COMPOSITE FILLINGS
Composite restorations, natural looking white colored fillings, are used when there is small to moderate decay present. Unlike traditional amalgam (silver) restorations, composites bond to your tooth, which allows us to keep more natural, healthy tooth structure. Because of bonding to the tooth, composites are also stronger than amalgams and protect the tooth from fracture. Finally, composites produce a much better aesthetic result than amalgams. Modern composite materials come in a wide range of colors, allowing us to create a virtually invisible restoration by blending the restoration into the natural color of the tooth. At Lanz Associates in Dentistry, we only use composite restorations as we feel that this material is superior to amalgams.
Crowns & Veneers
CROWNS
Caps, also known as dental crowns are restorations which completely cover dental implants and compromised teeth. Crowns are typically suggested for cases in which a tooth is either heavily decayed, had root canal therapy, contains a large restoration, or for cosmetic purposes. Our office provides all ceramic crowns for anterior teeth because they provide patients with optimal aesthetics. For posterior teeth, we use the newly designed all zirconium crowns because they provide excellent durability and maintain a more natural appearance than all gold or even PFM (porcelain-fused-to-metal) crowns. Crowns that are maintained properly can typically last over 10 years. Overall, dental crowns are a great option for patients that are interested in preserving their natural teeth or newly acquired dental implants.
VENEERS
Porcelain veneers are thin shells of porcelain that are placed on the outer surface of teeth and bonded with a dental cement. Typically porcelain is used because it provides a natural appearance and good durability. Porcelain veneers are a more conservative alternative to crowns because they require less removal of the tooth's original structure. With porcelain veneers in place, cosmetic dentistry patients can expect a straighter, whiter, and more pleasant smile.
Caps, also known as dental crowns are restorations which completely cover dental implants and compromised teeth. Crowns are typically suggested for cases in which a tooth is either heavily decayed, had root canal therapy, contains a large restoration, or for cosmetic purposes. Our office provides all ceramic crowns for anterior teeth because they provide patients with optimal aesthetics. For posterior teeth, we use the newly designed all zirconium crowns because they provide excellent durability and maintain a more natural appearance than all gold or even PFM (porcelain-fused-to-metal) crowns. Crowns that are maintained properly can typically last over 10 years. Overall, dental crowns are a great option for patients that are interested in preserving their natural teeth or newly acquired dental implants.
VENEERS
Porcelain veneers are thin shells of porcelain that are placed on the outer surface of teeth and bonded with a dental cement. Typically porcelain is used because it provides a natural appearance and good durability. Porcelain veneers are a more conservative alternative to crowns because they require less removal of the tooth's original structure. With porcelain veneers in place, cosmetic dentistry patients can expect a straighter, whiter, and more pleasant smile.
Dentures
A denture is a removable replacement for missing teeth and adjacent tissues. It is made of acrylic resin, sometimes in combination with various metals.
Types of dentures Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position.
Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech, and provides support for facial muscles. It will greatly enhance the facial appearance and smile.
Complete or full dentures are made when all of your natural teeth are missing. You can have a full denture on your upper or lower jaw, or both.
Complete dentures are called "conventional" or "immediate" according to when they are made and when they are inserted into the mouth. Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes the models of the patient`s jaws during a preliminary visit.
An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks.
An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture.
Partial dentures are often a solution when several teeth are missing.
Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more esthetic than metal clasps and are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps.
How are dentures made? The denture process takes about one month and five appointments: the initial diagnosis is made; an impression and a wax bite are made to determine vertical dimensions and proper jaw position; a "try-in" is placed to assure proper color, shape and fit; and the patient`s final denture is placed, following any minor adjustments.
First, an impression of your jaw is made using special materials. In addition, measurements are made to show how your jaws relate to one another and how much space is between them (bite relationship). The color or shade of your natural teeth will also be determined. The impression, bite and shade are given to the dental laboratory so a denture can be custom-made for your mouth.
The dental laboratory makes a mold or model of your jaw, places the teeth in a wax base, and carves the wax to the exact form wanted in the finished denture. Usually a "wax try-in" of the denture will be done at the dentist`s office so any adjustments can be done before the denture is completed.
The denture is completed at the dental laboratory using the "lost wax" technique. A mold of the wax-up denture is made, the wax is removed and the remaining space is filled with pink plastic in dough form. The mold is then heated to harden the plastic. The denture is then polished and ready for wear.
Getting used to your denture For the first few weeks, a new denture may feel awkward or bulky. However, your mouth will eventually become accustomed to wearing it. Inserting and removing the denture will require some practice. Your denture should easily fit into place. Never force the partial denture into position by biting down. This could bend or break the clasps.
At first, you may be asked to wear your denture all the time. Although this may be temporarily uncomfortable, it is the quickest way to identify those denture parts that may need adjustment. If the denture puts too much pressure on a particular area, that spot will become sore. Your denture can be adjusted to fit more comfortably. After making adjustments, you may need to take the denture out of your mouth before going to bed and replace it in the morning.
Start out by eating soft foods that are cut into small pieces. Chew on both sides of the mouth to keep even pressure on the denture. Avoid sticky or hard foods, including gum. You may want to avoid chewing gum while you adjust to the denture.
Care of your denture It's best to stand over a folded towel or a sink of water when handling your denture, just in case you accidentally drop it. Brush the denture (preferably with a denture brush) daily to remove food deposits and plaque, and keep it from becoming permanently stained. Avoid using a brush with hard bristles, which can damage the denture. Look for denture cleansers with the American Dental Association (ADA) Seal of Acceptance. Pay special attention to cleaning teeth that fit under the denture`s metal clasps. Plaque that becomes trapped under the clasps will increase the risk of tooth decay.
Hand soap or mild dishwashing liquid to clean dentures is also acceptable. Other types of household cleaners and many toothpastes are too abrasive and should not be used for cleaning dentures. A denture could lose its proper shape if it is not kept moist. At night, the denture should be placed in soaking solution or water. However, if the appliance has metal attachments, they could be tarnished if placed in soaking solution.
Even with full dentures, you still need to take good care of your mouth. Every morning, brush your gums, tongue and palate with a soft-bristled brush before you put in your dentures. This removes plaque and stimulates circulation in the mouth. Selecting a balanced diet for proper nutrition is also important for maintaining a healthy mouth.
Adjustments Over time, adjusting the denture may be necessary. As you age, your mouth naturally changes, which can affect the fit of the denture. Your bone and gum ridges can recede or shrink, resulting in a loose-fitting denture. Loose dentures can cause various problems, including sores or infections. Dentures that do not fit properly can be adjusted. Avoid using a do-it-yourself kit to adjust your dentures, as this can damage the appliance beyond repair. Glues sold over-the-counter often contain harmful chemicals and should not be used on a denture.
If your denture no longer fits properly, if it breaks, cracks or chips, or if one of the teeth becomes loose, see your dentist immediately. In many cases, dentists can make necessary adjustments or repairs, often on the same day. Complicated repairs may require that the denture be sent to a special dental laboratory.
Over time, dentures will need to be relined, re-based, or re-made due to normal wear. To reline or re-base a denture, the dentist uses the existing denture teeth and refits the denture base or makes a new denture base. Dentures may need to be replaced if they become loose and the teeth show signs of significant wear.
Common concerns Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet.
Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.
Some people worry about how dentures will affect their speech. Consider how your speech is affected when you have a number of your natural teeth missing.
Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures "click" while you`re talking, speak more slowly. You may find that your dentures occasionally slip when you laugh, cough or smile. Reposition the dentures by gently biting down and swallowing. If a speaking problem persists, consult your dentist.
Denture adhesives Denture adhesives can provide additional retention for well-fitting dentures. Denture adhesives are not the solution for old, ill-fitting dentures. A poorly fitting denture, which causes constant irritation over a long period, may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose, or cause pronounced discomfort, consult with your dentist immediately.
Types of dentures Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position.
Candidates for complete dentures have lost most or all of their teeth. A partial denture is suitable for those who have some natural teeth remaining. A denture improves chewing ability and speech, and provides support for facial muscles. It will greatly enhance the facial appearance and smile.
Complete or full dentures are made when all of your natural teeth are missing. You can have a full denture on your upper or lower jaw, or both.
Complete dentures are called "conventional" or "immediate" according to when they are made and when they are inserted into the mouth. Immediate dentures are inserted immediately after the removal of the remaining teeth. To make this possible, the dentist takes measurements and makes the models of the patient`s jaws during a preliminary visit.
An advantage of immediate dentures is that the wearer does not have to be without teeth during the healing period. However, bones and gums can shrink over time, especially during the period of healing in the first six months after the removal of teeth. When gums shrink, immediate dentures may require rebasing or relining to fit properly. A conventional denture can then be made once the tissues have healed. Healing may take at least 6-8 weeks.
An overdenture is a removable denture that fits over a small number of remaining natural teeth or implants. The natural teeth must be prepared to provide stability and support for the denture.
Partial dentures are often a solution when several teeth are missing.
Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework. Removable partial dentures attach to your natural teeth with metal clasps or devices called precision attachments. Precision attachments are generally more esthetic than metal clasps and are nearly invisible. Crowns on your natural teeth may improve the fit of a removable partial denture and they are usually required with attachments. Dentures with precision attachments generally cost more than those with metal clasps.
How are dentures made? The denture process takes about one month and five appointments: the initial diagnosis is made; an impression and a wax bite are made to determine vertical dimensions and proper jaw position; a "try-in" is placed to assure proper color, shape and fit; and the patient`s final denture is placed, following any minor adjustments.
First, an impression of your jaw is made using special materials. In addition, measurements are made to show how your jaws relate to one another and how much space is between them (bite relationship). The color or shade of your natural teeth will also be determined. The impression, bite and shade are given to the dental laboratory so a denture can be custom-made for your mouth.
The dental laboratory makes a mold or model of your jaw, places the teeth in a wax base, and carves the wax to the exact form wanted in the finished denture. Usually a "wax try-in" of the denture will be done at the dentist`s office so any adjustments can be done before the denture is completed.
The denture is completed at the dental laboratory using the "lost wax" technique. A mold of the wax-up denture is made, the wax is removed and the remaining space is filled with pink plastic in dough form. The mold is then heated to harden the plastic. The denture is then polished and ready for wear.
Getting used to your denture For the first few weeks, a new denture may feel awkward or bulky. However, your mouth will eventually become accustomed to wearing it. Inserting and removing the denture will require some practice. Your denture should easily fit into place. Never force the partial denture into position by biting down. This could bend or break the clasps.
At first, you may be asked to wear your denture all the time. Although this may be temporarily uncomfortable, it is the quickest way to identify those denture parts that may need adjustment. If the denture puts too much pressure on a particular area, that spot will become sore. Your denture can be adjusted to fit more comfortably. After making adjustments, you may need to take the denture out of your mouth before going to bed and replace it in the morning.
Start out by eating soft foods that are cut into small pieces. Chew on both sides of the mouth to keep even pressure on the denture. Avoid sticky or hard foods, including gum. You may want to avoid chewing gum while you adjust to the denture.
Care of your denture It's best to stand over a folded towel or a sink of water when handling your denture, just in case you accidentally drop it. Brush the denture (preferably with a denture brush) daily to remove food deposits and plaque, and keep it from becoming permanently stained. Avoid using a brush with hard bristles, which can damage the denture. Look for denture cleansers with the American Dental Association (ADA) Seal of Acceptance. Pay special attention to cleaning teeth that fit under the denture`s metal clasps. Plaque that becomes trapped under the clasps will increase the risk of tooth decay.
Hand soap or mild dishwashing liquid to clean dentures is also acceptable. Other types of household cleaners and many toothpastes are too abrasive and should not be used for cleaning dentures. A denture could lose its proper shape if it is not kept moist. At night, the denture should be placed in soaking solution or water. However, if the appliance has metal attachments, they could be tarnished if placed in soaking solution.
Even with full dentures, you still need to take good care of your mouth. Every morning, brush your gums, tongue and palate with a soft-bristled brush before you put in your dentures. This removes plaque and stimulates circulation in the mouth. Selecting a balanced diet for proper nutrition is also important for maintaining a healthy mouth.
Adjustments Over time, adjusting the denture may be necessary. As you age, your mouth naturally changes, which can affect the fit of the denture. Your bone and gum ridges can recede or shrink, resulting in a loose-fitting denture. Loose dentures can cause various problems, including sores or infections. Dentures that do not fit properly can be adjusted. Avoid using a do-it-yourself kit to adjust your dentures, as this can damage the appliance beyond repair. Glues sold over-the-counter often contain harmful chemicals and should not be used on a denture.
If your denture no longer fits properly, if it breaks, cracks or chips, or if one of the teeth becomes loose, see your dentist immediately. In many cases, dentists can make necessary adjustments or repairs, often on the same day. Complicated repairs may require that the denture be sent to a special dental laboratory.
Over time, dentures will need to be relined, re-based, or re-made due to normal wear. To reline or re-base a denture, the dentist uses the existing denture teeth and refits the denture base or makes a new denture base. Dentures may need to be replaced if they become loose and the teeth show signs of significant wear.
Common concerns Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet.
Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.
Some people worry about how dentures will affect their speech. Consider how your speech is affected when you have a number of your natural teeth missing.
Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures "click" while you`re talking, speak more slowly. You may find that your dentures occasionally slip when you laugh, cough or smile. Reposition the dentures by gently biting down and swallowing. If a speaking problem persists, consult your dentist.
Denture adhesives Denture adhesives can provide additional retention for well-fitting dentures. Denture adhesives are not the solution for old, ill-fitting dentures. A poorly fitting denture, which causes constant irritation over a long period, may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose, or cause pronounced discomfort, consult with your dentist immediately.
Extractions
General ProcedureWhen restoration procedures such as root canal therapy, crowns, or fillings are not enough to save a tooth, it may need to be pulled, or extracted. Tooth extraction procedures today are far less painful than ever before, thanks to powerful anesthetics and sedatives. In many cases, a patient who has tooth pulled experiences little or no discomfort, and only minor bleeding.
Before a tooth is extracted, the area surrounding the tooth is numbed with a topical/and or injectable anesthetic such as Novocaine. Patients with extracted teeth sometimes need to take an antibiotic, and at the very least, take precautions following the procedure to ensure that infection doesn't occur.
Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. Cold compresses applied to the outside cheek near the extraction area can help reduce any swelling and promote faster healing.
Wisdom TeethWisdom teeth are the third and final set of molars that erupt in the back corners of the upper and lower normal adult mouth. Unfortunately, most people experience problems from wisdom teeth; in most cases, this is because the teeth erupt too close to existing permanent teeth, causing crowding, improper bites, and other problems.
If wisdom teeth are causing a problem and are not pulled, they can sometimes become impacted. Impacted wisdom teeth can be extremely painful, as well as harmful to your oral health. Symptoms are easy to spot: severe discomfort, inflammation, and some kinds of infections.
Many people need to have their wisdom teeth extracted to avoid future serious problems. In general, the lack of the four wisdom teeth does not hamper one's ability to properly bite down, speak or eat.
If you experience any of the following symptoms, you may have an impacted wisdom tooth:
Post Op InstructionsBLEEDING. Following extractions some bleeding is to be expected. If persistent bleeding occurs, place gauze pads over bleeding area and bite down firmly for one-half hour. Repeat if necessary. Biting on a wet Lipton tea bag for a few minutes is also effective.
SWELLING. Ice bag or chopped ice wrapped in a towel should be applied to operated area—one-half hour on and one-half hour off for 4-5 hours.
PAIN. For mild to average pain use any medication you would normally take for a headache or other pain. If a prescription for medication has been given to you, fill it at the pharmacy and start taking immediately. Remember to always take antibiotics until completion. All antibiotic pills must be taken as directed until the bottle is empty.
FOOD. Light diet is advisable during the first 24 hours. Stay away from spicy foods or acidic foods.
BONY EDGES. Small sharp bone fragments may work up through the gums during healing. These are not roots; if annoying return to this office for their simple removal. If any unusual symptoms occur, call the office at once. The proper care following oral surgical procedures will hasten recovery and prevent complications.
Before a tooth is extracted, the area surrounding the tooth is numbed with a topical/and or injectable anesthetic such as Novocaine. Patients with extracted teeth sometimes need to take an antibiotic, and at the very least, take precautions following the procedure to ensure that infection doesn't occur.
Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. Cold compresses applied to the outside cheek near the extraction area can help reduce any swelling and promote faster healing.
Wisdom TeethWisdom teeth are the third and final set of molars that erupt in the back corners of the upper and lower normal adult mouth. Unfortunately, most people experience problems from wisdom teeth; in most cases, this is because the teeth erupt too close to existing permanent teeth, causing crowding, improper bites, and other problems.
If wisdom teeth are causing a problem and are not pulled, they can sometimes become impacted. Impacted wisdom teeth can be extremely painful, as well as harmful to your oral health. Symptoms are easy to spot: severe discomfort, inflammation, and some kinds of infections.
Many people need to have their wisdom teeth extracted to avoid future serious problems. In general, the lack of the four wisdom teeth does not hamper one's ability to properly bite down, speak or eat.
If you experience any of the following symptoms, you may have an impacted wisdom tooth:
- Facial swelling
- Infection
- Pain
- Gum swelling
Post Op InstructionsBLEEDING. Following extractions some bleeding is to be expected. If persistent bleeding occurs, place gauze pads over bleeding area and bite down firmly for one-half hour. Repeat if necessary. Biting on a wet Lipton tea bag for a few minutes is also effective.
SWELLING. Ice bag or chopped ice wrapped in a towel should be applied to operated area—one-half hour on and one-half hour off for 4-5 hours.
PAIN. For mild to average pain use any medication you would normally take for a headache or other pain. If a prescription for medication has been given to you, fill it at the pharmacy and start taking immediately. Remember to always take antibiotics until completion. All antibiotic pills must be taken as directed until the bottle is empty.
FOOD. Light diet is advisable during the first 24 hours. Stay away from spicy foods or acidic foods.
BONY EDGES. Small sharp bone fragments may work up through the gums during healing. These are not roots; if annoying return to this office for their simple removal. If any unusual symptoms occur, call the office at once. The proper care following oral surgical procedures will hasten recovery and prevent complications.
Jaw / TMJ
People who grind their teeth can sometimes develop a serious problem with their jaw, which left untreated, can adversely affect the teeth, gums and bone structures of the mouth.
One of the most common jaw disorders is related to a problem with the temporomandibular joint, the joint that connects your lower jaw to your skull, and allows your upper and lower jaw to open and close and facilitates chewing and speaking.
People with temporomandibular joint disorders (TMD) often have a clicking or popping sound when opening and closing their mouths. Such disorders are often accompanied by frequent headaches, neck aches, and in some cases, tooth sensitivity.
Some treatments for TMD include muscle relaxants, aspirin, biofeedback, or wearing a small plastic appliance in the mouth during sleep.
Minor cases of TMD involve discomfort or pain in the jaw muscles. More serious conditions involve improperly aligned joints or dislocated jaws. The most extreme form of TMD involves an arthritic condition of the jaw joint. Traumatic injuries also can cause jaw dislocation.
In these cases, jaw surgery, may be required to correct the condition. Some jaw surgery can be performed arthroscopically.
One of the most common jaw disorders is related to a problem with the temporomandibular joint, the joint that connects your lower jaw to your skull, and allows your upper and lower jaw to open and close and facilitates chewing and speaking.
People with temporomandibular joint disorders (TMD) often have a clicking or popping sound when opening and closing their mouths. Such disorders are often accompanied by frequent headaches, neck aches, and in some cases, tooth sensitivity.
Some treatments for TMD include muscle relaxants, aspirin, biofeedback, or wearing a small plastic appliance in the mouth during sleep.
Minor cases of TMD involve discomfort or pain in the jaw muscles. More serious conditions involve improperly aligned joints or dislocated jaws. The most extreme form of TMD involves an arthritic condition of the jaw joint. Traumatic injuries also can cause jaw dislocation.
In these cases, jaw surgery, may be required to correct the condition. Some jaw surgery can be performed arthroscopically.
Night Guards
The Night Guard Fitting Process
- Impressions are taken of your upper and lower teeth to confirm an accurate fitUsing your impressions as a mold, the night guard is crafted out of strong, durable plastic
- When the guard is finished, it is properly fitted to your mouth
- Simply wear the guard while you sleep every night
- prevents migraine painprevents tension-type headache pain
- can help prevent jaw disorders by relieving pressure
- prevents teeth grinding and the development of TMD (temporomandibular disorder)
Oral Cancer Screening
Did you know that oral cancer is the sixth deadliest cancer in the world with roughly 30,000 new cases of oral cancer diagnosed each year? As a result, oral cancer claims one life an hour here in the United States - more than the number of lives lost to skin or cervical cancer. Close to three-quarters of these new cases are detected in the later stages of development giving these individuals a five-year survival rate but only 50% generally survive. Unfortunately, the survival rate hasn’t decreased significantly in the past 40 years. However, when detected and treated early, oral cancer can be 90% curable.
Oral cancer is a growing problem among people age 40 and older and, especially among smokers, smokeless tobacco users and, drinkers. However, according to the American Dental Association, more than 25% of those who are diagnosed with oral cancer, including those under the age of 30, have no lifestyle risk factors do not fall into these categories.
To help in the fight against oral cancer, we recently evaluated a new technology called ViziLite and found that using it together with our conventional head and neck examination improves our ability to identify, evaluate and monitor suspicious areas at their earliest stages. This is important because abnormal cells in the mouth can progress to a pre-cancerous state with little warning, but early detection can minimize or eliminate the potentially disfiguring effects of oral cancer and possibly even save your life.
Oral cancer is a growing problem among people age 40 and older and, especially among smokers, smokeless tobacco users and, drinkers. However, according to the American Dental Association, more than 25% of those who are diagnosed with oral cancer, including those under the age of 30, have no lifestyle risk factors do not fall into these categories.
To help in the fight against oral cancer, we recently evaluated a new technology called ViziLite and found that using it together with our conventional head and neck examination improves our ability to identify, evaluate and monitor suspicious areas at their earliest stages. This is important because abnormal cells in the mouth can progress to a pre-cancerous state with little warning, but early detection can minimize or eliminate the potentially disfiguring effects of oral cancer and possibly even save your life.
Root Canal Therapy
What is a Root Canal?Each tooth has tissue containing nerve fibers that run through the center of the root of your tooth, which are called "root canals." When this tissue dies as a result of a deep cavity or trauma, root canal therapy is needed. Without treatment, pain gradually worsens and the tooth can abscess and cause swelling.
What is Root Canal Therapy?
Root canal therapy is used to remove the dead tissue from the tooth. After numbing the area around the tooth, Dr,Lanz will isolate the tooth and sterilize it in order to protect it from bacteria in the mouth. He will remove the dead tissue from the canals and fill those canals with a rubber filling material ( Gutta Percha ). The tooth is then built back up and prepared for a crown.Years ago, completing a root canal would take several, long visits to the dentist. Today, root canals can often be completed in less than one hour during a single visit, thanks to recent advances in technology and new dental techniques.
What is Root Canal Therapy?
Root canal therapy is used to remove the dead tissue from the tooth. After numbing the area around the tooth, Dr,Lanz will isolate the tooth and sterilize it in order to protect it from bacteria in the mouth. He will remove the dead tissue from the canals and fill those canals with a rubber filling material ( Gutta Percha ). The tooth is then built back up and prepared for a crown.Years ago, completing a root canal would take several, long visits to the dentist. Today, root canals can often be completed in less than one hour during a single visit, thanks to recent advances in technology and new dental techniques.
Same Day Emergency Dental Care
No one should suffer through constant, excruciating pain, so we are available to assist you if oral pain becomes too much to handle. If dealing with one of these situations, we can help.
Several factors can cause the need for emergency care, including:
Damage such as broken dentures, lost crowns, chipped teeth, loose fillings, etc. should be addressed as soon as possible. Leaving issues such as these untreated can progressively contribute to poor oral health, which can cause serious health issues.
Several factors can cause the need for emergency care, including:
- Swollen gums
- Infected gums
- General tooth decay
- Abscessed teeth
Damage such as broken dentures, lost crowns, chipped teeth, loose fillings, etc. should be addressed as soon as possible. Leaving issues such as these untreated can progressively contribute to poor oral health, which can cause serious health issues.
Scaling and Root Planing
Advanced gum disease sometime requires the dentist to clean below the gum line to remove stubborn, crusty deposits called tartar or calculus, and to remove damage near the tooth root. This is done to prevent further damage and restore and stabilize the tooth.
For some patients, a local anesthetic is administered to the affected area. Then, a small scaling instrument and/or ultrasonic cleaning device are used to remove the deposits.
After cleaning, the root may need to be smoothed, or planed, to restore it as much as possible to its original shape. Planing also allows your gum tissue to better attach itself and heal properly.
For some patients, a local anesthetic is administered to the affected area. Then, a small scaling instrument and/or ultrasonic cleaning device are used to remove the deposits.
After cleaning, the root may need to be smoothed, or planed, to restore it as much as possible to its original shape. Planing also allows your gum tissue to better attach itself and heal properly.
Sealants
The pits and grooves of your teeth are prime areas for opportunistic decay. Even regular brushing sometimes misses some of these intricate structures on the chewing surfaces of your teeth.
Enter sealants, which are thin coatings applied to the chewing surfaces designed to prevent the intrusion of bacteria and other debris into the deep crevices on the tops of your teeth.
Sealants actually were developed about 50 years ago, but didn't become commonly used until the 1970s. Today, sealants are becoming widely popular and effective; young children are great candidates for preventative measures like sealants because in many cases, decay has not set in. Even on teeth where decay is present, sealants have been shown to fight additional damage.
Sealants are applied by first cleaning the tooth surface. The procedure is followed by "etching" the tooth with an abrasive substance, which allows the sealant to better adhere. After the sealant is applied, a warm light source is directed to the site to promote faster drying. Sealants usually need re-application every five to 10 years.
Enter sealants, which are thin coatings applied to the chewing surfaces designed to prevent the intrusion of bacteria and other debris into the deep crevices on the tops of your teeth.
Sealants actually were developed about 50 years ago, but didn't become commonly used until the 1970s. Today, sealants are becoming widely popular and effective; young children are great candidates for preventative measures like sealants because in many cases, decay has not set in. Even on teeth where decay is present, sealants have been shown to fight additional damage.
Sealants are applied by first cleaning the tooth surface. The procedure is followed by "etching" the tooth with an abrasive substance, which allows the sealant to better adhere. After the sealant is applied, a warm light source is directed to the site to promote faster drying. Sealants usually need re-application every five to 10 years.
SEDATION DENTISTRY
Dr. Lanz offers IV sedation options with an anesthesiologist. Due to past experiences some patients have severe dental anxiety and neglect their teeth for years. With IV sedation dentistry, patients have the option to get all their dental needs taken care of in as little as one visit.
If being IV sedated is not an option, Dr. Lanz also offers oral sedation (valium or halcyon).
If being IV sedated is not an option, Dr. Lanz also offers oral sedation (valium or halcyon).
Snoring and Sleep Apnea
In September 1995 the American Sleep Disorder Association (ASDA) endorsed oral appliance therapy as the third currently acceptable treatment modality for snoring and sleep apnea. The two most common solutions include continuous positive air pressure or the removal of either the excess palatal tissue or the uvula.
It has been estimated that 60% of men and 40% of women between the ages of 40 and 60 years of age snore. Snoring occurs when there is a partial obstruction of the airway which causes the palatal tissues to vibrate. Obstructive sleep apnea occurs when the airway is completely blocked for certain periods of time. As many as 20 million people in North America may have sleep apnea. Snoring is a social problem, particularly for the spouse, but obstructive sleep apnea poses a significant health risk for the patient in that it can lead to irregular heartbeat, high blood pressure, heart attacks and strokes.
Sleep ApneaSleep apnea is a type of breathing disorder which is a serious, potentially life-threatening condition characterized by brief interruptions of breathing during sleep. There are basically three types of apnea:
1. Central Apnea
The upper airway is open, but no oxygen is getting into the system. This occurs because the patient is not getting a chemical response from the brain to stimulate the lungs and the diaphragm to assist with breathing.
2. Obstructive Sleep Apnea
The lungs and the diaphragm are functioning normally, but no oxygen is entering the system because there is an obstruction in the upper airway.
3. Mixed Apnea
This is a combination of central and obstructive sleep apnea.
Oral appliances are only indicated for use in patients suffering from obstructive sleep apnea (OSA). The signs and symptoms of OSA include snoring, excessive daytime sleepiness, gasping or choking during the night, non-refreshed sleep, fragmented sleep, clouded memory, irritability, personality changes, decreased sex drive, impotence, and morning headaches.
Factors that affect obstructive sleep apnea are as follows:
At the present time, obstructive sleep apnea is defined as a medical problem and the diagnosis must be made by a medical doctor or sleep physician (pulmonologist) who is specially trained in the area of sleep medicine.
The dental profession has an important role to play in the treatment of patients with snoring and sleep apnea. If 60% of men and 40% of women between forty and sixty years of age snore, this is a huge problem. Snoring is a serious social problem for the spouse, but obstructive sleep apnea can be a life threatening situation for the patient in that it can lead to irregular heartbeat, high blood pressure and strokes.
At the present time, obstructive sleep apnea is a medical condition that is being controlled and treated mainly by the medical profession. Despite the fact that in September 1995, the American Sleep Disorder Association finally endorsed oral appliance therapy as the third currently acceptable treatment method for snoring and sleep apnea, the vast majority of the medical doctors are not aware of the value of oral appliances.
As time goes on, the public is going to become more aware of the health risks associated with snoring and sleep apnea. It is the dental professionals responsibility to educate their members, the public and the medical profession about the important role that dentists and oral appliances play in the treatment of snoring and obstructive sleep apnea.
It has been estimated that 60% of men and 40% of women between the ages of 40 and 60 years of age snore. Snoring occurs when there is a partial obstruction of the airway which causes the palatal tissues to vibrate. Obstructive sleep apnea occurs when the airway is completely blocked for certain periods of time. As many as 20 million people in North America may have sleep apnea. Snoring is a social problem, particularly for the spouse, but obstructive sleep apnea poses a significant health risk for the patient in that it can lead to irregular heartbeat, high blood pressure, heart attacks and strokes.
Sleep ApneaSleep apnea is a type of breathing disorder which is a serious, potentially life-threatening condition characterized by brief interruptions of breathing during sleep. There are basically three types of apnea:
1. Central Apnea
The upper airway is open, but no oxygen is getting into the system. This occurs because the patient is not getting a chemical response from the brain to stimulate the lungs and the diaphragm to assist with breathing.
2. Obstructive Sleep Apnea
The lungs and the diaphragm are functioning normally, but no oxygen is entering the system because there is an obstruction in the upper airway.
3. Mixed Apnea
This is a combination of central and obstructive sleep apnea.
Oral appliances are only indicated for use in patients suffering from obstructive sleep apnea (OSA). The signs and symptoms of OSA include snoring, excessive daytime sleepiness, gasping or choking during the night, non-refreshed sleep, fragmented sleep, clouded memory, irritability, personality changes, decreased sex drive, impotence, and morning headaches.
Factors that affect obstructive sleep apnea are as follows:
- Age
- Obesity
- Alcohol
- Sedative Hypnotics (sleeping pills)
At the present time, obstructive sleep apnea is defined as a medical problem and the diagnosis must be made by a medical doctor or sleep physician (pulmonologist) who is specially trained in the area of sleep medicine.
The dental profession has an important role to play in the treatment of patients with snoring and sleep apnea. If 60% of men and 40% of women between forty and sixty years of age snore, this is a huge problem. Snoring is a serious social problem for the spouse, but obstructive sleep apnea can be a life threatening situation for the patient in that it can lead to irregular heartbeat, high blood pressure and strokes.
At the present time, obstructive sleep apnea is a medical condition that is being controlled and treated mainly by the medical profession. Despite the fact that in September 1995, the American Sleep Disorder Association finally endorsed oral appliance therapy as the third currently acceptable treatment method for snoring and sleep apnea, the vast majority of the medical doctors are not aware of the value of oral appliances.
As time goes on, the public is going to become more aware of the health risks associated with snoring and sleep apnea. It is the dental professionals responsibility to educate their members, the public and the medical profession about the important role that dentists and oral appliances play in the treatment of snoring and obstructive sleep apnea.
