Biteguards are custom-fitted removable plastic appliances that are worn over the teeth, often during sleep. Biteguards (or nightguards) help protect the teeth and jaw joints from damage from teeth grinding or clinching.
As part of our initial analysis, we will conduct an assessment of the jaw joints (TMJ) and tooth surfaces to observe for signs of teeth grinding or clinching. If these conditions are left unattended, they can result in serious damage to the teeth that require extensive restoration procedures to repair. If you ‘catch yourself’ grinding your teeth or clinching, please bring this to our attention so that we can monitor your condition and take the appropriate course of action to help preserve and protect your teeth and jaw joints.
Daily Brushing & Flossing
Proper brushing and flossing is the best defense against gum disease and dental decay. We recommend that patients brush and floss two to three times per day. For children too young to brush, parents should brush their teeth for them using a small soft bristle toothbrush. We may also recommend fluoride supplements to help both children and adults prevent cavities.
To be effective, a good home care routine must be supported by regular visits to the dentist for cleanings and checkups. Our dental hygienists will remove plaque deposits and stubborn stains from your teeth so that they are easier for you to keep clean. We will take digital xrays to see areas not visible to the naked eye, and measure your gums carefully to look for any signs of gum disease or dental decay. We recommend that you have your teeth cleaned two to four times per year, based on the condition of your teeth and surrounding bone and gum tissue.
Cosmetic & Restorative Dental Bonding
Dental bonding can be a less costly approach to achieve minor esthetic changes in front teeth. A pliable composite resin plastic material is applied to the tooth surface and hardened with a special curing light to restore small areas that have had decay removed or, as a cosmetic solution to smooth chipped edges and close small spaces between teeth.
While not as durable or long-lasting as porcelain crowns or veneers, bonding is a very conservative procedure, requiring very little tooth preparation or drilling. Resin composite materials are mercury-free and come in a variety of shades to closely match you own teeth.
Bonding is also a great way to make cosmetic decisions about your smile. We often temporarily place bonding materials to visually communicate and plan the shape, size and shade of permanent porcelain crowns and veneers.
A dental bridge is a fixed replacement for missing teeth which relies on adjacent teeth to support a ‘false’ tooth (or multiple teeth) to fill a space created by tooth loss. A bridge can be supported by natural teeth, or is sometimes supported by dental implants. As with crowns, bridges are custom-made using restorative materials such as semi-precious metals, gold, porcelain, and ceramics, depending on the location in the mouth and necessary tolerance to biting and chewing.
We work closely with our laboratory to create a solid, well-designed bridge that looks naturally beautiful. Following a complete dental analysis with xrays, we will evaluate any missing teeth and offer our recommendations for the use of bridges as replacements.
Crowns, Inlays & Onlays
Custom-fitted restorations are necessary to restore teeth that have become structurally weakened by decay or trauma. Crowns offer full coverage, while inlays and onlays are used only when a portion of the tooth structure requires rebuilding. Restorative materials are selected for durability and esthetics, and include semi-precious metals, gold, porcelain, and ceramics.
Crowns, inlays, and onlays are usually accomplished in two visits. During the initial visit, the damaged areas of the tooth are removed and shaped, and a temporary restoration is placed after impressions of your teeth are made. At your second visit, the final restoration is placed to return proper chewing and bite strength to the affected tooth.
Composite resin plastic fillings are available in natural-looking shades and may be used to restore small areas of teeth that have minor damage from decay or chipping.
The affected area is removed and shaped to retain the resin material, which is then bonded to the tooth surface and shaped to fit. While not as durable or stain-resistant as porcelain crowns or veneers, composite fillings are a practical means of restoring small defects with minimal removal of natural tooth structure, or, as a buildup material in preparation for a permanent crown or veneer.
Dental Implant Restoration
A dental implant is a small, cylinder-shaped device that is inserted in the place of a missing tooth. This is then covered with a crown or bridge to allow the implant to function and feel like a natural tooth.
Modern dental technology has made implants a practical solution for a number of dental challenges that have been difficult to resolve in the past. Years ago, if too many posterior teeth were lost, patients were left with no other choice but to have their remaining teeth extracted and wear dentures for the rest of their life. Today, implants may be used to replace lost molars and perform the ‘anchor’ function for permanent bridges or partial dentures. This advantage virtually eliminates the need to remove healthy tooth structures to achieve prosthetic tooth replacement.
Dr. Israel works closely with Periodontists and Oral Surgeons that specialize in implant surgery to achieve optimal results in placement of dental implants. These specialists will insert the implant cylinder which Dr. Israel then restores with a crown or bridge, or, integrates as an anchor tooth into a complete or partial denture.
We may recommend sealants to prevent cavities in your child's teeth.
A dental sealant is a plastic coating that is painted on the chewing surface of the tooth to seal tiny grooves and help prevent decay-causing bacteria from penetrating the enamel. The plastic sealant material is hardened using a special light, and requires no drilling or anesthetic.
Sealants can last for many years if properly cared for. Sticky and very hard foods can damage sealants and should be avoided. We will check your child's sealants at their regular checkup appointment, and can re-apply the sealant material if necessary.
Partial Dentures are removable appliances that provide tooth replacement when multiple teeth have been lost due to disease or trauma.
A removable partial typically has clasps that rest on natural teeth to secure a metal or acrylic base structure mounted with ‘false’ teeth to fill spaces left by missing teeth.
When most or all of the natural teeth are lost due to trauma or disease, a complete denture can be designed to replace missing teeth. In most cases, complete dentures are the last option considered. With no teeth or opposing forces in the mouth, jaw bone levels can deteriorate over time. If all of a patient's teeth are lost at an early age, this can result in serious conditions in later years.
Special precision attachments are also available to make removable dentures fit more snugly in the mouth. In cases of multiple tooth loss, dentures are often combined with dental implants to further improve biting and chewing capabilities.
We explore all other replacement alternatives prior to recommending dentures. When designing new or replacement dentures, we will schedule several preliminary appointments for fitting the dentures, as well as multiple appointments to make sure that they fit well after they are placed. We work diligently with our patients' goals in mind to design cosmetically pleasing and durable dentures.
If you have multiple broken or missing teeth and are considering dentures, we invite you to Contact Us for a consultation prior to making a final decision. Our goal is to save your teeth whenever possible.
Periodontal (Gum) Disease
Your gums perform an important function in your body. They protect and provide support for the teeth, as well as provide blood flow to the jaw bone and tooth structures.
Periodontal disease is a progressive disease that begins when bacteria penetrate and grow beneath the gums. As the disease spreads, gum tissue and eventually bone become infected and are destroyed. If left untreated, periodontal disease will break down enough bone and gum tissue to cause the teeth in the affected area to become loose and eventually fall out.
Stress, smoking and poor nutrition can be contributing factors to gum disease. Recent studies also indicate that there is a link between the bacteria that cause periodontal disease and increased risk of heart disease, stroke, and preterm low birth weight.
Common signs of Periodontal Disease are bleeding and swollen gums, persistent bad breath, and receding gums.
If detected early through regular dental checkups, periodontal disease can often be treated with non-surgical gum treatments supported by effective home care and medicated mouth rinses. In some cases, surgical procedures can be used to treat bone loss or advanced penetration of the infection. We may refer you to a gum specialist, or Periodontist, if you have advanced periodontal disease.
Porcelain Dental Crowns
A crown or ‘cap’ is used to cover a tooth that has been structurally compromised by decay, broken-down fillings, or trauma. Crowns can be designed with porcelain facings over metal or all porcelain, depending on biting forces and location of the tooth in the mouth.
Often patients with discolored teeth, aged crowns or bonding, or slightly tipped or rotated teeth are self-conscious about their appearance. Porcelain crowns are a beautiful, natural-looking way to achieve a smile makeover.
- Your porcelain crown design begins with a thorough examination of the teeth and gums to determine your smile shape, size, symmetry and oral health.
- To prepare a tooth for a crown, we remove any decay or broken filling material and shape the tooth structures to serve as support for the crown.
- After the tooth is prepared, we will take impressions and work with temporary crown materials and shade guides to make sure that we achieve your esthetic goals for your smile.
- Dr. Israel then works closely with dental laboratory technicians to fabricate your custom-fitted crown and will evaluate the completed crown on appearance, fit, bite and speech before final placement.
Porcelain Dental Veneers
Porcelain veneers are thin, custom-made coverings that are adhered to tooth surfaces that have been lightly prepared to allow for the thickness of the veneer. After a thorough and detailed examination and consultation process, your custom porcelain veneers are carefully designed by Dr. Israel and fabricated by a dental laboratory under his direction. We can usually complete your veneers in as little as two weeks.
- Veneers are often the ideal solution for smile imperfections such as gaps, permanent stains, chipped, slightly rotated or overlapped teeth and mismatched shading of crown and bridge work.
Porcelain veneers are contoured and shaped to fit your smile and bite, making them comfortable and extremely difficult to tell them apart from your natural teeth. Long-lasting, highly polished porcelain materials used in veneers are highly resistant to staining from food and beverages and can help you achieve a permanently brighter smile!
‘Instant’ orthodontics is not really orthodontics at all, but a cosmetic approach which uses porcelain crowns and veneers to address minor smile challenges which previously could only be corrected with braces.
When teeth are slightly crooked or have gaps between them, we are sometimes able to angle and shape porcelain crowns or veneers to close gaps and create the cosmetic appearance of straight teeth, achieving the esthetic effects of orthodontic treatment. This transformation can be completed in a few visits, and is often more appealing to our patients who have limited time and do not want to pursue long-term orthodontic care.
While many conditions can be corrected with this approach, some do require traditional orthodontics. Our office also features Invisalign® which addresses many orthodontic conditions.
Root Canal Treatment
When the tooth nerve is damaged and becomes infected due to extensive decay or trauma, a root canal is often the necessary treatment. The infected nerve is removed from the tooth and the canals are disinfected and cleaned to remove destructive bacteria. The canals are then filled and sealed to prevent further entrance of bacteria into the tooth structure. Teeth that have had root canal therapy lose vitality, which makes the enamel more susceptible to cracks and breakage; these teeth should always be protected with a dental crown after treatment.
In some cases, Dr. Israel may recommend that a root canal specialist, or Endodontist, perform the root canal procedure. We then work closely with the Endodontist to coordinate placement of the dental crown following root canal treatment.
SAVE with the Wildwood Dental Care Whitening Special!
· $100 off Zoom!® Whitening
· $50 off Take-home Whitening
The most popular, safe and economical way to change a smile, teeth whitening procedures can help remove old stains from coffee, wine tea, smoking or colas and lighten other discolorations in tooth enamel. We offer both in-office power whitening by Zoom!® and take home whitening in our practice.
The Zoom!® system allows us to whiten your teeth in a single visit.
The process is simple:
- We begin by recording your starting tooth shade.
- We cover your gums using a special paint-on plastic material to isolate the teeth and keep them dry.
- The whitening gel is then applied to the front surfaces of the teeth and then activated using a light designed to interact with gel ingredients to break through old stains and whiten tooth surfaces.
- We repeat this process two to three times while you relax in the dental chair and listen to your favorite music.
- In a little over an hour, we remove the covering material and check your new shade, often several shades lighter than your beginning shade.
Take-home whitening is achieved using custom clear plastic mouth trays fabricated to hold whitening gel. Wearing these appliances for about an hour a day for a few weeks will lighten most teeth.
The importance of replacing missing teeth:
Losing your teeth due to dental disease or trauma continues to affect your bite long after the teeth are gone. Surrounding teeth try to move into the empty spaces created by tooth loss, and, in some cases, teeth in the opposing arch will extend so far that they become loose and may suffer internal nerve damage as a result.
Not only does tooth loss affect the appearance of your smile, it can also create problems in chewing and jaw pain due to poor bite. In some cases the digestive processes are negatively affected due to improperly chewing food. Prosthetic replacement of missing teeth is often recommended to protect the bite and prevent further health complications.
Prosthetic tooth replacements can serve a cosmetic purpose as well as restore the function of your natural teeth. False tooth materials such as porcelain and acrylic are available in natural-looking shades to compliment your smile. Dr. Israel will work very closely with you to ensure that we provide necessary function and accomplish the look that you want to achieve.
As part of your restorative plan, we may recommend treatment by Dental Specialists, such as Oral Surgeons, Periodontists (gum specialists), and Endodontists (root canal specialists). We will work closely with these specialists to ensure that you receive the very best care possible.
Health Insurance Portability and Accountability Act (HIPAA)
Robert Israel, DDS, PC maintains strict compliance with Health Insurance Portability and Accountability Act to protect our patients' health and identity information. We will specifically ask you for your signature to release information to insurance companies or other health care providers, and then will only release what is absolutely necessary. We also use a paperless charting and accounting system that is password-protected.
OSHA & Infection Control
Our office adheres to strict sterilization procedures that meet or exceed all guidelines for the Occupational Safety & Health Administration (OSHA) the Centers for Disease Control and Prevention (CDC) and the American Dental Association.