When teeth decay or get cavities in them, the cavity must be removed. To fill in the space left by the cavity a restorative material is used. The “tooth colored” filling material used is called composite resin. Here at Dr Gollob’s office we offer tooth colored fillings so when a filling is needed, it will blend in with the natural coloring of your teeth. The filling material will be carefully selected so that it matches the natural color of your teeth.
Tooth Colored Fillings
Composite bonding is a restorative material that can be used to repair minor cracks and chips in the cosmetic zone (the area that shows when you smile). When the front teeth get damaged, whether it is from normal wear and tear or some kind of trauma, composite bonding can be a great way to repair that damage and still keep your teeth looking healthy and natural.
Implants are a restorative option used by dentists to replace missing teeth. A titanium implant is placed into the bone where the root of the tooth once was. After the bone has healed around the implant (a process called osseointegration) a tooth can then be placed on the implant restoring that location to normal form and function. In most cases no one will ever know that a tooth is an implant, they look and feel natural and function much like your own teeth.
Implants can also be used to hold a denture or partial in place. If a patient has multiple missing teeth and wears a denture or partial, implants can be placed and attachments added that connect the denture or partial to the implant. It is similar to the way snaps work on a piece of clothing. The denture or partial snaps onto the implant and the implants help hold it in place. One advantage of this is if a patient wears a denture on their upper arch and they get implants placed, the roof of their mouth no longer has to be covered by the denture because the implants help hold the denture securely in place.
Crowns-metal free crowns
In the modern era of dentistry there are now newer materials that crowns can be made from that do not include metal. This makes for restorations that are much more natural and life like in appearance. With the absence of metal in a crown, the natural translucency that teeth have can be mimicked leading to crowns that often can’t even be discerned from natural teeth. At Dr Gollob’s office, we offer multiple materials for crown work that are metal free, ask Dr Gollob or one of his staff members what your options are for metal free crowns.
Bridges are one way that a single or multiple missing teeth can be replaced. It is an alternative to having implant surgically placed. The existing teeth act as anchors or retainers for replacement teeth (called pontics). The pontic teeth are supported by the existing natural teeth that act as retainers. The bridge looks and feels like natural teeth but the hygiene regiment is slightly different then for natural teeth because the teeth involved in the bridge are all connected. Bridges can even be a temporary option for a patient with congenitally missing teeth in the anterior zone until the patient is old enough for an implant. Ask Dr Gollob if a bridge is the right option for you to replace any of your missing teeth..
In some cases due to the condition of a tooth, it simply cannot be restored. In this instance an extraction is necessary. The tooth is removed and can later be replaced by a bridge, implant, or some other restorative modality.
In some cases the tooth needs to be sectioned into pieces for it to be extracted safely. This is referred to as a surgical extraction. At Dr Gollob’s office we do our absolute best to help you maintain your teeth as long as possible, but when an extraction becomes necessary we are here to help.
Bone grafting is a procedure in which and a type of bone replacement material is placed in a defect and allowed to heal. In many cases bone grafting becomes necessary because a tooth has been removed. To preserve the ridge and ensure there is adequate bone for an implant or to maintain the ridge for a bridge, bone grafting becomes necessary. There are numerous kinds of bone grafting material on the market. Common sources include cadaver, bovine, ceramics, or synthetic type substitutes.
Periodontal Treatment / Gum disease treatments
Periodontal disease is a condition that affects almost half of all adults age 30 and over. Bacteria in the mouth make their way into the space between the teeth and the gingiva (called the sulcus), there they cause inflammation as the release toxins into the surrounding tissue and gingiva. Bacteria that have been there for an extended period of time form a substance called calculus or tartar on your teeth. This build-up of bacteria cannot be removed except by a dental professional. In some people, this condition causes an immune response in there body, the area becomes inflamed and may even bleed. The tissue will also begin to detach from the tooth. In more serve cases or cases left untreated the bone holding the teeth in place begins to resorb (bone loss). The long term effects of this if left untreated is often tooth loss.
The treatment for periodontal disease involves having a procedure called scaling and root planning completed. During this procedure, your dental professional will use special instruments to remove the bacterial build up from your teeth. The sulcus will be irrigated with an antibacterial rinse targeted for the bacteria that cause periodontal disease. Your dentist may even recommend this rinse be prescribed for home use. Another treatment, in addition to scaling and root planning, that is beneficial in some cases is to place topical antibiotics into the space where the attachment of the tissue has been lost. This antibiotic then helps to keep the bacterial count low while the body heals and fights the infection.
Routine hygiene visit are extremely important for maintaining a healthy mouth. At your hygiene visit we are not only cleaning your teeth, your dental provider will screen for oral cancer, check the health of your gingiva (gums) evaluate the amount of plaque and tartar build up and the locations of the build up, measure your gingiva, screen for gingivitis and periodontal disease, and check for any issues with your teeth that are starting to develop. Problems can often be detected in your routine hygiene visit before they become a major issue. It is also a great opportunity for you dental provider to get to know you and be updated on any changes in your life that may impact your oral health.
Veneers are a cosmetic solution for teeth that are in otherwise healthy condition but are an undesirable color, in an undesirable position or just don’t look the way the patient wants them to. Veneers are a porcelain restoration that is bonded to the front of a tooth. In most cases the back of the tooth can remain intact and untouched. Your dentist will usually have a diagnostic wax up of your existing teeth so you and your dentist can see what the end result will look like. Next your dentist will remove a small amount of tooth structure from the front of the tooth and sometimes the sides, your dentist will then place a temporary material in the place the veneer will later occupy (the temporary veneer) while the lab fabricates your permanent veneer. Once your permanent veneer is ready, your dentist will try in the veneers and if you both like the way they look, they will be permanently bonded in place. People with veneers usually need to wear a mouth guard at night indefinitely to protect the porcelain from damage.
Partial dentures are a solution for people who are missing multiple teeth and are unable to have an implant or permanent bridge placed to replace the missing teeth. Partial dentures are removable so they must be taken out daily to be cleaned and maintained and must not be worn at night. There are different materials available, some contain metal and some are metal free. Ask Dr Gollob if a partial denture is the right restorative option for you.
Complete dentures are a dental prosthesis that replaces teeth for a patient who is missing all of their teeth on one arch. They can be tissue retained or implant retained. Here at Viera Dental Arts, we take the time to make sure your dentures are going to fit and function the way you want before they are fabricated by the lab. We use a high quality lab that produces a high quality denture.
Implant retained dentures, much like traditional dentures, are used to replace the teeth of a patient who has lost all of their teeth on one arch. The difference is that implants will attach to the dentures and help to hold them in place. The dentures are still removable, but the retention is greatly improved by having implants for the dentures to snap onto. There is no need for denture adhesive and in some cases the roof of the mouth can be left uncovered by the denture. Implant retained dentures are highly recommended for the mandibular (lower) arch due to the lack of retention that mandibular dentures usually have because of anatomy.
implant supported dentures
Root canal Treatments
A root canal is a treatment where the blood vessel and nerve tissue that normally occupy the inside of a tooth are removed and replaced with a filling material to plug the space. During this process the canal is irrigated with a solution that dissolves all the organic matter. A small amount of material lining the inside of the canal (dentin) is also removed. Once the root canal is completed, the tooth is considered non vital, meaning it no longer has nerve tissue in it, and therefore, should not cause a toothache. The nerve tissue around the tooth is still intact though, so sensation will not be completely absent from the tooth. Root canals can be needed for a variety of reason but most commonly it is due to deep decay encroaching on the nerve space, a crack in the tooth, or some kind of trauma. Sometimes a root canal is needed and a specific event cannot be pointed to as the causal factor. At Viera Dental Arts, we work with some of the best Endodontists (root canal specialist) around to ensure you have the best outcome possible if you do end up needing a root canal treatment.
Over time your teeth may take on the pigments of the food and drinks you consume. Colas, red wine, red meat, and coffee and tea can be the main culprits in many cases. This can give teeth a yellow or brown hue. Other of tooth discoloration can be harder to correct, tetracycline staining is a staining that is inherent in the tooth from when it developed. Another cause is root canal treatment, teeth often become a grey or brown color following root canal treatment. Whitening is a process whereby these discolorations can be removed by the use of a whitening agent such as hydrogen peroxide or carbamide peroxide. Many whitening systems are available over the counter, but the results can be inconsistent and sometimes are not enough to correct the issue. The whitening solutions available to dentists are a much higher concentration and the delivery system is much more precise. As a result, these whitening systems are much more effective at achieving the desired result.
Cosmetic dentistry is any procedure that is used to give the teeth and by default the patient a more favorable appearance. It can include many different procedures from simply whitening the teeth to adjusting the position of the gingiva surgically. The most common procedure performed are probably metal free crowns, veneers, bonding, and teeth whitening. Here at Viera Dental Arts, we can complete any cosmetic work you desire from teeth whitening to a redesign of your smile.
TMJ stands for the temporomandibular joint. It is a highly specialized joint that is located just in front of your ear. It is where your mandible meets your skull and pivots when you open and close. The joint is very complex with multiple muscles in the vicinity along with a disk that is unique to that joint alone. When the mouth is opened, the disc slides forward with the jaw. For some people, injury or dysfunction can cause the joint to operate in an abnormal manner. In some cases the individual can adapt and it never really causes any problems. For others, it causes pain and dysfunction for both the joint and associated chewing muscles, and the teeth. Some people are unaware of the problem because it is happening at night and they have few symptoms. A thorough examination of the joint and muscles of mastication (chewing) can sometimes reveal a problem. The treatment will usually involve some kind of device, similar to an athletic guard that gets the jaw into a position that is least likely to cause dysfunction. In some cases this jaw position needs to be transferred to the mouth permanently through the use of restorative dentistry.
Emergency Dental Care
Even with the best preventative care, dental emergencies still happen. Whatever the dental emergency, we understand the urgency, simply call our office and our friendly staff will do everything they can to get you the care you need as soon as possible.