Sealants & Fluoride
- Sealants keep bacteria out of the grooves of teeth where cavities often start
- Sealants do not require anesthetic and are "painted" on in a single visit
- In-office fluoride foam or gel lowers risk for cavities in moderate-risk children and adults
- Fluoride varnish, anti-bacterial rinses and prescription strength fluoride home gels stop cavities from progressing in high-risk children and adults
There are many reasons why adult teeth need treatment. The most common reason is decay followed by fractured teeth and old restorations needing replacement. If we recommend that a tooth with a cavity be treated and more than a few weeks pass after the initial diagnosis, the cavity will almost always get bigger and can cause pain, which requires more extensive and expensive treatment. The tooth may even have to be removed and replaced with a false (or artificial) tooth. If you have a cavity and it needs a restoration, there are different kinds of materials that can be placed to restore the functionality of the tooth. Please remember that a tooth can need treatment before it causes pain. If a tooth causes pain, it can be saved but the treatment time and cost typically increases due to the time and complexity of the procedures needed to treat the symptoms.
If the entire front of the tooth needs to either be repaired or cosmetically improved, one of the options is a porcelain veneer. A veneer, by definition, is an overlay with a thin layer of a fine or decorative material. We can change the color, shape, length, alignment and spacing of your teeth with porcelain veneers. Veneers typically require two appointments; the first visit is needed to prepare the teeth by removing a small amount of tooth structure from the front surface of the teeth and then an impression is taken so a model can be made. The amount of tooth structure that needs to be removed depends upon several factors such as the alignment, length, shape, spacing and any discolorations in your natural teeth. Your teeth might be temporized depending upon your case. The case is sent to the lab and at the second visit the veneers are tried on, cemented and adjusted to fit your looks, style and personality.
Caring For Your Crowns/Veneers
With proper care, a good quality crown could last up to eight years or longer. It is very important to floss in the area of the crown to avoid excess plaque or collection of debris around the restoration.
Certain behaviors such as jaw clenching or bruxism (teeth grinding) significantly shorten the life of a crown. Moreover, eating brittle foods, ice or hard candy can compromise the adhesion of the crown, or even damage the crown.
How does it work? We will take impressions of your teeth that will allow for custom trays to be made for your bleaching procedure. The Opalescence gel is placed in thin, comfortable trays and fitted over your teeth. As you whiten your teeth, carbamide peroxide is broken down and oxygen enters the enamel and dentin. This bleaches out the discolored areas. The structure of the tooth is not changed. The color of the tooth is simply made lighter.
Is it safe? Whitening your teeth under our supervision has been proven safe in clinical studies over a period of many years. The primary ingredient in Opalescence is carbamide peroxide, which has been safely used to brighten the smiles of millions of people worldwide.
When will I see results? Results are often seen after one night. Optimum natural whiteness usually occurs when the process in continued for a week to ten days. We will go over what you can expect for your individual situation.
How do I keep my smile white? After you have the smile you´ve long desired, it's important to keep it that way. Practice good oral hygiene and always remember to brush after consuming staining food or beverages. Opalescence Whitening toothpaste is a wonderful product for maintaining your bright smile. It not only whitens, it offers a higher fluoride intake than any other toothpaste.
Whether you are an athlete or casual sports participant, you should wear a mouthguard/splint to protect your teeth. If you grind your teeth while you sleep, a bite guard will help reduce symptoms of TMJ. Therapeutic Botox can also help in conjunction with occlusial splints.
Comprehensive Dental Exam: The exam is performed at your initial dental visit and at following checkup exams that your dentist or hygienist will perform. Don't let the term general dental exam fool you; this is a comprehensive dental exam that will include all of the following main points:
X-rays: Our office is equipped with the highest quality equipment available. By examining the X-rays, your dental team can detect decay, bone loss, tumors, cavities, cysts, and numerous other dental situations, while helping the team map tooth and root positions. Another important feature of this type of X-ray is that it allows interaction between you and your doctor.
Oral cancer screening: Your team will check for signs of oral cancer in your mouth, neck, lips, tongue, throat, tissues, and gums. This is a painless and quick process.
Gum disease screening: Your hygienists will check your gums and bone around your teeth for signs of periodontal diseases. This is tested by using a periodontal probe, a tiny measuring stick, to measure the pocket depth. Typically a healthy condition depth measures from one to three millimeters, anything over four millimeters in not healthy. Bigger numbers usually indicate pockets of infection that need treatment.
Examination for tooth decay: This is where the surface of each tooth is checked for decay.
Examination of previous work done (existing restorations): Your team will check all your fillings, crowns, bridges, and any other existing dental work.
Prophylaxis – adult: A dental prophylaxis performed on transitional or permanent dentition, which includes scaling and polishing procedures to remove coronal plaque, calculus and stains. Some patients may require more than one appointment or one extended appointment to complete a prophylaxis.
Prophylaxis – child: Refers to a dental prophylaxis performed on primary or transitional dentition only.
Dr. Sundet would like to see infants/children for their first visit around their first birthday.
Crowns are usually made of a material such as porcelain, and are placed on the top of a tooth. Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth. What we have seen more recently, are teeth with deep cracks due to clenching (probably at night for which we strongly recommend an occlusal splint), crunching on ice, chewing nails and cuticals, etc. Teeth with deep cracks will need crowns to "hold" them together and help prevent further serious problems of root canals and possibly an extraction if the cracks extend to where they cannot be saved. Implants are then an excellent option for replacement.
Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic function, and are applied when a discolored or stained tooth needs to be restored to its natural appearance.
The first step is to prepare the tooth for a crown, which requires us to reduce the tooth so the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary, at which time the first appointment is completed. Depending on the circumstance, we can also provide a "CEREC" crown made the same day of the crown preparation, which will save time and the use of a "provisional crown" or "temporary crown."
Before your new crown is cemented on the second appointment, we check the fit, the contacts, the bite and the color to make sure it has the same characteristics of your natural teeth.
Crowns are sometimes confused with veneers, but they are quite different. Veneers are typically applied only to relatively small areas.
Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth. Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or via metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.
Not everyone is a candidate for a dental implant. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system as well as be a non-smoker during the times of healing and hopefully we can encourage you to be a lifelong non-smoker.
Implants are so well designed; they mimic the look and feel of natural teeth. Implants are usually made of titanium or zirconium. In general, good candidates who have dental implants can expect high success rates with the procedure.
The procedure can take several visits. During the first visit, an anchor is placed into the jawbone and the site is allowed to heal for several weeks or months. This gives your tissue time to grow around the anchor to more firmly hold it in place.
During a follow-up visit, an artificial, natural-looking tooth is fitted over the implanted anchor.
While most people are conscious of the necessity of brushing, flossing, and regular dental checkups, many are unaware of the importance of proper gum care. When left unchecked, periodontitis (or gum disease) can cause tooth loss and other oral health problems, and recent research points to a link between periodontitis and increased risks of heart disease, stroke, diabetes, and some forms of cancer. Unfortunately, studies also show that around 80 percent of American adults have some form of gum disease, of which only a small minority are aware of the condition; while sore, swollen, or bleeding gums, tooth pain or sensitivity, and persistent bad breath are common indicators of gum disease, often periodontal disorders display no obvious symptoms. Sundet Dental & Facial Aesthetics provides a full range of periodontal therapy and corrective treatment programs at our practice for diagnosing and treating gum disease. These include scaling and root planing and the application of Arestin® antibiotic that minimizes patient discomfort, post-treatment recovery time, and risk of infection. With periodontal care from the Sundet Dental & Facial Aesthetics team, periodontitis, gingivitis, and other gum disorders can be caught and properly treated before they grow into large problems, keeping your smile strong and healthy.
Scaling & Root Planning
Advanced gum disease sometime requires the dentist or hygienist to clean below the gum line to remove stubborn, crusty deposits called tartar or calculus, and to remove damage near the tooth root. This is done to prevent further damage and restore and stabilize the tooth. For some patients, a local anesthetic is administered to the affected area. Then, a small scaling instrument and/or ultrasonic cleaning device are used to remove the deposits. After cleaning, the root may need to be smoothed, or planed, to restore it as much as possible to its original shape. Planing also allows your gum tissue to better attach itself and heal properly.
Why might a person require a tooth extraction?
There are a number of reasons why your dentist might recommend that you have a tooth, or even several teeth, extracted. Listed below are some of these reasons:
A tooth extraction might be indicated if repairing a damaged tooth is not practical.
- Broken, cracked, or extensively decayed teeth can be extraction candidates. Some teeth will have extensive decay (dental caries) or else will have broken or cracked in such an extreme manner that an extraction might be considered the best, or at least a reasonable, solution. Of course there will be a number of factors that will come into play with any specific situation. In some cases the obstacles that present themselves might be so formidable that a repair for the tooth is simply not possible. In other cases the cost of needed dental treatment or else a questionable long-term outlook for the success of the treatment may be the reason an extraction is chosen.
- Teeth that are unsuitable candidates for root canal treatment should be extracted. Some teeth may require treatment of the nerve space that lies within them (root canal treatment) in order to make a repair. While most teeth typically are candidates for root canal treatment there can be complicating factors that remove this option. If this is the case and needed root canal treatment cannot be performed then the extraction of the tooth is indicated.
- Teeth associated with advanced periodontal disease (gum disease) may need to be pulled. By definition, teeth that have experienced the effects of advanced periodontal disease (gum disease) are teeth whose supporting bone has been damaged. In general, as periodontal disease worsens, a tooth is supported by less and less surrounding bone, often to the point where the tooth becomes loose. In those cases where significant bone damage has occurred and a tooth has become excessively mobile extraction of the tooth may be the only option.
Dr. Sundet prefers to send these cases to the specialists for treatment.
Your teeth are primarily made up of three different tissues. First, the hard outside of your teeth is made up of enamel. Under the enamel tissue lies dentin tissue. Dentin is what allows your teeth to absorb a large amount of pressure and flex without breaking. Finally, there is the tooth pulp. Pulp is the only soft tissue within the tooth. It is made up of blood vessels and nerves. The pulp of the tooth inside its root is referred to as the root canal, and when the pulp is infected, blood vessels and nerves can die, causing sensitivity and inflammation.
A root canal procedure can be performed as a last resort to save the tooth and prevent it from needing to be removed as a result of infection and bacteria. A root canal can become infected from a broken tooth that allows bacteria and infection to enter the root canal. Once the root canal becomes infected, there are only two solutions for the tooth: root canal therapy or tooth extraction.
A root canal is a common dental procedure. It is performed more than 14 million times per year. This treatment allows your natural teeth to be maintained, preventing the need for dental implants or bridges.
Dr. Sundet prefers to send these cases to the specialists for treatment.
Most of us would like to look younger without the cost and pain of having cosmetic surgery. In recent years, BOTOX is quickly gaining popularity because it can offer dramatic changes without surgery or long recovery periods. BOTOX was the top cosmetic procedure performed in 2001, however, it is by no means a new treatment. BOTOX has been used in the ophthalmology world since 1980, treating misalignment of the eyes and eyelid spasms. While it has long been used for treatments in the medical field, it has just recently in the past ten years been approved by the Food and Drug Administration for cosmetic purposes. People are loving the benefits that BOTOX can offer.
Botox is a natural, purified protein, which blocks nerve impulses to the muscles that cause wrinkles. When we frown, the skin is gathered into a fold causing a chronic furrow or wrinkle. When Botox is injected into the muscles, they relax, and the skin that lies over these muscles smooths out. Botox can be used for the horizontal frown lines in the forehead, frown lines between the eyes, the "crows feet" around the eyes, and necklines and bands.
It takes the Botox three to seven days to work, and will last for three to four months, sometimes longer depending on the patient. Repeat treatments will be necessary to maintain the desired results. You may have some bruising and redness at the injection sites, but this resolves within two to three days. You may cover these areas with makeup.
Other Uses for Botox
Facial Pain and Migraine: Facial pain is often caused by muscle spasms and can be a component to migraines. Treatment of the affected muscles with Botox can often bring a resolution of symptoms. The treatment regime in addition often involves reducing clenching of the teeth by means of a hard dental splint.
Dr. Sundet offers Radiesse, an FDA-approved filler, which has been proven to stimulate extensive collagen formation to permanently decrease facial lines even after the original filler has degraded (normally eight to 12 months).
Radiesse is the most effective treatment for deep nasolabial folds, often found in male subjects. Radiesse is often used in conjunction with a Hyaluronic Acid filler, where Radiesse is injected to reduce a deep facial fold, with the lighter Hyaluronic Acid filler used to reduce the residual wrinkle left in the skin. Radiesse is also very effective in volume restoration of the mid face.
JUVÉDERM® XC is the smooth gel filler that your doctor uses to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you'll get smooth and natural-looking results that last up to a year.
JUVÉDERM® XC is manufactured using HYLACROSS™ technology, creating a smooth-consistency gel. It is infused with lidocaine to improve comfort during treatment. With JUVÉDERM® XC you get the smooth results you expect, with the improved comfort you want.
Everyone will notice, but no one will know.
Where Does It Work? Everyone's skin ages differently and JUVÉDERM® XC may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours.
Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like thoseparentheses lines around your nose and mouth.
Using a dermal filler like JUVÉDERM® XC is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.
Restylane® injectable gel is the world's most studied wrinkle filler with more than a decade of use. Products in the Restylane family have well-defined safety profiles and are approved for the treatment of moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).
Restylane and Restylane-L® are indicated for mid-to-deep dermal implantation. Restylane has been used in more than ten million treatments in more than 65 countries worldwide. The Restylane family of products are made of a clear gel formulation of hyaluronic acid. Biocompatible with the human body, these products are eventually broken down naturally.
Botox Cosmetic minimizes fine lines and wrinkles in the forehead and surrounding areas. Lessen the look of lines across your forehead, "frownies" and crows feet.
Dermal fillers such as Radiesse and Juvederm can replace lost volume in the cheeks, accentuating the cheekbones, restoring youth and beauty to your face.
Want to lessen those parentheses? Do you have lines bowing from the corner of your nose past the corners of your lips? Do they extend to your chin? Then you want Dermal fillers such as Radiesse and Juvederm to fill in those Nasal-Labial folds and Marionette lines.
Whether you want your lips returned to the volume you used to have, or if you want to add luscious volume, the Dermal filler Juvederm can give you the look you desire.
Schedule today for a Facial Cosmetic Consult, and remember, Botox and fillers aren't just for women. They are for anyone who wants to look good! Have facial scars? Schedule for a consult to determine if Dermal fillers can minimize the look of scars occurring on the face and lips.
Appointment times are discretely spaced in an effort to provide you with privacy and confidentiality.