Preventive and Diagnostic
A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces. Once all the tooth surfaces have been cleaned of tartar and plaque, the teeth are polished.
Dr. Dukas can make a custom occlusal guard by taking an impression of your teeth and then creating an appliance fitted to your mouth for the highest level of both comfort and protection.
Be sure to bring your occlusal guard to your dental appointments so Dr. Dukas can be sure it still fits you well.
A bridge replaces missing teeth without the use of a denture or dental implant. A false tooth is held in place by being attached to a neighboring tooth. In order to fabricate a bridge, crowns are made for the teeth on either side of the space and a false tooth is placed in between the crowns, which act as supports.
Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants, which are placed in the jawbone, are small anchors made of a biocompatible metal called titanium. The anchors begin to fuse with the bone over the course of a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the permanent attachment of the replacement teeth.
A denture is a removable replacement for missing teeth. There are two types of dentures: Complete (Full) and Partial Dentures.
Complete (Full) Dentures are made after all the teeth in the upper and/or lower jaw have been removed and the gum tissue has healed. The denture includes an acrylic base that is custom made in the dental laboratory and is made to look like natural gums. The denture sits over the gums or can be anchored to dental implants.
Removable Partial Dentures are made when only a few teeth need to be replaced. Removable partial dentures either attach to crowns on either side of the denture or to a metal framework that is then attached to the teeth on both sides of the partial denture. When worn during the day, removable partial implants can also be supported in place by dental implants. As opposed to being removable, partial dentures can also be anchored in place by being attached to dental implants.
Whitening, also known as bleaching, is the procedure used to brighten teeth. There are two different ways to achieve a desired whiter smile: In-Office Bleaching and At-Home Bleaching.
In-Office Bleaching usually requires only one office visit. A protective gel or a rubber shield is placed over the gums to protect the soft tissue. A bleaching agent containing carbamide peroxide is applied to the teeth, and a laser light is then used to enhance the action of the whitening agent .
At-Home bleaching requires an impression of the teeth to be taken to make a customized mouth guard to hold the whitening gel, containing carbide peroxide, against the teeth. Once the mouth guard is made, it is worn for a period of time, as instructed by our office. The amount of time may vary from a couple hours a day, or all night, to up to four weeks or longer, if desired.
A tooth that can not be saved with restorative materials may need to be removed. Before removing your tooth, the area will be numbed with anesthesia. The tooth is then loosened using a special dental instrument known as an elevator. After it is loosened from the socket, it is gently removed by forceps, a dental instrument commonly used in dental extractions. Stitches may be necessary after the removal of a tooth.
Root canals are most often necessary when decay has reached the nerve of the tooth or the tooth has become infected. When root canal therapy is performed, infected or inflamed pulp is removed from the tooth chamber. The inside of the tooth is then cleaned and disinfected before being filled and sealed to limit the possibility of future infection. Soon after the root canal is performed, the tooth is restored with a dental crown or filling to protect the tooth and restore normal tooth function.
Scaling and root planing is a non-surgical procedure used to treat gum disease. During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Planing is the procedure used to smooth the tooth’s root after the scaling process. Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface.