Dental Services

Crowns, Bridges and Veneers

  Bridge   Porcelain veneers   Porcelain veneers   Zirconia crowns   Zirconia crowns   Zirconia crowns   Zirconia crowns   Zirconia crowns   Zirconia crowns

A crown is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are often needed when a large cavity threatens the ongoing health of a tooth. They are typically bonded to the tooth using a dental cement.

A bridge, also known as a fixed partial denture, is another type of dental restoration used to replace a missing tooth by joining permanently to adjacent teeth or dental implants. A bridge is fabricated by reducing the teeth on either side of the missing tooth or teeth by a preparation pattern determined by the location of the teeth and by the material from which the bridge is fabricated. In other words, the abutment teeth are reduced in size to accommodate the material to be used to restore the size and shape of the original teeth in a correct alignment and contact with the opposing teeth.

A veneer is a thin layer of restorative material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface.

Porcelain veneers are an important tool for the cosmetic dentist. A dentist may use one veneer to restore a single tooth that may have been fractured or discolored, or multiple teeth to create a “Hollywood” type of makeover. Many people have small teeth resulting in spaces that may not be easily closed by orthodontics. Some people have worn away the edges of their teeth resulting in a prematurely aged appearance, while others may have malpositioned teeth that appear crooked. Multiple veneers can close these spaces, lengthen teeth that have been shortened by wear, fill the black triangles between teeth caused by gum recession, provide a uniform color, shape, and symmetry, and make the teeth appear straight.

Crowns, bridges and veneers are often used to improve the strength or appearance of teeth, and they can be made from many materials. The most common materials we use at DDS Dental are:

  • Porcelain fused to metal
  • Porcelain fused to zyrconia
  • We also offer materials as gold, etc.

Dentures

Dentures are removable replacements for missing teeth typically made out of an acrylic resin, which at times, incorporate porcelain or metal for additional structural support. There are two main types of dentures; both complete and partial. They are finely crafted and custom-fitted. If you properly maintain your dentures, they will appear natural and provide a perfect smile, and they are an affordable alternative to implants

The benefits are ease of production and relative lesser expense. The disadvantages include reduced chewing strength and an unnatural feel and taste.

Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing.

Endodontic Treatment and Retreatment

  Healthy tooth   Root canal treatment
Endodontic Treatment

Endodontic treatment, also known as root canal treatment, is a dental procedure to treat infection at the centre of a tooth (the root canal system). Root canal treatment is also called endodontics. The infection is caused by bacteria that live in the mouth and causes cavities and invade the tooth when:

  • Tooth decay occurs
  • Fillings leak
  • Teeth are damaged by trauma, such as a fall

What are the signs of needing endodontic treatment?
Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes as well as nearby bone and gingival tissues. Sometimes, however, there are no symptoms.

Endodontic retreatment

As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:

  • Narrow or curved canals were not treated during the initial procedure.
  • Complicated canal anatomy went undetected in the first procedure.
  • The placement of the crown or other restoration was delayed following the endodontic treatment.
  • The restoration did not prevent salivary contamination to the inside of the tooth.

In other cases, a new problem can jeopardize a tooth that was successfully treated. For example:

  • New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth.
  • A loose, cracked or broken crown or filling can expose the tooth to new infection.
  • A tooth sustains a fracture.

Endodontic Surgery

Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.

In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly. Over a period of months, the bone heals around the end of the root.

Gum treatment

Gum tissue protects your teeth from disease and helps produce a great smile. However, when you experience gum tissue loss around your teeth, it can be the beginning of serious oral health problems. Exposed tooth roots are the result of gum recession. Recession is never normal, regardless of a person’s age. There are many causes of gum recession:

  • Periodontal disease
  • Overly aggressive brushing
  • Anatomic susceptibility
  • Tooth position

If recession progresses, without treatment, it can lead to cosmetic compromises, tooth sensitivity, tooth/root decay, and even tooth loss.

Natural gum regeneration is the most common treatment for recession. There are several techniques to treat exposed roots but most common ones are:

  • Connective Tissue Grafts
  • Gingival Grafts and Alloderm® grafts which is an acellular dermal matrix derived from donated human skin tissue supplied.

Dental Implants

  Dental implant on tooth # 9   Dental Implant   Dental implants   Full mouth restoration process   Full mouth restoration

Today, the preferred method of tooth replacement is dental implant treatment. Dental implants replace missing tooth roots, and form a stable foundation for replacement teeth that look, feel, and function like your natural teeth. Dental implants also help preserve the remaining bone by providing the stimulation previously provided by the natural tooth roots.

At DDS Dental, dental implants are a team effort. A successful implant requires that all parties involved — the patient; the restorative dentist and the periodontist who surgically places the implant, following a careful plan treatment. All members of the implant team stay in close contact with each other to make sure everyone clearly understands what needs to be done to meet the patient’s expectations.

In order to determine the best treatment for each patient, an extensive number of diagnostic records must be taken. These include X-rays, models, photos, an examination and possibly a CT Scan or Icam. This information together with the patient’s desires will determine the ideal treatment. It is impossible to give an exact estimate of time, fees or extent of treatment without a blueprint of the treatment plan.

Dental Implant Placement Surgery

Surgical placement of an implant fixture or post is the first step in your dental implant treatment. A dental implant is surgically inserted into the jawbone and covered by the gum or by a special ‘healing cap’. This procedure takes less than one hour and can be done with local anesthetic only. It is painless and produces little or no post-operative discomfort.

Top quality dental implants permanently integrate with your jawbone and do not need to be replaced or removed.

Occasionally, if a patient does not have a sufficient amount of bone to place an implant, a bone graft may be necessary prior to implant placement. The amount of available bone is determined through the use of the diagnostic records.

Implant Restoration

When the implants have stabilized in the jaw, the restorative dentist prepares an impression of the upper and lower jaws. This impression is used to make the model from which the implant will be supported:

  • Implant supported crown
  • Implant supported bridge

Implant supported denture

Periodontal Surgery

Periodontal surgery, sometimes known as pocket elimination, is a minor surgical procedure generally done in the dental office with a local anesthetic. It involves folding the gum back away from the tooth just enough so that a Periodontist can see the tooth root surfaces. Once they are seen, the deep bacterial deposits crusted on the tooth can be removed. In this way, the root surfaces can be made once again acceptable to the body, and the gum can reattach, at least to a degree. Surgical access also makes it possible to graft bone into defects to repair some of the damage. After root preparation, the gum is closed back with sutures and a dressing is often placed to keep the area undisturbed, especially for the first week.

Periodontal surgery is necessary when the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment. The two types of surgical treatments most commonly prescribed are Pocket Reduction Procedures (pocket elimination) and Regenerative Procedures.

Oral and Maxillofacial Surgery

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Other services

  Orthodontics   Odontopediatrics

Pediatric Dentistry

Pediatric dentists are dedicated to the oral health of children from infancy through the teen years. They have the experience and qualifications to care for a child’s teeth, gums, and mouth throughout the various stages of childhood.

Our Pediatric Dentist, Dr. Gabriela Atmetlla, will do a proper examination of your child’s mouth (including teeth and gums) and will check the growth and development of the head. Parents will receive an explanation about the most effective oral hygiene care.

The child will receive a thorough cleaning, topical fluoride treatment and, if needed, x-ray films will be taken. If your child has dental cavities, these should be treated accordingly to their extent and position. This first visit should be easy and enjoyable, helping to overcome many of the fears which the child has acquired, and the child becomes acquainted with dentistry in a pleasant manner.

You child first visit to the dentist should be scheduled when the first tooth appears in the mouth, but no later than the first year.

Orthodontics

At DDS Dental we have two orthodontists on staff. Their specialty is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth. Orthodontic treatment can be carried out for purely aesthetic reasons with regards to improving the general appearance of patients’ teeth.

Sedation

At DDS Dental we use different sedation techniques depending on the treatment you need. There is the oral conscious sedation and the intravenous sedation. With oral conscious sedation, the patient takes a small pill before an appointment, which produces a delightful feeling of relaxation and NO memory of the procedure. For patients with special needs or those requiring lengthy visits, we have a physician M.D. anesthesiologist on staff, providing intravenous sedation. Intravenous sedation is anesthesia administered through a vein during your visit to ensure your comfort and maximum relaxation.

General Dentistry

At DDS Dental we are interested in your oral health. We offer regular appointments for checkups, cleanings, fluoride treatments, fillings, x-rays and other routine procedures.

Also, at DDS Dental we offer two types of teeth whitening (also known as dental bleaching):

  • At home bleaching with high concentration gel: This type of whitening is performed by applying a high concentration of oxidizing agent to the teeth with thin plastic trays for a short period of time, which produces quick results. The application trays ideally should be well-fitted to retain the bleaching gel, ensuring even and full tooth exposure to the gel. Trays are then removed and the procedure is repeated several times until reaching the ideal color.
  • Light-accelerated bleaching sometimes referred to as laser bleaching (a common misconception since lasers are an older technology that was used before current technologies were developed), uses light energy to accelerate the process of bleaching in a dental office. This source of energy should be high enough to excite the peroxide molecules without overheating the pulp of the tooth.