Services

The terms dental crowns and caps are synonymous. If dental decay, cracked fillings, root canals, clenching or grinding the teeth have caused extensive damage to the underlying tooth structure a dental filling may not be a sufficient restoration. The only way to completely restore the cosmetic appearance and function of this tooth is often full coverage with a dental crown. The good news is that a completed dental crown looks and feels like a natural tooth.

In addition to restoring a single natural tooth, crowns can be used in other situations including being the supporting ends of dental bridge, covering dental implants, or as coverage for a cracked tooth to prevent further breakdown. A crown may also be indicated when a discolored or stained tooth needs to be restored to its natural appearance. Crowns can be made of either porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.

At the office of Integrity Dental, we provide skilled and experienced care to help every patient enjoy the benefits of optimal oral health and a beautiful smile. For individuals who are missing teeth due to extensive decay, periodontal disease, trauma, the result of an illness, or side effect of medical treatment, we offer a comprehensive range of services to rebuild complete, attractive, and functional smiles.

How missing teeth impact the health and function of your smile

Missing teeth do more than cause embarrassing gaps in your smile. In the absence of a replacement, they can affect the health and function of your smile in the following ways:

• Impair your ability to smile, speak, and chew with confidence and ease.
• Allow the adjacent teeth to ever so slowly drift into the unoccupied spaces, thereby changing the alignment of your smile and bite.
• Cause teeth in the opposing arch that no longer occlude with a counterpart to extrude and further compromise your bite.
• Promote cavities and gum disease as the teeth shift out of place and impact the distribution of biting and chewing forces, and become more difficult to keep clean.

Rebuilding a complete smile

Although the consequences of missing teeth can compromise your dental health and overall well-being, modern dentistry offers effective solutions for reestablishing a complete, attractive, and well-functioning smile.

Today, thanks to advances in dental materials, technology, and treatment methods, it's easier than ever before to replace missing teeth and achieve aesthetically pleasing and long-lasting results.

Of course, each smile is different, and every patient has unique needs and individual expectations of care. Helping a patient rebuild a complete and beautiful smile may involve partial or full dentures, fixed dental bridges, or dental implants.

As skilled and experienced providers of care, the office of Integrity Dental offers expert guidance on choosing the most suitable treatment option. Whatever type of tooth replacement method you select, you can feel confident that your smile will look good and feel great!

About dental bridges

A dental bridge offers a highly effective, stable, and fixed solution for replacing missing teeth. Unlike removable partial dentures that clasp on to the remaining teeth, a dental bridge relies on the support of crowns attached to teeth adjacent to the edentulous area (space without teeth) or strategically placed dental implants. In addition to restoring the look, feel, and function of a natural smile, they also prevent the teeth from shifting, thereby protecting the alignment of a patient's bite.

Far from a new idea, the history of replacing teeth with a fixed dental bridge goes back thousands of years. Ancient civilizations made impressive use of available materials, including animal and human teeth, bones, gold, and ivory, to fill gaps in a person's smile.

Fortunately, over the millennia, dental materials and technology have evolved. Today, dental bridges are fabricated from the highest quality of dental materials, including porcelain, porcelain fused to metal, and engineered ceramic products like zirconia. Now, in addition to being stronger and more durable than ever before, they appear more attractive and naturally beautiful.

Common types

Depending on the number of missing teeth, the health of the remaining dentition, and other factors, a dental bridge can replace a single missing tooth or multiple ones.

Although most resources list a traditional fixed bridge, an implant-supported bridge, a cantilever bridge, and a Maryland bridge as the four main types of bridges, the most commonly recommended ones are the first two.

• Traditional fixed bridge

  A traditional fixed bridge typically requires the preparation and crowning of teeth on either side of the edentulous space. These crowned teeth function to support the artificial ones, known as “pontics,” that span the gap. In much the same way a bridge that extends over a body of water relies on the support of strong, sturdy pillars at each end, a dental bridge garners strength and stability from the terminal crowned teeth fused to a single or multiple pontics.

  Although related and similar to a traditional fixed bridge, a cantilever fixed bridge differs in one significant way. Only one side of the pontic will get attached to a crown for support.

• Implant-Supported Bridges

  As the most advanced method for the replacement of missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile. For this reason, an implant-supported bridge often represents the best option in care.

  With an implant-supported bridge, there's no need to prepare, crown, or involve any adjacent natural teeth. Because dental implants behave in much the same way as the roots of natural teeth, they provide all the support a bridge requires.

  In addition to providing a self-supporting solution for the replacement of missing teeth, Implant-supported bridges offer the most versatile approach for rebuilding a complete smile. Strategically placed dental implants can support any number of replacement teeth up to an entire set of upper or teeth.

  Furthermore, as dental implants provide the same stimulation as actual roots to the surrounding jawbone, implant-supported bridges also help prevent the bone shrinkage that naturally occurs when teeth have been lost. This feature helps maintain normal facial contours.

  At the office of Integrity Dental, our mission is to help every patient enjoy good oral health and the benefits of a beautiful smile. We provide skilled, experienced care and offer the most advanced dental implant-based solutions to transform incomplete smiles into ones that look great, function well, and inspire confidence.

Before a bridge gets fabricated

Successful treatment outcomes rely upon many things, including a careful assessment of a patient's oral health, overall well-being, smile goals, lifestyle, and budget. Whether you're a candidate for a traditional fixed bridge, an implant-supported bridge, or a removable denture will be determined following a comprehensive assessment and discussion with our office. We value patient input and strive to fulfill your expectations of care.

Before the fabrication and placement of a dental bridge, it's essential that your mouth is free from gum disease. If you have gum disease, it will need to get treated in advance of fabricating your bridge.

For traditional fixed bridges, the crowned teeth need to be strong and have sufficient bone surrounding them to offer strong support. Sometimes, a bone-grafting procedure to boost bone volume and provide a solid foundation is required before the fabrication of an implant-supported or traditional bridge.

At the office of Integrity Dental, the care and comfort of our patients are our top priorities. Our goals are to create healthy and beautiful smiles and make every dental experience a positive one.

What to expect when getting a traditional bridge

Fixed bridges are typically fabricated over the course of multiple visits. The process involves the preparation of the supporting teeth, impression taking, the placement of a temporary bridge, and the try-in and cementation of the permanent restoration.

It begins with a complete diagnostic workup to develop an appropriate treatment plan. For patients getting a traditional fixed bridge, the next step in the procedure involves preparing the abutment (supporting) teeth for full-coverage crowns. Depending on the number of teeth involved and other factors, an impression for the permanent bridge can get taken this visit or the next one. Either way, a temporary bridge or temporary crowns to cover the prepared teeth will get placed to protect the prepared teeth.

Following the preparation of the involved teeth, it's not unusual to experience some sensitivity and gum soreness. This discomfort typically subsides. However, since the fit of a temporary restoration is often less precise than the final permanent crown or bridge, you may still feel some residual sensitivity until treatment is completed.

Until the permanent crown or bridge is placed, it's essential to be extra careful. Temporary restorations are far less durable than permanent ones. If your temporary gets damages or comes off, please hold on to it. Contact our office, and we will set up an appointment to replace it. Do not attempt to do this on your own.

Before cementing your new bridge, the shade, contours, fit, and occlusion are checked. Once that is done, your new, permanent restoration is placed. Since you have been wearing a temporary, your bite may feel slightly different, and you may feel some pressure as the new restoration reestablishes appropriate contact with the adjacent teeth. If the bite still feels slightly off after a couple of days or any discomfort persists, get in touch with our office. You may still require a minor adjustment.

What to expect when getting an implant-supported bridge

Surgery to place the dental implants is typically considered a minor surgical procedure and performed on an outpatient basis. However, the exact extent of the procedure depends upon the type and number of dental implants and whether or not any additional procedures are required to prepare the supporting bone.

As your trusted partner in care, you can count on our office to keep you well informed every step of the way. To facilitate the precise placement of dental implants for your implant-supported bridge, we'll take several detailed diagnostic records, including 3D images of your jaws and the involved area.

Patient care and comfort are our top priorities. We do everything we can to put you at ease and make every visit to our office both comfortable and stress-free. Prior to placing your dental implants, we'll discuss the anesthesia, options in dental sedation, and provide detailed pre-op and post-op care instructions.

Once the dental implants for your bridge are placed, it can take a few months for them to fully integrate with the surrounding bone. In some cases, a same-day temporary bridge can get placed to provide an immediate and cosmetically pleasing look. However, the permanent bridge typically gets placed when healing and osseointegration (fusion) with the surrounding bone are complete.

Thanks to advances in dental materials, technology, and methods of care, it’s easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing treatment outcomes. While dental implants and fixed bridgework provide effective and satisfying solutions for missing teeth, removable dentures remain a tried and true method for reestablishing a complete smile.

At the office of Integrity Dental, we fabricate dentures from the highest grade of dental materials for a precise and comfortable fit. Our dentures are meticulously designed to rebuild beautiful smiles and support natural facial contours while enabling patients to speak, smile, and chew with renewed confidence and ease.

We’re dedicated to helping patients to enjoy the benefits of a beautiful smile and take pride in offering personalized solutions to address their dental needs, lifestyle, and budget.

How missing teeth affect your smile, your health, and your outlook

According to recent statistics, it’s estimated that across the country, over 175 million adults have lost at least one tooth, and close to 40 million are missing all of their teeth. In most of these cases, tooth loss is the end result of extensive dental decay, advanced gum disease, a traumatic injury, a congenital anomaly, or associated with a medical condition. 

In addition to the psychological and social consequences having embarrassing gaps in your smile often produce, missing teeth can affect your ability to speak clearly and eat a satisfying and nutritious diet. Left unaddressed, missing teeth can also cause gradual changes to your appearance and the alignment of your remaining teeth. These changes not only affect your bite, but they have the potential to create more unsightly and unhealthy gaps in your smile. Furthermore, without the support of a complete set of teeth, facial contours may also begin to look more sagged and haggard over time. 

While it’s never too late to rebuild a complete and beautiful smile, it’s always best to replace missing teeth sooner than later. Both partial and full dentures from the office of Integrity Dental offer an effective and satisfying solution for reestablishing a complete smile.

What are dentures?

Dentures are removable appliances that are designed to precisely and comfortably rest on top of the gums that cover the jawbones. They consist of natural-looking artificial teeth set in a supportive base. In addition to offering a cost-effective solution for the replacement of missing teeth, dentures are quite versatile. They can be used to replace either a few teeth that have been lost or all of the teeth in the upper or lower jaws.

While conventional bridgework and dental implants offer fixed solutions for rebuilding complete smiles, partial and full dentures are removable oral appliances. This statement means it’s possible to take dentures out of the mouth to clean and maintain the health of the underlying tissues and any remaining teeth, as well as clean the dentures themselves, or remove them while sleeping.

Types of Dentures

You can rest assured that rebuilding your smile is in the best of hands at the office of Integrity Dental. As skilled and experienced providers of care, we’ll carefully evaluate all aspects of your smile, the health and integrity of any remaining teeth, along with the surrounding tissues and the supporting bone to develop a treatment plan that satisfies the functional and aesthetic requirements of your case.

The two main types of removable dentures are full dentures and partial dentures. Which of these types offers the best solution for your smile depends on how many natural teeth are still present in your mouth and the health of these remaining teeth. While a partial denture can offer an effective solution in cases where some sturdy natural teeth remain, you may be a candidate for a complete denture when all the upper or lower teeth are missing or require extraction.

Full Dentures

Full dentures, also known as complete dentures, can effectively replace all the upper teeth, lower teeth, or both the upper and lower teeth. As with other types of dental solutions, there’s no one-size-fits-all approach for every case. The ultimate design, fabrication, and insertion of a full denture can vary based upon a patient’s specific needs.

Conventional Full Denture

This type of denture is fabricated and placed after all of the remaining teeth are removed, and the surrounding tissues have adequately healed. Fabricating a full denture when healing is complete supports a precise and comfortable fit.

• Immediate Denture

  With an immediate denture, a patient does not have to go without teeth while waiting for complete healing of the extraction sites. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require a reline and adjustments as the tissues remodel and heal. In some cases, for optimal comfort and fit, a conventional denture may eventually be required.

• Overdenture

  An overdenture is a type of complete denture that receives added stability and support from special attachments that are secured to the remaining underlying teeth or specialized dental implants.

• Implant-Supported Dentures

  As the name implies, this type of denture attaches to a select number of strategically placed implants in the upper or lower jaw. These small surgical posts provide precise points of attachment for the overlying denture and add a significant measure of stability and retention.

Partial Dentures

In situations where some sturdy teeth remain, partial dentures can offer an effective solution for the replacement of missing teeth. Partial dentures typically achieve adequate retention and stability with clasps or precision attachments on the teeth adjacent to the edentulous areas (the spaces formerly occupied by the missing teeth).

Removable partial dentures can fill the void left by individual missing teeth and multiple ones to restore the look and function of a complete smile. At the same time a partial denture fills the gaps left by missing teeth; it also stabilizes the dentition and bite and prevents unwanted drifting of the remaining natural teeth.

As with full dentures, partial denture design and fabrication varies based on a patient’s specific needs. With advances in dental materials and technology, partial denture wearers have more options than ever before. Today, a partial denture’s supportive framework can be fabricated from various materials, including cast metal, flexible resins, and hybrid materials.

At the office of Integrity Dental, we’re dedicated to building healthy and beautiful smiles. As your trusted partner in care, you can depend on our office to design and fabricate a denture that will look good, fit comfortably, and serve you well for years to come.

Providing integrated solutions to rebuild smiles

Fabricating an attractive, well-fitting, and long-lasting denture requires a comprehensive understanding of oral function, facial aesthetics, dental materials, and appliance design. At the office of Integrity Dental, we maintain a position at the forefront of advances in care and successfully combine the art and science of dentistry to provide patients with outstanding treatment outcomes.

Once we’ve had an opportunity to review your medical and dental history, assess all aspects of your smile, and discuss your expectation of care, we’ll discuss the best options for restoring and rebuilding your smile.

Based upon a comprehensive analysis of your case, including advanced diagnostic imaging, we’ll advise you if any dental work, additional procedures, or extractions are required prior to the fabrication of a partial or complete denture. It’s essential that any remaining teeth are healthy and have sufficient bone support. Sometimes, a pre-prosthetic procedure to improve the tissue anatomy and ensure a denture’s optimal fit is recommended.

Having a denture or set of dentures made is a sophisticated process involving dental impressions, framework try-ins, selecting the right shade, shape, and size of the artificial teeth, and making sure that the bite and all aspects of oral function are comfortable and healthy. Whether it takes a single visit or a few visits to fabricate a partial or complete denture, a satisfying and healthy outcome relies on the careful execution of every step in care.

What To Expect When You Receive Your New Denture

At the office of Integrity Dental, our patients' care and comfort are our top priorities. Our goal is to help patients enjoy optimal oral health and to keep them well informed every step of the way.

• Adjusting to wearing a new denture

  Getting used to wearing a new denture, especially a full denture, can take a little time. It’s not unusual to need some minor adjustments as you begin to speak, chew, and function with your new teeth. It can take a few adjustments to fit completely and feel comfortable. If you have a sore spot, try to wear the denture at least the day before your adjustment visit. In this way, we can see exactly where we need to relieve the area causing your irritation.

• More saliva than usual

  One of the natural responses to a new denture is for your mouth to produce more saliva. Not to worry, this is only a temporary reaction. The flow of saliva gradually decreases back to a normal level.

• Speaking with ease

  While it may seem challenging to speak clearly at first with a new denture, that feeling will pass within a few days. It’s important to keep talking, as usual, to allow yourself to adapt to your new set of teeth. You can help things along by reading some passages from printed materials or a computer out loud.

• Getting used to eating with a denture

  If this is your first denture, it can also take some time to adapt to eating with your new prosthesis. Getting used to eating with a full denture is typically more challenging than doing so with a partial denture. It’s best to start with soft foods and to avoid chewing on just one side. Your tongue, lips, cheeks, and soft tissues will soon adapt to chewing with your new denture, and from then on, you’ll be able to eat with ease.

• Taking care of your dentures

  • It’s essential to keep your denture clean! Rinse your dentures after eating and brush them daily. In this way, you can prevent stains and bacteria from accumulating on your new set of teeth. It helps to use a brush designed for dentures. Also, remember to soak your dentures in water when you’re not wearing them and at least once a week in the recommended denture cleaner.

  • Brush any remaining teeth as well as your gums to keep them clean and the tissues healthy and firm. If you wear an upper denture, rinse and gently clean the roof of your mouth as well.

  • Take your dentures out at bedtime. This practice gives the gums and the jawbone a chance to rest, helping to prevent irritation and infection as well as bone resorption (shrinkage).

• Added stability

  Due to the status of the underlying tissues and other factors, there are some cases where full dentures benefit from additional means of retention. While denture adhesive is often sufficient, full dentures that are implant-supported or clip onto special attachments offer added stability and retention.

• Follow-up care

  Maintaining oral health and overall well-being involves routine checkups and care. At these visits, we not only check the fit and condition of your dentures but we also perform a comprehensive exam to check the status of any remaining teeth as well as assess the health of all of the soft and hard tissues in and around the oral cavity.

• Relines

  Over time, the tissues supporting the denture can change. As the shape and contours of these tissues shrink or remodel, your denture may not fit as comfortably or feel as stable as it once did. A separate procedure, which is known as a reline, may be recommended.

At the office of Integrity Dental, we’re dedicated to providing the highest quality of care. If you have any additional questions or concerns about your new dentures, feel free to contact our office.

Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.

An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.

Are You Looking For An Emergency Dentist In San Diego?

Whether you or any member of your family are suffering from a chipped tooth, toothache, wisdom teeth issues, or other problems affecting your oral health, you can be sure to get the prompt attention and skilled care you need at the office of Integrity Dental.

While emergency dental care is a service we hope you'll never need, Integrity Dental can help! As anyone who has ever had a toothache or sustained a dental injury can attest, the experience is both painful and upsetting. Although getting some measure of relief is a paramount concern, timely care is critical to prevent further consequences to your oral health and overall well-being.

At Integrity Dental, our experienced, compassionate dental team provides a broad range of services to address dental emergencies in San Diego and the surrounding communities. We can assure you that your smile is in the best of hands with us. Patient care and comfort are our top priorities. Our practice maintains a position at the forefront of advances in diagnostic and treatment technology to provide precise, gentle, and safe care.

We treat many types of dental emergencies and urgent oral health problems, including:

• Toothaches
• Chipped or fractured teeth
• Abscesses
• Loose or broken fillings
• Dislodged or lost dental crowns
• Broken, ill-fitting, or lost dentures
• Problematic wisdom teeth
• Acute Periodontal Problems
• Loose or broken down teeth
• Swollen, bleeding gums
• Bacterial, viral, or fungal Infections affecting the tongue, cheeks, gums, lips, or other soft tissues of the mouth
• Oral pain or swelling of unknown origin
• Suspicious bumps, spots, and lesions

Let Integrity Dental Help Alleviate Your Discomfort and Restore Your Oral Health

Our goal is to get you back on the road to oral health as quickly as possible. As a trusted emergency dentist, you can count on our office for prompt, skilled, and reliable care.

Treatment for dental problems such as a toothache or a fractured tooth can vary. It all depends on the extent of the damage caused by the decay or trauma. Care may involve the placement of a new dental filling, dental bonding, or a larger restoration such as a crown to rebuild the tooth's form and function. If the damage has reached the tooth's nerve and vital inner tissues, you may need root canal treatment to save your natural tooth. Root canal treatment is a highly effective procedure with a greater than 95% success rate. Although we provide leading-edge care and do all we can to help save your tooth, in some situations a dental extraction is required. While losing a tooth can feel a little overwhelming, there's no reason for despair.

With advances in dentistry, there are several options available for the replacement of missing teeth, including dental implants, conventional fixed bridges, and partial or complete dentures. Today, dental implants represent the most advanced method for replacing a lost tooth and reestablishing a complete and beautiful smile.

At Integrity Dental, We Provide Care To Support Ongoing Oral Health And Help Prevent Dental Emergencies

While some dental emergencies cannot be predicted or avoided, practicing good oral hygiene, a healthy diet, and routine care go a long way to protect the health of your smile.

At Integrity Dental, we emphasize taking a preventive approach to care to help you and every member of your family maintain healthy, beautiful smiles. By coming to our office as recommended for checkup visits and routine care, we can help to prevent both the onset and progression of many oral health problems. We offer a comprehensive program of preventive care, including examinations, professional teeth cleanings, and oral cancer screenings, along with patient education on hygiene, diet, and healthy practices.

Your oral health and overall well-being are our top priorities. Remember, it's best not to hold off seeing the dentist until you're in terrible pain or think there's something wrong. By scheduling a routine appointment for a comprehensive checkup, a professional cleaning, and routine dental care, our skilled dental team can help you keep your smile looking and functioning its very best.

What You Need To Know About Having A Tooth Extracted

At the office of Integrity Dental, our patients' care and well-being are our top priorities. Every member of our skilled and experienced team strives to ensure patient comfort and a stress-free dental experience. Our dedication to the consistent provision of compassionate and personalized attention along with gentle, precise care has earned our office the respect and trust of our patients.

While we do everything we can to preserve the integrity of your natural smile, it's sometimes necessary to extract a tooth to protect your oral health and overall well-being.

Some of the most common reasons our office may recommend having a tooth extracted include the following ones:

• A "baby" or deciduous tooth that is over retained (reluctant to fall out), severely decayed, or damaged
  In most cases, a baby tooth will fall out as scheduled as the underlying permanent one begins to erupt into place. However, occasionally a baby tooth continues to remain firmly attached to the bone. Either the roots of the baby tooth have failed to resorb and shrink as intended, or the baby tooth has become anklylosed and fused to the supporting bone. The problem is that over-retained baby teeth can disrupt the development and alignment of your child's smile. As we monitor your child's smile as they grow, we'll advise you if and when an extraction of a baby tooth is required to facilitate the eruption of its underlying permanent successor.

• A permanent tooth that has extensive decay and is deemed non-restorable
  Beginning as a simple pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay will continue to compromise healthy tooth structure as it works its way to the inner layers of the tooth. Without proper care, a cavity can lead to significant damage to tooth structure, irreversible damage to the nerve of the tooth, a dental infection, and serious consequences to your oral health and overall well-being. When the tooth has sustained far too much structural damage and cannot be restored, a dental extraction may be required.

• A permanent tooth that has been severely fractured or cracked and can not be restored
  There are many different types of chips, cracks, and fractures that can affect your teeth. The extent of the damage that it causes will determine if there is enough intact tooth structure to save the tooth and the type of treatment required. In cases where too much tooth structure or the root of a tooth has also been compromised, an extraction may be necessary.

• Advanced gum disease that has significantly compromised the tooth's supporting tissues
  The most common cause of tooth loss in adults is gum disease. When left untreated, periodontal disease, which affects the hard and soft tissues supporting your teeth, can lead to gingival pocket formation, gum recession, and diminishing alveolar bone. As advanced and untreated gum disease progresses, the teeth ultimately loosen, fall out, or require extractions.

• Poorly positioned, impacted, or decayed wisdom teeth
  Wisdom teeth, which are also known as the third molars, are the last permanent teeth to develop in the oral cavity and the final ones to come into place. However, as is often the case, many wisdom teeth do not have sufficient room to erupt, are not developing correctly, develop extensive decay, or cause issues for the adjacent teeth and the surrounding tissues. Although the extraction of wisdom teeth sometimes gets recommended for an older patient, the early removal of troublesome or potentially problematic third molars in young adults is more often the case.

• Overcrowded Teeth
  A tooth size to jaw size discrepancy often results in a crowded and misaligned smile. More simply put, the upper and lower jaws are not large enough to accommodate all the permanent teeth. As part of an orthodontic treatment plan to optimally align teeth and establish an attractive, healthy, and functional bite, the extraction of select permanent teeth may be required.

How is a tooth extraction performed?

Whatever the reasons for a dental extraction may be, you can rest assured that your care is in the best of hands at our office. As the first step in care, our dentist will review your medical and dental histories and discuss any special considerations in care.

It's essential to inform our office of any existing medical conditions or medications you are currently taking. In some situations, extra precautions, including premedication with antibiotics, a change in medication, and a medical clearance may be required. Follow all our pre-surgical directives and let us know if you are sick or have developed other symptoms on the day of surgery.

Our goal is to reduce any anxiety and help ensure patient comfort whenever a tooth extraction is necessary. In advance of the procedure, we'll discuss any medical considerations or precautions and go over our pre-surgical instructions. We'll also discuss post-surgical recommendations, including whether replacing the extracted tooth or teeth is needed and the best options in care.

To thoroughly assess the tooth and the type of extraction required, we perform a comprehensive examination and take digital radiographs as indicated. Extractions are typically categorized as either "simple" or "surgical extractions."

What Is A Simple Extraction?

When the tooth is clearly visible in the mouth and the root anatomy is not extensively hooked, fused to the surrounding bone, or otherwise unusual, it usually falls into the category of a simple extraction. Once the tooth and the surrounding tissues get sufficiently numbed with a local anesthetic, our dentist will loosen any attached periodontal tissues and apply forceps to remove the tooth. As with all dental procedures, we do all we can to help ensure your comfort and relaxation throughout every step in care. For patients who are anxious about dental work or certain procedures, we can discuss additional options in dental sedation.

What Is A Surgical Extraction?

For teeth that are severely broken down, anklylosed, or impacted, a surgical extraction is often indicated. We may refer you to an oral and maxillofacial surgeon to perform this procedure. During a surgical extraction, a small incision in the soft tissues and localized, precise removal of overlying bone provides greater access to remove the tooth. As with all tooth extractions, patients are given a local anesthetic to completely numb the involved tooth and the surrounding tissues. Once again, additional options in dental sedation, pre-surgical considerations, and directives are thoroughly discussed and explained.

What To Do After Getting A Tooth Taken Out

As skilled and experienced providers of care, we recognize that every case is different and provide treatment that addresses the unique requirements of each patient. Depending on a patient's specific needs, we provide post-operative instructions, including special instructions, limitations on activities, medications, and follow-up care that support optimal recovery and healing. In some cases, post-op care may also include the involvement of a patient's physician. In general, and unless modified otherwise by our office, the following post-operative guidelines apply to simple extractions.

Post-Op Care Following An Extraction

1. Maintaining gauze pressure
   Following your extraction, some gauze to bite down on will be placed over the extraction site. By biting down and maintaining pressure on the gauze as instructed, any active bleeding should stop. You may change the gauze pad after the first hour. Continue to bite down for another 45 minutes if heavy oozing continues. While it's normal for a little oozing to continue for 24 hours, contact our office if you are still experiencing profuse oozing or bleeding.

2. Until the local anesthesia wears off
   Until the local anesthetic has completely worn off, it's essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue.

3. Take medications as prescribed
   

   • Antibiotics:
     If you have been given a prescription for antibiotics, be sure to take the correct dosage and full course of medication as prescribed.

   • Pain management:
     It's helpful to take a pain reliever before the local anesthetic completely wears off. Over-the-counter (non-aspirin) pain medication may be taken to relieve discomfort. Any prescription pain medication should only be taken as directed.

4. To facilitate healing
   Do not rinse your mouth, spit, drink through a straw, or suck on candies. It's essential to allow the extraction site to clot and not dislodge the new clot once it has formed.

5. Applying ice
   An ice-pack held in place in the facial area overlying the extraction site helps to control swelling. Apply the ice for 10-minute intervals during the first day following your procedure.

6. Avoid smoking
   Smoking not only prevents clot formation, but it also interferes with healing. Avoid smoking and tobacco products for the first week.

7. Watch what you eat and drink
   Stay away from hot or spicy foods and drinks for the first day or two. Also, refrain from drinking any carbonated or alcoholic beverages. Stick with a diet of soft foods and liquids for the first couple of days following surgery. Drink plenty of fluids.

8. Oral hygiene
   Brush gently; it's essential to take great care not to disturb or irritate the extraction site for a few days. A very mild lukewarm saltwater solution can be used to freshen your mouth. Remember not to rinse or spit that first day or two. Simply let any liquids gently fall from your mouth into the sink.

9. An appointment for a follow-up visit
   If sutures (stitches) were placed, or if a complex extraction, an infection, or other issues requires a visit to monitor your healing and progress, you will be given an appointment for follow-up care. It's essential that you keep this appointment as provided.

If you experience continued bleeding, ongoing pain, more swelling, have a bad taste in your mouth, or other unusual symptoms, contact our office.

Why choose the office of Integrity Dental?

You deserve quality care that's personalized to meet your individual needs, and at the office of Integrity Dental, you can rest assured your smile is in the best of hands. We deliver precise and gentle care, keeping you informed and relaxed throughout your procedure. If your tooth needs to be replaced, we'll discuss your best options, including dentures, fixed bridges, and dental implants. As the most advanced method of tooth replacement available, dental implants come the closest to replicating the look, feel, and function of a natural smile.

Replacing Missing Teeth With Dental Implants

If you're missing teeth, you're not alone. Tooth loss is a far more common problem than you think. In fact, studies show that 178 million people across the United States are missing at least one tooth, and 35 million are completely edentulous (missing all their teeth). Whether you have lost one tooth or multiple ones to gum disease, tooth decay, or a traumatic injury, the office of Integrity Dental can help. We provide state-of-the-art care and offer the latest solutions to help patients reestablish complete, healthy, and beautiful smiles.

Dental implants for a smile that looks and feels completely natural!

Today, dental implants represent the most advanced system for the replacement of missing teeth. While conventional fixed bridges and dentures remain effective and satisfying ways to replace missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile.

With dental implants, you can once again enjoy all your favorite foods and speak and smile with renewed confidence and ease. Because dental implants behave in much the same way as the roots of natural teeth, they provide unrivaled stability for the placement of a broad range of dental prostheses, including crowns and bridges up to a complete set of teeth. For patients who wear full dentures, dental implants provide the added stability and retention required to improve comfort and fit while preventing any embarrassing slippage.

If you are struggling with tooth loss and looking for the best solutions for the replacement of missing teeth, visit the office of Integrity Dental to learn more about dental implants and all the state-of-the-art services we provide. At the office of Integrity Dental, we take pride in creating beautiful and healthy smiles!

Let The Office Of Integrity Dental Help You Rebuild A Beautiful Smile

Missing teeth do more than cause embarrassing gaps in your smile. For one thing, they can also affect your ability to speak or chew nutritious food with ease. By not replacing missing teeth, the adjacent ones can shift towards the space over time and change your bite and compromise the health of your smile in many ways.

With all of the advances in dental materials, technology, and treatment methods available today, it's easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing results of care.

At the office of Integrity Dental, we're pleased to offer leading solutions to improve your oral health and give you a smile you can feel confident sharing with the world. We give you back the complete smile you have lost and provide personalized solutions for all of your oral healthcare needs. To find out more about dental implants or schedule an appointment so that we can take a closer look at your smile, give us a call today.

The iTero® Intraoral Scanner enables both dentists and orthodontic specialists to obtain detailed 3D digital impressions of a patient’s teeth and occlusion to deliver the most precise, efficient, and comfortable care. A guided scanning process using an ergonomically designed wand captures and integrates multiple intraoral images from every angle to generate highly accurate 3D impressions. The iTero Intraoral Scanner provides a far more pleasant office experience for the patient than the conventional methods of taking dental impressions. Compatible with multiple digital systems, the iTero Intraoral Scanner allows for the seamless and efficient generation of dental models for the custom fabrication of dental prostheses such as crowns as well as orthodontic aligners. With the iTero Intraoral Scanner, the practitioner consistently obtains more precise information for more predictable results and better outcomes of care.

One of the significant advances in modern dentistry has been the development of dental laser technology. Today, dental lasers are being increasingly used to treat tooth decay, periodontal disease, perform biopsies or the removal of oral lesions, to cure restorative (filling) materials, as well as to activate in-office teeth whitening systems.

Dental lasers combine laser energy with water and air to safely cut and shape target soft or hard tissues in the mouth. Laser energy precisely cuts through tooth structure by exciting the water molecules in the tooth. It operates without direct contact to the tooth without heat, vibration, or pressure thereby minimizing the discomfort of the procedure and the need for dental anesthesia. In addition dental lasers can reduce anxiety for patients fearful of dental work, minimize post-operative bleeding and swelling, and preserve healthy tooth structure during the removal of decay.

While dental lasers may be an excellent treatment option in some situations, they cannot be used for every dental procedure.

Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night causing an individual to wake up with any number of symptoms including jaw pain, headaches, and sore teeth that may feel loose. Although, stress and anxiety are the most common causes of bruxism there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.

To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events, including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.

In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom night guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.

Oral cancer accounts for 2.9% of all diagnosed cases of cancer in the United States. According to the American Cancer Society it is estimated that 51,000 people across the country will develop oral cancer this year and that 10,000 fatalities are expected from the disease.

Oral cancer can occur anywhere in the orofacial complex but is most often found on the tongue, the tonsils and oropharynx, the gums, floor of the mouth, lips, cheek lining or the hard palate. While the disease can affect anyone, men are twice as likely to develop oral cancer as women. Those particularly at risk for oral cancer are men over the age of 50 who are heavy smokers and frequently drink alcohol. Additional risk factors may include UV exposure from the sun or sunlamps, GERD (gastro-intestinal reflux disease), prior head and neck radiation treatment, exposure to certain chemicals and poor diet. While the death rate from oral cancer has been decreasing in the past several decades thanks to early detection and advanced methods of treatment improving the outcomes of care, there has been a recent rise in the incidence of oropharyngeal cancer due to increased transmission of the sexually transmitted human papillomavirus (HPV).

As part of a comprehensive exam, the dentist will perform a screening for oral cancer. To start, the dentist will review the patient’s medical and dental histories and ask if there have been any changes to his or her oral health or overall health. The dentist will then carefully check in and around the oral cavity as well as the head and neck area for signs or symptoms that may indicate the presence of a problem

At the office of Integrity Dental, we emphasize taking a proactive approach as the best way to maintain a healthy, beautiful smile. By coming to our office as recommended for checkup visits and routine care, we can help you and every member of your family prevent the onset and progression of many oral health problems. As skilled and experienced providers of care, we offer a comprehensive range of preventive services, including examinations, professional teeth cleanings, and oral cancer screenings, along with patient education on hygiene, diet, and healthy practices.

What Happens at the First Checkup Visit?

Your first visit to our office establishes your oral health baseline and provides essential information on your dental interests and needs. We begin by carefully reviewing your medical and dental histories and taking special note of all of your dental concerns, as well as any symptoms that you may be experiencing. This initial conversation is followed by a thorough clinical examination, including an oral cancer screening, periodontal evaluation, and an analysis of your occlusion (bite). To perform a comprehensive oral exam, we'll recommend and take diagnostic films as needed. As we take a close look at your smile, we'll examine your teeth, the supporting bone and soft tissues, and the surrounding areas of the mouth, head, and neck. We'll make a note of any signs of clenching or grinding your teeth and assess your TMJ (temporomandibular joint) function. A comprehensive oral exam can also reveal the consequences that certain dietary choices, eating disorders, medications, harmful habits, and inadequate oral hygiene practices may have on your smile.

We want every patient to enjoy the benefits of a healthy and beautiful smile. At the office of Integrity Dental, you can rest assured that your oral exam is performed with the utmost care and that every member of our team is sensitive to your needs. Based on your oral exam findings and what we see on your diagnostic films, we'll outline what further treatment, if any, may be needed and discuss all your options in care.

A Healthy Smile is Vital to Your Overall Well-Being

At the office of Integrity Dental, we recognize that a healthy smile is more than just an attractive asset; it is also essential to one's overall well-being. Harmful conditions affecting your teeth, gums, jaws, and structures in and around the oral cavity can impact your overall well-being. As we perform an oral exam and check for the development of common dental conditions such as tooth decay or gum disease and screen for oral cancer, we also take note of any signs of problematic health issues that may have originated elsewhere in the body.

Today, researchers are establishing more and more links between poor oral health and systemic disease. Mounting evidence supports the idea that dental disease contributes to a range of health issues, including the following conditions:

• Digestive disorders

• Respiratory Problems

• Cardiovascular Disease

• Stroke

• Diabetes

• Alzheimer's Disease

The reverse is also true. Just as oral health problems can be linked to systemic illnesses, diseases in the body can likewise produce oral health issues. According to statistics, more than 90% of all systemic diseases (conditions affecting organs and systems in the body) can manifest signs and symptoms in the oral cavity. Experiencing dry mouth, bad breath, gum problems, ulcerations, or other oral lesions may be indicative of an underlying medical condition.

The Importance of Routine Checkups and Professional Dental Cleanings

Enjoying a smile that looks good and functions at its best is not something you can take for granted. To maintain optimal oral health and a vibrant smile requires an effective dental hygiene regimen, a nutritious diet, routine checkups, professional cleanings, and a comprehensive program of preventive care.

Remember, it's important not to hold off seeing the dentist until you're in terrible pain or think there's something wrong. By scheduling a routine appointment for a comprehensive dental checkup and professional cleaning, we can help you keep your smile looking and functioning at its very best.

Our office encourages patients to come in twice a year for routine checkups and professional cleanings. In this way, we can monitor your oral health, reduce your risk of dental disease, and detect any issues early in their onset when they are typically the simplest to treat.

While maintaining a healthy smile depends upon keeping your teeth and gums clean at home, even for the best "brushers" and "flossers," it's difficult to reach every nook and cranny between the teeth and gums. For this reason, we emphasize the importance of professional teeth cleanings. In this way, our hygienist can thoroughly remove any accumulated plaque and tartar from between the teeth and gums, including areas that you may have missed. Since dental plaque harbors the bacteria that are responsible for cavities and gum disease, its removal prevents these disease processes from occurring. Following a dental cleaning and polishing to remove any superficial stains from your teeth, your mouth will feel fresh and clean.

Checkup and cleaning visits also represent an opportunity to educate patients in the best oral hygiene homecare methods and routines to maintain a healthy smile. As your trusted partner in care, we'll carefully explain and demonstrate the proper techniques for brushing, flossing, and other healthy oral care practices.

Even though proper dental care is essential at every stage of life, it's especially important for children to establish a strong foundation for a lifetime of oral health. With routine checkups, preventive treatment, and age-appropriate education in the best methods for taking care of their teeth, we can help your little ones protect their smiles from dental disease. We also monitor your children's dental and jaw development as they grow; keeping a close watch to determine if any orthodontic intervention will be needed to align their smiles.

Our goal is to help you and every member of your family establish healthy practices that will last a lifetime. At the office of Integrity Dental, we're proud of the reputation we've established for providing skilled and compassionate care. We work hard to make every visit to our office a positive experience while building long-standing relationships with our patients and achieving outstanding treatment outcomes.

What Do Dental X-Rays Show?

Although we perform a thorough visual inspection of every aspect of your smile, the only way to see the deeper structures of the teeth, as well as the surrounding tissues and bone, is with dental x-rays or radiographs. Diagnostic x-rays not only reveal the presence of dental disease, but they also provide valuable information on the development, health, and integrity of teeth and orofacial structures.

Thanks to advances in technology, x-rays have entered the digital age. Instead of using traditional film-based methods, which involved long-exposure times and developing solutions, digital x-ray images can now be acquired, stored, and managed via digital sensors and integrated software programs.

Digital radiography offers several benefits to the patient, including the following:

• Quicker with minimal exposure to x-ray radiation

• Images can be viewed immediately after acquisition

• Images can be electronically shared

• Digital radiographs do not require any developing chemicals, create less waste, and are safer for the environment

• Images are immediately stored in the patient's electronic file, where they can be easily viewed on a screen, shared, or printed out.

What Are the Different Types of Dental X-Rays?

The type of diagnostic images our office will recommend depends on the nature of your visit and your oral healthcare needs.

Here's a list of some of the most common diagnostic films and the value of these images:

• Periapical x-ray - This small film is typically taken of an individual tooth and provides a view of the entire tooth from the top of the crown to the tip of the root and bone adjacent to it.

• Bitewing x-ray - This small film captures detailed views of the crowns of the premolars or molars and is typically used to check for dental decay.

• Full Mouth Series - This set of x-rays consists of bitewing and periapical views of all the teeth.

• Panoramic Film (panorex) - This film provides a 2D panoramic view of all the teeth and the left and right sides of the jaw. It offers a view of erupted teeth, developing teeth, impacted teeth, and allows an assessment of the health and integrity of the jawbone.

• Cephalometric Film - This film provides a profile view of the face and jaws and is often used by orthodontists to assess a patient's skeletal facial and jaw growth.

Orthodontic Treatment

A healthy, functional, and attractive smile requires teeth that are straight and jaws that are well aligned. While some people have a naturally well-aligned smile, many seek orthodontic treatment to correct overcrowded teeth, a gapped smile, or teeth that have drifted out of position due to extractions, harmful oral habits, and abnormal bite patterns. In some cases, orthodontic treatment goes beyond moving the teeth into their correct positions. Orthodontic care can also address the cosmetic and functional problems associated with skeletal discrepancies between the upper and lower jaws.

Orthodontic treatment utilizes customized appliances to apply controlled, incremental forces that gently move the teeth into proper alignment. While conventional metal braces were once the only option in care, patients today have several choices. Thanks to advances in technology and innovations in care, a wider selection of treatment systems is available. These days, orthodontic appliances are far less bulky, much less noticeable, and more comfortable than earlier generations of braces.

The type of orthodontic treatment and the length of time a patient undergoes care varies, depending on the nature of the case. Orthodontic treatment ranges from the minor movement of a single tooth to the alignment of an entire bite. Although certain corrections can be achieved in a few months, more extensive ones can take a couple of years.

At the office of Integrity Dental, we understand all aspects of oral health and the cosmetic requirements of a beautiful smile. We’re passionate about what we do and remain dedicated to helping every patient enjoy the benefit of a great looking and healthy smile. We offer a comprehensive selection of dental services to help both adults and children improve the alignment, appearance, and health, of their smiles.

The Importance Of A Well-Aligned Smile

There’s more to a straight smile than the sheer beauty of it. Well-aligned teeth support good oral health, optimal jaw function, and contribute to your overall well-being. Although every smile is different, the potential consequences of teeth that are either overcrowded, have spaces between them, have shifted, or don’t come together in an ideal way remain the same.

Here are some reasons why a well-aligned smile is more than just an attractive asset:

1. Straight teeth are easier to keep clean. Simply put, it’s easier to brush and floss your teeth. With fewer inaccessible nooks and crannies for food to get trapped, your risk of tooth decay and gum disease is lower.

2. Teeth that meet correctly and are not crowded, stick out, or protrude, are protected, as they should be by the lips and soft tissues surrounding the mouth. They are less vulnerable to trauma, getting “knocked out” or damaging fractures.

3. Straight teeth make all manner of oral function easier. The result is that you can bite into your food, chew, and speak, without difficulty or impediment.

4. Teeth and jaws that are well-aligned mean less wear on the teeth. When teeth don’t line up or meet as they should, they often exhibit uneven and excessive areas of wear.

5. A good bite supports temporomandibular joint health and function. A less than ideal occlusion can affect your oral function and comfort. TMJ disorders are associated with a wide range of problems, including headaches, jaw pain, difficulty opening and closing your mouth, as well as other types of head and neck pain.

6. With good oral health and well-being mutually dependent upon each other, a well-aligned smile is essential to overall wellness.

What Type Of Braces Are Right For Your Smile?

At the office of Integrity Dental, we provide integrated care to help children and adults enjoy the benefits a well-aligned, beautiful, and healthy smiles. Whether your visit to our practice is for a dental checkup or consultation visit, we’ll assess the look, health, and function of your smile and advise you if orthodontic treatment is right for your smile.

We also keep a very close watch on your child’s developing smile and will let you know the best time for an orthodontic consultation and care. From checking the emergence of the baby teeth, jaw development, and oral habits to the premature loss of a baby tooth and the eruption and alignment of the permanent teeth, we carefully monitor your child’s smile as they grow.

Even though the best time to begin care is as a growing child, the truth is that one is never too old for orthodontic treatment. Today more and more adults choose orthodontic care with successful, healthy, and satisfying treatment outcomes.

However, with all the choices in types of braces and systems of care marketed today, it can often feel confusing which approach is best. Whether or not fixed, conventional braces, aligners, removable appliances, or other care offer the best way to achieve optimal and timely results depends on several factors.

Which type of braces provide an effective approach for achieving healthy, attractive, and stable results depends on several factors, including: 

• The severity of the malocclusion or bite problem

• The degree of crowding or spacing of the teeth

• If dental extractions are required

• The relationship between the upper and lower jaws

• How long appliances are needed

• If any additional, supportive appliances are required

• Patient compliance with oral hygiene, appliance maintenance, and wear

Innovations And Advances in Care

As orthodontic treatment has become more widely available, and the appearance of braces has improved, the number of people getting orthodontic treatment has skyrocketed. Over four million people in the United States alone wear orthodontic braces, with 27% of this number being adults.

In the past few decades, advances in care have facilitated more precise treatment planning with appliances that are less bulky, more efficient, and increasingly cosmetic.

Some of the most notable innovations in care include the following:

• Smaller and streamlined bracket metal bracket design

• Clear, cosmetic brackets

• Self-ligating braces

• Lingual Braces

• Clear Aligners

• Digital Impressions

• Intraoral Scanners and 3-D Planning Software

• Temporary Anchorage Devices (TADs)

• Accelerated Orthodontics

Orthodontic Treatment With Clear Aligners

Since their arrival on the scene over two decades ago, clear aligners have revolutionized the delivery of orthodontic care. Continuing to soar in popularity, this innovative method of care offers many patients a more discreet, comfortable, and convenient solution for improving the alignment of their smiles.

Treatment that’s virtually invisible to the outside world

Custom-made to the exact specifications of a patient’s smile, clear aligners are designed to gently and incrementally move the teeth into their correct positions. As patients swap out one aligner for the next one in the prescribed series, they’re able to witness progressive improvements in their smiles. Best of all, with treatment that is virtually invisible to the outside world, no one but the patient knows they are undergoing orthodontic care.

Now that orthodontic care has entered the age of aligners, more patients are deciding it’s time to straighten their smiles.

By transforming smiles with minimal interference to daily activities, clear aligners allow patients to enjoy eating all of their favorite foods and engage in recreational activities without the fear of breaking their orthodontic appliances or sharp poking wires. Moreover, as the aligners are completely removable, there’s no need to struggle to brush and floss in between orthodontic brackets and wires. 

While clear aligner therapy is a solution for every type of malocclusion, orthodontic treatment with this innovative method of care offers an excellent option for many image-conscious teens and adults. 

At the office of Integrity Dental, we maintain a position at the forefront of advances in care to provide patients with the highest quality services. Whether you are a candidate for treatment with clear aligners, or another method of orthodontic care, we’ll help you achieve a well-aligned and attractive smile.

Orthodontic treatment for children

While some children require early intervention or an initial phase of care, most youngsters begin orthodontic treatment between the ages of 9 and 14. At this time, they are generally in the mid to late mixed dentition stage. This means they have a mix of permanent front teeth, permanent molars, and some baby teeth.

The benefit of placing braces at this stage is that the orthodontist can improve the alignment of permanent front teeth, guide the incoming new adult teeth into position, and utilize the child’s growth and development to the best advantage.

Braces are generally worn for one to three years with an average treatment time of two years. If a child requires a space maintainer, habit control therapy, or exhibits significant jaw disharmony, treatment may begin earlier.

After orthodontic appliances are removed retainers are worn for a period of time to stabilize and maintain the results.

For adults seeking orthodontic care

With the wide variety of orthodontic treatment options available to adults, the process of wearing braces is more convenient, more comfortable, more efficient, and much less conspicuous than ever before. Bulky metal braces are truly a thing of the past. The latest generations of metal appliances are substantially smaller and less unsightly than their predecessors. Moreover, an adult interested in orthodontic care can select braces that are hardly visible at all. Today’s tooth-colored ceramic braces, lingual braces, or removable clear aligners can all effectively deliver treatment to achieve successful and pleasing outcomes of care.

For adults seeking orthodontic care, it’s essential to keep in mind that achieving a successful outcome relies on healthy teeth and supporting bone. Adults seeking treatment sometimes exhibit the damaging consequences of uncorrected bites and poorly aligned teeth. Because their teeth are so jumbled and hard to clean, they may have extensive dental decay, display signs of gum disease, exhibit bone loss, or even had extractions. They may also suffer from worn-down teeth or TMJ joint dysfunction.

While it’s critical to address outstanding dental issues before the start of orthodontic care, it’s also important to continue maintaining the health of the teeth and surrounding tissues both during and following treatment.

Although adult orthodontics requires an investment of time and resources, the payoff is well worth it. The value of a healthy and attractive smile is priceless. Thanks to modern orthodontics, having teeth that look good and function well is something that can be enjoyed at any age.

Maintaining A Beautiful Smile

Everyone who has worn orthodontic appliances can attest that the day their braces or appliances are removed is a happy and gratifying time. Achieving a beautiful, well-aligned, and functional smile is the ultimate reward for having made a commitment to orthodontic care.

Almost every individual who has undergone orthodontic care will need to wear some type of retainer for a prescribed period of time. Retainers help to protect the teeth from relapse.

One of the reasons retainers are needed is because the teeth have a tendency to move back towards their original positions. The delicate fibers connecting the teeth to the jawbones have elastic memory. Once orthodontic appliances are removed, these fibers want to rebound to their natural positions and move the teeth out of their new alignment. Wearing retainers allow these fibers to reorganize in their new positions and to reset their memory.

Retainers are also extremely important because the teeth are part of a complex masticatory system and subject to forces that cannot always be predicted or controlled. Even after orthodontic treatment, any number of things such as tongue or lips postures, unfavorable growth of the jaws, oral habits, and periodontal problems can disrupt teeth alignment.

Remember, the benefits of orthodontic treatment can last a lifetime. Committing to wearing retainers is the best way to preserve your smile and to keep your teeth as straight and beautiful as the day your braces were removed.

At the office of Integrity Dental, the health and development of your child's smile are our top priorities. Our goals are to help children establish a strong foundation for a lifetime of good oral health and experience the benefits of healthy, beautiful smiles.

Excellent Oral Health Begins With Good Oral Care

All parents want what's best for their families. When good oral care, including routine dental checkups, start at an early age, our office can closely monitor the development and health of your child's smile as they grow. It's essential to keep in mind that preventive care and timely treatment for any emerging dental issues not only helps to ensure ongoing oral health but also supports overall well-being, and contributes to a positive self-image.

You can rest assured that your child's smile is in the best of hands at our office! We provide gentle and precise care in an environment that's comfortable, warm, and engaging. At the office of Integrity Dental, we offer a comprehensive range of dental services designed to address the dental needs of children of all ages. Whether it's your little one's first trip to the dentist, a routine visit, treatment for a dental emergency, or more, we're well equipped to provide the care that's needed.

We take a proactive approach and emphasize the importance of dental prevention as the key to good oral health. We provide you and your child with the resources as well as the tools to establish an effective brushing and flossing routine and offer nutritional guidance and advice on potentially harmful oral habits. Our entire team strives to make each visit with your child a positive, informative, and beneficial experience.

The Importance Of Regular Checkups And Routine Care

Studies show that children and teens lose an estimated 51 million school hours each year to dental problems. To help your child maintain optimal oral health and a smile that's healthy and bright, we recommend dental checkups and cleanings twice a year.

As skilled and compassionate providers of care, we understand all aspects of dental development and are sensitive to the unique needs of children. At each periodic exam, a member of our professional team will review your child's medical and dental history and then perform a thorough clinical assessment of the teeth, gums, jaws, and the surrounding oral tissues. We'll also check your child's bite, jaw alignment, and function.

Because it's vital to see what's going on below the surface, we'll take digital radiographs as needed, to check for the presence of any cavities, or infection and to evaluate the position of your child's developing teeth and the health of jaw bone. We'll also perform a professional dental cleaning to eliminate any plaque or debris that has accumulated between the teeth or in hard to reach places.

Tooth Decay Is The Single Most Common Chronic Childhood Disease

At every stage of your child's development, we'll advise you on the most effective methods of keeping his or her teeth clean and discuss the foods, beverages, and harmful oral habits that can lead to problems. While it can be difficult sometimes to get children into a regular oral hygiene routine, we'll give you tips and advice on how to make brushing and flossing a fun part of their daily activities. As your trusted partner you can rely on the office of Integrity Dental to keep a close watch on your child's oral health and development.

By following these simple guidelines, you can help your child maintain optimal oral health and develop a positive attitude towards dental care:

• Establishing a dental partnership when your child is small

• Keeping your baby's and toddler's teeth clean

• Not allowing your baby to sleep with a bottle of milk or juice.

• Bringing your child to the dentist for routine checkups and care

• Leading by example and encouraging the recommended tooth brushing and flossing routine

• Promoting wise dietary choices and healthy snacking, including replacing sugary drinks with water and limiting sweets

• Providing supportive guidance to help your child put away their pacifier and stop thumb or finger sucking at the appropriate time

• Making sure your child wears a mouthguard when playing specific sports

Your Baby's Smile

Even before your child is born, your little one's first set of teeth is already forming. As a matter of fact, by the time your baby is a year old, some of the front teeth will have already emerged into place. For this reason, it's essential to establish an oral care routine at an early age. As per the recommendations of the American Dental Association and the American Academy of Pediatric Dentistry, parents are encouraged to have their baby see the dentist around the time of their first birthday.

More On Dental Care For Children and Teens

Childhood is a time of incredible physical and emotional changes. As kids go through several stages of development, so do their teeth. Many things, including both genetic and environmental factors, contribute to the health and appearance of your child's smile. While some issues cannot be prevented, there's still a lot you can do to help ensure your child experiences optimal oral health and develops an attractive, functional smile. Our office will make sure your children are instructed in the best methods for caring for their teeth and will provide them with useful, age-appropriate information on following a healthy diet as well as make them aware of which oral habits and activities may be harmful to their teeth and overall well being.

Assessing Facial Growth And Dental Development

In addition to checking for the presence of dental disease, we also monitor your child's facial growth, jaw development, and alignment of their smile. If orthodontic treatment is indicated, we'll advise you of our recommendations for care. Since many children and teens wear braces, paying extra attention to what they eat and how they maintain their oral hygiene is of the utmost importance.

Good nutrition is essential for a healthy smile

Beyond good oral hygiene and routine dental care, a balanced, nutritious diet is essential for a healthy smile in a growing child. Sticky, sugary foods and drinks are not only harmful to children's oral health but also detrimental to their overall well-being. A diet rich in nutrients is critical for optimal growth and development and keeping the teeth and gums strong.

What is Perio Protect®?

Perio Protect is an innovative and non-invasive method of care to help halt the progression of gum disease by addressing destructive bacterial populations harbored in periodontal pockets. With Perio Protect treatment, optimal periodontal health is supported while the need for repetitive deep cleanings, surgical intervention, or the use of antibiotics to address gum disease is reduced.

However, if the treatment of advanced gum disease still warrants a surgical procedure, Perio Protect serves as a valuable adjunct to care; preventing harmful bacteria from recolonizing periodontal pockets and deterring recurrent infection.

How does it work?

Although brushing and flossing every day is essential for maintaining a healthy smile; even a thorough oral hygiene routine cannot effectively reach bacteria hidden deep inside a periodontal pocket. In the past, the only way to get to manage the biofilm growing periodontal pockets has involved multiple office visits and the physical debridement of the area by means of deep cleanings (scaling and root planing) or gum surgery.

As a more convenient and comfortable way to manage gum disease, the innovative Perio Protect Method uses easy-to-wear customized trays to deliver prescription-strength hydrogen peroxide gel into existing periodontal pockets. Once the gel is introduced into the pockets, it disrupts the formation of the oral biofilm, oxygenates the area and reduces the bacterial population.

An Easier and More Comfortable Approach to Care!

Fighting gum disease is easier and more comfortable than ever before with the Perio Protect Method. By simply wearing the patented Perio Trays® with the recommended amount of medicated gel each day as prescribed by our office, patients can cleanse periodontal pockets and combat disease-causing bacteria. And, as an added benefit of care, Perio Protect freshens your breath and whitens your smile!

Did you know that the most common cause of tooth loss in adults is gum disease? According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease. However, the good news is that periodontal disease is almost entirely preventable. At the office of Integrity Dental, we offer a comprehensive range of services to help patients maintain optimal periodontal health and enjoy the benefits of a smile that look, feels, and functions at its best.

What is periodontal disease?

Periodontal disease, more commonly known as gum disease, is a set of inflammatory diseases that affect the "periodontium", which are the hard and soft tissues surrounding and supporting your teeth. Just like tooth decay, gum disease is attributed to the harmful bacteria in dental plaque and tartar that accumulate around the teeth and under the gums.

Since the progression of periodontal disease is often painless, you may not even be aware of an ongoing disease process. For this very reason, it’s essential to practice good oral hygiene and schedule visits for regular checkups, professional cleanings, and routine care.

Taking care of your smile includes being mindful of the signs and symptoms of gum disease.

Some indications that you may have periodontal disease include:

• Inflamed and red gums

• Bleeding when brushing or flossing

• Receding gums and exposed tooth root surfaces

• Sensitivity to hot or cold temperatures

• Bad breath or a bad taste in the mouth

• Teeth that feel loose

• New spaces developing between the teeth or a change in the bite

• Change in the fit of existing partial dentures

• Discharge around the teeth and gums

• Sharp or dull pain when biting down or chewing food

The Importance Of Good Oral Health

Taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, and respiratory problems.

At the office of Integrity Dental, we emphasize the importance of prevention, early detection, and timely treatment of periodontal disease. We provide patients the guidance, support, and care required to maintain optimal periodontal health.

What is gingivitis?

Gingivitis represents the initial stage of gum disease. Although it doesn’t cause overt discomfort and often goes unnoticed, there are specific signs to be aware of that indicate the start of a problem. If you notice your gums bleed when you brush, look red and inflamed, or feel a little tender, you more than likely have gingivitis.

The good news is that by treating gingivitis early, the tissue damage associated with more advanced stages of gum disease can be avoided. Despite the presence of inflammation, the overall integrity of the periodontal tissues in this stage remains intact.

Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.

What is Periodontitis?

When left untreated, a case of gingivitis develops into a more advanced and damaging stage of gum disease, known as periodontitis. At this point, the connective tissue and bone that hold the teeth in place begin to break down. With the progression of periodontal disease and periodontitis, more and more tissue loss ensues. Damage often includes an increase in pocketing between the teeth and bone, gum recession, and bone loss. As unresolved periodontitis goes from mild to moderate to severe, it increasingly compromises the soft and hard tissues supporting the teeth.  

Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. Treatment may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.

Let Us Help You Maintain Optimal Periodontal Health

At the office of Integrity Dental, we offer personalized, state-of-the-art solutions to help you maintain healthy gums and an attractive, well-functioning smile. As skilled providers of care, we utilize leading-edge technology and treatment methods to address a broad range of periodontal conditions and needs.

Thanks to advances in care, periodontal treatment today not only helps to halt the progression of gum disease but also delivers effective solutions, including bone grafting and regenerative procedures to repair tissue damage, restore bone volume, improve cosmetics, or provide adequate support for the placement of dental implants. 

How is gum disease treated?

The type of periodontal treatment you receive depends on several factors including the stage of periodontal disease, the extent of tissue damage, your overall oral health, existing medical conditions, and other considerations in care. After a thorough assessment of your case, we’ll discuss your options to reestablish and maintain optimal periodontal health. We welcome your questions and are always on hand to provide guidance and address your concerns.

Periodontal treatment can be categorized in the following ways:

• Non-Surgical Periodontal Treatment

  When periodontal disease is detected early in its onset, conservative or non-surgical methods of care combined with improved hygiene routines can restore periodontal health. While periodic, professional cleanings are sufficient to maintain periodontal health in patients that do not have gum disease, once gingivitis is present, deeper cleanings and possibly other non-surgical methods of care are recommended to treat the condition.

  The American Academy of Periodontology emphasizes achieving periodontal health by means of the least invasive and cost-effective treatment approaches to care. Deeper cleanings, which include Scaling and Root planing, are non-surgical procedures that are considered the first line of defense against the progression of periodontal disease.

  With scaling and root planing, any plaque and tartar (hardened dental plaque) that have accumulated below the gumline are carefully removed, and then the root surfaces of the teeth are smoothed. Since periodontal disease is an inflammatory response to plaque, tartar, and bacterial toxins, by simply mechanically eliminating these agents, the progression of gum disease can be halted. In addition to removing plaque and tartar with a scaling and root planing procedure, antimicrobial medication placed under the gumline or systemic medications can be used as adjuncts to care to further reduce the bacterial population.

  If non-surgical approaches to managing periodontal disease do not achieve the desired outcome, surgery may be recommended to halt its progression and repair damage as possible.

• Periodontal Surgery

  When gum disease has advanced beyond the initial stage, periodontal surgery is often recommended to effectively remove bacteria and tartar from around the teeth, reduce gingival pocket depth, restore lost tissue as possible, and halt disease progression. It’s essential to keep in mind that gum disease is a progressive condition. If appropriate measures are not taken, gum disease continues to compromise the support of the teeth and have consequences to one’s overall dental health and well-being.

  As untreated gingivitis evolves into more advanced stages of gum disease, periodontal pockets deepen, the bacteria become more difficult to remove, and the gaps between the surface of the teeth and gums get larger. When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is typically recommended.

  The good news is that with proper surgical treatment followed by improved oral hygiene, the chances of tooth loss, further damage to the bone and soft tissues supporting the teeth, and complications from health problems that are linked to periodontal disease can be decreased.

  The goals of pocket reduction surgery are to accomplish the following:

  • Remove sub-gingival bacteria beneath the gums and from the surfaces of the roots of the teeth

  • Halt damage to the underlying bone, and recontour the affected hard tissues as needed

  • Reduce pocket depth to facilitate easier cleaning of the teeth and gums and the maintenance of optimal periodontal health

  In many cases, a periodontal procedure, which is known as flap surgery, is frequently recommended. During this procedure, the gums in the affected area are reflected away from the teeth and supporting bone. Now, the pocket and roots of the teeth can be thoroughly cleaned and supporting tissues recontoured as needed. When this step gets completed, the tissue flag gets sutured back into place.

  Today, in addition to conventional surgical approaches to care, dental lasers are also used to perform select periodontal procedures. When applicable, laser technology can help treat periodontitis, reduce pocket depth, address peri-implantitis, and remove or recontour gingival tissues for cosmetic purposes.

For more information on our office and the many services we provide, give us a call today.

According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.

To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.

It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.

Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.

Sedation dentistry offers individuals with general anxiety about going to the dentist or fears about a specific dental procedure the opportunity to have a stress free and more comfortable experience. Utilizing safe and controlled sedation techniques prior to the dental procedure the patient is eased into a state of complete relaxation. This eliminates any discomfort, pain, and preoperative anxiety that may be associated with a particular dental visit. With sedation dentistry patients typically feel more at ease post-operatively as they have little or no memory of the actual moment-to-moment dental procedure.

Nitrous Oxide

Commonly referred to as “laughing gas,” nitrous oxide is used as a mild sedative to reduce anxiety and allow a level of relaxation during a procedure. Nitrous oxide is inhaled through a small mask over the nose. It is administered for the duration of the procedure and is turned off as the procedure is coming to an end. The effects of this method of sedation wear off very quickly.

Every year millions of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.

One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.

There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.

Improving the appearance of your smile can make a difference in your confidence and overall quality of life. At the office of Integrity Dental, we provide experienced care, skillfully combining the art and science of dentistry to give patients teeth that are as beautiful as they are healthy.

If your teeth appear dull, drab, discolored, or stained, don't despair. Thanks to advances in cosmetic dentistry, you too can enjoy the benefits of a beautiful smile. With a teeth whitening procedure from our office, we can quickly and dramatically lighten and brighten your smile.

You can rest assured your smile in the best of hands with us. We use the latest generations of professional strength teeth whitening systems to transform the appearance of your teeth and give you a smile that's several shades lighter, brighter, and more vibrant than before your procedure.

Personalized care to achieve your cosmetic goals

As dedicated providers of care, our goals are to help every patient maintain good oral health and wear their best-looking smile. We tailor treatment to address individual needs and meet every patient's expectations of care.

After examining your smile and determining if a teeth whitening procedure is suitable for you, we'll recommend the best in-office procedure or a take-home whitening system to achieve your cosmetic goals.

Factors that influence the color and vibrancy of your smile

How white your teeth look depends on how they reflected and scattered light. Although external staining is typically due to certain foods, beverages, or tobacco use, internal tooth discoloration is usually the result of genetics, certain medications, tooth decay, restorations, and trauma. Aging also plays a significant role in tooth color. Over time, as the outer layer of enamel thins, the yellow inner layer of dentin becomes more apparent.

About teeth whitening

Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. Today, there's an abundance of choices in teeth whitening products and procedures available to you. Options run the gamut from over-the-counter toothpastes, rinses, strips, or gels to professionally supervised in-office treatments and customized take-home kits.

With so many choices in care, how do you know which one to select? Despite the many over-the-counter products on the market today, it's essential to keep in mind that the premiere teeth whitening systems are the professional-strength ones provided by the dentist. Not only do these whitening systems offer a higher concentration of whitening components than the ones available in stores or online, but they also get delivered to the teeth in the safest, most effective, and well-supervised way.

While you may be tempted to purchase a kit in the drugstore or online, be careful. Some over-the-counter teeth whitening products can damage the teeth and soft tissues in the mouth. Even though many work when healthy teeth and gums are present, they may be ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work exist.

How does a teeth whitening procedure work?

Whitening products typically fall into one of two of the following categories:

• Peroxide-containing bleaching agents.
• Whitening toothpastes or dentifrices.

Under the category of peroxide containing bleaching agents, most whitening systems contain either carbamide peroxide or hydrogen peroxide as the active ingredient. While both can readily permeate the enamel to achieve pleasing results, the concentration of either one of these ingredients determines the strength, effectiveness, and safety level of the whitening system.

Teeth whitening systems rely on a chemical reaction between the bleaching agent and the discolored molecules. As the latter get oxidized, the stains and discoloration get broken up and erased.

Considerations in care

At the office of Integrity Dental, we combine the art and science of dentistry to create beautiful and healthy smiles. We value your investment and provide treatment that supports good oral health while fulfilling your smile goals and expectations of care. We offer a range of advanced cosmetic dental services and will help you choose the option that's right for your smile.

While teeth whitening procedures in most cases produce highly satisfying results, not every type of stain or discoloration responds well to one. First of all, a teeth whitening procedure only works on natural teeth and does not change or improve the color of dental fillings, crowns, or bridges. It should also be mentioned that just as individuals with yellow tones to their teeth typically respond well to a teeth whitening, brown and grayish teeth can respond less well and may require more intensive whitening regimens or alternative cosmetic treatments. Furthermore, a teeth whitening procedure may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.

You can trust us to take a close look at your smile and advise you if a teeth whitening is right for you, or if another cosmetic procedure offers healthier and better results.

What to do and what to expect after a teeth whitening procedure

1. Watch what you eat and drink
   Maximizing the benefits of a teeth whitening procedure involves being mindful of what you eat and drink. This guideline is especially true for the first 48 hours following an in-office treatment. The reason is the ultra-thin, membranous protective layer of the tooth that was temporarily removed as a result of the whitening procedure takes a couple of days to reestablish itself.

   You can protect the results by avoiding deeply colored foods and beverages that can stain your teeth!
   Refrain from drinking coffee, red wine, dark soft drinks, and teas. Stay away from fruits like berries and grapes, and chocolate products as well as other foods that are darkly colored.

   Feel free to eat and drink foods with a low potential to stain your teeth!
   Beverages such as water, milk, white wine, and clear soft drinks are okay. Eating fruits such as a banana or peeled apple are fine. Cheeses, as well as white foods like chicken, fish, pasta, oatmeal, potatoes, and bread prepared without red sauces or dressings, are acceptable as well.

2. Avoid Smoking
   Smoking stains and yellows your teeth under the best of circumstances. If you are a smoker and have just had your teeth whitened, it's a good idea to refraining from the habit for at least the first couple of days. Of course, smoking less frequently after that or quitting the habit altogether not only benefits the appearance of your smile but also your oral health and overall well-being.

3. Some sensitivity is normal.
   You may experience some sensitivity to cold and hot for a couple of days. This discomfort typically subsides. We recommend taking over-the-counter pain medication just as you would for a headache. Using toothpaste designed for sensitive teeth may also be helpful.

4. Treatment Results
   While teeth whitening procedures provide satisfying outcomes of care, it's essential to keep in mind that results vary from patient to patient. Both short-term and long-term results are influenced by the original shade of the tooth, diet, and oral habits.

   Also, as explained before treatment, teeth whitening procedures do not change the color of existing fillings, crowns, bridgework, or dental bonding. If this issue presents an aesthetic concern, we can discuss replacing a restoration.

5. Keeping your smile bright
   Maintaining the results of treatment also rely upon proper oral hygiene and routine dental care. We'll also discuss a take-home whitening system if any periodic touch-ups are indicated following the procedure or down the road.

At the office of Integrity Dental, we're dedicated to providing the highest quality of care. If you have any additional questions or concerns about your teeth whitening procedure, feel free to contact our office.

According to the National Institute of Dental and Craniofacial Research (NIDCR), temporomandibular joint disorders (TMJ), also referred to as temporomandibular disorders (TMD), are the most common source of chronic facial pain and jaw dysfunction. It is estimated that more than 10 million people in the United States are affected by temporomandibular joint problems.

What is the Temporomandibular Joint?

There are two temporomandibular joints that connect the left and right sides of the lower jaw to the temporal bone. Both joints and their associated muscles, ligaments and tendons work together to allow for all manner of oral function as the jaw moves up and down, front to back and from side to side. Containing a shock-absorbing, soft disc that sits between the rounded condyles of both sides of the lower jaw and the corresponding concavities in the skull’s temporal bone, the TMJ makes chewing, speaking, yawning and all jaw movements possible.

Since the TMJ is a joint with both up and down hinge-like movements, as well as side to side and front to back sliding motions to perform, it is often considered one of the most complicated joints in the body and one of the most difficult to treat when problems arise.

Types and Symptoms of TMJ Disorders

TMJ disorders can fall into one or more of the following three categories:

• Myofascial pain- Refers to pain in the area of the jaw joint due to various causes of increased muscle tension and spasm

• Internal derangement-Involves displacement of the disc, jaw dislocation or trauma to the condyles of the jaw

• Degenerative joint disease -Arthritis

The risk for developing a TMJ problem is greater in the presence of long-term teeth grinding or bruxism, a jaw injury or various types of arthritis such as rheumatoid arthritis and osteoarthritis. Furthermore, the manifestations of a TMJ disorder can vary from person to person with a wide range of symptoms possible, including earaches, ringing in the ears (tinnitus), headaches, back and neck pain, vertigo, muscle spasms and joint tenderness as well as jaw pain, popping or grating sounds with jaw movement, jaw locking and limited jaw movement. For some people a TMJ disorder can be resolved within a relatively short period of time, while for others it will continue to persist despite extensive therapy.

Diagnosis and Treatment

When evaluating for the presence of a TMJ disorder, the dentist will perform a thorough clinical assessment of joint symptoms and function. Special radiographic imaging and other diagnostic tests will be ordered as needed. The treatment of a TMJ disorder may include oral appliances such as night guards or stabilization splints to alleviate strain on the joints. Other types of therapy may include steroid injections, occlusal adjustments as well as orthodontic or prosthodontic treatment to improve occlusion. In cases of persistent and serious TMJ problems, surgery may be recommended.

Methods of self-care can be helpful in alleviating some of the symptoms of a TMJ disorder. Patients are typically advised to eat soft foods, avoid extreme jaw movement such as wide yawning and gum chewing, to practice stress reduction and relaxation techniques and applying ice packs or moist heat as directed. If recommended, a patient should follow the dentist or therapist’s instruction for gentle stretching exercises. The short-term use of over-the-counter, non-steroidal, anti-inflammatory drugs and pain medications may provide relief. If not the dentist or physician may prescribe stronger pain or anti-inflammatory drugs, muscle relaxants or anti-depressants.

As the most recognizable expression and the universal sign of happiness, a beautiful smile is an important asset. Studies show that an attractive smile can boost your self-confidence, contribute to your overall well-being, and help make a positive impression on everyone you meet.

Transforming Smiles With Porcelain Veneers

If your front teeth are stained, discolored, chipped, worn-down, misshapen, a little gapped, or slightly misaligned, you're not alone. According to statistics, more than one-third of adults in the United States are dissatisfied with the appearance of their smiles. Cosmetic imperfections may be due to genetics, excessive wear and tear on the teeth, the aging process, dietary choices that stain the dental enamel, smoking, or as a side effect of certain medications.

In some cases, if the imperfections are minor ones, a teeth whitening procedure or cosmetic bonding may be all it takes to create a more perfect-looking smile. However, darker dental stains, discolorations, and more significant flaws involving the size, shape, and alignment of the teeth, are sometimes better addressed with porcelain veneers.

At the office of Integrity Dental, we recognize that every smile is different and tailor treatment to address individual needs and expectations of care. Whether your smile is best served by the fabrication of dental veneers or another cosmetic dental procedure we provide, you can count on our office for the latest, most effective, pleasing, and healthy solutions for your smile.

What are dental veneers?

One of the most conservative yet highly effective and aesthetically pleasing ways to transform the appearance of imperfect looking teeth is the fabrication of dental veneers. Fully customized to the exact specifications of your smile and the cosmetic corrections required, veneers are ultra-thin facings, seamlessly bonded to the fronts of the involved teeth.

This versatile and minimally-invasive cosmetic procedure conceals a range of imperfections to dramatically improve the look of teeth that are misshapen, exhibit minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues.

Among the chief benefits offered by veneers are that they require little to no preparation of the underlying tooth and offer a relatively quick way to achieve long-lasting and pleasing results. And because they are ultra-thin, veneers preserve the maximum amount of natural tooth structure and are kind to the tissues along the gumline.

With veneers, your smile looks naturally beautiful.

Whether you're looking to improve the appearance of a single front tooth or multiple ones, dental veneers can turn a less-than-perfect smile into one that appears naturally beautiful and flawless.

Your veneers are fabricated from the highest quality of dental-grade porcelain to recreate the natural translucency of healthy tooth enamel. Since porcelain reflects light in much the same way as dental enamel, veneers produce a vibrant, flawless, and naturally beautiful-looking smile.

From preparation to taking an impression and placement, the entire process of getting dental veneers only takes a few visits. Furthermore, even though a veneer is fragile to handle before placement in the mouth, once it gets bonded to the underlying tooth, it becomes quite strong and durable. With proper oral hygiene and care, you can maintain your new veneers for many years to come.

At the office of Integrity Dental, we successfully combine the art and science of dentistry to create healthy, beautiful smiles. We've helped many patients enhance the look of their smiles and feel confident we can do the same for you.

What to expect when getting veneers

• Initial consultation and care

  The process of getting dental veneers begins with a consultation and thorough assessment of your dental health, oral function, and smile aesthetics. We'll also discuss your smile goals and treatment expectations. Although getting veneers is a relatively quick process, it's essential to address any periodontal problems or cavities in the involved teeth before your new veneers get fabricated.

• Tooth preparation and Impression taking

  While the amount of tooth preparation varies, depending on the unique requirements of the case and the type of porcelain veneer, the removal of tooth structure from the front and sides of the tooth is typically quite minimal. It's just enough enamel for the ultra-thin facing to look most natural and remain sturdy and strong when placed.

  Once the teeth are prepared, an impression gets taken, and an appropriate shade of porcelain is selected, your new veneers are ready for fabrication. Porcelain veneers are most often sent out to a dental laboratory for custom fabrication. For the short time it takes the permanent ones to come back from the lab, attractive temporary veneer facings cover the teeth.

• Fitting and placement

  When your veneers are ready, it's time to check their fit, size, shade, and shape. Prior to getting affixed to the teeth, any adjustments to ensure a precise fit and optimal aesthetics are made. At this time, we'll also confirm that you're pleased with the look of your new smile. Once fitted and approved, the involved teeth are then cleaned, and the veneers are permanently bonded in place with composite resin cement. Following placement, any further adjustments or minor refinements are performed as needed.