Root canal treatment is an endodontic procedure used to clear infected pulp away from the pulp chambers and canals of a diseased tooth. Infections occur when bacteria are allowed to enter the pulp – often due to untreated decay or a crack in the tooth. During a root canal, the tooth is opened and the pulp removed. Biocompatible cement is used to fill the tooth before it is restored with a crown or other restoration.

Did you know…

that while most infected teeth are easily identified by the symptoms they cause, some produce no discomfort at all? It is important to visit your dentist regularly for routine exams that may reveal diseased teeth that would otherwise go unnoticed. Failure to treat an infected tooth could result in the death of the tooth and total loss. Worse, the infection can spread to other areas of the body, causing potentially life-threatening conditions.

Frequently Asked Questions

Do I need root canal treatment?

You may need a root canal if tooth decay or a broken tooth has allowed the pulp to become infected and inflamed. Signs and symptoms to watch out for include temperature sensitivity, swelling, drainage, odor, pain, and discoloration of the tooth. It is important to treat infections quickly, as delaying treatment can result in severe tooth pain and abscess.

What should I expect to happen during my root canal?

Your endodontist will numb your tooth with a local anesthetic and administer analgesia if needed. Once the tooth is numb, an opening will be made in the top of your tooth to access the canals. Your endodontist will use tiny instruments to remove pulp from your tooth and prepare it to be filled. You will return at a later date to have your root canal capped with a crown or other type of restoration that will give it the appearance and function of a natural tooth.

Will I need to follow any post-operative instructions following my root canal treatment?

You will be allowed to drive yourself home from your root canal visit and may even wish to return to work the same day. However, it is normal for your tooth to be sensitive in the days following your procedure. You’ll need to avoid biting anything with your filled tooth, as this can cause it to break or fracture. So long as the tooth heals normally and you experience no complications, you can return to your endodontist within a month to have a crown or other restoration placed on the tooth.

WaterLase dentistry is one of the most advanced dental treatments today. WaterLase uses a patented technology that combines focused light energy with a stream of water for a highly precise, exceptionally gentle dental experience. WaterLase allows your dentist to perform a wide range of procedures with benefits including:

The Benefits of WaterLase Dentistry

MORE COMFORTABLE

WaterLase dentistry uses laser energy and a gentle spray of water to perform a wide range of dental procedures without the heat, vibration and pressure associated with the dental drill. With many procedures, it’s possible to use less anesthetic, or no anesthetic at all.

MORE CONVENIENT

Your WaterLase dentist can often get you in and out of the dentist chair faster, since it’s less likely that you’ll need an injection. It’s nice to avoid that shot, isn’t it?

Not using anesthetic can allow your dentist to perform procedures that used to require more than one visit in a single appointment. Also, a WaterLase dentist can perform procedures that once meant an additional trip to a specialist, saving you even more time.

MORE PRECISE

A WaterLase dentist can remove decay far more precisely than the drill. This saves more of the healthy parts of your tooth and avoids micro-fractures that the friction of a drill can cause.

Saving your natural teeth can save you the discomfort and cost of bridges, dentures and implants. Even better, studies show people with natural teeth live longer.

What Can WaterLase Dentistry Do?

We may use WaterLase dentistry laser to treat your gums or other soft tissue in your mouth to:

IMPROVE YOUR SMILE

We may suggest contouring or shaping your gums using WaterLase dentistry to improve the appearance of your smile – safely removing excess gum tissue that may give you a “gummy” smile, or make your front teeth appear irregular in size or shape.

REMOVE ORAL GROWTHS

Quickly and safely remove growths or excess tissue in your mouth including gum tissue over an unerupted tooth, small “tags” called papilla, and growths called fibromas.

FIX A “TONGUE TIE” OR PREVENT GUM RECESSION

Connections that restrict the movement of your tongue or cause your gums to recede can be “released” with less post-operative pain.

TREAT PERIODONTAL DISEASE

We recommend using WaterLase dentistry to remove debris and bacteria between your teeth and gums that can cause bleeding gums, gum recession and even loss of teeth. For moderate to severe gum disease, ask your doctor about REPAIR minimally invasive periodontal treatment.

We may also use our WaterLase iPlus laser to perform other procedures that could benefit you.

Contact us today to find out if WaterLase Dentistry is right for you.

Smooth, youthful skin is the desire of most people – especially as age, genetics and environmental factors begin putting years of mileage on the face. Over time, the skin starts to lose its elasticity and volume, resulting in the appearance of lines and wrinkles. Juvederm helps to restore volume and smoothness by replacing depleted hyaluronic acid just beneath the skin. When injected into the dermal layers, hyaluronic acid binds to water molecules, giving the face a fuller appearance in targeted areas. Dermatologists use Juvederm to treat many different types of lines and wrinkles though it is most frequently used as a dermal filler for smile lines and marionette lines around the mouth.

Did you know…

that dermal fillers like Juvederm are among the most requested cosmetic procedures in the U.S.? Juvederm is minimally invasive and can be performed in just minutes in the privacy of a dermatologist’s office. In fact, Juvederm has become so accessible, that it is now being used by millions of people worldwide.

Frequently Asked Questions

Could I be a candidate for Juvederm treatments?

Juvederm may be right for you if you are bothered by deep lines or facial folds, but are in search of a non-surgical way of addressing them. The FDA deems Juvederm safe and effective for most people though you should consult with your dermatologist before undergoing treatments.

What should I expect during Juvederm treatments?

Juvederm injections are administered in the comfort of your dermatologist’s office. The gel contains both hyaluronic acid and lidocaine, the latter of which is responsible for helping numb the skin and minimize discomfort. Your doctor will need only minutes to complete the injection, and in most cases, you can return to work or other activities immediately after.

What type of results can I expect after my appointment?

Juvederm offers instant results. You’ll see a noticeable change in your skin’s appearance before you ever leave the office. Many patients enjoy their results for up to a full year until the gel is safely absorbed by the body. Most Juvederm patients feel that their results are natural in appearance and reflect the natural contours of the face.

Facial fillers are substances injected beneath the skin to help smooth fine lines and boost facial volume. Also known as dermal fillers, these injections are in-office procedures that are minimally invasive alternatives to cosmetic surgery. Patients often undergo facial filler injections to achieve a more youthful appearance with as little down time as possible. Fillers are available to target nearly any area of the face, including crow’s feet, laugh lines, and thin lips.

Did you know…

that non-surgical cosmetic treatments like Restylane and Juvederm are the fastest growing form of aesthetic medical enhancements in the U.S.? The American Society of Plastic Surgeons reports that minimally invasive cosmetic procedures were up by 6 percent in 2012 over 2011 despite surgical procedures being down by 2 percent. More than 1.4 million dermal injections were administered to American patients in 2012 alone – up from 1.3 million in 2011.

Frequently Asked Questions

Am I a candidate for facial fillers?

You may be a candidate for dermal facial filling if you are unhappy with your facial volume or are looking for a non-surgical way of smoothing fine lines. Many types of facial injections are available; and our staff would be happy to help you find out which filler is right for you. Contact us today to schedule a consultation or find out more about dermal injections.

What should I expect during a facial filler injection?

Getting a facial filler is as easy as dropping by our office on your lunch break. Using a very fine needle, your filler will be injected just beneath the surface of your skin. You will experience little or no discomfort and can return to work immediately after the procedure.

What types of results can I expect from a facial filler?

Results vary from patient to patient and are never guaranteed. However, most patients begin to see visible results within just days of undergoing a dermal injection. Results may continue to improve over the course of several weeks. Depending on the location of your injection and the type of filler used, the effects of your filler may last as long as 6 months or more.

Botox injections are used not only for therapeutic purposes but for cosmetic ones too. Unlike other fillers, which are superficially injected just beneath the skin, Botox is injected directly into the muscle. Because Botox is made of a neurotoxin, it blocks signals between the muscle and the brain, ultimately preventing muscle contraction in a localized area. When the muscle relaxes, wrinkles smooth out and soften. Performed correctly, these injections only affect targeted muscles while still allowing for facial expression. Botox can be used for any type of wrinkle that has not been caused by sun damage or stretching of the skin due to gravity. Results are usually best on expression lines, such as those around the eyes and forehead.

Did you know…

that 11 million women have undergone Botox? In fact, the American Society of Plastic Surgeons reports that it is the most common cosmetic treatment requested in America, with numbers at an all-time high. More than a million treatments are performed every year, and it isn’t just the rich and famous indulging in the liquid facelift. People of all economic backgrounds get Botox because of its affordability.

Frequently Asked Questions

Am I a candidate for Botox treatments?

If you are between the ages of 18 and 65, consult with your dermatologist to find out if Botox is right for you. The best candidates for cosmetic Botox treatments are usually men and women bothered by facial lines and wrinkles – particularly those along the forehead and between the eyes. You should not get Botox injections if you are pregnant or breastfeeding, or if you suffer from any type of neurological disease.

What should I expect when getting Botox?

Botox injections are in-office procedures performed in just a few minutes. In fact, you can schedule a Botox injection for your lunch hour or on your way home from work. Injections use a very fine needle, which is inserted into the facial muscles. There is very little discomfort during the injection, and anesthesia is necessary.

Are there any special instructions I will need to follow after getting Botox?

There is a minimal recovery period of approximately 48 hours after getting Botox. During this time, you may experience bruising or headaches. Avoid rubbing your face in areas treated with Botox, and do not lie down for the first few hours after the injections. Keep in mind that results from Botox – though significant – usually begin to fade within 4 to 6 months. You’ll need to return for retreatment periodically.

Sleep apnea is a dangerous sleep disorder that interferes with healthy breathing patterns during sleep. It is characterized by snoring, which may be so loud that it affects the sleep quality of bed partners. Having sleep apnea can put a strain on relationships, cause daytime fatigue, and even lead to other secondary conditions like depression. Worse, severe cases of sleep apnea can be life threatening.

Though snoring is a primary symptom of sleep apnea, not all people who snore actually have sleep apnea. As much as 50 percent of Americans snore at some time, whether occasionally or chronically. However, only 20 percent of American adults have sleep apnea. So how do you know the difference? Harmless snoring does not interfere with breathing patterns. Sleep apnea, on the other hand, causes breathing cessations and sometimes ‘gasping’ during sleep.

Frequently Asked Questions

Do I need treatment for sleep apnea?

You may need to see a doctor if you or your partner have been awakened by your chronic snoring and/or gasping for air. Though this condition can be very dangerous, your doctor can help you discover ways of managing sleep apnea and protecting healthy breathing during sleep.

How will my doctor screen for sleep apnea?

Your doctor’s first goal will be to determine whether your snoring is benign or a symptom of sleep apnea. This may be determined by speaking with you and your partner about your symptoms. If you do not have a partner who can confirm snoring or breathing interruptions, your doctor may request a sleep study.

What types of treatments are available for people with sleep apnea?

There are many ways of treating the symptoms of sleep apnea. This may include conservative approaches, such as a new sleeping position or the use of an oral appliance. If your apnea symptoms are severe or conservative treatments are not working, you may be prescribed a continuous positive airway pressure device (CPAP) to open the airway. In severe cases, surgery may be necessary. Keep in mind that a diagnosis of sleep apnea is not always permanent. Many patients find that losing weight can be an effective way of opening the airway during sleep.

There are many different types of sleep apnea, including obstructive sleep apnea (OSA) and central sleep apnea (CSA). In obstructive sleep apnea, a child struggles to inhale properly because the airway is partially collapsed. In central sleep apnea, a child’s brain fails to send signals to breathe, resulting in short periods of sleep when he or she is unable to breathe at all.

Insert before and after photos here

Did you know…

between 1 and 4 percent of all children have sleep apnea? Though it can occur in kids of any age, it is most common in children between the ages of 2 and 8. Children who are overweight or have enlarged tonsils or adenoids are at the greatest risk of developing OSA, which is the most common type of sleep apnea in children. However, some kids with OSA also develop central sleep apnea – a condition known as mixed sleep apnea.

Frequently Asked Questions

How do I know if my child has sleep apnea?

A child with sleep apnea will show signs of labored breathing. Often, this includes snoring, pauses between breaths and gasping. During the day, a child with sleep apnea may be drowsy or have difficulty staying awake due to restless sleep during the night.

What should I do if I think my child has sleep apnea?

Prolonged pauses between breathing can be a serious problem in children. Bring your child to a pediatric pulmonologist for a complete evaluation and diagnosis. The doctor will examine your child and may take x-rays of the upper respiratory tract to identify any potential obstructions. In some cases, an overnight sleep study may be necessary to confirm a diagnosis.

What are the treatments for sleep apnea?

Treatment for sleep apnea varies depending on the type of apnea a child has. For example, obstructive sleep apnea is typically easily resolved with continuous positive airway pressure (CPAP), which is administered at night using a specialized mask. Central sleep apnea, however, is more complicated and may require oxygen supplementation or assisted breathing to treat.

Did you know that between 1/3 and 1/2 of all adult Americans snore or have snored at some point? However, snoring – even chronically – is not necessarily indicative of sleep apnea. In fact, only 1/5 of adults have some form of sleep apnea, which can be a life-threatening condition. The difference between benign snoring and sleep apnea is that apnea patients experience cessations in their breathing patterns and may suddenly gasp for air or choke in their sleep. This can lead to severe drowsiness and fatigue during the day, as well as depression, memory loss and decreased libido. Sleep Apnea & Snoring treatment for sleep apnea and snoring usually depends on the severity of the condition and whether patients are experiencing apnea or simple snoring. Some of the most common treatments include behavioral modifications, oral sleep appliances, continuous positive airway pressure devices, and in some cases surgery.

Dental implants are surgical-grade root devices that support permanent tooth prosthetics that are manufactured to last a lifetime. These artificial roots are anchored in the bone beneath the gums where they become fused into the jaw. A crown is mounted atop the implant for a long-lasting and natural looking smile. Many dentists and patients prefer dental implants because they offer the same function as natural teeth and also help prevent bone atrophy in the jaw. Dental implants may be used to replace a single missing or damaged tooth or to restore an entire smile.

Did you know…

that approximately 30 million people live with no natural teeth in one or both jaws? But more and more dental patients are opting for dental implants as a means of tooth replacement. The American Academy of Implant Dentistry reports that 3 million people currently have dental implants – a number that is rapidly growing by about 500,000 per year. Modern titanium implants were first developed in the 1950’s, but archeologists have determined that ancient Egyptians and Mayans were the first cultures to implant artificial teeth.

Frequently Asked Questions

Are dental implants right for me?

You may qualify for dental implants if you have missing, broken or severely decayed teeth and are in relatively good overall health. The only way of determining your eligibility for implants is to consult with an oral care provider to identify whether you have adequate bone support and healthy gums that will support the new tooth structure.

What should I expect if my dentist and I decide dental implants are right for me?

The placement of dental implants is a multi-step process that typically takes between 6 and 9 months to complete. It begins with a surgical procedure during which a titanium rod is placed where a previous natural tooth root once was. The gums are sutured shut over the implant, where is will stay for several months while it heals and begins fusing with the surrounding bone. Due to the nature of implant placement and its average procedure time of between 1 and 2 hours, you’ll be sedated and/or anesthetized for the duration of the treatment. At the conclusion of the healing period, you’ll return to be fitted for permanent crowns and have them placed.

What type of post-treatment care will I require?

It is normal to experience some discomfort, including bruising and swelling following a dental implant procedure. However, inflammation and pain may be managed with over-the-counter medications, hydrocodone, or codeine. You may be asked to eat only soft foods for approximately 2 weeks until the surgical site heals.

Dental bonding is a non-invasive procedure that adheres a composite (tooth colored) resin to the surface of your teeth. It helps to create a brighter, more aesthetically pleasing smile without the use of prosthetics like dentures and tooth implants.

This procedure is most commonly used to treat teeth that are cracked, decayed, or discolored. It can also be used to make teeth appear longer and close spacing between teeth.

Did you know?

Dental bonding is one of the most affordable and quick cosmetic procedures that can be done to improve the appearance of your smile. In fact, within one visit you could get a more attractive smile and a boost in self-confidence!

Frequently Asked Questions

Am I a candidate for dental bonding?

Dental bonding is a great option for individuals who want an attractive smile, but do not want to undergo an invasive procedure like dental implants. If you have minor chips, cracks, and fractures in your teeth, discolored teeth, or decay that can be built upon, dental bonding might be a great option for you.

Ultimately, it’s important to consult with the dentist to determine if you’re a candidate.

How do I care for dental bonding?

Teeth that have undergone dental bonding can still be stained from things like coffee and tea. To avoid this, it’s advisable to avoid drinking any of these beverages for at least 48 hours after undergoing the procedure. Additionally, you can extend the life of your bonding by brushing regularly and visiting the dentists every six months.

How long does dental bonding last?

When properly cared for, dental bonding can last up to ten years. You’ll get the most out of it by following a healthy oral hygiene routine, avoiding hard candies and chewing on ice, and staying away from food and drink that could stain your teeth. If you happen to enjoy a cup of coffee or tea, be sure to brush immediately afterward.

Metal Free Dentistry Ozone Therapy

Ozone is simply a tri-atomic oxygen particle and is perfectly safe when used properly. Ozone is created by passing medical-grade pure oxygen through a corona discharge generator, creating pure O3 or ozone. Once ozone is created, it can be used in a liquid form (via ozonated water) or gas form. When ozone gas is filtered through pure olive oil, it forms a thick clear ointment (ozonated olive oil). Although ozone levels in the atmosphere are used to measure pollution levels, the ozone itself is not a hazard. Ozone in the atmosphere starts as O3, but quickly binds with atmospheric pollutants. Because of this tendency to bind with pollutants, ozone levels are measured to determine pollution levels. This is the job of ozone, to be nature’s filter of “bad” particles. Ozone is negatively charged and by nature looks to neutralize anything with a positive charge. “Bad” cells – bacteria, viruses, cancer cells or free radicals, etc. – in our body typically carry positive charges on their cell membranes. “Good” cells will typically have anti-oxidants on their cell membranes and will deter surface oxygenation. Negatively charged cells will attract the ozone particle looking to neutralize its charge and the ozone will perforate the cell membrane and destroy it, thus destroying the “bad” cell. 

How is Ozone Therapy used in dentistry? Safe alternative to fluoride: Fluoride is used in conventional dentistry to remineralize softened enamel. Because ozone hardens enamel, it is a safe alternative to fluoride and can be done at regular cleanings and checkups in lieu of fluoride. Dr. Gross recommends his patients have ozone treatment at every checkup as part of routine dental care. Periodontal disease: Ozone can be used to help treat periodontal disease by using ozonated water flushed below the gum line into the gums and supporting tissues. Ozone is an important tool used by our Holistic Periodontist to treat and prevent periodontal disease. Root canals: Ozonated water can be used during root canal treatment to kill bacteria, sterilize the canal system and to stimulate faster healing. Ozonated water can permeate the tiny tubules that cannot otherwise be accessed, thereby getting a truly sterile, bacteria-free root canal system before sealing the canals. Decay: Ozone can be used to kill decay-causing bacteria. 

Since ozone is a liquid, it can permeate into areas below the gum line, into the grooves of teeth and over the smooth surfaces of the teeth and will kill bacteria on contact. If the decayed area, or cavity, is not too deep, then no restoration may be needed at all and may be treated with ozonated olive oil. If the area of decay is deeply cavitated and the bacteria is killed, then a filling can be placed often times with no need for numbing. Because ozone acts to recalcify tooth structure, areas of the tooth that have been treated with ozone are stronger than what was there before. Sensitivity: Because ozone can harden compromised tooth structure, flooding a sensitive area or tooth with ozonated water or olive oil can effectively eliminate sensitivity. We have successfully eliminated many patients’ sensitivity issues with ozone therapy. Safety: Ozone does not have any contraindications with other medications; therefore cross-reactions are not a concern at all. You cannot be allergic to ozone, because you cannot be allergic to oxygen. (link)

BPA Free Composite restorations (tooth colored fillings)

BPA-free composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling. There are many types of filling materials available, each with their own advantages and disadvantages. You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth. As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile. 

Composite fillings – also known as tooth-colored fillings – are dental restorations designed to be inconspicuous and natural in appearance. They blend well with the teeth and appear more natural than amalgam fillings, which are darker and more easily seen by other people. Composite fillings are made of ceramic and plastic compounds that chemically bond to the teeth. They can be used to fill in decayed areas of the teeth, as well as to help repair chipped or broken teeth. Most dentists use composite restorations to treat the teeth closest to the front of the mouth, as they are more noticeable when patients smile. However, advancements in dental technology and the composition of composite fillings have made it possible for dentists to also use tooth-colored fillings on molars, which receive more wear than other teeth.

Did you know…

that composite fillings allow dentists to preserve more of the natural tooth structure? This is because composite materials chemically bond to the surface of the tooth like an adhesive. The process takes slightly longer to complete than traditional amalgam fillings, but patients can preserve more of the natural portion of the teeth while enjoying a restoration that is discreet and understated.

Frequently Asked Questions

Am I a candidate for tooth-colored fillings?

If you have a cavity, broken tooth, or a deteriorated filling, you may be a candidate for a tooth-colored filling. Schedule a dental consultation to find out if composites are right for you.

What should I expect if my dentist decides a composite filling is right for me?

During your visit, your gums and teeth will be anesthetized with a local anesthetic near the site of the filling. Once the area is numb, the decayed or damaged portion of your teeth will be removed to make room for the new tooth-colored filling. A resin will be placed over the area and cured with a hand-held light for less than a minute. The new filling will then be shaped and polished before the procedure is complete.

 What type of post-treatment care is required after getting a composite filling?

Composite fillings are cured with light at your dentist’s office. You should be able to return to normal activity and oral care immediately after your visit. It’s normal for treated teeth to experience some sensitivity to hot and cold in the days following treatment, but sensitivity that persists beyond a week should be reported to your dentist.

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