Silver Fillings:
Silver-Mercury fillings have been the filling material of choice of dentists
for many years. Many dentists still do provide this filling material. This
material has been shown to be safe and effective. We feel that silver fillings
are just fine. However, we no longer provide this material for a couple
reasons. Evidence has shown that the manufacturers of tooth colored filling
materials have improved these materials so much in the past few years that
we can confidentally predict that the tooth colored materials will last
at least as long as silver fillings. In addition, since the tooth colored
materials bond to the existing tooth, there is less risk for tooth fracture
than when using silver fillings, which do not bond to the tooth. Finally,
if we can restore a tooth with a fine, long lasting material that blends
in with the natural tooth, why use something ugly such as silver filling
material? Most of our patients like the fact that their fillings are invisible.
Thus, we have found that there is no real reason to continue to provide
silver fillings for our patients.
Bonded, Tooth colored restorations:
We offer this type of restoration for a number of reasons:
- We are able to make invisible fillings with this material. In addition, there will be no future black staining of the tooth which is so common around old silver-mercury fillings.
- The latest bonded, tooth colored materials are just as strong as silver-mercury fillings, and are able to be bonded very strongly to natural tooth structure. This enables us to place a restoration which will function for many years and help the patient avoid tooth fracture, the side effect so common with silver-mercury fillings.
- Although there is no consensus in the scientific community that silver-mercury fillings pose a significant health risk, why place it if you don't have to? It is nice to be able to place a bonded tooth colored restoration, which not only strengthens and beautifies your tooth, but also has no mercury, the second most toxic element know to man.
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Crowns:
Also known as a "cap," a crown is used to restore teeth which are badly broken down or for teeth that have huge fillings which are prone to breaking down. The crown acts like a "thimble," covering over the tooth and helping to prevent the tooth from breaking. Traditionally, crowns were made of all metal, such as gold, or were made of a metal core with porcelain baked onto the outside to make it look more like a natural tooth. Drs. Mark and Lizette Dreyer have recently begun delivering some all ceramic "Empress" crowns. These crowns, when bonded in place, have been shown to be as strong as crowns with the metal core. In addition, due to the absence of metal, light is able to reflect through the Empress crown similar to a natural tooth. This means that in most instances, it is almost impossible for a casual observer to tell an Empress Crown from a natural tooth. The esthetics are simply astounding!
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Root Canal:
It is no longer necessary to have your tooth extracted due to a toothache in a badly decayed tooth. Many years ago, in this type situation, the tooth would have had to have been pulled. Modern dentistry now allows us to get such a tooth comfortable with a root canal procedure. The tooth would then need a crown to restore it and prevent it from breaking apart. With the help of modern anesthetic technologies, root canals can be accomplished absolutely pain free! We are able to complete most root canals in one 60 - 90 minute appointment.
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Extraction:
For those of our patients needing extractions (including wisdom tooth
extractions), we have a dentist, Dr. Steven Baxter, who comes into our
office to provide this treatment. Dr. Baxter is also able to sedate you
in case you don't want to be awake for your extractions.
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Pediatric Dentistry:
Dr. Lizette Dreyer enjoys working with children. She has many patients as young as four years old. For the very apprehensive and/or uncooperative children, she will refer to a local pediatric dentist.
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Porcelain Facial Veneers:
For patients with badly discolored, or badly shaped front teeth, we can bond porcelain facings onto these teeth. The cosmetic improvement that can be achieved in many cases is truly amazing. This procedure requires two appointments, and in most cases requires very minimal removal of actual tooth structure prior to making an impression to be sent to a dental laboratory. Our experience is that these restorations should easily last 10 years or longer while maintaining excellent esthetics.
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Bleaching:
Over the years, most people's teeth will absorb stain from food, drink, tobacco, etc. As a result, their teeth will turn a couple shades darker. For these patients, we can fabricate a custom tray into which a bleaching solution can be placed. The patients apply the solution into the tray, then wear the tray a few hours every day for a couple of weeks. After a couple of weeks, most patients' teeth will lighten a couple shades, which in most situations is a very noticeable improvement. This process does not work as well for patients with deep stain such as from certain antibiotics taken in childhood. In these situations usually, a porcelain veneer, or crown is needed to mask the stain.
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Dentures and Partials:
For these patients that have no option, due to extensive tooth decay, or advanced gum disease, we are able to offer dentures and partials. Many patients want to have their denture of partial on the same day their teeth are extracted. We are able to provide this service by taking the impressions of the mouth a week before the extraction visit. The impressions are then sent to a dental laboratory, and the denture or partial is constructed and ready to be placed on the day of the extractions. As the healing process occurs, the gums will shrink. As a result, the denture or partial will loosen and need to be relined at a later date. For those patients wearing partials with ugly metal hooks, we are able to recommend precision partials. These partials contain no hooks. Rather, they have hidden snaps which secure the partial in place. As an alternative to partials, we recommend implant dentistry as a nice option for those patients wishing to totally get away from having a denture or partial.
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Periodontal (Gum) Treatment:
Although great strides have been made in preventing tooth decay due to
the advent of fluoridated water supply, tooth loss due to gum disease
still is very common. At the comprehensive new patient exam visit, we
will do a thorough gum exam. We will discuss the various factors associated
with gum disease, and will outline a treatment plan to help the patient
get their gums healthy. Our hygienist will demonstrate techniques for
removing plaque from all surfaces of the patient's teeth. After treatment
with the hygienist, on a subsequent visit, we will re-evaluate the patient's
gum condition and if necessary, refer the patient to a local periodontist
(gum specialist).
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