OUR SERVICES

If you want to learn more about us, you’re in the right place.

ابتسامة المشاهير
ابتسامة هوليود ثلاثية الأبعاد
Hollywood Smile
3D Master

BONDING

In recent years, bonding has proven to be a highly effective treatment for closing spaces between the teeth. Composite resin, a plastic material, is applied to the teeth to make them wider in areas were gaps exist. Bonding can also be used to close a space temporarily, until crowns are made, for example. On the other hand, if you are having your spaces closed through orthodontics, even if some of your teeth are too dark, bonding can be used to lighten them while the spaces are being closed

If you are closing gaps with bonding, also consider taking care of any other visible defects such as rotated or broken teeth at the same time. As in most esthetic problems, computer imaging can help show you how many teeth will need treatment. Also remember that gum disease or bone loss must be treated before bonding takes place. The only exception to this rule is when you dentist believes that the loose teeth need to be splinted together

VENEERS

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth. These shells are bonded to the front of the teeth changing their color, shape, size or length and resulting in an improved appearance. Dental veneers can be made from porcelain or from resin composite materials

Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer

PORCELAIN CROWNS

Crowns are a type of dental restoration which, when cemented into place, fully cup over the portion of a tooth which lies at and above the gum line. In comparison, fillings are dental restorations that are used to fill in or cover over just a portion of a tooth. Since dental crowns encase the entire visible aspect of a tooth, a dental crown in effect becomes the tooth’s new outer surface

Crowns can be made out of porcelain (or some other ceramic material), gold (or metal alloys), or a combination of both. Dental crowns are often referred to as “dental caps” or “tooth caps”. Crowns are used to repair badly decayed, broken, discolored, or misaligned teeth. Crowns completely cover teeth, restoring them to their natural size, shape, and function. The location of the crown in the mouth usually dictates the type of material used. The tooth under the crown is reduced in size

>>>>>>

The crown will be permanently cemented over the reduced tooth. While you are waiting for the permanent crown to be fabricated, your dentist will provide you with a temporary one to wear. Crowns have a much longer life span than bonding, resist stains better, hold their color and resist chipping and cracking. Crowns, however, take longer to prepare than bonding and are not reversible. Your dentist can recommend which type of restoration is best for your

particular situation. If the tooth is severely decayed, or little tooth structure remains, it may be necessary to place a metal post into the tooth to support the crown. If this is the case, root canal therapy will be performed

PORCELAIN INLAYS/ONLAYS

Inlays and Onlays are used to repair damage involving over half of the tooth’s biting surface, rather than using a simple filling, or a crown.

An inlay is similar to a filling and lies inside the cusp tips of the tooth; an onlay is a more extensive reconstruction that covers one or more cusps of a tooth

Inlays and onlays are both traditionally made of gold; however, porcelain is now becoming the material of choice because of its strength and potential to match the natural color of your tooth

Inlays and onlays are applied in two dental visits. At the first visit, the old filling, or decay, is removed, and the tooth is prepared for the inlay / onlay. The dentist will then make an impression of the tooth and will place a temporary sealant on your tooth and schedule a second appointment.
At the second visit, the temporary sealant is removed. Your dentist will then ensure that the inlay / onlay fits properly in the tooth and does not interfere with your bite

GUM CONTOURING

Gum contouring is a valuable tool that an experienced cosmetic dentist uses to help create a beautiful smile. The lips and gums act as a frame for patient’s smile. Healthy gums are a very important part of a pleasant appearance. It’s not just the teeth that look beautiful; it’s the combination of everything that is seen. When there is too much gum it gives the patient an unattractive gummy smile even if the teeth are wonderfully aligned and proportioned well. There is more to a smile than just teeth

When gingivectomy and gingivoplasty are used during cosmetic gum contouring, a beautiful smile is usually achievable. A gingivectomy only removes excess gum tissue and can often be performed if there is a small excess of gum tissue. However, with a bigger problem, the gum tissue still looks bulky and too thick after gingivectomy. Healthy gums appear thin and thicken as they move away from the teeth. Gingivoplasty is the procedure used to thin gum tissues that are too thick If there is too much bone underneath the gums and this bone has to be removed to create a beautiful contour, then crown lengthening is performed.

Crown lengthening is a more extensive procedure than simple gum contouring and must be well planned. This procedure involves removing and/or contouring both the gum tissues and underlying bone. In most cases, this is to lengthen the appearance of previously short teeth and to prepare for porcelain veneers or all porcelain crowns

INSTANT ORTHODONTICS

Instant Orthodontics can transform a crooked, uneven smile to one that’s straight, even and white in only two to three visits with the artistic application of porcelain veneers.

Veneers are thin shells of fired porcelain that are placed on the front surfaces of the teeth. Offering a natural look and feel

veneers allow the cosmetic dentist to dramatically change the length, width, color and shape of a tooth. Restoring teeth to their natural beauty, veneers also resist staining, creating an enduring white, bright straight smile

TOOTH COLORED RESTORATIONS

Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings. Composite Resin Dental Fillings are made of a plastic dental resin, are strong, durable, and make for a very natural looking smile.

Composite resin fillings are applied in thin layers, and slowly built up to form the complete filling

A bright dental light will harden each layer before the next is applied.

Once your filling is completed, your dentist will use a special paper, articulating paper, to adjust the height of your dental filling and that your bite remains correct. Your tooth is then polished

WHITENING YOUR SMILE

Teeth whitening, or tooth bleaching, is a cosmetic dentistry procedure designed to remove stains and discoloration, as well as lighten pigmentation within the teeth. The level of whiteness that can be achieved will depend on the level of discoloration of the teeth and how they came to be stained. Teeth that are brown or yellow due to coffee, tea, or smoking stains will generally lighten four to five shades.

Teeth that are gray due to pigmentation within the teeth will lighten two to three shades. Teeth whitening can be done in one of two ways: in-office or at-home tooth whitening kits provided by a cosmetic dentist. Both of these methods are done under a cosmetic dentist’s supervision so that the chance of negative side effects is reduced

Teeth can often be whitened by the several new techniques of “bleaching” available today. The most common method used is the “in-office” method where a strong bleaching agent is placed over the isolated teeth and a special light is used to assist the bleaching material lighten the teeth. This method is generally more controlled and probably better for people who have tetracycline stains or streaks on their teeth. The “home” techniques involve making trays which fit into the mouth and these are then filled with bleaching materials. When worn for a few hours day, noticeable results are seen generally within a few days to a couple weeks.

Results vary from individual to individual, your dentist will be happy to help you decide which method works best for you. Some of the factors involved include the intensity of the stains, whether or not you have fillings or crowns on your front teeth as well as what may have caused the stains

BRIDGES

A dental bridge is a device used to fill the space where a tooth has fallen out or been removed. A typical dental bridge consists of a pontic (a filler tooth) that is attached to two surrounding crowns (abutments). Once complete, this bridge structure is bonded or cemented into the mouth

Without the use of a bridge, spaces in the mouth from missing teeth can cause multiple teeth to shift, lead to malocclusion (bad bite) and/or jaw problems, and may spur periodontal (gum) disease. Dental bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile

COMPLETE DENTURES

Complete dentures replace all of the teeth on either the upper or lower jaw. Complete dentures are made from prefabricated acrylic and sized to fit the shape of your jaw and mouth. They mimic the color and appearance of your natural teeth. The unique impression of your teeth, bite, and the shape of your jaw shape will be used to create the dentures.

Typically, conventional complete dentures require a one-to-two month wait after the extraction of your teeth, so that your mouth and gums will have time to heal, permitting a more accurate fitting. However, if you cannot afford to be without the missing teeth even for a short time, dentures can be inserted immediately after the extraction

Over time your mouth will change, but your dentures will not. The jaw bones and gum can shrink or recede. You can have your dentures remade or refitted when necessary. Partial Dentures Partial dentures are removable devices that replace a few missing teeth, instead of all the teeth on the jaw line. They can be attached either by metal clasps or precision attachments. Precision attach

SMILE MAKEOVER

BEAUTIFUL SMILES MAKE THE DIFFERENCE

Smile makeover patients at our practice love their new smiles and find themselves smiling a lot more after treatment. Your smile is one of the first things people notice about you. A smile makeover is a cosmetic dentistry treatment that will provide you with a beautiful smile. If you have a beautiful smile, natural-looking smile, you will smile more, project self-confidence, be more positive in all aspects of life. Whatever concerns you have about the size, shape, placement, or color of your teeth, smile makeovers can fix almost any problem you present: gaps, chips, stains, discoloration, missing teeth, crooked teeth, short teeth, oversized teeth, slanting teeth, misaligned teeth, tooth grinding, “gummy” smiles, receding gums, unnatural or aging dental work, and old silver fillings can all be corrected with our state-of-the-art, expert procedures.

Patients come to our office from far distances to take advantage of the experience and artistic expertise offered by both dentists in our practice. The first step in a smile makeover is the examination appointment.

The procedure starts with an initial consultation. Here we listen to the patient describe exactly what they desire, so that we can create a plan to meet those specific desires

Because each patient is different, we asses several factors which impact the outcome of the smile, including:

Face shape – certain tooth shapes complement different face shapes
Tooth color – lighter teeth imply youth, but too white looks artificial
Tooth size – older teeth tend to be shorter from wear

We use a variety of diagnostic aids to accomplish the ultimate smile makeover. We take series digital photographs of your smile, digital x-rays, models of your teeth (dental mock-up) and analyze your bite so that we can communicate clearly with our dental laboratory to create the desired smile. This allows you and the Dentist to decide together what would be the most beautiful, natural-looking smile achievable.

Diagnostic mock-up created in our lab to introduce your new smile in advance before we start any procedure in your mouth. We can temporarily change the shape, length and spacing of teeth. You will be able to see right in our office how an enhancement of smile affects the overall appearance of your face.

A smile makeover will improve the look of your smile, as well as restore any dental problems that you have, adjust your bite, and reset the muscles in your jaw so that you

ORAL & MAXILLOFACIAL SURGERY

ORTHOGNATHIC SURGERY

Orthognathic surgery is surgery performed on the bones of the jaws to change their positions. Orthognathic surgery is corrective facial surgery where deformities of the jaw exist. It may be indicated for functional, cosmetic, or health reasons. It is surgery commonly done on the jaws in conjunction with orthodontic treatment, which straightens the teeth

FACIAL TRAUMA

Facial trauma, also known as maxillofacial trauma, is any injury to the face or jaw bone. Facial trauma may present with skin lacerations, obstruction to the nasal cavity or sinuses, damage to the orbital sockets, fracture to the jawbone and missing teeth. Treatment for facial trauma often involves airway control, bleeding control, reduction of swelling, prevention of infection, repair of bone fractures, repair of lacerations or soft tissue injury, and reconstruction. The most common causes of facial trauma are sports, accidents, penetrating injuries, and violence

ORAL & MAXILLOFACIAL SURGERY

BONE GRAFTS

Dental implant bone grafting helps increase the amount and shape of the jaw bone available to place dental implants. There must be an adequate amount of healthy bone to support a dental implant. If not, it will fail. Dental implant bone grafting is a surgical procedure that can usually be done in the dental office. It replaces the bone that has been lost with material from the patient’s own body (autogenous bone) or with a natural, artificial, or synthetic substitute. In most cases the goal of the implant dentist is to generate new healthy and natural bone in the area of the procedure. Some synthetic materials simply hold the space under the gums and the patient’s body does not replace the material with natural bone. Dental implant bone grafting replaces missing bone lost from previous dental extractions, injuries, accidents, cysts, periodontal disease, infections along with many other causes

RIDGE AUGMENTATION

If you lose one or more permanent teeth, an indention may result in the gums and jawbone where the tooth used to be. When no longer holding a tooth in place, the jawbone recedes and the resulting indentation looks unnatural. Ridge augmentation is a procedure that can recapture the natural contour of the gums and jaw. A new tooth can then be created that is natural looking and complements your smile

SINUS LIFT PROCEDURE

The maxillary sinuses are behind your cheeks and on top of the upper teeth. Sinuses are like empty rooms that have nothing at all in them. Some of the roots of the natural upper teeth extend up into the maxillary sinuses. When these upper teeth are removed, there is often just an egg shell thin wall of bone separating the maxillary sinus and the mouth. Dental implants need bone to hold them in place so when the sinus wall is very thin, it is impossible to place dental implants in this bone.

There is a solution called a sinus graft or sinus lift graft. The dental implant surgeon enters the sinus from the side above where the upper teeth used to be. The sinus membrane is then lifted upward and donor bone is inserted into the floor of the sinus. Remember, the floor of the sinus is the roof of the upper jaw. After several months of healing, the bone becomes part of the patient’s jaw and dental implants can be inserted and stabilized in this new sinus bone.

The sinus graft makes it possible for many patients to have dental implants when years ago there was no other option other than wearing loose dentures

ORAL & MAXILLOFACIAL SURGERY

NERVE REPOSITIONING

A nerve called the inferior alveolar nerve runs through the lower jaw. This nerve gives feeling to the lower lip and chin. In patients who have lost significant amounts of lower jawbone, it may not be possible to place implants without damaging this nerve. To address this problem, an oral surgeon can drill a small window in the bone and move the nerve to one side. The implants then can be placed through the bony canal previously filled by the nerve. This technique is not used very often because it is possible to damage the nerve just by moving it

WISDOM TEETH

Also called third molars, wisdom teeth usually make their first appearance in young adults between the ages of 15 to 25. Because most mouths are too small for these four additional molars, an extraction procedure, sometimes immediately after they surface, is often necessary.

When should wisdom teeth be removed?
The following symptoms may indicate that the wisdom teeth have erupted and surfaced, and should be removed before they become impacted — meaning, the teeth have surfaced and have no room in the mouth to grow. However, each individual may experience symptoms differently. Symptoms may include:

• Pain.
• Infection in the mouth.
• Facial swelling.
• Swelling of the gumline.

in the back of the mouth Most oral health specialists will recommend an immediate removal of the wisdom teeth, as early removal will help to eliminate problems, such as an impacted tooth that destroys the second molar. According to the American Academy of General Dentistry, third molar impaction is the most prevalent medical developmental disorder.

What is involved in the extraction procedure? Wisdom tooth extraction surgery involves removing the gum tissue that presides over the tooth, gently detaching the connective tissue between the tooth and the bone, removing the tooth, and suturing the opening in the gumline

DENTAL IMPLANTS

ARE YOU A CANDIDATE FOR IMPLANTS?

Self Test: If you have been thinking about getting dental implants, you may be wondering if you are a possible candidate for this procedure. You can take this simple test to see if this procedure might help you.

Ask yourself the following questions:
1. Am I missing one or more teeth?
2. Do I hide my smile because of unsightly spaces between my teeth or because I am missing teeth?
3. Do I lack confidence when I smile, speak or eat?
4. Am I having trouble eating, chewing, or speaking properly?
5. Are my teeth loose, or am I in need of treatment for advanced gum disease?
6. Do I have dentures that slip or cause sore spots when I chew?
7. Do my dentures need to be relined frequently because of bone loss?
8. Do I carry my complete or partial dentures in my pocket or leave them at home?
9. Am I having any problems with existing crowns or bridges, either functionally or cosmetically?
10. Are the teeth holding my bridge loosening or moving?
11. Can I wait six to nine months for the entire implant process to be completed?
12. Will I be willing to commit to the high standard of home care that is necessary to properly maintain a dental implant?
13. Will I follow up with regular dental checkups?

INTRODUCTION TO IMPLANTS

Dental implants are artificial devices used by dentists to replace missing teeth. Implants come in many different sizes and shapes. Implants which rest on top of the bone are called subperiosteal implants.

There are also very narrow implants which are placed within the bone, and are called blade implants. Those implants which resemble the root of the tooth are called root form implants, and they are placed into the bone to act as support for a prosthetic crown. Click on the links below for information about each implant procedure.

Dental Implants are substitutes for teeth and they are today’s best alternative to your natural teeth. They offer you a permanent and secure solution for replacing one or more teeth. They are made of biocompatible materials. Implants function as anchors or support for traditional forms of dentistry, such as crowns, bridges or dentures.

Many of our patients will tell you that implants have changed not only their smiles and their overall appearance, but also their lives!

There are two parts to every tooth: the crown, which is the visible part of your tooth, and the root. The root is the unseen part which anchors the tooth in your jawbone, providing stable support for your crown. When an entire tooth is lost, shrinkage of the jawbone may occur making the face look older. Dental implants can stop this process

BENEFITS OF DENTAL IMPLANTS

THERE ARE NUMEROUS BENEFITS TO DENTAL IMPLANTS:

* Dental implants eliminate the pain and discomfort of removable full or partial dentures.

* Dental implants can eliminate the numerous embarrassing inconveniences of removable partial and full dentures.

* Dental implants never decay.

* Dental implants never require root canals.

* Esthetically, they support teeth that look like real teeth.

* Functionally, dental implants feel and act like real teeth.

* Replacement teeth allow you to speak with confidence in a relaxed and natural tone.

* Dental implant supported dentures eliminate the need for distasteful adhesives as with conventional dentures. There is no longer a need to use “glue” when your prosthesis is anchored to implants.

* Dental implant supported dentures can actually improve the taste of food. With less plastic covering the roof of your mouth, you can enjoy natural flavors and sensations again

ARE YOU A CANDIDATE FOR IMPLANTS?

Self Test: If you have been thinking about getting dental implants, you may be wondering if you are a possible candidate for this procedure. You can take this simple test to see if this procedure might help you.

Ask yourself the following questions:
1. Am I missing one or more teeth?
2. Do I hide my smile because of unsightly spaces between my teeth or because I am missing teeth?
3. Do I lack confidence when I smile, speak or eat?
4. Am I having trouble eating, chewing, or speaking properly?
5. Are my teeth loose, or am I in need of treatment for advanced gum disease?
6. Do I have dentures that slip or cause sore spots when I chew?
7. Do my dentures need to be relined frequently because of bone loss?
8. Do I carry my complete or partial dentures in my pocket or leave them at home?
9. Am I having any problems with existing crowns or bridges, either functionally or cosmetically?
10. Are the teeth holding my bridge loosening or moving?
11. Can I wait six to nine months for the entire implant process to be completed?
12. Will I be willing to commit to the high standard of home care that is necessary to properly maintain a dental implant?
13. Will I follow up with regular dental checkups?

BENEFITS OF DENTAL IMPLANTS

IMPLANTS TO REPLACE SINGLE TOOTH

Cannot recognize which teeth is supported by dental implant that is the quality of this technology..

IMPLANTS TO REPLACE MULTIPLE TEETH

Cannot recognize which is supported by dental implant that is the quality of this technology

IMPLANTS TO REPLACE ALL TEETH

This patient presented with no teeth in the upper arch and has been restored with fourteen dental implant supported crowns

 

DENTAL IMPLANT SUPPORTED DENTURE

Notice the life-like appearance of this implant support denture.

An implant-supported over-denture is attached to implants, while a regular denture rests on the gums, is not supported by implants, and tends to fit less firmly in the mouth.

An implant-supported denture is used when a person doesn’t have any teeth in the jaw, but has enough bone in the jaw to support implants. An implant-supported denture has special attachments that snap onto attachments on the implants.

Implant-supported dentures usually are made for the lower jaw because regular dentures tend to be less stable there. Usually, a regular denture made to fit an upper jaw is quite stable on its own and doesn’t need the extra support offered by implants.

However, you can receive an implant-supported denture in either the upper or lower jaw. You can remove an implant-supported denture easily. Some people prefer to have fixed (permanent) crown and bridgework in their mouths that can’t be removed. Your dentist will consider your particular needs and preferences when suggesting fixed or removable options.

SMILE MAKEOVER

PERIODONTAL ESTHETICS

PERIODONTAL ESTHETICS

The Art of Periodontal Esthetics in dentistry consists of the correction of gingival (gum) asymmetries, “gummy smiles”, and gingival defects, discoloration of tissue and exposure of teeth partially covered with gums

SOFT-TISSUE GRAFTING

Periodontal procedures are available to stop further dental problems and gum recession, and/or to improve the esthetics of your gum line.

Exposed tooth roots are the result of gum recession. Perhaps you wish to enhance your smile by covering one or more of these roots that make your teeth appear too long. Or, maybe you’re not bothered by the appearance of these areas, but you cringe because the exposed roots are sensitive to hot or cold foods and liquids.

Your gums may have receded for a variety of reasons, including aggressive tooth brushing or periodontal disease, or you may not be in control of what caused the recession. Prior to your treatment we can help you identify the factors contributing to the problem and once these are controlled, a soft tissue graft procedure will repair the defect and help to prevent additional recession and bone loss.

Soft tissue grafts can be used to cover roots or develop gum tissue where absent due to excessive gingival recession. During this procedure gum tissue from your palate or another donor source will be used to cover the exposed root. This can be done for one tooth or several teeth to even your gum line and reduce sensitivity.

CROWN LENGTHENING/ GUM RESHAPING

Crown lengthening is a simple surgical procedure which adjusts the position of the gum around the affected tooth, thereby providing a more solid tooth on which to anchor the restoration of choice. A functional crown lengthening will help you regain a beautiful smile and allow you to eat and speak with comfort and confidence. Crown lengthening is available to prepare a tooth for restorative dentistry or to cosmetically enhance your smile. Crown lengthening may also be recommended to make a restorative or cosmetic dental procedure possible.

Gum Reshaping
This procedure is used to improve a “gummy” smile because your teeth appear too short. Your teeth may actually be the proper length, but they’re covered with too much gum tissue. To correct this, your periodontist will perform a crown lengthening procedure. During this procedure, excess gum and bone tissue if necessary is reshaped to expose more of the natural tooth. This can be done to one tooth to even your gum line, or to several teeth to expose a natural, broad smile.

CROWN LENGTHENING/ GUM RESHAPING

RIDGE AUGMENTATION

Sometimes, when a tooth is lost, the gum and bone where the tooth was shrinks and creates an indention in the gum. This happens because the jawbone isn’t holding a tooth in place anymore, even though there may be a bridge or partial in place. A ridge augmentation can correct this defect, making your smile look natural again.

IMPORTANCE OF REGULAR DENTAL CHECK-UPS

Our Dentists, as well as the American Academy of Pediatric Dentistry, recommends a dental check-up at least twice a year for most children. Some children need more frequent visits because of increased risk of tooth decay, unusual growth patterns or poor oral hygiene. We will discuss with you the best appointment schedule for your child.

Regular dental visits help your child stay cavity free. Teeth cleanings remove debris that build up on the teeth, irritate the gums and cause decay. Fluoride treatments renew the fluoride content in the enamel, strengthening teeth and preventing cavities. Hygiene instructions improve your child´s brushing and flossing, leading to cleaner teeth and gums. Tooth decay isn´t the only reason for regular dental visits. We also provide an ongoing assessment of changes in your child´s oral health. For example, your child may need additional fluoride, dietary changes or sealants for ideal dental health. We may also

CROWN LENGTHENING/ GUM RESHAPING

identify orthodontic problems and suggest treatment or a referral to guide the teeth as they emerge in the mouth.

During a regular check-up we will review your child´s medical history, examine the teeth and gums, oral tissues and jaws. Radiographs (x-rays) will be taken if indicated according to the guidelines set forth by the American Dental Association. The teeth will be cleaned and polished and a fluoride treatment will be applied. Our Pediatric Dentist will also talk with you about any recommended treatment that he feels is appropriate for your child at that time.

PROPER TOOTH CLEANING

The sooner the better! Starting at birth, clean your baby´s gums with a clean, damp wash cloth. Baby Orajel Tooth and Gum Cleanser is a good product to use instead of toothpaste because if does not contain flouride. Children under the age of 2 are unable to swich and spit, and often swallow the toothpaste. Ingestion of too much toothpaste containing fluoride could cause fluorosis which is discoloration of the enamel of the permanent teeth. Upon the appearance of the first baby tooth a soft-bristled toothbrush can be introduced and you may begin using a small, pea-sized amount of toothpaste.

Once all the baby teeth have erupted, begin teaching your child to floss. Flossing will remove plaque and bacteria between the teeth where the toothbrush cannot reach. There are a variety of flossing aides that are available to help you get inside tiny mouths.

HEALTHY DIET FOR HEALTHY TEETH

A healthy diet is a balanced diet that naturally supplies all the nutrients your child needs to grow. And what´s a balanced diet? One that includes the following major food groups every day: Fruits and Vegetables; Breads and Cereals; Milk and Dairy Products; Meat, Fish and Eggs. Your child must have a balanced diet for his or her teeth to develop properly. They also need a balanced diet for healthy gum tissue around the teeth. Equally important, a diet high in certain kinds of carbohydrates, such as sugar and starches, may place your child at extra risk of tooth decay.

Be sure your child has a balanced diet. Then, check how frequently they eats foods with sugar or starch in them. Foods with starch include breads, crackers, pasta and such snacks as pretzels and potato chips. When checking for sugar, look beyond the sugar bowl and candy dish. A variety of foods contain one or more types of sugar, and all types of sugars can promote dental decay. Fruits, a few vegetables and most milk products have at least one type of sugar.

Sugar can be found in many processed foods, even some that do not taste sweet. For example, a peanut butter and jelly sandwich not only has sugar in the jelly, but may have sugar added to the peanut butter. Sugar is also added to such condiments as catsup and salad dressings.

Does this mean you have to remove ALL sugars from your child´s diet? Certainly not! Many provide nutrients your child needs. You simply need to select and serve them wisely. A food with sugar or starch is safer for teeth if it´s eaten with a meal, not as a snack. Sticky foods, such as dried fruit or toffee, are not easily washed away from the teeth by saliva, water or milk. So, they have more cavity-causing potential than foods more rapidly cleared from the teeth. Talk to our Pediatric Dentist about selecting and serving foods that protect your child´s dental health.

And for some final advice:
1. Ask our Dentist to help you assess your child´s diet.
2. Shop smart! Do not routinely stock your pantry with sugary or starchy snacks. Buy “fun foods” just for special times.
3. Limit the number of snack times; choose nutritious snacks.
4. Provide a balanced diet and save foods with sugar or starch for mealtimes.
5. Don´t put your young child to bed with a bottle of milk, formula, or juice.
6. If your child chews gum or sips soda choose those without sugar

IMPORTANCE OF REGULAR DENTAL CHECK-UPS

Our Dentists, as well as the American Academy of Pediatric Dentistry, recommends a dental check-up at least twice a year for most children. Some children need more frequent visits because of increased risk of tooth decay, unusual growth patterns or poor oral hygiene. We will discuss with you the best appointment schedule for your child.

Regular dental visits help your child stay cavity free. Teeth cleanings remove debris that build up on the teeth, irritate the gums and cause decay. Fluoride treatments renew the fluoride content in the enamel, strengthening teeth and preventing cavities. Hygiene instructions improve your child´s brushing and flossing, leading to cleaner teeth and gums. Tooth decay isn´t the only reason for regular dental visits. We also provide an ongoing assessment of changes in your child´s oral health. For example, your child may need additional fluoride, dietary changes or sealants for ideal dental health. We may also identify orthodontic problems and suggest treatment or a referral to guide the teeth as they emerge in the mouth.

During a regular check-up we will review your child´s medical history, examine the teeth and gums, oral tissues and jaws. Radiographs (x-rays) will be taken if indicated according to the guidelines set forth by the American Dental Association. The teeth will be cleaned and polished and a fluoride treatment will be applied. Our Pediatric Dentist will also talk with you about any recommended treatment that he feels is appropriate for your child at that time

SEALANTS
Sealants protect the surfaces of teeth with grooves and pits, especially the chewing surfaces of back teeth where most cavities in children are found. Made of clear or shaded plastic, sealants are applied to the teeth to help them remain cavity-free. Even if your child brushes and flosses carefully, it is difficult if not impossible to clean tiny grooves and pits on certain teeth. Food and bacteria build up in these depressions, placing your child in danger of tooth decay. Sealants “seal out” food and plaque, thus reducing the risk of decay.

Research shows that sealants can last for many years. So, your child will be protected throughout the most cavity-prone years. If your child has good oral hygiene and avoids biting hard objects, sealants will last longer. Our Dentists will always check for lost or broken sealants on each check-up and replace them when needed.

The application of a sealant is quick and comfortable. It only takes one visit. Our Dentists will condition and dry the tooth, apply the sealant and then allow it to harden. The treatment is very affordable; especially in view of the valuable decay protection it offers your child and is most often covered by dental insurances. In addition, sealants are less expensive and less invasive than having to treat the tooth with a filling in the future.

All posterior teeth that have deep pits and grooves should be sealed, including both permanent and primary teeth. These are usually the molars and premolars, but any tooth with a deep groove will benefit from the placement of a sealant

BABY BOTTLE TOOTH DECAY

Nursing Bottle Tooth Decay (NBTD) is a condition which affects the teeth of very young children who are allowed to take a bottle or sip cup filled with a sugary liquid to bed or at naptime. This condition can be very severe and debilitating for the young child as well as very difficult to treat, not to mention very expensive to treat. NBTD is totally preventable by making the correct choices very early in your child`s life.

It is important that you NEVER allow your child to take a bottle or sip cup to bed at night or during naptime that is filled with a sugar containing fluid such as milk, juice, fruit drinks or soda. The bacteria in the mouth utilize this sugar to produce an acid that remains on the teeth throughout the night resulting in damage to the enamel. This destruction begins as early as the first tooth appears.

If your child takes a bottle or sip cup to bed or at naptime, remember to provide them with only water. It has also been discovered that mothers who breastfeed and allow children to sleep with them and nurse during the night will also develop a similar form of tooth decay.

PREVENTION
– Give the bottle/sip cup to the baby only during feeding.
– Don’t fill the bottle/sip cup with juice, fruit drinks or milk.
– Don’t use the bottle as a pacifier or at least fill it only with water.
– Don’t use the bottle/sip cup for prolonged times.
– Don’t leave the bottle/sip cup to the child during sleep.
– After each feeding wipe the baby`s gums with a clean damp wash cloth or brush the teeth after the appearance of the first tooth

ORAL HABITS
Most children stop sucking on thumbs, pacifiers or other objects on their own between two and four years of age. No harm is done to the teeth or jaws. However, some children repeatedly suck on a finger, pacifier or other object over long periods of time. In these children, the upper front teeth may tip toward the lip or not come in properly.

Our Pediatric Dentist will watch the way your child`s teeth come in and jaws develop, keeping the sucking habit in mind at all times.

For most children there is no reason to worry about a sucking habit until the permanent front teeth are ready to come in.

Most children stop sucking habits on their own, but some children need the help of their parents and our Dentist. When the child is old enough to understand the possible results of a sucking habit, our Dentist can encourage your child to stop as well as talk about what happens to the teeth if your child doesn`t stop. This advice coupled with support from parents, helps most children quit. If this approach doesn`t work, our Dentist may recommend a mouth appliance that blocks the habit until the child can stop

MANAGEMENT OF THE FEARFUL OR ANXIOUS CHILD

TOOTH COMING WRONG
The eruption of the lower permanent incisors behind or lingual to the retained primary incisors is often a source of concern for parents. In some instances, the root has resorbed and the tooth is held only by soft tissues. In other instances, the roots may not have undergone normal resorption and the teeth are solidly in place. Keep in mind that this is a common and normal occurrence.

The tongue and continued bone growth play an important role in influencing the permanent tooth into a more normal position with time. In some cases, removal of the baby tooth is recommended. It has been suggested that if this condition is identified before 7.5 yrs. of age, it is unnecessary to remove the primary teeth because the problem will self-correct within a few months. In an older child, extraction would be the course of treatment

MANAGEMENT OF THE FEARFUL OR ANXIOUS CHILD

Our Dentists has had special training in helping anxious or fearful children feel safe and secure during their dental appointment. Also, we have gone to great lengths to create and office that is especially welcoming to his young patients. Dr. Ziegler`s staff choose to work in this office because they particularly like children. So, most children are calm, comfortable and confident when they visit us.

Our Pediatric Dentist is trained in many methods to help your child feel comfortable with dental treatment. For example, in the “Tell Show Do” technique, Our Dental Staff might name the dental instrument he is going to use, demonstrate the instrument by using it to count your child`s fingers, then apply the instrument during treatment. The modeling technique is used in our open bay area. This is where a potentially fearful or anxious child is shown another patient who is doing very well for their treatment. Coaching, distraction and parental participation are other possibilities that we uses to give your child confidence during their appointment. But by far, the technique we use most is PRAISE. Every child does something right during a dental visit and we are eager to point that out to your child.

Infants and some young children may feel more confident when parents are close by during treatment. With older children, the doctor-child communication is often enhanced if the parents remain in the reception room. We always invites parents to accompany their children to the treatment area during their first visit with us, and then makes a decision based on the child`s acceptance of dental care whether or not to allow the parents to stay during further treatment. In most instances, we are better able to gain your child`s attention and trust when you are not present. Also, when you are not present, our Pediatric Dentist does not have to compete with you for your child`s attention which makes the dental visit shorter and therefore more enjoyable and less stressful for your child. Of course, each patient is different so we have no rules set in stone.

SPECIAL NEEDS FOR YOUR SPECIAL CHILD

SPECIAL NEEDS FOR YOUR SPECIAL CHILD

Special children need special care. There are a variety of mental and development challenges that children are facing today, such as Down Syndrome, Mental Retardation, Cerebral Palsy, Autism, Hemophilia, Cystic Fibrosis, Craniofacial Syndromes, Cardiac Abnormalities and a host of other genetic or inherited conditions that makes the provision of routine dental care challenging.

Dr. Ziegler has had two years of advanced training beyond dental school as well as a variety of yearly continuing education seminars that helps him keep current on the delivery of dental care to special needs patients. His education as a specialist focuses on care for children with special needs. In addition, Dr. Ziegler´s office is designed to be physically accessible for special patients. The practice,  because of the expertise of all the Dentists, are often the clinicians of choice for the dental care of adults with special needs.

Some special needs children are very susceptible to tooth decay, gum disease or oral trauma. Others require medication or diet detrimental to dental health. Still other children have physical difficulty with effective dental habits at home. The good news is, dental disease is preventable. If dental care is started early and followed conscientiously, every child can enjoy a healthy smile.

A first dental visit by the first birthday will start your child on a lifetime of good dental health. Our Pediatric Dentist will take a full medical history; gently examine your child’s teeth and gums, then plan preventive care designed for your child´s needs.

Your child will benefit from the preventive approach recommended for all children – effective brushing and flossing, moderate snacking, adequate fluoride. Home care takes just minutes a day and prevents needless dental problems. Regular professional cleanings and fluoride treatments are also very beneficial. Sealants can prevent tooth decay on the chewing surfaces of molars where four out of five cavities occur

ORTHODONTICS

MISSING TEETH

Teeth either did not form or needed to be taken out due to decay or other problems.

 

CROWDING

Not enough room in the arch for the teeth to fit.

 

SPACING

Gaps between the teeth.

INCORRECT ANGULATION

A tooth is tipped in the wrong direction.

EXCESSIVE OVERJET

Commonly referred to as overbite. The top front teeth are too far in front of the lower front teeth.

ANTERIOR CROSSBITE

The top front teeth cross inside or behind the lower teeth. Sometimes referred to as an underbite.

DEEPBITE

The top front teeth overlap the bottom front teeth up and down more than they should.

POSTERIOR CROSSBITE

POSTERIOR CROSSBITE

The top side teeth cross inside of the lower teeth. Normally the top teeth are wider than the bottom teeth all the way around.

SCISSORS BITE

The top side teeth are so much wider than the bottom that the teeth don`t touch in a functional chewing position.

LINGUAL BRACES

Lingual braces are ideal for those who want the effects of braces, but are apprehensive about showing a mouthful of orthodontic work to the world.

Unlike standard brackets, which are mass-produced, lingual braces require a custom-made bracket for each tooth. For this reason, the first step is to create a mold of your teeth. Brackets are made based on this mold, then set in wax and placed in a small plastic applicator. This applicator ensures that the brackets remain aligned, as they will be pressed into place, not individually cemented. When the time for application comes, cement is applied to the back of each bracket and the entire set is pressed into place. Once the cement sets the applicator is broken off and the brackets will remain in place.

The last step is to install an arch wire on the back of the teeth. This wire is shaped in the ideal position of your teeth. Once it has been threaded through the brackets, the wire tries to shift back into its original position, pulling your teeth into place as it does so. Lingual braces can be worn on the top and bottom teeth. Because the bottom teeth are generally less visible anyway, a popular combination is to have lingual braces on the top teeth and clear (ceramic or sapphire) braces on the bottom

SMILE MAKEOVER

INVISALIGN

INVISALIGN

WHAT IS INVISALIGN?

Invisalign is the invisible way to straighten your teeth without braces. Invisalign uses a series of clear, nearly undetectable, removable aligners to straighten your teeth without metal wires or brackets. It has been proven effective in clinical research and in orthodontic practices nationwide.

HOW DOES INVISALIGN WORK?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position your doctor has prescribed. You’ll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.

Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.

WHY INVISALIGN

Invisalign can help you get the great smile you have always wanted because Invisalign is:

  1. Invisible, so no one can tell you’re straightening your teeth. Now you can smile proudly during treatment as well as after.
  2. Removable, so you can eat and drink what you want while in treatment. In addition, it makes brushing and flossing a cinch!
  3. Comfortable, because it has no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your doctor’s office getting adjustments.

BONUS: Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

HOW DO I START?

In order to know whether Invisalign will work for you, contact us and schedule an appointment for a consultation. During the consultation, we will further inform you on the technique, how it works, and if it is the right choice of treatment for you. Cost varies depending on the severity of your case and the length of treatment

TYPES OF BRACKETS

Several kinds of orthodontic braces can be used to reposition teeth. Damon brackets and ceramic brackets are two of the most popular types of dental braces. Patients can choose from ceramic braces, plastic ( clear braces), or stainless steel ( metal braces). Stainless steel is a practical material, and the most common, but ceramic or plastic can be used for cosmetic purposes.

Before you decide on a method of treatment, you should always check with your orthodontist to find out what kinds of orthodontic braces are offered, and what dental insurance plans are accepted.

Damon Brackets
One modern advancement in the practice of orthodontics is the Damon bracket. It was invented by a dentist named Damon Dwight. The Damon bracket uses a “sliding-door” technology called “self-ligation.” It allows the wire to slide back and forth inside the bracket. This innovation causes less friction and is more comfortable for the patient. Also, Damon brackets reduce the orthodontic treatment time and number of adjustments.

Ceramic “Tooth Colored” Brackets
Ceramic braces utilize less noticeable brackets for patients concerned about the appearance of their smile. Ceramic brackets are translucent, so they blend in with your natural tooth color. This means that unlike traditional stainless metal braces, ceramic braces won’t make your smile look “metallic.” In addition, ceramic braces are designed so that they won’t stain or discolor over long periods of time.

Clear Braces
Some dental offices offer clear braces. The brackets are made of pure monocrystalline sapphire, which makes the clear braces practically see-through – except for the arch wire. The closest thing to invisible braces currently available is Invisalign®. The patented Invisalign® trays straighten teeth effectively, yet are virtually unnoticeable.

Metal Braces
Generally the most economical option, traditional metal braces may also be required for those needing extensive realignment.

Metal Gold Plated Metal Braces
Same as traditional metal dental braces, but made of gold-plated steel. There are no advantages to using gold over steel, except from the cosmetic appeal

WHAT AGE SHOULD MY CHILD HAVE AN ORTHODONTIC EVALUATION?

We recommend that every child have an orthodontic evaluation by the age of seven. Early detection and treatment gives your child the edge: a much better chance for natural and normal development. By working with the natural growth instead of against it, we can prevent problems from becoming worse, and give your child a lifetime of healthy smiles!

Early treatment should be initiated for:

WHY IT IS IMPORTANT TO HAVE ORTHODONTIC TREATMENT AT A YOUNG AGE?

The main reason for parents’ seeking early orthodontic treatment is the unpleasant appearance of teeth. Other reasons comprise of dentists’ recommendation and the poor facial profile. Of these, dental “overjet” (protrusive maxillary incisors) malalignment has been the most significant predictor of whether a kid might be ridiculed in school. Therefore, modern orthodontic intervention increasingly focuses on the overjet problem for these youngsters.

While the parents seek early orthodontic treatment mainly for improving their children’s dental aesthetics, dentists and orthodontists recommend braces for the young children on

PERIODONTAL HEALTH

HOW DO HEALTHY GUMS BECOME DISEASED?

Periodontal disease is caused by plaque that forms on teeth. Plaque will irritate gums, causing them to become red, tender, and swollen. If not removed, plaque hardens to form tartar. Over time, the tissue that attaches the gums to the teeth is destroyed and the gums pull away form the teeth. Small pockets form between the teeth and gums and fill with more plaque. Eventually, the jawbone supporting the teeth is destroyed.

Periodontal disease is usually painless so most adults are unaware they have it. But if you are diagnosed early, your teeth can be saved.

Other causes of periodontal disease are smoking, excessive consumption of alcohol, improper use of dental floss and toothpicks, an unbalanced diet, vitamin C deficiency, pregnancy and certain medications. Warning signs to look out for are gums that bleed when you brush your teeth, red, swollen or receding gums, pus between teeth, loose teeth, bad breath, and a change in your bite or the way your dentures fit.

The type of treatment required depends on the stage of the disease. In the early stages your dentist will recommend professional cleaning followed by daily brushing and flossing. When gum disease is more serious, your dentist may have to remove the infected gum tissue. Surgery can sometimes involve reshaping the bone around the tooth or removing a portion of the bone. In the most serious cases, you may loose a tooth. Your dentist will advise you on the best way to replace it.

WHO GETS PERIODONTAL DISEASE?

People usually don`t show signs of gum disease until they are in their 30s or 40s. Men are more likely to have periodontal disease than women. Although teenagers rarely develop periodontitis, they can develop gingivitis, the milder form of gum disease.

Most commonly, gum disease develops when plaque is allowed to build up along and under the gum line.

 

SIGNS OF GUM DISEASE

– Gums that bleed when you brush or floss your teeth
– Red, swollen or tender gums
– Pus between your teeth
– Pain when chewing
– Calculus or tartar build-up
– Changes in bite
– Loose or shifting teeth
– Bad breath or chronic bad taste
– Teeth sensitivity to hot or cold
– Gums that recede or gums that shrink away from your teeth

RISK FOR GUM DISEASE

Certain risk factors can make gum disease worse. If you have one of the following risk factors, you should be extra committed to taking care of your teeth and gums.

– Smoking and tobacco chewing
– Diabetes
– A weakened immune system (such as from AIDS and HIV)
– Heart disease
– A family history of periodontal disease
– Pregnancy
– Using certain medications (such as oral contraceptives, steroids, blood pressure medications, seizure medications and certain cancer-fighting drugs)
– Unbalanced diet
– Stress
– Abnormal oral conditions or habits (such as badly aligned teeth, defective fillings or teeth grinding)

YOUR GENERAL HEALTH

Periodontal bacteria can enter the blood stream and travel to major organs and begin new infections. Research is suggesting that this may:

– Contribute to the development of heart disease, the nation`s leading cause of death.
– Increase the risk of stroke.
– Increase a woman`s risk of having a preterm, low birth weight baby.
– Pose a serious threat to people whose health is compromised by diabetes, respiratory diseases, or osteoporosis.

Don’t Ignore Your Oral Health
If you value your oral as well as your overall health, a periodontal evaluation is a good idea. Sometimes the only way to detect periodontal disease is through a periodontal evaluation. A periodontal evaluation may be especially important if you:

– Notice any symptoms of periodontal disease.
– Have heart disease, diabetes, respiratory disease or osteoporosis.
– Are thinking of becoming pregnant.
– Have a family member with periodontal disease. Research suggests that the bacteria that cause periodontal disease can pass through saliva. This means the common contact of saliva in families puts children and couples at risk for contracting the periodontal disease of another family member.
– Have a sore or irritation in your mouth that does not get better within two weeks

LASER TREATMENT

The way to repair periodontal damage is to get rid of the infection and close up the pockets. Until now that meant surgery and sutures, however, less-invasive procedures are now available using new laser technology.

Compared to standard gum surgery, laser treatment can be:
• Faster and more efficient in many cases
• Essentially painless
• More sterile
• Bloodless in most cases
• Less invasive
• Precise and conserving of healthy tissue
• Earlier and interceptive
• Safer
• Less painful post-operatively

MAINTENANCE OF PERIODONTALLY DISEASED GUMS

Successful periodontal therapy with regular periodic maintenance care can sustain periodontal health and reduce tooth loss.

Following active therapy, an interval is established for periodic ongoing care. Maintenance procedures are performed under ongoing supervision and include:

– Update of medical/dental histories
– Extraoral & intraoral soft tissue exam
– Dental exam, cancer screening
– Periodontal exam
– Removing bacteria (plaque & calculus)

The successful long term control of periodontal disease depends on active maintenance care through supportive periodontal treatment. A customized program will be “set-up” for you that will allow us to monitor for recurring disease and your plaque control efficiency.

Please contact us if you have any further questions. We are happy to answer any questions you may have.

OBS / GYN

– FOLLOW UP OF NORMAL AND HIGH RISK PREGNANCY.

– MANAGMENT OF RECURRENT MISCARRIAGES.

– TREATMENT OF VAGINAL DISCHARGE, CERVICAL EROSIONS.

– POLYCYSTIC OVARIES,INFERTILITY AND FIBROIDS.

– ANTERIOR AND POSTERIOR REPAIR.

– INTRAUTERINE DEVICE REMOVAL AND INSERTION.

MAINTENANCE OF PERIODONTALLY DISEASED GUMS

Successful periodontal therapy with regular periodic maintenance care can sustain periodontal health and reduce tooth loss.

Following active therapy, an interval is established for periodic ongoing care. Maintenance procedures are performed under ongoing supervision and include:

– Update of medical/dental histories
– Extraoral & intraoral soft tissue exam
– Dental exam, cancer screening
– Periodontal exam
– Removing bacteria (plaque & calculus)

The successful long term control of periodontal disease depends on active maintenance care through supportive periodontal treatment. A customized program will be “set-up” for you that will allow us to monitor for recurring disease and your plaque control efficiency.

Please contact us if you have any further questions. We are happy to answer any questions you may have.

AJYAD MEDICAL CENTER