General dentistry covers a broad range of dental services, and at Today’s Family Dental, we are proud to offer many of these to our patients. Restorations, Sealants, Root Canals, and Mercury Free Fillings are just a few of the general dentistry services that we provide. Your oral health is very important to us. Find more information about our many general dentistry services in the links below.
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Today’s dentists have superb ways of repairing decayed teeth. Besides traditional silver amalgam or gold alloy fillings, composite resins and dental ceramics have come on the scene that are as durable as they are beautiful. These materials can be used to create tooth restorations that are virtually indistinguishable from natural teeth.
Here are some of the restorative procedures we provide to help you achieve the strongest and best-looking teeth possible:
Fillings do just what the name implies — seal a small hole in your tooth, i.e., a cavity, caused by decay. This prevents the decay (a bacteria-induced infection) from spreading further into your tooth and entering the sensitive inner root canal — a condition that requires root canal treatment.
To fill a tooth, we first clinically examine it and review x-rays to determine the extent of the decay. Then we remove the decayed area of the tooth, with a dental handpiece or another handheld instrument. In most cases, your tooth will be anesthetized first, so you won’t feel anything. If numbing injections normally provoke anxiety for you, please let us know; We have the Vibrasthetic device for pain free injections. After we remove the decay, all debris is cleaned from the tooth, and then the white filling material is applied.
There are times when the damage done to a tooth by decay is too extensive to be treated with a simple filling, yet not significant enough to need a full-coverage crown. In these cases, the best option for restoring the tooth may be an inlay or onlay.
Both inlays and onlays are considered “indirect” fillings, meaning that they are fabricated outside the mouth (usually by a dental laboratory) and then bonded to the tooth by the dentist. This is in contrast to a “direct” filling, which is applied directly to the cavity by the dentist in one office visit.
An indirect filling is considered an “inlay” when it fits within the little points or “cusps” of a back (premolar or molar) tooth. It is an “onlay” if it covers one or more of these cusps. Either way, the procedure for placing an inlay or onlay is the same.
The most likely location for a cavity to develop in your child’s mouth is on the chewing surfaces of the back teeth. Run your tongue over this area in your mouth, and you will feel the reason why: These surfaces are not smooth, as other areas of your teeth are. Instead, they are filled with tiny grooves referred to as “pits and fissures,” which trap bacteria and food particles. The bristles on a toothbrush can’t always reach all the way into these dark, moist little crevices. This creates the perfect conditions for tooth decay.
What’s more, a child’s newly erupted permanent teeth are not as resistant to decay as adult teeth are. The hard enamel coating that protects the teeth changes as it ages to become stronger. Fluoride, which is found in toothpaste and some drinking water — and in treatments we use here at the dental office — can strengthen enamel, but, again, it’s hard to get fluoride into those pits and fissures on a regular basis. Fortunately, there is a good solution to this problem: dental sealants.
Dental sealants are invisible plastic resin coatings that smooth out the chewing surfaces of the back teeth, making them resistant to decay. A sealed tooth is far less likely to develop a cavity, require more expensive dental treatment later on, or, most importantly, cause your child pain.
Full or partial tooth loss, if left untreated, doesn’t just affect a person’s self-image — it can also increase the risk of developing nutritional problems and other systemic health disorders. Fortunately, there’s a reliable and time-tested method for treating this condition: full or partial dentures.
Dentures are just one option for replacing missing teeth; some of the others include fixed bridgework and dental implants. Each method has its particular pluses and minuses, which should be carefully considered. There are also several varieties of dentures available to address specific issues, from partial dentures to implant-supported overdentures. During a consultation, we can explain the available options and help determine which is best in your individual situation.
As dentists, our main goal is to preserve your natural teeth and keep them healthy for as long as possible. There are times, however, when it is in your best interest (or your child’s) to have a tooth extracted (removed). This could be the case for a variety of reasons. Perhaps you have a tooth that has been severely damaged by trauma or decay; or an impacted wisdom tooth that may cause trouble for you later on. Maybe your teenager will soon undergo orthodontic treatment and has insignificant space for his adult teeth, referred to as crowding. Or your younger child has a baby tooth that’s stubbornly adhering, even though it’s past time for it to go.
Whatever the reason, tooth extraction is more often than not a very routine procedure. How straightforward this minor surgery is will depend on where the tooth to be extracted is located in the mouth, and what its roots are like. For example, a front tooth with a single straight root is easier to remove than a molar with multiple roots. This is especially true when that molar is a wisdom tooth that is impacted, meaning it is below the surface surrounded by gum tissue and bone. Often, a wisdom tooth is blocked from fully erupting (growing in) by other teeth in its path.
Still, tooth extraction is nothing to be feared when done by an experienced hand. Keep in mind that a tooth is not rigidly fixed in its surrounding bone, though that’s how some may picture it. In fact, it is attached to the bone via a network of fibers that form what’s known as the periodontal ligament. By carefully manipulating the tooth, we can dislodge these fibers and free the tooth without much trouble.
Root canal treatment — also called endodontics (“endo” – inside, “dont” – tooth) — is a set of specialized procedures designed to treat problems of the soft pulp (nerve) tissue inside the tooth. While some mistakenly think of it as an unusually painful treatment, in most cases the procedure is no more uncomfortable than getting a filling. It’s actually one of the most effective ways of relieving some kinds of tooth pain.
A root canal procedure becomes necessary when infection or inflammation develops in the pulp tissue of the tooth. Pulp tissue consists of blood vessels, connective tissue and nerve cells — which explains why a problem here may cause you to feel intense pain. In time, the pain may go away… at least temporarily. Without treatment, however, the infection won’t. It can lead to a dental abscess, and may even contribute to systemic problems in other parts of the body.
People don’t generally think of a dentist as the healthcare professional to see for recurring headaches or even migraines; yet we can play a role in diagnosing and even treating your condition. That’s because quite often, recurring pain that is felt in the area of the temples on the sides of the head is actually caused by unconscious habits of clenching and/or grinding the teeth. These habits, which often manifest during sleep, put tremendous pressure on the muscles that work your jaw joint, also called the temporomandibular joint (TMJ).
The fan-shaped temporalis muscles located over your temples on either side of your head are two of several muscles involved in jaw movement. You can easily feel them working if you put your fingertips on your temples while clenching and unclenching your jaw. When temporalis muscles go into spasm from too much clenching, headache symptoms may result. This is not to say that headaches and migraines are always caused by TMJ problems, also known as temporomandibular disorders (TMD). But given the established link between them, it definitely bears looking into — especially if a diagnosis remains elusive in your case.
If you experience ongoing pain in the area near your ear, your jaw or the muscles on the side of your face, possibly accompanied by a clicking or popping sound or restricted jaw movement, you may be suffering from TMD — an abbreviation for Temporomandibular disorders. Sometimes people incorrectly use the term TMJ to refer to these problems, when in fact TMJ is the abbreviation for the temporomandibular joint — or jaw joint — itself. So while you definitely have a TMJ (two of them in fact), you may or may not have TMD.
TMD, then, describes a group of conditions characterized by pain and dysfunction of the TMJ and/or the muscles surrounding it. It’s not always so easy to figure out exactly what’s causing these symptoms, but the good news is that most TMD cases resolve themselves with the help of conservative remedies we will recommend for you to do at home. In fact, it’s important to exhaust all such reversible remedies before moving on to anything irreversible, such as bridgework or surgery.
The two TMJs that connect your lower jaw, the mandible, to the temporal bone of the skull on either side, are actually very complex joints that allow movement in three dimensions. The lower jaw and temporal bone fit together as a ball and socket, with a cushioning disk in between. Large pairs of muscles in the cheeks and temples move the lower jaw. Any of these parts — the disk, the muscles or the joint itself — can become the source of a TMD problem. If you are in pain, or are having difficulty opening or closing your jaw, we will do a thorough examination to try to pinpoint the problem area and suggest appropriate remedies.