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Regular Exams and Cleanings
Regular exams are an essential part of maintaining your oral health. During your regular exam, we will:
- Check for any problems you may not see or feel
- Look for cavities or other signs of tooth decay
- Inspect your teeth and gums for gingivitis and signs of periodontal disease
- Perform a thorough teeth cleaning
Your regular exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, during which we will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth’s surface.
Visiting our office every six months gives you the chance to ask Dr. Deese any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.
Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance.
The filling “bonds” with your tooth. Because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.
Tooth bonding can also be used for fillings instead of silver amalgam. Many patients prefer bonded fillings because the white color is much less noticeable than silver. Bonded fillings can be used on front or back teeth, depending on the location and extent of tooth decay.
Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments, such as porcelain veneers. If it does break or chip, let us know. The bonding can generally be easily patched or repaired in one visit.
A bridge may be used to replace missing teeth, help maintain the shape of your face, or alleviate stress on your bite.
A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support.
The success of any bridge depends on its foundation: the other teeth, gums, or bone to which it is attached. Therefore, it’s vital to keep your existing teeth, gums, and jaw healthy and strong.
Crowns are a restorative procedure used to improve your tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay.
A crown is a “cap” cemented onto an existing tooth that usually covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface.
Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth.
Your crown is created in a lab from your unique tooth impression, which enables a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so your bite and jaw movements function normally once the crown is placed.
Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial.
Full dentures are given to patients when all the natural teeth have been removed. Partial dentures are attached to a metal frame connected to your natural teeth and are used to fill in where permanent teeth have been removed.
Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they’re not in use, and be sure to keep your tongue and gums clean as well.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt.
At other times, a tooth may have so much decay that it puts the surrounding teeth at risk, so the doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
When it is determined that a tooth needs to be removed, Dr. Deese may extract it during a regular checkup or request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament.
In order to extract a tooth, we must expand the socket and separate the tooth from the ligament holding it in place. Although this procedure is typically very quick, it is important to share with us any concerns or preferences for sedation.
Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or your jaw joint function. To avoid these complications, we may recommend that you replace the extracted tooth.
Traditional dental restoratives, or fillings, are most often made of silver amalgam. The strength and durability of this traditional dental material makes it useful for situations where restored teeth must withstand extreme forces that result from chewing, often in the back of the mouth.
Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth, depending on the location and extent of the tooth decay.
There are two different kinds of fillings: direct and indirect. Direct fillings are placed into a prepared cavity during a single visit. They include silver amalgam, glass ionomers, resin ionomers, and composite (resin) fillings.
Indirect fillings generally require two or more visits. They include inlays, onlays, and veneers. They are used when a tooth has too much damage to support a filling but not enough to necessitate a crown.
Fluoride is effective in preventing cavities and tooth decay. It also prevents plaque from building up and hardening on the tooth’s surface. A fluoride treatment in our office takes just a few minutes.
After the treatment, you may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow your teeth to absorb the fluoride. Depending on your oral health or the doctor’s recommendation, you may be required to have a fluoride treatment every three, six, or 12 months.
Sometimes, brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for your toothbrush to get between the small cracks and grooves on your teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.
Dental sealants are plastic resins that bond and harden in the deep grooves on your tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective against tooth decay.
Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. However, adults can also receive sealants on healthy teeth. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and Dr. Deese will recommend sealants on a case-by-case basis.
Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealants come off, let us know, and schedule an appointment for your teeth to be re-sealed.
You no longer need to hide your smile because of gaps, chips, stains, or misshapen teeth. With veneers, you can easily correct your teeth’s imperfections to help you have a more confident, beautiful smile. Veneers are natural in appearance, and a perfect option for patients who want to make minor adjustments to the look and feel of their smile.
Veneers are thin, custom-made shells made from tooth-colored materials, such as porcelain. They are designed to cover the front side of your teeth. To prepare for veneers, we will create a unique model of your teeth.
This model is sent to the dental technician to create your veneers. Before placing your new veneer, Dr. Deese may need to prepare your tooth conservatively to achieve the desired aesthetic result.
When your veneers are placed, you’ll be pleased to see they look like your natural teeth. While veneers are stain-resistant, we may recommend that you avoid coffee, tea, red wine, and tobacco to maintain the beauty of your new smile.
Wisdom teeth are molars found in the very back of your mouth. They usually appear during our late teens or early twenties, but may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry.
When a wisdom tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.
Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier as well as shorten the recovery time.
In order to remove a wisdom tooth, Dr. Deese first needs to numb the area around the tooth with a local anesthetic. Since the impacted tooth may still be under the gums and imbedded in your jaw bone, he will need to remove a portion of the covering bone to extract the tooth.
In order to minimize the amount of bone that is removed with the tooth, Dr. Deese will often “section” your wisdom tooth so each piece can be removed through a small opening in the bone. Once your wisdom teeth have been extracted, the healing process begins.
Depending on the degree of difficulty related to the extraction, healing time varies. We will share with you what to expect and provide instructions for a comfortable, efficient healing process.