COSMETIC DENTISTRY



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Dental
Crowns

TMJ

Implants

Teeth
Whitening


Dental Crowns

A crown (cap) is a restoration that is placed on teeth that have lost a lot of their structure. There are many different types of crowns, full porcelain, porcelain fused to metal, full metal crowns... Your dentist will explain the advantage and disadvantage of each kind for you.

The process of making a crown includes many steps that start in our office with preparing the teeth and taking impressions from the tooth/teeth involved. Then a temporary crown or bridge is placed on your teeth.

The impressions are sent to the lab. In the lab a mold of the teeth is poured and the work begins.

There are multiple steps and different technicians work on the mold to fabricate a crown or bridge. The completed work is sent back to the office and after necessary checks and adjustments it is cemented onto your teeth.

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Invisalign

By using a series of clear, removable aligners, Invisalign straightens your teeth with results you'll notice sooner than you think. The course of treatment involves changing aligners approximately every two weeks, moving your teeth into straighter position step by step, until you have a more beautiful smile. And unlike braces, these clear aligners can be removed while you eat and brush your teeth as usual.

An average Invisalign course of treatment takes about a year. You'll see your Invisalign Certified Orthodontist or Dentist every 6 to 8 weeks for adjustments and to check progress. At regular intervals, you'll receive a new set of custom-molded clear aligners to continue the straightening process. The total number of clear aligners is specific to you, determined by your doctor for your course of treatment.

Since Invisalign is practically invisible, there's no unwarranted attention to your mouth. In fact, very few people will notice at all - unless you tell them. They're comfortable to wear and remove easily when you eat, brush, and floss.

All across the country, people like you now have great smiles and straighter teeth, thanks to Invisalign. Make sure you ask a friendly staff at Dr. Bosler's office.
 

How Invisalign can improve the health of your mouth?

Teeth that are crowded or too widely spaced can create unhealthy conditions, including swollen gums, redness and pocketing, all of which are signs of periodontal disease. As Invisalign invisibly straightens your teeth, it can also do great things for the health of your mouth.

Healthier Gums

Clinical studies have shown that gum health may improve with the use of Invisalign during orthodontic treatmentı. Properly aligned teeth can help gums "fit" tighter around each tooth², which may lead to better periodontal health. Unlike braces, with Invisalign, you can brush and floss normally, which can help prevent tooth decay and periodontal disease.

Easier Cleanings

Unlike traditional orthodontics or braces, Invisalign has no metal bands or wires to trap food and plaque. Maintaining a good oral hygiene program will also reduce chances of plaque buildup, tooth decay and periodontal disease.

Improved Chewing and Speech

For some people, incorrectly positioned teeth and jaws can exacerbate speech difficulties and chewing problems. Correcting your bite by straightening your teeth can help improve both.

Lower Risk of Trauma and Abnormal Wear

Properly aligned teeth can be less stressful on supporting bone and jaw joints.

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Orthodontics/Braces

 

Braces are applied to teeth for various reasons, including poorly aligned jaws, crooked, crowded and missing teeth, or a bad bite (also called malocclusion).

Various things can cause teeth to become crooked or jaws misaligned, including thumb-sucking or a traumatic injury. Some conditions are inherited.

Children between the ages of 10 and 14 are typical candidates for braces because their facial structures are still developing. Adult braces usually entail additional procedures because their faces have already fully developed.

About Braces
Orthodontics is a field of dentistry that deals with corrections involving jaw and teeth  alignment.

 

Procedures
Orthodontic procedures, also called "orthodontia," are complex processes.

In most cases, a dentist will need to make a plaster cast of the individual's teeth and perform full X-rays of the head and mouth.

After orthodontic appliances are placed, they need to be adjusted from time to time to ensure that they continue to move the teeth into their correct position.

Retainers are used following braces to ensure that teeth remain in position.

Aesthetic and Comfort Issues
Advances in technology have vastly improved appearance issues with orthodontia.

Braces today are made from extremely lightweight and natural-colored materials. The materials that braces attach to-brackets-are bonded to the surfaces of teeth but can be later removed.

People can expect to wear braces for about two years-less or more in some cases. Adults are usually required to wear braces for longer periods of time.

Because orthodontic appliances need to be adjusted from time to time to ensure they continue to move the teeth into their correct position, they can create pressure on the teeth and jaws. This mild discomfort usually subsides following each orthodontia adjustment.

Contact our office for more information.

Hygiene issues

People who wear braces must be diligent in ensuring that food particles and other debris do not get trapped in the network of brackets and wires. In addition, brackets can leave stains on enamel if the area surrounding them is not cleaned on a daily basis.

Daily oral hygiene such as brushing, flossing and rinsing are a necessity. Some people with orthodontic appliances can benefit from using water picks, which emit small pressurized bursts of water that can effectively rinse away such debris.

Another caveat: Braces and sticky foods don't mix. Crunchy snacks and chewy substances should be avoided at all costs because they can cause orthodontia to be loosened or damaged.

Space Maintainers


Space maintainers are nifty devices that can help teeth grow in normally following premature tooth loss, injury or other problems.

The devices can help ensure that proper spaces are maintained to allow future permanent teeth to erupt.

If your child loses a baby tooth early through decay or injury, his or her other teeth could shift and begin to fill the vacant space. When your child's permanent teeth emerge, there's not enough room for them. The result is crooked or crowded teeth and difficulties with chewing or speaking.

Contact our office for more information.

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Teeth Whitening

Teeth stain during our lifetime due to consumption of a variety of foods and drinks (Coke, spicy food, coffee...) New technology of teeth whitening has enabled dentists to whiten teeth without any change or damage to the tooth structure.

Almost all the whitening methods are similar in concept but some are much more effective because of the way the whitening material is delivered to the teeth. The other factor in effectiveness of the method is the concentration of material, which is the reason why over the counter whitening systems usually don t give patients the result they are hoping for.

The two main methods of professional whitening are tray whitening and in office whitening. Tray whitening is when a custom tray is made for the patient after an impression is taken, then a supply of whitening gel is given to the patient and he/she will wear the tray for a few hours a day (techniques differ) for a period of time until an acceptable result is achieved. Sensitivity of the teeth is a normal complication of this method of whitening and is almost always transitional.

In office whitening on the other hand is the most effective method of whitening. There are a few different ways that are available for example, Britesmile, Zoom, Laser whitening....But in all these methods the process is similar and you can have your teeth whitened in one session with great results. Dr. Bosler can give you more detailed information and tell you which method is more suitable in your case and which one is indicated for your teeth.

  

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Dental Implants

During the last 20 years dental implants have become a great alternative to other methods of replacing missing teeth. Excellent success rates and a variety of available options give dentists many new ways to treat and replace lost teeth.

Dr. Bosler will be able to evaluate your case and tell you if you are a candidate for dental implants. Basically, a dental implant is a Titanium based cylinder that replaces the missing tooth root. After a period of time and when the implant is taken other parts will be placed on the implant that enables your dentist to eventually place a crown (cap) on the implant.

Implants also can be used to support full or partial dentures. They dramatically improve the denture retention and stability.

Most patients with enough amount of bone can have implants, although individual decisions are made between you and your dentist. Usually an x-ray and a CT-scan is done to determine if you have enough bone to place the implant and also to determine the size and kind of the implant that should be placed.

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Veneers & Laminates

This is how you can get a beautiful smile quickly. Veneers or Laminates are a thin shell of porcelain or resin that is bonded to the surface of the teeth to change their shape, shade and position to improve the cosmetics of your teeth and smile and/or replace and restore the lost tooth structure where it is indicated

Dr. Bosler will do a complete examination of your teeth and will determine if veneers are indicated for you. Usually with veneers it is possible to improve the esthetics of your teeth and smile dramatically.

Veneers can improve the shape of your teeth, make your teeth as white as you want and give you the smile you have always wanted. Veneers are bonded to your tooth structure, which gives them strength.

Also because they are very thin, they are considered one of the most conservative cosmetic treatments available. Most of the times very little or no tooth structure is removed before placing veneers. Ask Dr. Bosler how veneers can improve your smile.

  

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Root Canal Treatment

Every tooth consists of three different layers. From the outside, first there is Enamel (the outer layer of the teeth which is the hardest part of the body). The second layer is Dentin (the inside hard layer) and then we have the Pulp (which is an empty space where the live tissue and nerve of each tooth is located)

If for any reason the pulp space is exposed to the outside, the tissue becomes contaminated and eventually infected. The exposure of pulp happens in many circumstances for example when you have a large cavity, or a fractured tooth. Dr. Bosler can explain the exact reason for damage to this tissue. Regardless of the reason for this contamination or damage to pulp tissue, the treatment is usually Root canal treatment.

Root canal treatment is the process of going inside the pulp space and removing the infected and dead tissue. Then the space is disinfected and sealed with special materials.

Now-a-days, root canal treatments are performed with advanced techniques and material and are more comfortable and faster. After root canal treatment is done your restorative dentist will usually place a crown on you tooth to protect it against fracture.

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Root Canal Re-treatment

When a root canal treatment fails, the first course of action that is usually taken is trying to re-do the root canal treatment. It is usually done by an Endodontist (root canal specialist) or an experienced general dentist

The process is very similar to Root canal Treatment, the difference is that besides taking any remaining infected tissue out, the doctor has to take old filling material, any posts and crowns or any other obstacle in the pulp space out to be able to successfully disinfect and seal the area of the root canal.

After the root canal treatment is done your restorative dentist will place a crown to protect the tooth against fractures.

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Inlays & Onlays

Inlays or onlays are lab made restorations that are placed on teeth when the cavity or lost tooth structure is too large to be restored by a simple filling. The process of making an Inlay is very similar to a crown. After the tooth is prepared it is cemented or bonded to the tooth

There are different materials that inlays are made of, gold, porcelain and composite resins are among them. Porcelain and composite inlays and onlays are cosmetic alternatives to fillings and are very strong compared to regular white fillings. Gold inlays and onlays are also good alternatives but their appearance has made them less popular.

Dr. Bosler will explain to you when an inlay or onlay is a good treatment option for you. In general, inlays and onlays can replace most of back teeth fillings and provide a better alternative to conventional filling. At the same time they are more conservative than crowns.

As far as the cost is concerned, because the process of making an inlay or onlay is similar to a crown, its cost is also comparable. When long-term longevity of inlays and onlays are considered, though, they can end up costing less than traditional fillings.

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TMJ

TMJ is the joint that connects the lower and upper jaw (skull). The terms TMJ stands for Temporo-Mandibular Joint. This is one the most complicated joints of the whole body. One that allows forward and backward moves as well as rotations and side to side movements.

TMJ is the joint that connects the lower and upper jaw (skull). The terms TMJ stands for Temporo-Mandibular Joint. This is one the most complicated joints of the whole body. One that allows forward and backward moves as well as rotations and side to side movements.

TMJ is often referred to as the complications and problems with this joint. Some of the most common symptoms of TMJ problems are:

  • Pain

  • Limitation of movement of the lower jaw

  • Clicking sounds

  • Muscle spasm

  • Locking of the jaw

Some causes of the disease are genetics, hormones, low-level infections, auto-immune diseases, trauma, and clenching or grinding of the teeth.

Diagnosis of such conditions and evaluation of causes are done by dentists experienced in TMJ problems and treatments. Some common treatments are Night Guards, Bite Guards and Bite Adjustments. Dr. Bosler will be able to guide you toward the best treatment for you.

If you experience any TMJ problem or symptoms please let us know. The doctor will be happy to evaluate your situation and offer the best treatment possible.

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Teeth Sealants

Sealants are thin layers of resin that are placed on the pits and fissures and grooves of (usually) molars to prevent decay on these surfaces

Majority of decays on back teeth starts on grooves and pits of chewing surfaces, especially during the first few years after their eruption. Sealing these surfaces with composite resins prevents these kinds of decay.

Sealants are one of the most effective methods of preventing decays on the surfaces where they are places. Although it is still a possibility that decay may happen on surfaces in between the teeth, sealants significantly reduce the overall chance of having cavities.

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