of appointment it will take to make your partial dentures.


Upper/Lower Complete Dentures

Indications
1.  Used to replace your teeth when they have all been extracted

Types
1.  Immediate Complete Dentures
a.  Used to replace your teeth immediately after extraction 
2.  Conventional Complete Dentures

Procedure
Your dentist will be able to discuss with you whether they feel the dentures will be made at our office or if you will be referred to a denturist to have your dentures fabricated.  Furthermore, your dentist will be able to give you a breakdown of the number of appointments it will take to complete the dentures.

 

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