General Dentistry

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The main aim of good dentistry is preventative - to prevent tooth decay and gum disease from occurring and to treat them when they arise. We care for your teeth as much as you do, and offer you an extensive range of treatments and services.

Regular Dental Checkups
With regular checkups every six months, we can detect and treat early signs of disease and tooth decay, significantly limiting damage and costs.
Most people should visit the dentist twice a year for general check-ups and cleaning. Some situations may call for more regular appointments, such as if a patient presents signs of gum disease.

The purpose of regular visits is to prevent small problems from becoming big ones, and to be proactive about early signs of decay, onset of gum disease or other oral health issues. It is important to diagnose and treat such problems at an early stage before they become damaging, dangerous and costly.
In some situations, the dentist may take an X-ray, or use other investigative technologies, to confirm the exact nature of a problem, such as a cavity. When problems are found, the dentist will recommend a treatment plan to schedule return visits, or refer you to a specialist for additional tests.

At your first appointment, or if changes occur with your medications or medical condition, you will need to inform the dentist of what medicines you are taking and any medical conditions you have. It is important to be completely candid, even if you do not see the relevance. Some conditions or diseases can increase the risk of oral problems, while others might impact the efficiency of anesthesia. The same is true for the medicines you take.

Also let the dentist know if you are worried or nervous about dental treatments. Dentistry has changed immensely in recent years and continues to evolve. Pain and anxiety management have improved greatly in recent years with many options. The dentist will advise you on the best course of action for your circumstances.

Periodontal Care
Periodontal care is the prevention and treatment of gum disease. Without regular checkups, gum disease can develop and cause extensive damage before you even notice.

Periodontal diseases are serious bacterial infections that can result in tooth loss. Periodontal literally means "relating to the gums."

Gingivitis is a relatively mild form of gum disease that makes the gums bleed. With the right treatment and care, this can be easily cured.

Periodontitis results from untreated gingivitis, and can lead to this much more serious condition. In worst cases, toxins produced by bacteria destroy the gums and bone supporting the teeth, until the teeth become so loose they have to be removed. This disease takes several forms and may be influenced by other conditions. So, it is one of the most crucial reasons for having regular dental checks.

SOLUTION: Laser Periodontal Therapy; we have recently completed training in this FDA-approved, ground-breaking technique. It involves using a laser specifically designed to treat gum and bone infections, and facilitates the healing and regeneration of tissue. Patients who undergo this therapy report that it is gentle with little or no discomfort. This is perhaps the biggest step forward in treating gum disease in many years.

Preventative Care and Cleaning
Where necessary, we can remove any buildup of tartar by scaling and polishing your teeth. If necessary, we can demonstrate when and how brushing and flossing should be done to maintain excellent oral health and a brilliant smile.

While daily brushing and flossing cleans most plaque from your teeth, the dentist may recommend a professional cleaning to remove any buildup of hardened plaque (tartar). Here are elements to consider for the best long-term care:
Scaling: Various instruments are used to loosen and remove the tartar. At the same time, a mist of water washes away the debris while maintaining the right temperature.
Polishing: After the tartar has been cleaned away, the teeth are polished using an abrasive, often mixed with fluoride. Fluoride may also be applied after polishing

Prevention: if necessary, we will give detailed instructions and demonstrations about how to care for your teeth and gums at home, including brushing, flossing, and tongue cleaning.
Reduced Anxiety: Most people find the cleaning process painless, though some may dislike the sounds and sensations. If at any point you feel uncomfortable, tell the dentist, and the treatment will be modified to suit you.

Dental Implants and Bridges
Missing teeth can be unsightly, and can also affect the shape of your face and ability to eat comfortably. These problems can be solved by either implants or bridges.

Pediatric Care
From the age of one, children should have their teeth and gums checked at least twice a year. Our pediatric specialists will recommend the best regime for each individual child. Contact us on (415) 927-4000 for a complimentary consultation.

Filling Inlays Onlays and Crowns
If you suffer tooth decay, we can treat this with fillings, inlays or onlays, or in more extreme cases, with crowns.

There are several methods of dealing with cavities caused by decay. For smaller cavities, the dentist can use filling material such as an amalgam or an inlay of porcelain, gold, or hardened composite.

Fillings are the most economic choice, and can be made from silver amalgams or white composite resin. Amalgams last about 20% longer than the more natural-looking composites. There are other factors to consider such as the location of the tooth, about which the dentist will advise you.

Inlays are an alternative to fillings when the cavity is less than a third the width of the tooth. They are usually made of porcelain, sometimes gold. An inlay is produced to order, so it involves more than one visit. It fits precisely into the tooth where it is then bonded into place. For large cavities, inlays are often the best solution. These are usually either gold or porcelain, and have the same benefits as an inlay as well, lasting up to 30 years.

When none of these methods are possible because the cavity is too severe, a crown is used to cap or enclose the tooth. The process involves making an impression of the tooth from which to fabricate the crown, which is then fitted at a later visit. Crowns are made from stainless steel (mostly for children's primary teeth), and from gold and other metals. Ceramics, porcelain, special resins and other combinations can also be used depending on the location and nature of the need.