ORAL HYGIENE CARE

Maintaining good oral hygiene is one of the most important things you can do for your teeth and gums. Healthy teeth not only enable you to look and feel good, they make it possible to eat and speak properly. Good oral health is important to your overall well-being. Daily preventive care, including proper brushing and flossing, will help stop problems before they develop.

In between regular visits to the dentist, there are simple steps that each of us can take to greatly decrease the risk of developing tooth decay, gum disease and other dental problems. These include:

• Brush thoroughly twice a day and floss daily
• Eat a balanced diet and limit snacks between meals
• Use dental products which contain fluoride, including toothpaste
• Rinse with a flouride mouth rinse if advised to do so
• Make sure children under 12 drink fluoridated water or take a fluoride supplement if they live in a non-fluoridated area
• Visit your dentist regularly for professional cleanings and oral exams
• Replace your toothbrush every 3-4 months

The following are indications of good oral hygiene:

• Your teeth are clean and free of debris
• Gums are pink and do not hurt or bleed when you brush or floss
• Bad breath is not a constant problem

DENTAL CLEANING

A dental cleaning is a professional cleaning you receive from a dentist or dental hygienist. Most dental cleanings take only between 30 and 45 minutes. Cleanings should be performed every six months to prevent excessive plaque buildup. Plaque left untreated can lead to unhealthy gums and tooth decay. A routine dental cleaning should include scaling and polishing. In cases where there is bone loss around teeth and built-up tartar underneath the gums, a deep cleaning would be utilized rather than a routine cleaning.

Scaling: this is the process of removing plaque and tartar from all tooth surfaces in a variety of methods, depending on the amount of plaque and tartar.

Dental hygienists traditionally perform scaling by hand. However, new and advanced technology has lead to more modern methods such as electric scalers. This sophisticated tool allows dental cleanings to be performed more efficiently and in less time. To achieve best results, both electric and manual scaling methods are combined for dental cleanings.

Root planing: this is the process of cleaning pockets in the gums to treat and prevent gum problems.

Root planing is used to treat moderate to advanced gum diseases. When the gum is inflamed, gum pockets become deeper and may lose connections to the bone inside. The deeper the pockets, the easier it is for plaque deposits to become trapped and worsen gum problems.

Root planing involves inserting a pointed dental tool called scalers into the gum pockets to clean plaque buildup. Depending on the degree of difficulty, root planing may take several appointments and a local anesthesia may be used to prevent pain.

Polishing: this is the last step in tooth cleaning and involves finishing the surface of the teeth to make them shiny and clean. We use a rubber cup on a low speed, gentle handpiece with fluoride polishing paste. {Back to Top}

 

SEALANTS

Sealants are used to fill narrow grooves in a tooth that cannot be adequately cleaned by brushing. In some cases, the tooth structure has fine grooves or pits which accumulate plaque, not because the person doesn’t brush, but because they’re too narrow to allow even one bristle into them. To avoid cavities developing over time, the dentist will brush on a coating that seals the grooves and pits, making it possible to brush off all the plaque and keep your teeth healthy. {Back to Top}

BONDING

Bonding involves adhering composite resin material (tooth colored filling material) that is matched to the color of the tooth, to the front of the tooth. This is performed to repair damage caused by decay, to alter the alignment of the tooth, close gaps between the teeth, or for other cosmetic purposes.

First the surface of the tooth is roughened in order to accept the bonding. A gel is applied so the resin will adhere to the surface of the tooth. The composite is then placed on the tooth and the bonding agent hardens with intense light. The last step is shaping and polishing to give a lustrous finish. {Back to Top}

 

FILLINGS

A filling is a way to restore a tooth damaged by decay back to its normal function and shape. If you have a tooth that requires a filling, the dentist will first remove the decayed tooth material, clean the affected area, and then fill the cleaned out cavity with a filling material. A filling helps prevent further decay by closing off any cracks or spaces where bacteria can enter. Composite (tooth colored) fillings are custom made to the exact color of your natural teeth, creating a more natural appearance. Here at Altadena Dental, we place composite fillings exclusively whether its in the front or the back teeth. Old tooth colored fillings may have dark lines which means they are leaking and need to be replaced. Larger composite fillings that need to be replaced may need a crown in order to save the tooth. {Back to Top}

 

NON-SURGICAL GUM TREATMENT

The gums, ligaments, and bone around the teeth form the foundation for teeth. All structures are also referred to as the periodontium. When the periodontium is not healthy, it jeopardizes the teeth just as a bad foundation would threaten the stability of a house. Signs of unhealthy periodontium include: gums that are red and bleed easily, persistent bad breath, gums that are pulled away from the tooth, loose teeth, and changes in the position or bite of the teeth. With proper gum treatments, it may be possible to return gum tissue to a healthy state. If you’re having a problem, come in and see us so we may treat it right away. The treatment usually involves a deep cleaning or root planing done under a local anesthetic, along with local antibiotic agents. It is important to have gum problems checked promptly, as gum disease left alone may eventually need treatment through surgery or extraction. {Back to Top}

CROWNS AND BRIDGES

Crowns and bridges are used to restore and enhance teeth that are damaged or to take the place of missing teeth. A crown (also referred to as a cap) is used to entirely cover a damaged tooth. A crown not only strengthens a tooth, but it can dramatically improve a tooth’s appearance, shape and alignment.
Crowns may be used to:

• Replace a large filling when there is little tooth structure remaining
• Protect a weak tooth from fracturing
• Restore a fractured tooth
• Attach a bridge
• Cover a dental implant
• Cover a discolored or poorly shaped tooth
• Cover a tooth that has had root canal treatment

A bridge is an ideal method to fill the space created by missing teeth. A bridge is one or more artificial teeth cemented into place using the teeth on either side for support. This is an option for filling the space created by a missing tooth. Bridge work is as much an art as it is an exact science since it replaces a missing tooth both functionally and cosmetically. The materials used may be gold alloys, porcelain bonded to metal alloy, or all ceramic material made to match your natural tooth color. The choice of material depends on requirements for strength, wear, and aesthetics.

It is important that a missing tooth be replaced as soon as possible. If not treated, the teeth surrounding the gap begin to shift inward. Since teeth use their neighbors for support, if one is missing they begin to “fall” and shift into the open spaces. This may worsen the bite because of the changes in pressure and can eventually result in problems with the jaw such as TMJ.

Bridges and crowns are made by first taking an impression of your mouth. The impression is sent to a dental lab where your crown or bridge will be custom made to fit your mouth and match your natural tooth color. A temporary crown or bridge will be placed into your mouth until your permanent crown or bridge is ready and cemented into place.

Bridges and crowns are very durable and can last a lifetime with extra care and good oral hygiene. {Back to Top}

 

TOOTH EXTRACTIONS

Good oral hygiene should always be practiced since the loss of a single tooth can have major impact upon your oral health and appearance. Although dentists will use every measure to prevent tooth loss, there still sometimes necessary occasions when a tooth may need to be extracted. A tooth may need to be extracted for the following reasons:

• Severe decay
• Advanced periodontal disease
• Infection or abcess
• Orthodontic correction
• Malpositioned teeth
• Fractured teeth or roots
• Impacted teeth

After careful examination and treatment, the dentist may advise to have a tooth extracted. Before a tooth is removed, the dentist will take an x-ray in order to understand the shape and position of the tooth and surrounding bone. Based on the degree of difficulty, we may refer you to a specialized oral surgeon. {Back to Top}

NIGHTGUARDS AND MOUTHGUARDS

Custom designed mouthguards and nightguards are made of flexible plastic and molded to fit the shape of your teeth. Mouthguards are recommended to protect the jaw and teeth during physical activity and sports such as boxing, football, basketball, or other activities where your mouth may be hit. Guards also protect the soft tissues of your tongue, lips and cheek lining. Nightguards are recommended for patients who clench or grind their teeth at night as a way to protect their teeth and bite.

If you have decided a guard is right for you, we will take an impression of your teeth which will then be sent to a lab to make a custom fit guard. {Back to Top}

 

COSMETIC DENTISTRY

Cosmetic dentistry includes procedures correct imperfections or enhance the appearance of the mouth. Tooth color, alignment, spacing as well as regularity of the teeth are the characteristics that give the overall appearance. Any of these can be enhanced to provide a stunning new smile. {Back to Top}

WHITENING

Tooth whitening is a popular procedure to make teeth whiter and brighter, and therefore more attractive. Bleaching can be used to whitening stained and discolored teeth, or simply to enhance a dull smile. Either way, tooth whitening is a safe and relatively painless procedure ideal for most patients. Our office offers take home tray whitening.

Tray whitening is a less expensive whitening treatment you can use while in the comfort of your own home. We will first take an impression of your mouth to create a customized clear whitening trays for you to wear. Within a few days your trays will be ready to be picked up and we will show you how to apply the special bleaching material to the trays. The whitening gel trays should be worn 30-60 minutes up to twice a day. At the end of this period, you will see maximum whitening results that are nothing short of dazzling. Occasional treatment can be used at your convenience to maintain your new smile.

 

VENEERS

Veneers are a dental procedure in which a covering is placed over the outside (visible area) of the tooth. Veneers are usually only applied to the part of the tooth that is visible when talking or smiling. The procedure can be direct or indirect.

The direct technique usually involves placing composite resin on the outside of the tooth using bonding.

The indirect technique usually involves two appointments because the veneers will be fabricated at a dental laboratory. At the first appointment the teeth are prepared, impressions taken, and the teeth are given a temporary covering. In two to three weeks the veneers are back from the laboratory, the temporaries are removed and the veneers are bonded to the teeth. The laboratory fabricated veneers are usually made using porcelain or pressed ceramic and are very esthetic. {Back to Top}

 

 

TECHNOLOGY

In order to provide nothing but the best to our patients, our office uses state-of-the-art technologies in all our procedures. These new technologies allow us to treat dental cases with extreme precision, detect dental concerns at early stages, and provide stunning and customized restorations. When you visit our office you can be confident that you are receiving on the finest and most advanced in dental care. We proudly offer and use the following advanced equipment:

 

DIGITAL X-RAYS

X-rays are a focused beam of x-ray particles passed through bone which produce an image on special film, showing the structure through which it passed. This provides the familiar black and white images doctors and dentists use to diagnose problems and disease. Without an x-ray of the whole tooth and supporting bone and gum tissues, there would be no way to detect infection or pathology that requires attention.

In our office we use digital radiography which allows us to take x-rays using up to 90% less radiation than conventional film x-rays. Using this technology, we are able to take an x-ray of your mouth by using a small sensor which records the image of your teeth and sends it to a computer. The result is a highly detailed image of your mouth that can easily be enhanced to better diagnosis dental concerns and determine the very best treatment for each case. {Back to Top}

 

DIAGNOdent

Providing the absolute best service to our patients is of the highest importance to our office. To aid in achieving this goal, we use a new high-tech device called the DIAGNOdent. This small tool is a portable laser that allows us to detect cavities on the chewing surface of the back teeth that would have otherwise gone undetected by previous methods. Diagnosing cavities in the back of the mouth using traditional methods is difficult; studies even show that 50% of cavities are left undetected in these areas. However, the new DIAGNOdent enables us to locate and treat these cavities, putting a stop to further decay. The laser is easy to use, harmless, and will alert us with an audible signal if it detects a cavity.It will even calculate the approximate size of the cavity so we can better plan treatment. By using this device, you can rest assured that cavities will be accurately detected and treated in their infancy. To learn more about this device, click here. {Back to Top}

 

DIGITAL IMAGING SOFTWARE

We use digital imaging software in our office, which allows us to take a digital picture of you and use our imaging system to predict how a particular treatment or cosmetic procedure would change the appearance of your teeth. This software is beneficial for patients who are considering cosmetic procedures but are not sure if they’re ready for dramatic changes. Digital imaging also allows us to document your dental case and procedures very well.We take digital images of your face, teeth and smile to provide us with a permanent dental record and to provide a visual documentation of treatment.

 

ELECTRONIC CLAIM PROCESSING

Our office utilizes electronic claims processing. This means that rather than sending your dental claim through the mail, it is sent electronically to your insurance company with the click of the button. By filing your claim electronically, information is submitted more efficiently and with fewer errors.This benefits our patients because the turn around time on claims is faster and fewer claims are returned or denied. We are happy to submit your dental claims to your insurance company on your behalf. {Back to Top}

 

INTRAORAL IMAGING

We use small cameras about the size of a pen, called intraoral cameras, to help clearly see the condition of your teeth and gums. With this advanced technology we can zoom in on small diseased areas, cracks, chips and worn metal fillings with extreme precision. The full-color images taken with the intraoral camera are sent to a computer screen so we can clearly see and diagnose dental problems much earlier than with traditional dental technology. Because images are displayed on our screens, patients will also be able to see areas being worked on and are able to gain a better understanding of dental procedures being performed. {Back to Top}