General Dentistry

General Dentistry

Think of your teeth and gums as a precious work of art: A radiant smile. Straight. Bright. White. Healthy. All the elements for a perfect picture. Here's how we'll help you get — and keep — that perfect smile:

Oral Health Exams

Every new patient receives a thorough examination and a precise assessment of his or her oral health. Our dentists will discuss your needs, answer your questions, advise you of options, and make recommendations for treatment. Intra-oral cameras, digital x-rays, computer imaging, and surgical microscopes are available when indicated for even more in-depth analysis and better results. Presentations are used for comparative analysis and discussion of complex treatment plans and cosmetic makeovers.

Ultrasonic Cleaning

We can perform even the most difficult cleanings thoroughly and comfortably using ultrasonic instruments. This gentle vibration, called cavitation, removes heavy deposits allowing us to reduce the need for scraping. You'll enjoy the nurturing care of regular professional cleanings. They enhance the health of your teeth and gums, and you'll feel better with your mouth and breath as fresh as they can be.


Cosmetic Dentistry

People notice a beautiful smile. There’s no doubt that a smile is your most important social bonding gesture. Your smile is the total center of your expression and when it dazzles, you exude confidence, happiness, and joy.

What is Cosmetic Dentistry?

Today’s advanced cosmetic procedures can enhance your smile to its white, straight, beautiful best. Here is what cosmetic dentistry can do for you:

  • Close gaps between teeth
  • Whiten discolored or stained teeth
  • Repair chipped, broken, or worn teeth
  • Reposition crowded teeth
  • Lengthen or shorten uneven teeth
  • Replace a missing tooth or teeth
  • Replace old metal fillings

Cosmetic dentistry covers a multitude of procedures that improves the beauty and health of your smile.


Lumineers®

Dental veneers, sometimes called tooth veneers, are thin arches that are fit over teeth in order to correct both color and shape problems.

About Lumineers®

At our practice, we offer Lumineers®. Lumineers® are a special kind of porcelain veneer that are incredibly thin; roughly .2 mm thick, or contact lens-thin. Because they are so thin compared to traditional veneers, there's typically no need for drilling or grinding down of healthy tooth structure to get a good fit.

Lumineers® fit over your natural teeth, which means little to no tooth reduction is usully needed. They are ideal for quickly and easily solving many issues people may have with their smile: discolored teeth, misaligned teeth, chipping or other damage, uneven spacing, and more. This also makes the process very painless and also reversible. Lumineers® are also long-lasting; they have been clinically proven to last over 20 years.

Only two visits to the office are needed (but a two week follow-up is always recommended)! Come in once to have a mold impression made that fits your teeth perfectly. On the second visit, your Lumineers® are placed and bonded, giving you a straight, white smile.

LumiSmile®

Want to picture your perfect smile? Ask about complimentary LumiSmile® when you're next in our office!

We take your picture, process it, and create a sample image that demonstrates what you could look like with Lumineers®. It's a quick process that can be finished before you even leave the office. Take a look and imagine what your smile could be!


Snap-On Smile®

Dental veneers, sometimes called tooth veneers, are thin arches that are fit over teeth in order to correct both color and shape problems.

About Snap-On Smile®

Snap-On Smile Before and After images

Snap-On Smile® is an affordable, non-invasive, cosmetic, removable arch that can easily and painlessly give you a beautiful smile. It is also completely reversable.

The unique dental resin used in it make Snap-On Smile® very thin yet extremely strong, while still maintaining the look of natural teeth. It fits right over your own teeth to give you a beautiful, natural looking smile—even if you have stains, chips, gaps or missing teeth. You can even eat and drink with your Snap-On Smile®. It’s easy to care for and can be a temporary or permanent cosmetic solution.

Snap-On Smile® is an affordable and life-changing solution for people of all ages. Getting one simply requires two short, painless visits with no drilling, no shots, and no change in tooth structure.


Crowns

A dental crown is a simple procedure that places a tooth-shaped "cap" over a misshapen or broken tooth to restore its strength and appearance, and crowns can be made of a variety of materials including metals, ceramic, and porcelain composites.

About Crowns

Ashamed of one's mouth

Crowns can greatly improve the appearance of a tooth, and they are more than just cosmetic devices. They can be used to salvage a tooth that has been badly decayed or damaged and can support and protect weak teeth. Crowns are also used to anchor other dental corrections by providing the necessary framework to secure bridges or dentures.

A crown is one of the most common dental procedures performed today and with proper care the benefits can last a lifetime. Make sure to talk to our dentists now about dental crowns so that you can explore the best options for your particular needs.

Metal Free Options (ceramic, composite, or fiber reinforced composites)

Dentists used to have few options other than metal when they needed to fill a cavity, construct a bridge, or reinforce the strength and integrity of a tooth. Not only was the use of these materials painful, metals had the potential to actually damage the tooth and almost always detracted from the aesthetic value of the patient’s smile.

Fortunately cosmetic dentists now have myriad options for providing patients with structural improvements without compromising aesthetics. Ceramic, composite, and fiber-reinforced composite materials provide alternatives that are more attractive than metal and are generally safer and longer lasting as well.

You can now replace your unsightly metal dental work with strong and affordable alternatives. We'd be happy to discuss your metal-free options and have those old-fashioned and unattractive metal fillings replaced today!


True Definition Scanner

The True Definition Scanner is a special device created by 3M to create digital scans of your teeth. One fast scan and a digital copy of your teeth is created; a model that can be uploaded and used immediately by dental labs to produce crowns and more.

Your Teeth – Fast, Comfortable, and No Impressions

It looks like a touchscreen on wheels, with a magic wand hanging on the side. While you sit comfortably in the dental chair, we can roll the scanner into the room and right besides your chair, scan your teeth by sweeping the small wand through your mouth, and then show you your digital teeth right there, all in a few minutes. The precise time varies depending on what treatment you're being scanned for but even the lengthiest scan, scanning all of your teeth, doesn't take more than five minutes! Compare that to taking a traditional impression, where a physical mold has to be made of your teeth.

Cutting Edge Technology

Digital impressions are one of the latest innovations in dentistry. More and more dental offices are adopting similar technology because it's faster, more efficient, and more lasting. No lengthy impression treatment, and no having to take new or additional impressions because the physical mold somehow broke or poured incorrectly. We're excited to improve our practice and serve you with some of the latest dental techonology.

You can read more about the True Definition Scanner on their official site: http://www.3m.com/TrueDef


Dentures

If you’ve lost all of your natural teeth, whether from periodontal disease, tooth decay, or injury, complete dentures can replace your missing teeth and your smile. Replacing missing teeth will benefit your appearance and your health. Without support from the denture, facial muscles sag, making a person look older. You’ll be able to eat and speak — things that people often take for granted until their natural teeth are lost.

Even Denture Wearers Can Have a Gorgeous Smile

Older patients

One of the most common complaints from denture wearers include the "false teeth" look, causing them to be self conscious about their dentures and smile less. This complaint is usually accompanied by shortcomings in the ability to chew and the overall discomfort they experience.

Dr. Rand and our staff can customize your dentures for you. You too can have a beautiful, natural smile. The meticulous attention to design and detail will also improve chewing and overall function.

In dentures, excellence goes unnoticed. The better the dentures, the more natural and life-like they appear. Our customized teeth appear more natural because they are designed and handcrafted especially to complement your personality, age, sex, and physical appearance. When you elect to have custom dentures, we take special measures to make sure your smile is absolutely incredible.

About Dentures

As you can see in the left image below, dentures come in many shapes and sizes. Some examples include full dentures, partial dentures, over dentures, immediate dentures, precision partial dentures, and implant retained dentures. These dentures can be created to chew against natural teeth, fixed bridges, implant supported crowns or bridges, or almost any other type of dental prosthesis.

Denture examples
Flexible partial dentures

Above and to the right is an example of a lower removable partial denture (RPD). The missing teeth are replaced by plastic or porcelain teeth supported by a metal framework. A removable partial denture can replace one or more missing teeth and can be constructed of acrylic, metal, or a flexible dental resin which is metal free.

The metal style partial is the most common type and is considered stronger and more hygienic. It consists of a connected metal frame work which attaches to your existing natural teeth with small metal clasps.

Partials help to restore the function of chewing as well as bringing back your beautiful smile! This type of prosthesis has the advantage of economy, as many teeth can be provided for a relatively lower cost than fixed bridges or implants. And it is easy to clean and maintain!

The disadvantages of the RPD are that it doesn't stimulate the bone the way natural teeth or implants would, so the amount of bone below the plate will decrease over time. And the RPD can cause an esthetic problem, especially on the upper, if the clasps that hold it in are visible toward the front of the mouth. To solve this problem we sometimes make a denture that is retained by implants submerged in the bone. The denture is still removable, but there are no clasps because the RPD is retained by the implants.

If you do not wish to have a metal clasps at the front of the tooth you can select to have a tooth colored flexible clasp. The tooth colored clasps blend in with your natural teeth.

Flexible Partial Dentures

Flexible partials are a quality premium product that offer comfort, esthetics, function and bio-compatibility. Flexible partials are made from a denture base resin that is non-allergenic, thin, lightweight, resilient, and flexible. The advantage to wearing a flexible partial is the invisible clasps that surround the natural teeth as well as the easy maintenance.

Flexible partial dentures

Using a retento-grip tissue bearing technique for retention, flexible partials are easy to wear and easy to maintain. Most of these types of partials are also guaranteed against breakage.

Esthetically the translucent material blends naturally with the tissue and gums and no more unsightly metal clasps.


Cavities

'Cavity'. That's the word no one wants to hear at the dentist's office.

A cavity develops when a tooth decays, or breaks down. A cavity is a hole that can grow bigger and deeper over time. Cavities are also called dental caries, and if you have a cavity it's important to get it repaired.

Cavities

Why would your tooth develop a hole? Blame plaque. That's a sticky, slimy substance made up mostly of the germs which cause tooth decay. That bacteria makes acids, so when plaque clings to your teeth the acids can eat away at the outermost layer of the tooth, called the enamel.

If you don't go to the dentist, the acids can continue to make their way through the enamel and the inside parts of your tooth can begin to decay. If you've ever had a toothache or heard someone complain about one, it may have been because there was a cavity that reached all the way inside a tooth where the nerve endings are. Ouch!

Your dentist will carefully examine your teeth and may take X-rays. If your dentist discover a cavity, we can repair it for you by first removing the rotted part of your tooth with a special drill. We then fill the hole in your tooth with a special material. This procedure is called, unsurprisingly enough, a 'filling'.

Does it hurt? Sometimes it does, but our dentists can give you an anesthetic that will numb the area around the problem tooth while you're getting your new filling.

Fillings

Thanks to advances in modern dental materials and techniques, dentists have more ways to create pleasing and natural-looking smiles. Dental researchers are continuing their often decades-long work developing materials such as ceramics and polymer compounds that look more like natural teeth. As a result, dentists and patients today have several choices when it comes to selecting materials to repair missing, worn, damaged, or decayed teeth.

These new materials have not eliminated the usefulness of more traditional dental materials such as gold, base metal alloys, and dental amalgam. That’s because the strength and durability of those materials continue to make them useful for situations such as fillings in the back teeth where chewing forces are greatest.

What's Right for Me?

Several factors influence the performance, durability, longevity, and cost of dental restorations. These factors include: the patient's oral and general health; the components used in the filling material; where and how the filling is placed; the chewing load that the tooth will have to bear; and the length and number of visits needed to prepare and adjust the restored tooth.

With so many choices, how do you know what's right for you? To help you better understand what's available, here are the advantages and disadvantages of commonly used dental restorations.

The ultimate decision about what to use is best determined by the patient in consultation with the dentist. Before your treatment begins, discuss the options with your dentist.

Types of Dental Restorations

There are two types of dental restorations: direct and indirect.

Direct Restorations are fillings placed immediately into a prepared cavity in a single visit. They include dental amalgam, glass ionomers, resin ionomers, and some resin composite fillings. The dentist prepares the tooth, places the filling, and adjusts it during one appointment.

Indirect Restorations generally require two or more visits. They include inlays, onlays, veneers, crowns and bridges fabricated with gold, base metal alloys, ceramics, or composites. During the first visit, the dentist prepares the tooth and creates an impression of the area to be restored, either digitally or as a physical mold. The impression is sent to a dental laboratory which creates the dental restoration. At the next appointment, the dentist cements the restoration into the prepared cavity and adjusts it as needed.

Amalgam Fillings

Used by dentists for more than a century, dental amalgam is the most thoroughly researched and tested restorative material among all those in use. It is durable, easy to use, highly resistant to wear, and relatively inexpensive in comparison to other materials. For those reasons it remains a valued treatment option for dentists and their patients.

Dental amalgam is a stable alloy made by combining elemental mercury, silver, tin, copper, and sometimes other metallic elements. Although dental amalgam continues to be a safe, commonly used restorative material, some concern has been raised because of its mercury content. However, the mercury in amalgam is combined with the other metals to render it stable and safe for use in filling teeth. Major U.S. and international scientific and health bodies, including the National Institutes of Health, the U.S. Public Health Service, the Centers for Disease Control and Prevention, the Food and Drug Administration, and the World Health Organization, among others, have been satisfied that dental amalgam is a safe, reliable, and effective restorative material.

Because amalgam fillings can withstand very high chewing loads they are particularly useful for restoring molars in the back of the mouth where chewing load is greatest. They are also useful in areas where a cavity preparation is difficult to keep dry during the filling replacement, such as in deep fillings below the gum line. Amalgam fillings, like other filling materials, are considered biocompatible—they are well tolerated by patients with only rare occurrences of allergic response.

All that said, some common disadvantages of amalgam include: possible short-term sensitivity to hot or cold after the filling is placed; the silver-colored filling is not as natural looking as one that is tooth-colored, especially when the restoration is near the front of the mouth, and shows when the patient laughs or speaks; and to prepare the tooth the dentist may need to remove more tooth structure to accommodate an amalgam filling than for other types of fillings.

Composite Fillings

Composite fillings are a mixture of glass or quartz filler in a resin medium that produces a tooth-colored filling. They are sometimes referred to as composites or filled resins. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be 'bonded', adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth.

The cost is moderate and depends on the size of the filling and the technique used by the dentist to place it in the prepared tooth. It generally takes longer to place a composite filling than what is required for an amalgam filling. Composite fillings require a cavity that can be kept clean and dry during filling and they are subject to stain and discoloration over time.

Indirect Restorative Dental Materials (two or more visits)

Sometimes the best dental treatment for a tooth is to use a restoration that is made in a laboratory from a mold. These custom-made restorations, which require two or more visits, can be a crown, an inlay, or an onlay. A crown covers the entire chewing surface and sides of the tooth. An inlay is smaller and fits within the contours of the tooth. An onlay is similar to an inlay, but it is larger and covers some or all chewing surfaces of the tooth.

The cost of indirect restorations is generally higher due to the number and length of visits required, and the additional cost of having the restoration made in a dental laboratory. Materials used to fabricate these restorations are porcelain (ceramic), porcelain fused to a metal-supporting structure, gold alloys, and base metal alloys.


Our dentists are happy to discuss the best option for your needs, and insurance coverage.