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Big, beautiful, bright smiles communicate lots of wonderful things. Not only do beautiful smiles create a more attractive appearance, they make us look more youthful, and big, proud smiles let others know we are confident. After whitening their teeth, most people feel more confident and smile bigger.

What is “teeth whitening”?
Whitening is a simple procedure that you can do at home over a period of several weeks, or your dentist can do it in his office in as little as one appointment. Stains caused by smoking or drinking caffeine and red wine, or that result from a genetic predisposition to yellow tooth enamel, lead to a dingy smile. We have reliable and safe methods for whitening teeth that can give you dramatic results, improving the appearance of your smile, and increasing your self-confidence . Over-the-counter products are available for the whitening of tooth enamel, but only a dentist can ensure safe and controlled results during the bleaching process. When you are ready for whitening, you will have a choice of how dramatic a change you would like, from a subtle brightening to a vibrant, bright white smile. Whichever route you take, you will notice a big difference in your appearance and your confidence.

What system do you use?
Zoom offers one of the most effective teeth whitening technologies in dentistry. We choose to offer the Zoom whitening program because it is safe, effective, and we have seen incredible results. We think Zoom is the best whitening program available. Most whitening toothpastes lighten teeth up to two shades lighter. Zoom can achieve dramatic results because their technology can whiten the average patient's teeth up to nine shades whiter. That's attention-getting.

How long does whitening take?
The Zoom process requires a single, one-hour appointment. (For patients with severely discolored teeth, two or more sessions may be necessary.) With regular care and maintenance, your bright smile can last for years.

What will the dentist do?
At your appointment, Zoom whitening gel will be applied to your teeth. The revolutionary, patented Zoom light is focused on your teeth to activate the gel. While the gel is whitening your teeth, you will be able to watch TV, read a magazine, or listen to music.

Are there any drawbacks to whitening?
The main ingredient in Zoom, hydrogen peroxide, is safe and has been used to whiten teeth for over 100 years. It will not soften your teeth's natural enamel or damage any existing fillings or crowns. You should not experience any pain or sensitivity from the whitening process, though it is best to avoid extremely hot or cold drinks for the first twenty-four hours after whitening. (Some patients experience hot and cold sensitivity for up to a day.)

Is there any follow-up?
After your appointment, your dentist will have a whitening toothpaste available for you to take home. Brush with the whitening toothpaste two to three times daily to increase the longevity of your new, bright white smile.

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What is bonding?
Bonding is the application of a composite resin to the surface of a tooth to enhance its appearance or make it stronger. Bonding can be used to correct structural and cosmetic problems on both the front and back teeth.

Who?
Patients with broken, discolored, or decaying teeth are candidates for bonding. Minor cosmetic corrections to chipped teeth, stained and discolored teeth, and other small flaws can be corrected with bonding. Bonding can also be used to strengthen and resurface the chewing area of a tooth. The bonding material can be matched to your tooth color so unsightly silver feelings can be replaced with natural-looking material.

What are the primary benefits to bonding?
Bonding is a safe and comfortable process that is most often less invasive than a crown or filling. Since a filling must be cemented into the tooth, filling a tooth or crowning a tooth often involves removing healthy enamel and tissue. Resin composites are a less invasive option that provide a strong support structure to a damaged tooth while removing the minimum amount of healthy tissue.

How is bonding done?
For cosmetic enhancements (and repairing small cracks or chips) a small amount of resin is color-matched to your teeth (to ensure a natural look). A very light abrasive is applied to your teeth to create a slightly rough surface the resin can easily bond to. The resin is placed on the tooth (or teeth) a layer at a time, each layer receiving a flash of high intensity light to cure the resin on to your tooth's surface. When the last layer has been applied, the resin is sculpted into the proper shape and then polished. The final result is a perfectly shaped, natural-looking tooth you can be proud of.

When working with largely decayed and broken teeth, the dentist first prepares the tooth by removing any unhealthy material. She then makes a mold of the problem tooth together with the surrounding teeth. From this mold, a naturally-shaped resin cast (a “cast” is a partial manmade tooth) is formed in a dental lab. Your dentist seals the new tooth to your old tooth. This process creates a new porcelain “tooth” that is durable and natural appearing. The resin bonds with the tooth and the cast, so no cement is necessary. The color-matching process also gives the assurance of a completely natural looking tooth that does not stand out like a silver filling.

What are the benefits of bonding?
Bonded teeth are stronger than regular silver fillings and, with regular cleaning and maintenance, will last many years. Bonded teeth also look great.

Is any special care required?
Besides scheduling regular dental appointments, the bonded area will need to be brushed two to three times a day or as your dentist recommends.

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What is a bridge?
A bridge is a group of crowns attached to each other. Bridges are made to replace missing teeth, while creating a strong, long-lasting and natural-looking structure.

What are bridges for?
Bridges fill the gaps caused by missing teeth. They also create an important support system for the mouth and jaw to ensure that the remaining teeth do not change positions by drifting toward the gap left by the missing teeth.

How are bridges made?
First your dentist will take impressions of the teeth surrounding the area to be bridged. Then she will prepare the surrounding teeth for crowning. Once the crowns are completed and cemented in place, a transitional (temporary) bridge will be formed and fitted to the area between the new crowns. At the next appointment - usually a week later - the temporary bridge will be replaced with a permanent bridge that is adjusted and cemented into place.

What are the advantages of having a bridge?
Our porcelain crowns and bridges are carefully matched to your natural tooth color, size, and shape to a perfect, natural-looking smile. The teeth on either side of the gap (where the bridge goes) are fitted with crowns that connect to the bridge. When complete, you will have a row of perfectly formed teeth. Well-made bridges are comfortable and attractive. They are also durable enough to allow you to eat most the foods you love. (Hard or sticky foods such as hard candies or taffy could damage the bridge.) Unlike a partial denture, which is a removable prosthetic, bridges are permanent and do not come loose unless damaged or stressed.

Your completed bridge should be indistinguishable from your regular teeth. You will be able to eat and smile normally, and will gain self-confidence knowing that you have the perfect smile.

Do bridges require special care?

Some. The typical life of a bridge is between eight and ten years. It is recommended that certain guidelines be followed:

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What is cosmetic recontouring?
Cosmetic recontouring is simply changing the shape of teeth or gums. The shape of the teeth can be changed by removing small amounts of tooth enamel so the tooth is more evenly matched to surrounding teeth. The gumline can be also be changed to present a more uniform appearance.

Why contouring? If you have healthy teeth, but are dissatisfied because they are chipped or crowded, or you want a small adjustment to the size or shape of a tooth, then recontouring may be the solution. (Recontouring is often used to reduced the length of “eye teeth” to create a softer, more pleasing appearance.) Cosmetic recontouring is a quick and easy procedure that can be completed in just one appointment.

When should I consider cosmetic recontouring?
Tooth reshaping should only be used for minor changes to your teeth's enamel, or to make small changes in the gumline. Recontouring is more commonly used in combination with veneers or bonding. Cosmetic recontouring can be highly effective when it comes to perfecting an almost-perfect smile.

What does recontouring involve?
To begin the process, your dentist will set up a consultation with you. During this appointment, you will discuss what minor changes you would like to make to your appearance and you and your dentist will decide how best to go about achieving these results. Your dentist will take an x-ray of the area of your mouth that will be recontoured. Then he will mark on each tooth so he has a guide to follow during the procedure.

A variety of instruments may be used on your teeth to reshape and perfect them. Commonly, low-impact handpieces are used, such as sanding tools or lasers. Most often there is no need for numbing the area with anesthesia. After shaping, the teeth are smoothed and polished, and you will able to view the finished results of your now perfect smile. In cases where procedures such as veneers or bonding have been combined with the tooth recontouring process, the procedure may require several visits.

Is there any special care required afterwards?
Generally no. If there is any special care for your new smile, your dentist will let you know at the end of the procedure.

You will walk out of your dentist's office knowing you have the smile you have always wanted.

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What is a Crown?

In dentistry the word crown has two different meanings. A crown can refer to the white outer portion of the tooth that sticks out of the gum line. This is what people commonly refer to as their “tooth”; the part you see when you smile. The other way that the term crown is used in dentistry is to refer to an artificial replacement for this outer visible portion of the tooth. When you go to the dentist to get a crown this artificial replacement is what is being referred to as a crown or a “cap”.

How do I know if i need a crown?

Crowns may be done out of necessity or for purely aesthetic purposes. If done for aesthetic reasons, a crown would be used in order to cover a tooth that is misshaped or discolored. There are a number of reasons that a crown might be necessary, here are some of them.

-          To protect a tooth that has been cracked, chipped, or is weak from tooth decay in order to keep it from breaking.

-          To restore a tooth that has been worn down (from grinding for instance) or that has already broken.

-          Following an implant procedure to cover up the implant.

-          To cover a tooth that is too severely decayed to fill.

-          They can also be used to secure dental bridges.

What type of material is a crown made up of?

There are different types of materials that can be used to make crowns. They can be completely metal or metal combined with porcelain in order to match the crown to the color of the neighboring teeth. There are also all-resin crowns which are cheaper but wear down more easily and are more susceptible to fracture than the porcelain/metal combinations. You can also get crowns that are completely made of either porcelain or ceramic. These look the most natural but can wear down opposing teeth more than the metal or resin materials and are not as strong as porcelain crowns that are fused to metal. 

What is the process for getting a crown?

Normally the placement of a crown takes more than one visit. If damage or decay to the tooth is severe a root canal treatment may first be necessary in order to prepare the tooth. It may also be necessary to build up the tooth with filling material or file it down in order to get the tooth ready to support the crown. During this process local anesthesia will be used. Next, an impression will be made of opposite and neighboring teeth in order to make sure that the crown is tailored to you and will not adversely affect your bite. Afterwards the impression will be sent to a laboratory where the permanent crown is made. Usually there is a waiting period for the construction of a permanent crown and a temporary acrylic or stainless steel crown may be used until the permanent crown is built and fitted. However, some dentist do have very expensive equipment that can be used to manufacture the crown in house which eliminates the typical wait time of two to three weeks. Your dentist will match your crown to the color of your natural teeth as long as it is all porcelain or ceramic or a porcelain-ceramic composite.

If your crown does require a waiting period and a temporary crown is necessary there are some precautions that should be taken. You should avoid hard or sticky foods, minimize chewing on the side of the crown, and slide dental floss out and not up when flossing. If these precautions are not taken it could cause your temporary crown to become dislodged as it is only temporary cement that is used to hold it in place.

After your crown has been fitted you may experience mild discomfort or temperature sensitivity. This is normal. There are products you can use, such as special toothpaste, designed to ease some of the sensitivity. This type of toothpaste is available at most grocery stores and is over the counter. If you experience any looseness, the crown falls out or chips, or you have an allergic reaction (this can be the case if you have metal allergies and metal was used to make your crown) you should call your dentist immediately to have the problem fixed. If there is a dark line at the bottom of your crown this may just be the metal showing through which occurs frequently with porcelain fused to metal crowns.

The average crown lasts 5 to 15 years. The time your particular crown lasts is largely based on how well you care for your teeth. Also grinding and clenching can greatly reduce the life expectancy of your crown. No special care is required for a crown beyond the necessary good oral hygiene practices necessary for all of your teeth. If you find yourself in need of a dentist or your current dentist is not providing you with the level of care and treatment that you deserve 18004SMILES can help you. We have many top dentists in our dentist directory and would be happy to assist you in selecting one that will provide excellent service at an affordable price. If cost is a concern do not let that stop you from getting treatment. Putting treatment off will only cost you more in the long run. Crowns are covered by many insurance plans and many times a payment plan or arrangement can be made to make the procedure more affordable; especially for those patients not covered by insurance and are paying out of pocket. Getting a crown can often times save a tooth from total loss so please dial 18004SMILES or 1(800)476-4537 and let us help you to determine which of our dentists in San Diego would best suit your needs.

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What is an implant?
A dental implant is a titanium fixture (a post) generally placed in the jawbone and attached to a crown. The titanium fixture (the implant) is surgically screwed into the bone to form a permanent, or near-permanent, post for a crown to be mounted to. Though any location in the mouth is possible, the most common placement for a dental implant is the front portion of the lower jawbone.

Dental implants frequently replace a missing tooth when there is no healthy tooth structure remaining. However, implants are not limited to patients missing a single tooth. Implants are also used to anchor complete or partial bridges.

The crown at the top of the implant is usually made of porcelain, to match the color, shape, and size natural teeth. Most likely, an implant will last your lifetime.

Are all implants alike?
There are three types of dental implants: the traditional root form implant, the plate form implant, and the subperiosteal implant. The root implant is the most commonly used. (Roughly 90 percent of all implants are the root form implant.) This implant consists of a screw type root that is surgically placed into the patient¹s jawbone. The dentist will administer general anesthesia and expose the area of jawbone to receive the implant. The implant will be screwed into the jawbone and the incisions in the gum line closed. After a healing time of three to six months, the dentist will permanently install the crown on to the implant.

For those patients who have a narrow jawbone that won¹t allow implants, there are two implant options. The first is the plate form implant. A long, flat plate is placed against the jawbone beneath the gumline. This plate provides the structure necessary to support the implant. Healing time for a plate form implant is generally three to six months. With some plate form attachments, a wait during the healing time is not necessary and the crowns can be attached during the procedure.

In cases where the bone structure will not support either the root form or plate form implants, a subperiosteal implant may be the best option. The subperiosteal implant is created from a model of the jawbone, created using a mold or CAT scan image. The model is sent to a professional dental laboratory that makes a custom fit implant for the mouth. The procedure for installing the subperiosteal implant is the same as for the plate form and root form implants, and as with the plate form implant the replacement teeth may be installed before the healing process is complete.

What can I expect?
Dental implants require a procedure performed by a specially-trained dentist or an oral surgeon. (Implants are placed under general anesthesia.) Patients should expect a healing period of three to six months. There is a possibility that the implants will be rejected and need to be replaced. (Rejection occurs in one to two percent of patients who receive this procedure. Though it is statistically unlikely, some patients do experience rejection.) After the surgery is complete, patients may experience some discomfort or pain, and in some cases, bruising and minor swelling. Such should subside within a few days. Once the healing is complete, the crown or crowns will be attached.

Dental implants have opened doors to better dental health. Teeth look better, and bridges and partials can be placed more securely. More people can eat more of the foods they want to eat in complete comfort. Dental implants look and feel completely natural. With the advanced technology of dental implants, patients can be assured in they have full-function, and a perfect, comfortable smile.

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What are dentures?
Dentures are removable prosthetic devices that replace natural teeth (together with a portion of the surrounding tissue). Depending on your particular needs, dentures are made to replace all of your teeth on just some of them. When only some of the teeth are replaced, the dentures are called “partials.” Well-made dentures, whether they are partials or complete dentures, will be comfortable, attractive, and natural-looking. Dentures will also allow you to eat many of the foods you might be avoiding.

If many of your teeth are healthy, a partial denture can be made to help fill in the area of the mouth missing a small set of teeth. Fixed crowns and special attachments are used to ensure that the partial denture is comfortable and remains secure against the gum line. This eliminates the need for more conventional clasping methods that may be less comfortable. Complete replacements are usually chosen if most or all of the patient's teeth are missing, or the remaining teeth are too decayed and damaged to save. When a complete denture is required, your dentist will prepare the area after discussing the procedure and your prosthetic options.

How are dentures made?
The preparation for placement of the denture may include removing any remaining teeth that are severely decayed, and taking a cast (making a mold) of your mouth and gum line to ensure a comfortable fit. A temporary denture can be used for a brief period to make you more secure in your appearance. Your dentist will discuss this option, and other options, with you during your consultation.

What about proper fit and denture adhesives?
If properly fitted, most dentures will not need adhesive to stay in place. The base of the denture creates a natural suction to your gum line, which ensures a natural fit that will allow you to feel comfortable with everyday routines. With the new advances in technology, today's dentures are often created from acrylic or porcelain and mounted in an acrylic base. Each section is carefully sculpted to mimic your natural gum and tooth shape, for comfort and appearance. Coloration is also taken into consideration during this process. The acrylic base is designed to match your gum line and the acrylic or porcelain teeth are given a natural hue to ensure that the denture will never be taken for anything but natural teeth.

Are there any side effects?
Though the dentures of today are made of advanced material that should feel comfortable and natural in your mouth, after your first fitting it is common to need a few weeks to get used to wearing your new appliance. Some patients will experience effects such as an increase of saliva and slight slurring of speech as their mouths get familiar with the feel of new prosthetics.

How do I care for my new dentures?
Until your gums become used to the new denture, food should be cut into smaller pieces (to reduce chewing) and hard foods should be avoided. Dentures are not brushed like regular teeth. Instead, the dentures are removed after every meal and rinsed to clear away any debris. At night, the denture should be soaked in a dental cleaning solution that can be purchased over the counter at most drugstores and supermarkets. If you experience sore spots or other discomfort, let your dentist know so that a time can be set up for the dentist to adjust your denture. Your mouth and gums will change with time, and over the years, adjustments may help to keep your prosthetic comfortable and natural feeling.

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Why have minor gum surgery?
Teeth are not the only part of a great smile. The appearance of your gums can have a huge impact on your smile. Are they healthy and pink? Or red and irritated? Do they cover too much or too little of your teeth? Do they create a proper frame for the great-looking teeth you and your dentist have worked so hard to perfect? If your answer is “no,” then cosmetic gum surgery may be the answer.

Gingivoplasty can correct problems such as the “long in the tooth” look and a “gummy” smile. The “long in the tooth” look occurs when a patient's gums have receded (or shrunk back) from the natural gum line, creating the image of an abnormally long tooth. The long in the tooth look usually occurs from age or gum disease, and can be corrected by your dentist to bring back a more youthful looking smile.

How is the “long in the tooth” look corrected?
To correct a long in the tooth smile, your dentist or orthodontist will remove a section of healthy tissue from the roof of your mouth and will graft it on to the affected gum line. The grafted tissue will help to thicken any thin areas of your gums, and reinforce teeth that might have become loose due to gum loss. Though some soreness may occur after the procedure, you should experience very little discomfort during and after the surgery. An anti-bacterial mouthwash is recommended for use for the following two weeks.

How is the “gummy smile” corrected?
You may appear to have a “gummy” smile when your gum line is lower than the average person's, causing your teeth to appear shortened and small. Your dentist can correct this problem very easily by removing the excess gum using advanced laser technology. In some cases, excess bone can also be removed to create a more natural appearing length of tooth and a healthy gum line. Once the gum line has been reduced, a natural-sized tooth will be exposed to give you the perfect smile you have always wanted. The same operation can be used for patients who are concerned about uneven or collapsing gum lines due to missing teeth. Dark or black areas from gum disease and decay can be corrected, as can tooth sensitivity caused by the root of the tooth being exposed by a shrinking gum line.

What can I expect after gingivoplasty?
The healing process after gum surgery is usually very quick. Once your gums are healed, you should notice less sensitivity to hot or cold drinks and food items. The roots of your teeth will now be protected against further tooth decay and you should no longer experience shrinkage at the gum line due to gum disease. Brush daily as recommended by your dentist, being careful to floss at the gum line to remove any stray debris and bacteria that could cause irritation or infection. Your new gums should appear natural and healthy, and will add to an already great-looking smile.

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Is there such a thing as “invisible braces?”
Invisalign® is the new, invisible way to straighten your teeth without having to wear braces. Made of clear, medical grade plastic that is strong and durable, Invisalign® offers an attractive way to correct gaps, crooked teeth, or bad bite without the need for bulky oral appliances.

How does Invisalign® work?
Advanced 3-D computer image technology is used to create a series of clear plastic “aligners” that fit in your mouth similar to the way tooth-whitening trays fit. Each aligner is worn for two weeks and then discarded for a new aligner. In turn, each aligner continues the process of correcting your teeth. During the treatment, you will remove your Invisalign® aligners only to eat, drink, and brush your teeth. Every six weeks an appointment will be made with your dentist so she can make any needed adjustments. Unlike braces, there should be no soreness or abrasions with Invisalign® and the adjustments will be purely cosmetic. Unlike conventional braces, the medical grade plastic aligners are extremely comfortable and seldom cause sore spots.

How do I get started?
At your first appointment, your dentist will explain each step in the process of straightening your teeth. Your dentist will take a bite impression (similar to a mold) and will have this information converted into an advanced, three-dimensional computer image. From this image, the computer will generate a series of precise bite impressions that will map out the process of aligning your teeth. Your dentist will manually make any corrections that he or she feels is necessary, and then will have the computer-generated bite impressions made into clear, attractive aligners for you to wear. You and your dentist can go over these images together, and he or she can answer any questions you may have. You should receive the first set of Invisalign® aligners within a few weeks. The number of aligners that you will wear will range from twelve to forty-eight, depending on your specific needs. Each aligner will be worn for two weeks, and treatment time will average between nine and fifteen months. The amount of time will vary depending on your specific needs, and your dentist will discuss this with you during your consultation and fitting. Invisalign® aligners are comfortable and easy to wear.

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What are lasers?
Lasers are instruments that produce very narrow, intense beams of light energy that may or may not be visible to the human eye. They have been used in dentistry since the 1990s. When laser light comes in contact with tissue it causes a reaction. Lasers are used to treat gum disease and to remove decay from a tooth.

How are lasers used to treat gum disease?
There are a variety of lasers that can be used to treat periodontal (gum) disease.

How are lasers used to treat teeth?
Several different types of lasers can be used to treat teeth.

Will it hurt?
Most people appreciate the comfort of laser surgery. While no treatment is always painless, the laser may reduce the need for postoperative pain medication, and may reduce swelling and bleeding.

Are lasers safe?
Yes. If used according to accepted practices, dental lasers are at least as safe as all other dental instruments.

Find out more about lasers in dentistry from your dentist.

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Veneers are an attractive, safe, and less expensive alternative to crowns for people with stained, chipped, or gaps in their teeth. Made to imitate the natural shape and color of regular teeth, veneers are made of very thin sheets of plastic or porcelain. A mold is made of your mouth at your first dental appointment and the teeth are prepped for the veneer placement. Sometimes teeth must be reshaped or parts removed to make the veneer fit more naturally and comfortably, but generally the placement of the veneer is a painless procedure that requires little to no anesthesia. Once a cast has been created and the veneer made, your dentist will prep the application area and glue the veneer on to the front of your teeth. Temporary glue can be used to test out the veneer before it is permanently glued to your teeth. This way you can walk around with the veneer, see your new teeth in natural light and decide if it's the right color, size, and shape for your mouth. The veneer should be a natural shape, size, and color, to give you a radiant smile and confidence in your day to day activities. If you decide that you like your new appearance, the veneer will then be applied with glue that will cement it to your natural teeth.

Veneers are extremely durable, which make them a perfect option for those patients who wish to hide stained teeth or a chipped smile. There are two types of veneers that can be chosen - composite and porcelain. Composite veneers can be applied the same day as the appointment, and are often made of a thin, extremely durable plastic. There is only one visit needed for composite veneers, which are glued to the tooth using a combination of bond and enamel. Composites last from five to seven years typically, but are less expensive than many other cosmetic dental procedures. Porcelain veneers require two visits to your dentist office. At your first appointment, your dentist will make a cast of your mouth which will be sent to a dental laboratory where the porcelain veneer will be formed and color-matched to your specifications. Once the porcelain veneer has been created and meets your satisfaction, your dentist will check it for color then attach the veneer in place. After the procedure, you should experience no pain or soreness and should be able to continue your normal routine. Unlike composites, porcelain veneers' typical lifespan is from ten to fifteen years. They are more expensive than composite veneers, but their lifespan and quality make them an excellent choice for those patients interested in a longer lasting cosmetic dental procedure.

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We are proud providers of ViziLite Plus, an early detection screening for oral cancer.

1 person every hour is dying from oral cancer.

The death rate of oral cancer is high because it is not being detected early enough in patients. At our office, we highly recommend that every patient get a Vizilite oral cancer screening once a year.
Are you at risk?

25% of oral cancers occur in people who don’t smoke and have no other risk factors.
Vizilite Plus is a painless, quick screening. It is specifically designed to help recognize abnormal lesions in the soft tissue that could potentially lead to oral cancer. First, you rinse with a cleansing solution. Next, your doctor will dim the lights and use the Vizilite Plus light to do an oral examination. The Vizilite Plus light helps to make abnormal soft tissue become more apparent. If any abnormal lesions are present, you will be referred to an oral surgeon for removal and a biopsy. Vizilite screening sounds so basic, and that’s because it is. It is amazing how many deaths from oral cancer can be prevented if this five minute procedure is done.

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Root Canal Therapy

What is root canal therapy?
A root canal is a procedure used to save a tooth that is suffering from severe decay or infection. A root canal may require several visits. During a root canal the nerve and pulp are removed and the inside of the tooth is first cleaned and then sealed. This procedure is performed in order to stop the problem from becoming even worse and causing inflammation and the formation of abscesses.

Here are some symptoms that can help you determine whether or not you may need a root canal.

-Intense pain when you chew your food or put pressure on the tooth

-A discoloration; such as a darkening of the tooth

-swelling and tenderness in the gum area near the tooth

-sensitivity to hot or cold temperatures that persists even after the source of heat or cold has been removed.

How is the procedure done?
The procedure itself may or may not require anesthesia though often times the dentist will still use it to make the patient feel more relaxed. An access hole will be drilled into the tooth so that the decayed tissue inside the tooth can be removed using root canal files. After the tooth is thoroughly cleaned it will be sealed. However, sometimes if infection is still present the dentist might wait a week to permanently seal the tooth so that medication can be administered inside the tooth. During this time a temporary seal will be used and after the medication has treated the infection a permanent seal will then be used to plug the hole that was drilled into the tooth.

Additional procedures may be performed following the root canal depending on the extent of decay and condition of the tooth.  A crown or a crown accompanied with a post or other restorative procedures may be performed in order to make the tooth fully functional again.

It is important to note that despite the reputation of this treatment most people do not find that it is more painful than having a filling put in. There may be sensitivity following treatment but it can usually be managed with simple over the counter pain medication making it possible to return to work the very next day. It is also beneficial for the recovery of the tooth to minimize chewing on the treated area until the root canal and any accompanying procedures are completely finished. Root canals have a very high success rate and many times the restored tooth can last a lifetime. Additionally, a root canal is not obvious to onlookers so it will not cause any problems aesthetically.

Depending on the severity or difficulty of the particular root canal your dentist may refer you to an endodontist. An endodontist is a dentist who specializes in injuries and diseases that involve the tooth nerve or pulp. You and your dentist can discuss how to find a good dentist that would be able to perform the procedure if he or she can’t. Don’t forget that 18004SMILES is also here to help in your search for a dentist. You can either call us or use our convenient dentist locator to help you find a local dentist that can do an excellent job of carrying out this procedure.

How can I prevent needing a root canal?
Remember the best step in treatment is always prevention. Eating healthy, brushing and flossing regularly, wearing mouth guards during sports, and scheduling routine dental checkups can often reduce the likely hood that root canal procedures will be necessary.

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 Holistic Dentistry

What is Holistic Dentistry?

Holistic dentistry has many alternative names such as alternative dentistry, unconventional dentistry, biologic dentistry, and biocompatible dentistry. Holistic dentistry is an approach that views a patient’s dental health in terms of their overall physical, emotional and sometimes spiritual health. As a result its focus is on minimally invasive procedures as well as avoiding the use of toxic metals and chemicals in dental treatment. There are basic principles associated with holistic dentistry.

- The use of proper nutrition for dental health and for reversal of certain degenerative diseases.
- The use of dental material that is non-toxic.
- Looking at gum disease from the perspective of bacteria present in the gums; whether they are healthy or harmful bacteria and the amount present.
- The treatment and prevention of bite problems in terms of physical imbalances.
An example of their use of non-toxic materials would be the preferred use of materials such as gold and ceramic in inlays, onlays and crowns.
Overall the idea behind holistic dentistry is that it promotes physical, emotional, spiritual well-being of the patient and is not merely the treatment of disease. If you desire a dental treatment plan focused on these ideals we can help you find a holistic dentist in San Diego that will fit your needs. Just call 18004SMILES or 1(800)476-4537 to set up an appointment and let us find you a great dentist in San Diego.

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 Non-Surgical Gum Treatment

What is periodontal disease?
Periodontal disease is a common disease of the gums or tissues that surround and support the teeth. It is caused by the presence of specific bacteria, called biofilm or plaque. When periodontal disease damages your gums, the gums begin moving away from their usual position surrounding the teeth. In other words, the gums start seperating from the tooth surface creating deep periodontal pockets.The first stage of periodontal disease is known as gingivitis. If left untreated, gingivitis can lead to much more serious forms of gum disease so the condition should be seen as serious and not be neglected. Most people suffering from the the beginning stages of gum disease are not even aware they have it.  In fact, Periodontal disease has been known as "the silent epidemic". This "not knowing" is largely due to the fact that there is little pain in the beginning stages and because many patients are not visiting thier dentists twice a year. Once the disease progresses to more serious stages, your gums will bleed easily and your teeth will become loose. This is when most patients start to realize there is something wrong and tend to accept treatment. Unfortunately at this stage, serious bone loss, tissue reduction and toothloss have already occurred.

Who can have periodontal disease?
More than 75 % of adults in the United States, over 35 years of age, have some form of periodontal disease.

How do I Know if I have periodontal disease?
A series of x-rays, an exam and other diagnostic tests will be used to determine if you have gum disease. If your dentist or hygienist suspects that you have periodontal disease, he or she will use a special round ruler to measure  your periodontal pockets. A healthy pocket depth of 1/8 inch can progress to a pocket depth of 3/8 inch or more in patients with periodontal disease. These deep pockets can then provide an environment which allows further colonization by even more disease causing bacteria. 

What is the treatment for gum disease?
Great dentists agree that periodontal health should be acheived in the least invasive and most cost-effective manner. This is often accomplished through non-surgical periodontal treatment. Periodontal scaling and root planing involves the non-surgical removal of bacterial plaque and calculus from all tooth surfaces above and below the gumline. This procedure also smooths down the tooth root and removes bacterial toxins. Often times, your dentist or hygienist will recommend adjunctive therapy such as local delivery of antimicrobials. The procedure itself usually requires multiple visits and local anesthesia to accomplish
properly.

Are there any special follow up instructons? 
While periodontal disease is never completely reversable maintaning oral health is very important after scaling and root planing to ensure the disease does not progress and that the treatment will be successful. you will most likely need to visit  your dentist or hygienist every three to four months and practice excellant home care techniques. After scaling and root planing, many patients do not require any further active  treatment, including surgical therapy. However, the majority of patients will require ongoing maintenance therapy to sustain periodontal health. Non-surgical therapy does have its limitations, however, and when it does not achieve  periodontal health,surgery may be indicated to restore periodontal anatomy damaged by periodontal diseases. If you feel that you have periodontal disease, please contact 18004smiles or use our dentist directory to find an exceptional  dentist in your area.

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Full Mouth Reconstruction

What is full mouth reconstruction?
Full mouth reconstruction or rehabilitation is the process of rebuilding or simultaneously restoring all of a
patients teeth.

When would I need full mouth reconstruction?
The need for full mouth reconstruction may result from:

-Teeth that have been lost due to decay or trauma.
-Teeth that have been injured or fractured.
-Teeth that have become severely worn as a result of acid erosion or grinding.
-Jaw, muscle and headache pain that could be minimized or cured following adjustments to the bite.

How does the Full Mouth Reconstruction Process Begin?
Full mouth reconstruction typically involves general or restorative procedures such as crowns, bridges and veneers. In some
cases, dental specialists such as a periodontist, oral surgeon, orthodontist and/or an endodontist may need to get involved.
If you are curious about whether this is the treatment for you, see your dentist for a comprehensive examination. He or she
will examine the condition of your teeth to determine which treatment options are most appropriate. Most full mouth
reconstructions involve multiple phases and office visits. Treatment can take up up to a year or longer to complete.

What procedures are invloved?
Only your dentist and your specialist can determine what procedures are needed for your specific case.
The following procedures may be involved, depending on your needs:

-Prophylactic teeth cleaning and periodontal care.
-Crown lengthening to expose healthy tooth structure for possible crowns or bridges.
-Orthognathic surgery to reposition the jaw.
-Contouring of the gum tissue to create balance and harmony in your smile.
-Preparation of your natural tooth structure so crowns, bridges or veneers can be placed.
-Placement of temporary restorations
-Placement of permanent restorations, such as crowns, veneers, inlays/onlays or bridges, made from ceramic,
ceramic supported by metal or a combination of both.
-Orthodontic treatment in order to move your teeth into the optimal position for reconstruction.
-Implant placement and restoration to replace missing teeth and/or anchor bridge restorations.
-Bone or soft tissue grafting to enhance the stability of your teeth, proposed implants and/or other restorations.

Is full mouth reconstruction the same thing as a smile makeover?
while many of the same techniques and equipment used for full mouth reconsruction are used when performing a smile makeover, the two treatments are not the same. A smile makeover is a procedure performed primarily to improve the esthetic appearance of the smile. In other words, a smile makeover is done purely for cosmetic purposes while full mouth reconstruction is needed for long term health and comfort of the patient. 
 
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Oral and Maxillofacial Surgery

What is Oral and Maxillofacial Surgery?
Oral-Maxillofacial Surgery involves the diagnosis and treatment of disease of the maxillofacial region of the oral cavitiy.
An oral surgeon addresses problems ranging from the removal of impacted teeth to the repair of facial trauma. Their
advanced training in anesthesia allows them to provide quality care with maximum patient comfort and safety.

Why would I need to see an Oral-Maxillofacial Surgeon?
-To have dental implants inserted.
-To have a jaw, oral, or facial cyst or tumor diagnosed and/or removed.
-To have surgery correcting jaw alignment.
-To have surgery to repair your jaw joints.
-To have facial and jaw reconstruction.
-To have your facial bones realigned after facial trauma.
-To have a consultation to determine whether or not you are a candidate for aesthetic surgery.
-To have a tooth extracted.

I you are looking for an outstounding oral surgeon that you can trust in your area visit our dentist directory or call us now at 1(800)476-4537.

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Sedation Dentistry

Sedation dentistry is used to provide a relaxing and anxiety-free experience for certain people receiving dental treatment. It enables individuals too afraid to go to the dentist to receive the dental care they need while avoiding the common apprehension known as dental phobia.

According to to the Dental Organization for Conscious Sedation (DOCS Education), a professional dental organization dedicated to ensuring that patients receive safe, comfortable and anxiety-free dental care, 30 percent of the population avoids the dentist due to fear. This all-too-common "dental phobia" prevents people from receiving necessary routine dental care, potentially compromising the health and functionality of their mouth and smile.

What Is Sedation?

Sedation is a process used to establish a relaxed, easy and calm state through the use of sedatives. Sedative drugs (tranquillizers, depressants, anti-anxiety medications, nitrous oxide, etc.) can be administered in a variety of ways. In the past, intravenous (IV) sedation – sedatives delivered via injection into the blood vessels of the hand or arm – was predominantly used to sedate a dental patient.

IV sedation is both safe and effective when administered by a trained professional. Today, however, sedation dentistry has evolved to be even more conducive to a relaxing experience. Patients have alternatives to the traditional modalities of inhalation (nitrous oxide or "laughing gas") and IVs, such as those offering a "no needle" (meaning, no injection) approach that many people find more appealing.