Falguni Patel, DDS
1.732.603.3900

procedure

Our Procedure

Veneers

Veneers are thin shells that are laid onto the teeth and bonded to the surface. Although they can be made of different materials, porcelain is frequently used because of its durability and realistic appearance. Veneers are a more conservative alternative to crowns since they require less removal of the tooth's original surface. With veneers in place, patients can expect straighter, whiter, and more even teeth

The Procedure

During the initial visit, the patient and dentist discuss the process of placing veneers and the options available (e.g. types and shades of veneers). On your next visit, the dentist removes a very small layer of each tooth's outer enamel. A local anesthesia may be used but is typically not necessary. The dentist makes a mold of the teeth and then sends it to a dental lab where they create customized veneers for the teeth. The lab prepares the veneers in roughly seven to ten days. During this time, the teeth have a slightly different appearance because of the removal of the outer layer of enamel. Some patients choose to have temporary restorations placed on their teeth, but this step is usually not necessary. Once the veneers have returned from the lab, the patient makes a final dental visit. The dentist applies the veneer to the tooth using a bonding material. When exposed to light, this bonding material dries and hardens.

Composite Fillings

Until recently, dentists filled and sealed cavities exclusively using a silver and mercury amalgam. Unfortunately, these fillings (or restorations) often weaken teeth due to the large amount of the original tooth that has to be removed. Modern dentistry has increasingly turned to composite fillings as a strong, safe and more natural looking alternative. Composite fillings utilize a soft white plastic substance that includes a hardening agent.

Pros and Cons of Composite Fillings

The major advantage of these fillings is that they come in a range of shades that closely match the color of an individual's tooth. Due to the increased strength of modern composite material, they can now also be used in the back teeth. Unfortunately, composite fillings are 1 1/2 to 2 times more expensive than traditional restorations. Dental insurance typically covers the cost of composite fillings up to the price of the silver/mercury fillings. During your initial visit to the dentist, he or she begins by anesthetizing the tooth and removing any remaining decay. Once the tooth has been prepared, the dentist places the composite inside, where it binds to the original surface. The process is typically performed in several layers wherein each layer is cured or hardened with the use of a hardening light. Composite restorations (fillings) for the back teeth are referred to as inlays. If the inlays need to be custom-made at an off-site dental lab, two visits to the dentist may be required. Once the dental office receives the custom inlays, the patient returns to the dentist's office, where the inlays will be bonded into place.

Bridges

A bridge is a device used to fill the space where a tooth has fallen out or been removed. A typical bridge consists of a pontic (a filler tooth) that is attached to two surrounding abutments (crowns). Once complete, this bridge structure is bonded into the mouth. Without the use of a bridge, spaces in the mouth from missing teeth can cause multiple teeth to shift, lead to occlusion (biting) and/or jaw problems and spur periodontal disease. Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

The Procedure

Bridges usually require two trips to the dentist's office. During the initial visit, the surrounding teeth are numbed with a local anesthetic. The dentist prepares the surrounding teeth by cleaning any plaque or decay that remains and reducing them so that the crowns can be fitted. The dentist makes a mold of the teeth and sends it off to a dental lab where the customized impression is prepared. The customized mold takes one to two weeks to return to the office. In the interim, patients are fitted with a temporary bridge constructed of acrylic resin. When the patient returns to the dental office, the dentist removes the temporary bridge and replaces it with the permanent one. The dentist then adjusts the bridge for the proper bite and fit, and the bridge is permanently bonded into the mouth.

Composite Bonding

Composite bonding is a technique used to improve the appearance of your teeth. The term composite bonding refers to any composite material, either a plastic or resin, which is bonded to an existing tooth. Bonding is ideal for fixing chipped or cracked teeth, hiding discoloration on the tooth's surface, or reducing the gaps between teeth. Whatever the specific intent, composite bonding creates more aesthetically pleasing teeth and a brighter smile. Unlike veneers or crowns, composite bonding removes little if any of the original tooth.

The Advantages of Bonding

Composite bonding is a quick process, typically lasting less than an hour. Compared to veneers or crowns, it is a popular choice because it does not reduce the tooth's original structure. Composite bonding is also relatively inexpensive. And finally, composite resins are available in many different shades. The shade can be chosen to match the natural color of the original tooth.

Tooth Whitening

Regardless of how well you care for your teeth, it is inevitable that, over time, some yellowing or discoloration will occur. This gradual change can be caused by aging, substances that stain your teeth (such as coffee and tobacco), excessive fluoride, or the deterioration of a tooth's nerve. A tooth whitening treatment can be performed either as an at-home, dentist-supervised process or in the dentist's chair. While neither of these methods stops future discoloration, these treatments bring about whiter teeth and help create a brighter smile.

At Home Whitening

The most popular method of whitening teeth is the at-home, dentist-supervised option. During your visit to the dentist, he or she takes a mold of your teeth and creates a comfortable, customized mouthtray. The mouthtray holds a mild solution whose main ingredient is carbamide peroxide, a substance that reacts with water to release a nontoxic bleaching element (hydrogen peroxide). The mouthtray is placed inside the mouth, and sits only against the teeth, thereby avoiding contact with the gums. Patients can choose either to wear the mouthtray throughout the night or for stretches that last from two to four hours. When the mouthtray is worn throughout the night, the treatment lasts one to two weeks. Patients with more sensitive teeth may opt for the latter approach, which lasts three to five weeks.

Intra oral camera

The intra-oral camera is a revolutionary diagnostic dental tool that allows us to identify potential problems within the mouth early on. The tiny intra-oral camera can be inserted into a patient's mouth, taking pictures of the teeth and displaying the images on a computer screen. Using the intra-oral camera saves time and makes problems visible to both patient and doctor. Patients can view the areas we will be working on, making procedures more understandable. The accompanying software also provides also provides clear and accurate data so that the best treatment options can be selected. To learn more about the intraoral camera, please contact our office today

Cleanings

We believe a good foundation is the key to optimal oral health, therefore, our periodontal care is of utmost priority. We customize cleanings to properly care for your specific periodontal (gums & bone) needs. Whether a six month checkup or full periodontal therapy, we will always strive to provide the very best treatment while maintaining your absolute comfort.

Inlays and Onlays

Inlays and Onlays are lab fabricated fillings or partial coverings made of Porcelain or Gold. These modern restorations are better and stronger alternate to traditional medium and large size fillings.

Sealants

For the prevention of cavities, we may suggest sealants to protect your child's back teeth during their early years.

Root Canal Therapy

When decay is so deep that the nerve becomes infected, Doctor may recommend root canal treatment. Your tooth may require a post and crown as a final restoration, in addition to a root canal. Root canals are highly successful and an alternative to loosing the tooth in many cases.

Crowns

Also called caps, crowns are natural-looking covers that fit snugly over teeth to conceal cracked, badly discolored, injured, or chipped teeth. Crowns minimize physical discomfort in and provide support to damaged teeth. Ultimately, crowns can improve the overall appearance of your smile while making your teeth more resistant to injury.

Extraction

After careful examination and health history review, we may recommend extraction of your tooth if it is not restorable. We do simple or surgical extraction at our office. We may refer you to oral surgeon for impacted or difficult extractions

Dentures & Partial Dentures

Some patients may be able to save some of their teeth by replacing those missing with a removable partial denture. For those patients who require replacement dentures or need full extractions and immediate temporary dentures placed, we can accommodate your needs. In the event you need to have all your teeth removed, you will leave our office with a denture(s) in your mouth and return for follow up care the next day.

Invisalign Braces

Traditional Silver

These are the most common type of braces. They are much smaller and more comfortable than those in the past. More importantly, the smaller brackets cover less area of the tooth, making it easier to monitor the state of the oral hygiene. We offer a variety of colored elastics that are changed at every appointment. The reason for this is that these elastics hold the wire that moves the teeth to the brackets. The elastics lose their stretch after a period of time and must be changed in order to be effective.

Invisalign®

The Invisalign® System for adults is a series of clear, removable templates that fit over the teeth. Generated by computer simulation, they gradually move the teeth for the correction of some bite problems. The most crucial component is that the aligners need to be worn for 22 hours a day, only coming out for eating, drinking anything other than water and brushing your teeth.

Invisalign® TEEN

Teen aligners Invisalign® are a perfect fit for your lifestyle, because aligners are:

  • Clear
  • Removable
  • Super comfortable
  • Customized just for you

You've probably heard from friends that with braces you won't be able to eat anything. With Invisalign® Teen you can eat whatever you want!

Unlike traditional metal braces, Invisalign® Teen aligners are removable, which means you can go ahead and eat all the things you love without worrying about breaking a bracket or losing a rubber band. Invisalign® aligners are really comfortable and very durable.

They fit in with any of your extracurricular activities. So whether you're swimming , out on the field throwing the baseball, or playing the horn with the school's band, you don't have to worry about your braces getting in the way!