Dr. Jeff Wichmann is a native of Apple Valley and a graduate of Apple Valley High School. He received a biology degree as well as his DDS degree from the University of Minnesota. He is CEREC trained, which allows him to provide his patients with dental restorations in one single visit, which usually would have taken two, or more. He is also Invisalign certified and certified in placing mini dental implants typically used to stabilize loose dentures.
While not in the office, Dr. Wichmann enjoys spending time with his family and enjoying the outdoors. Dr. Wichmann and his wife, Melissa, live in Lakeville with their three children.
D.D.S. University of Minnesota School of Dentistry
Dr. Navarro is a southern Minnesota native, growing up in Faribault, MN. He attended the University of St. Thomas in St. Paul, MN graduating magna cum laude with a degree in Biology. Dr. Navarro earned his Doctor of Dental Surgery degree from the University of Minnesota School of Dentistry. He spent over two years practicing dentistry in Southern Minnesota prior to joining the Valley Oaks Dental team.
Dr. Navarro strives to create a comfortable clinical environment for his patients, utilizing advanced dental technologies. In his downtime, Dr. Navarro enjoys staying active through exercise, traveling, and following the local sports teams.
B.S. University of St. Thomas
D.D.S. University of Minnesota School of Dentistry
A preventive program is a cooperative effort by the patient, dentist, and dental staff to preserve the natural dentition and support structures by preventing the onset, progress, and recurrence of dental diseases and conditions.
Preventing dental disease starts at home with good oral hygiene and a balanced diet. It is continued in the dental office by the efforts of your dentist and dental hygienist to promote, restore, and maintain your oral health.
Prevention also includes regular dental exams, cleanings, and x-rays. Sealants and fluoride are also great preventive treatments that help protect the teeth.
Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, beautiful smile.
A full dental exam will be performed by your dentist at your initial dental visit. At regular check-up exams, your dentist and hygienist will include the following:
Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists. Your cleaning appointment will include a dental exam and the following:
Dental radiographs (X-rays) are essential and preventative, diagnostic tools that can provide valuable information not visible during a regular dental exam. Dentists and dental hygienists use X-rays to safely and accurately detect hidden dental abnormalities and complete an accurate treatment plan.
Detecting and treating dental problems at an early stage can save you time, money, unnecessary discomfort, and your teeth!
The amount of radiation exposure from a full mouth series of x-rays is equal to the amount a person receives in a single day from natural sources.
Dental x-rays produce a low level of radiation and are considered safe. We take necessary precautions to limit the patient’s exposure to radiation when taking dental X-rays. These precautions include using lead apron shields to protect the body and using modern, fast film that cuts down the exposure time of each X-ray.
The need for dental X-rays depends on each patient’s individual dental health needs. Your dentist and dental hygienist will recommend necessary X-rays based on the review of your medical and dental history, dental exam, signs and symptoms, age consideration, and risk for disease.
A full mouth series of dental X-rays is recommended for new patients. A full series is usually good for three to five years. Bite-wing x-rays (x-rays of top and bottom teeth biting together) are taken at recall (check-up) visits and are recommended once or twice a year to detect new dental problems.
A beautiful and healthy smile that lasts a lifetime is our ultimate goal when treating patients. Your personal home care plays an important role in achieving that goal. Your personal home care starts by eating balanced meals, reducing the number of snacks you eat, and correctly using the various dental aids that help control the cause of dental disease.
Brush your teeth at least twice a day (especially before going to bed at night) with an ADA-approved soft bristle brush and toothpaste.
Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.
Daily flossing is the best way to clean between the teeth and under the gum line.
It is always important to rinse your mouth with water after brushing. If you are using an over-the-counter product for rinsing, it is a good idea to consult with your dentist or dental hygienist on its appropriateness for you.
Some other dental aids you can use if recommended by your dentist or dental hygienist: Interdental brushes, rubber tip stimulators, tongue cleaners, irrigation devices, fluoride, medicated rinses, etc., can all play a role in good dental home care.
Brushing and flossing are both important for your oral hygiene. Though bi-annual professional dental cleanings remove plaque, tartar, and debris, excellent home care methods are equally valuable. Proper brushing and flossing have been proven to enhance the health of the mouth, make the smile sparkle, and prevent serious diseases.
Prevention of tooth decay – Tooth decay is one of the top leading causes of tooth loss and its treatment often requires complex dental procedures. Tooth decay occurs when acids found in plaque erode the natural enamel found on the teeth. This phenomenon can easily be prevented by using proper home hygiene methods.
Prevention of periodontal disease – Periodontal disease is a serious, progressive condition that can cause tooth loss, gum recession, and jawbone recession. Periodontal disease is caused by the toxins found in plaque and can lead to serious health problems in other parts of the body. Removing plaque and calculus (tartar) from the surface of the tooth using a toothbrush, and from the interdental areas using dental floss, is an excellent way to stave off periodontal problems.
Prevention of halitosis – Bad breath or halitosis is caused by old food particles on or between the teeth. These food particles can be removed with regular brushing and flossing.
Prevention of staining – Staining or the yellowing of teeth can be caused by a wide variety of factors such as smoking, coffee, and tea. The more regularly these staining agents are removed from the teeth using brushing and flossing techniques, the less likely it is that the stains will become permanent.
The teeth should be brushed at least twice a day; ideally in the morning and before bed. The perfect toothbrush is small in size with soft, rounded-end bristles and no more than three months old. The head of the brush needs to be small enough to access all areas of the mouth and the bristles should be soft enough so as not to cause undue damage to the gum tissue. The American Dental Association (ADA) has given electric toothbrushes their seal of approval; stating that those with rotating or oscillating heads are more effective than other toothbrushes.
Flossing is a good way to remove plaque from the interdental regions that are located between the teeth. Flossing is an especially important tool for preventing periodontal disease and limiting the depth of the gum pockets. The interdental regions are difficult to reach with a toothbrush and should be cleansed with dental floss on a daily basis. The flavor and type of floss are unimportant; choose floss that will be easy and pleasant to use.
If you have any questions about the correct way to brush or floss, please ask your dentist or dental hygienist.
Having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we are able to improve your teeth and smiles with quick, painless, and surprisingly affordable treatments.
Remember, your smile speaks before you even say a word!
Chairside Economical Restorations of Esthetic Ceramic (CEREC®) has revolutionized dental procedures. Traditionally, if crowns, onlays, inlays or dental veneers were required to restore damaged teeth, multiple procedures and a great deal of waiting time in-between would be inevitable. CEREC® creates these ceramic restorations within minutes in the dental office. This means that many treatments can be completed in just a single visit.
CEREC® is comprised of several computer-assisted design (CAD) tools and a milling machine that creates custom ceramic restorative devices. CEREC® can make almost any ceramic restoration to order, meaning the dentist can place it immediately. This is of great benefit to nervous patients, and it can also reduce the cost of treatment.
CEREC® can benefit almost anyone needing a ceramic restoration device. Exceptions include patients who have a prior history of breaking ceramic devices and those with a deep bite. CEREC® devices are proven to last for over 5 years, but recent research indicates that most CEREC®-created restorations last for more than 10 years.
Here are some other advantages associated with CEREC®:
The CEREC® System is sometimes called a CAD-CAM system. CAD-CAM means Computer Assisted Design and Computer Assisted Milling. The CEREC® system has three major components:
This device is home to a high-quality camera and a medical grade computer. The function of this unit is to photograph the prepared tooth. Three-dimensional images are created of the tooth on the screen, which the dentist uses to design the perfect ceramic restoration.
This software allows the dentist to examine the tooth from every angle. It is the closest possible thing to holding the tooth in the hands and rotating it.
This unit actually manufactures the custom restoration from the specifications entered into the computer. A ceramic block, which best resembles the existing tooth color is chosen and placed into the unit. Within minutes, the milling device produces the restoration the dentist designed. No horrible-tasting impressions or time-consuming transfers to and from the laboratory are required.
The first step in the procedure is to prepare the tooth. The dentist removes all tooth decay and creates a divergent occlusal axial wall, to make the opening of the tooth wider than the base. Next, an impression is made using a covering of titanium dust. This dust allows the camera to take a highly detailed picture of the tooth. Images are formulated with the CEREC® camera. CEREC® optical imaging utilizes an infrared wavelength.
The image is transposed onto the computer screen. It is here that the dentist is able to view the tooth from every angle and design the final restoration. When the design is complete, it is transmitted to the milling unit. The dentist chooses a block of ceramic that matches the color of the teeth. This ensures that the restoration will be almost invisible.
Within 15 minutes, the full crown, onlay, overlay or veneer is complete. The restoration is made of compressed, rather than laboratory-layered porcelain. This enhances strength and durability.
Before affixing the restoration to the tooth, the dentist will place it dry to ensure it fits perfectly. It is then polished and affixed to the tooth with dental cement. The procedure is now complete, and all without the need for a second visit! The quality of the results is the same as the laboratory-generated restoration, but a great deal of time and money has been saved.
A 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 are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.
It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however, this will subside shortly after your tooth acclimates to the new filling.
You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.
A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
Although there are several types of crowns, porcelain (tooth-colored crowns) are the most popular because they resemble your natural teeth. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.
The first step in the procedure is to prepare the tooth. The dentist removes all tooth decay and creates a divergent occlusal axial wall, to make the opening of the tooth wider than the base. Next, an impression is made using a covering of titanium dust. This dust allows the camera to take a highly detailed picture of the tooth. Images are formulated with the CEREC® camera. CEREC® optical imaging utilizes an infrared wavelength.
The image is transposed onto the computer screen. It is here that the dentist is able to view the tooth from every angle and design the final restoration. When the design is complete, it is transmitted to the milling unit. The dentist chooses a block of ceramic that matches the color of the teeth. This ensures that the restoration will be almost invisible.
Within 15 minutes, the full crown, onlay, overlay or veneer is complete. The restoration is made of compressed, rather than laboratory-layered porcelain. This enhances strength and durability.
Before affixing the restoration to the tooth, the dentist will place it dry to ensure it fits perfectly. It is then polished and affixed to the tooth with dental cement. The procedure is now complete, and all without the need for a second visit! The quality of the results is the same as the laboratory-generated restoration, but a great deal of time and money has been saved.
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years, however, they may need replacement or need to be re-cemented due to normal wear.
Getting a bridge requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.
You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing, and regular dental visits will aid in the life of your new permanent bridge.
Veneers are thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.
Veneers completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.
As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long-lasting smile.
Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.
On the second visit, the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.
You will receive care instructions for veneers. Proper brushing, flossing, and regular dental visits will aid in the life of your new veneers.
Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.
Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home teeth whitening system that will whiten teeth dramatically. Since teeth whitening only works on natural tooth enamel, it is important to evaluate the replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.
Teeth whitening is not permanent. A touch-up may be needed every several years, and more often if you smoke, drink coffee, tea, or wine.
This type of teeth whitening requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays.
At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.
You will receive care instructions for your teeth and trays, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.
The word periodontal means “around the tooth”. Periodontal disease attacks the gums and the bone that support the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it turns into calculus (tartar). When plaque and calculus are not removed, they begin to destroy the gums and bone. Periodontal disease is characterized by red, swollen, and bleeding gums.
Four out of five people have periodontal disease and don’t know it! Most are not aware of it because the disease is usually painless in the early stages.
Not only is it the number one reason for tooth loss, but research also suggests that there may be a link between periodontal disease and other diseases such as stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy. Researchers are determining if inflammation and bacteria associated with periodontal disease affect these systemic diseases and conditions. Smoking also increases the risk of periodontal disease.
Good oral hygiene, a balanced diet along with regular dental visits can help reduce your risk of developing periodontal disease.
The term “periodontal” means “around the tooth.” Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth; also the jawbone itself when in its most advanced stages.
Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue. A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues. Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat. Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone. If left untreated, it can lead to shifting teeth, loose teeth, and eventually tooth loss.
Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.
When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line. When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue. There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue. Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone are being destroyed by periodontal disease.
Here are some of the most common types of periodontal disease:
There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums, and jawbone. A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.
Here are some of the more common treatments for periodontal disease:
Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.
Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up.
A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper.
Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:
Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.
Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.
The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present.
Periodontal treatment methods depend upon the type and severity of the disease. Your dentist and dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment.
Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!
If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.
If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. It is usually done in one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling), and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric toothbrush may be recommended to help control infection and healing.
If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Your dentist may also recommend that you see a Periodontist (specialist of the gums and supporting bone).
It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)! Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention.
Once your periodontal treatment has been completed, your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line.
Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control!
Teeth are susceptible to decay, infection, and breakage and sometimes need to be restored back to health. Through improved techniques and modern technology, we offer more options for restoring a tooth back to its normal shape, appearance, and function.
Providing you with excellent care is our number one priority when creating your beautiful smile. Should your teeth ever require a restorative treatment, you can rest assured knowing we will always discuss with you the available options and recommend what we believe to be the most comfortable and least invasive treatment.
Remember to give your teeth the attention they need today!
A 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 its 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 are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay is near the nerve of the tooth, a special medication will be applied for added protection. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.
It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however, this will subside shortly after your tooth acclimates to the new filling.
You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.
A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
Although there are several types of crowns, porcelain (tooth-colored crown) is the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.
The first step in the procedure is to prepare the tooth. The dentist removes all tooth decay and creates a divergent occlusal axial wall, to make the opening of the tooth wider than the base. Next, an impression is made using a covering of titanium dust. This dust allows the camera to take a highly detailed picture of the tooth. Images are formulated with the CEREC® camera. CEREC® optical imaging utilizes an infrared wavelength.
The image is transposed onto the computer screen. It is here that the dentist is able to view the tooth from every angle and design the final restoration. When the design is complete, it is transmitted to the milling unit. The dentist chooses a block of ceramic that matches the color of the teeth. This ensures that the restoration will be almost invisible.
Within 15 minutes, the full crown, onlay, overlay or veneer is complete. The restoration is made of compressed, rather than laboratory-layered porcelain. This enhances strength and durability.
Before affixing the restoration to the tooth, the dentist will place it dry to ensure it fits perfectly. It is then polished and affixed to the tooth with dental cement. The procedure is now complete, and all without the need for a second visit! The quality of the results is the same as the laboratory-generated restoration, but a great deal of time and money has been saved.
A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.
There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, but also prevents other teeth from shifting.
A Complete denture may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.
Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years, however, they may need replacement or need to be re-cemented due to normal wear.
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.
You will receive care instructions at the conclusion of the procedure. Proper brushing, flossing, and regular dental visits will aid in the life of your new permanent bridge.
Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.
Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.
Root canal treatment is highly successful and usually lasts a lifetime, although, on occasion, a tooth will have to be retreated due to new infections.
A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).
While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments.
Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.
At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth, prevent it from breaking, and restore it to its full function.
After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.
You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.
