The ADA recommends dental cleanings every 6 months for the average person that does not require periodontal therapy. In fact, decay can occur in the same amount of time resulting in the breakdown of tooth enamel and ultimately causing pain.
Dr. Stacey and his staff will go over proper cleaning and home care to ensure maximum prevention of gum disease, decay and abrasion from improper brushing. All these conditions may cause hypersensitivity to cold, hot and/or sweets.
There are many products out to help enhance your smile. Several procedures that come to mind are:
- Tooth whitening- This basically can be done with whitening strips or trays. You will find that the trays will in the long run be cheaper and reusable and also less cumbersome to wear. The material used in the tray will be stronger and usually used daily for 12-14 days for 2 hrs. Your teeth WILL BE sensitive to could since it is opening the pores of the enamel to clean them out. There is some Rx toothpaste that can help with this sensitivity. We use Opalescence as our tooth whitener. It is advised at times to whiten teeth prior to anterior crown procedures to get a more accurate match.
- Orthodontics – This procedure is certainly sometimes utilized for tooth management when teeth have drifted significantly that would cause asymmetry to the smile or cause unbalanced sizes of the teeth. Crowns and or bridge work at times can follow braces.
- Crowns – There are times when a severely discolored tooth, misshaped tooth, or crooked tooth can be corrected with a crown to correct color size or position.
- Bridges – These are often used when missing teeth and wanting a permanent fixed appliance that look and feel like natural teeth.
- Veneers- These are used mainly in the anterior area on relatively healthy teeth that may have imperfections such as stains or poor color, gaps and slight crowding to make tooth appear straight. This will at times give a “fuller” look since the tooth will be slightly thicker in nature.
- Tissue management – At times the gum tissue is bulbous and puffy or has uneven appearance as it relates to the adjacent teeth. With a Biolase laser we can sculpture the gum tissues to give them a more natural pleasing appearance making the tissue even across on the smile line.
- Implants – These are the Ferraris or Lamborghinis of dentistry! They are awesome appliances however they are somewhat pricey like the cars! They have a great retention rate and work very well. They do require normal cleaning as teeth would and they are about as close as you can get to reproducing a tooth. Most dentist prefer to install the implants and wait approximately 3-4 month for healing time prior to attaching the crown or bridge.
Dr. Stacey can perform these all of these procedures except implants for crowns and bridges. Dr. Stacey is currently in the learning process provide installations of standard implants. He can certainly treat and restore existing implants that have already been placed.
Crowns are fabricated when a tooth is generally:
1 Badly broken down
2 Extremely discolored
3 Cracked (Cracked tooth Syndrome)
4 Root canal on posterior tooth
5 Large failing filling (four surface filling or wide filling with thinning enamel)
Crowns come in a variety of different materials:
- Silver Color
- PFM porcelain fused to gold or silver
- All porcelain crown
All crowns have slightly different characteristics and are sometimes suited better in different situations.
Gold and Silver are the least cosmetic however they take out the “Chipping of Porcelain” factor. Gold is a superior metal that has been used for years. It is ductile, malleable, corrosive resistant, excellent polish capabilities and occludes nicely with the opposing tooth. Silver Color crowns are an alloy of metals to mimic gold properties without the cost of gold!
PFM crowns have been the standard for white crowns for quite some time. They are tooth colored and strengthened with the gold or silver metal substrate to give a superior cosmetic appearance. All Porcelain crowns are the most cosmetic and done a lot in the anterior area. The strength of the newer all porcelain crowns are now being use more in the posterior regions, though they have been known to chip occasionally.
Tooth reduction, nerve location, abrasion, attrition, opposing tooth, cosmetic goals, patient habits, drifted teeth all will play in the deciding factor on what type of crown to use.
Bridges are simply a string of multiple crowns attached together. The Abutment or Retainer crowns are the crowns that are glued to the existing teeth on opposite ends of the edentulous area and the PONTIC or false tooth are the crowns that replace the missing teeth. Generally larger bridges are made using PFM’s though smaller bridges (generally anterior teeth) can be made with all porcelain.
Dr. Stacey will discuss these options prior to fabrications to make sure you get the type of crown you want and to help prevent any potential complications in the future.
Dr. Stacey does a variety of dentures and partials. Dr. Stacey will take approximately 4-5 appointments to make a denture.
- First appointment is record/impressions of the mouth
- Second appointment is jaw relationship of the lower jaw to the palate and lip posture, color selection of teeth, size and shape
- Third appointment is for denture trial. The denture is made in wax and looks like the real denture. The teeth ARE the actual teeth for the denture. The lip posture, smile line AND the bite are confirmed prior to the denture being processed. This is the appointment that is critical because what you see is what you get! Any changes can easily be corrected in the wax stage to get the desired look.
- When you give the “ok” from the wax stage any changes can be additional cost and sometimes not attainable. Dr. Stacey’s motto is speak now of forever hold your peace! Basically once the teeth are processed its like the teeth have been set in stone.
- Forth appointment is delivery….minor adjustments are made to make denture occlude properly and feel comfortable. Generally Dr. Stacey like to see the patient the next day for any additional adjustments due to discomforts that may arise… Generally the lower denture is the culprit most of the time needing sometimes additional adjustments
Partials can in a few different options which will increase the cost. Cast metal with casted clasps being the most expensive followed by acrylic partials with casted clasps and acrylic partials with wrought wire clasps (retainer like partial)
Dr. Stacey can discuss these different options for at times some partials do not work well in certain circumstances and an explanation can be given. The sequence to make a partial is similar to that of dentures.
Generally the breakdown of enamel is caused by the bacteria in the foods we eat. This result in the need to repair those surfaces affected not only by bacteria (decay) but also by chipping of enamel or erosion or abrasion of the tooth.
The tooth generally has five surfaces, like a box with no bottom! There are 4 sides and a top with each side having a given name. When restoring a tooth the number of sides generally will equate the cost. These sides are mesial (M), distal (D), lingual (L), buccal (B) and the top is occlusal or incisal (O/I).
There are several types of dental restorative materials that can be used to restore a damaged tooth:
1 Silver Amalgam
2 Composite Resins (White Fillings)
3 Gold Inlays
4 Porcelain Inlays
Traditional fillings that are used are Silver and White. Composite resin fillings are generally a given on anterior teeth. The posterior teeth can be done in Silver or White. The Silver fillings are going to be more cost effective since the material is less expensive and less labor involved. Composite resins have slightly higher cost due to material cost, bonding agents and additional time needed for placement.
Gold and Porcelain inlays are significantly higher cost due to lab bills, second appointment and temporary fillings needed. You will find that many insurance companies will not cover these procedures.
Dr. Stacey and his team will provide you with the options of type of filling that you can place if the need arises and also the cost associated with each type of filling.
Fluoride has been proven to help reduce tooth decay when it was introduced to the community water supply. For the developing child and the adult you would receive the recommend dose of fluoride systemically.
However with all the filtrations on sinks and refrigerators and the consumption of bottled water many people are not receiving the fluoride as readily. Also those that obtain their water by means of a well do not receive the fluoride they consume. It is recommended to consume 2-3 glasses of community water to minimize the breakdown of tooth structure (enamel).
Topical fluoride is also available for those people that cannot get an adequate amount of fluoride daily. This can be applied at night after brushing as instructions indicate. Other uses for fluoride are:
- Acid reflux
- High caries index
- Radiation patients
- Dry mouth in such to help minimize decay to higher plaque accumulation
- Periodontal compromised patient
Dr. Stacey uses a variety of dental technology such as:
- Digital x-rays that allow us to email them to other offices as needed to minimize duplications and keep the high quality of viewing
- Digital cameras in each operatory to photograph teeth for explaining treatment options
- Lasers for soft tissue management and removal of lesions or help in cauterization
- Ps3 and cavitrons for management of teeth cleaning
- Digital panoramic x-ray for capturing the entire mouth in one picture
- Diagnodent sensor for aiding in caries detection
- Bluephase lights capable of curing all composites available in dentistry
- Computerized office networked to all operatories for smoother flow of information
- Vacuum formers for making mouth guards and bleach trays
- Midmark sterilizers
We are committed to keeping pace with the newer dental products that will help us provide the best dental care to those people that continue their dental care at our office. We hope to continue to look for new equipment to help further us in delivering excellent dental procedures. We hope you come visit and take a look around!
Dental implants are made from medical grade titanium similar to the metals use for hip and knee replacements
Dr. Stacey has introduced MINI Implants for those with lower dentures needing/wanting additional retention. Generally 4 implants are needed for the lower arch. Mini implants have also been used in replacing small anterior teeth in the lower arch.
Simply stated, Mini Implants are non-surgically screwed into the mandible and uses the concept of a male and female connector. X-rays are taken to determine bone morphology and subsequent placement location. Installation of the 4 Mini Implants can be placed in about 30-40 minutes. These implants can be retrofitted to an existing denture or utilized in making of a new lower denture. Surprisingly very little discomfort from placement is observed and Dr. Stacey prefers to wait one week after placement before placing the connectors in the underlying lower denture. However that does not mean you cannot wear your denture!
Cost for 4 implants are approximately $ 2800.00 which is close to cost of 4 crowns!
These types of implants are used for crowns, bridges and for dentures. They are more costly and require longer wait time before attaching to them. Currently Dr. Stacey has paired up with a couple of periodontists that will place the implants and Dr. Stacey will provide the necessary prosthesis such as a crown, bridge or denture on that implant.
Dr. Stacey has been extracting teeth since graduation and continues perform multiple extractions.
- 3rd molar extractions are routinely done regardless of if impacted or not.
- Primary teeth extractions certainly can be challenging on the little ones!
- Exposure and bracketing teeth for orthodontics
- Removal of “extra teeth” or what is called supernumerary teeth that are impacted and impeding the eruption of other teeth
- Bony tori removal or excessive bone in the jaw
- Multiple teeth removed for denture placement
- Tissue removal such as fibromas or mucoceles
Dr. Stacey has successfully removed numerous teeth over the years. He prefers local anesthetic and possibly a muscle relaxant prior to the appointment. Those people needing Iv sedations or inhaled anesthetic Dr. Stacey gives them a referral to an Oral Surgeon he has teamed up with to help in those instances.
Dr. Stacey does a wide variety of braces and spacers in the office. Dr. Stacey can straighten teeth using the traditional metal brackets. At this time he does not utilize invisalign technology. Dr. Stacey will evaluate your bite and any concerns you have with your smile line. If crowing is a concern Dr. Stacey can discuss orthodontic options and if any extractions would be needed. Dr. Stacey also is capable of surgically exposing teeth and placing chains or brackets to help assist in eruption of the tooth.
Dr. Stacey does refer out those individuals that have cranial – facial defects and severe malocclusions that require more complex treatment. If you have a conditions easily corrected with straight wire technique Dr. Stacey can discuss your treatment options.
Dr. Stacey can also make retainers and service bonded retainers that may have come loose of the course of years.
Other Appliances that Dr. Stacey makes:
- Habit reminders (thumb sucking)
- Lower lingual holding arch (loss of lower primary tooth unexpectedly)
- TPA Trans – palatal holding arch (loss of upper primary tooth unexpectively)
- RPE – rapid palatal expander
- Band loop spacers
- Clear plastic retainers
Gum disease is a bacterial infection that attacks the oral tissues and bone. It has the tendency to regenerate bacteria after dental cleanings that can break down the bone requiring more frequent cleanings. Most periodontal patients must get their teeth cleaned every 3-4 months for these reasons. Unfortunately, there is no cure for gum disease as like diabetes or heart disease, it can only be controlled.
Gum disease has been shown to affect the heart in latest studies and your overall health. Smoking will influence gum disease due to the nature of bacteria and tobacco. Good homecare and regular cleanings, fluoride and sometime antibiotics can help maintain minimal damage to the tissues and bone. Unfortunately cleanings in this fashion are a lifelong commitment.
Bone grafts and tissue grafts are usually performed by periodontist. Periodontist are specialist that primarily works on bone and gum tissues. They also perform extractions at times when a bone graft is placed in the socket and they are also well versed in installing implants.
Dr. Stacey will examine your tissues every cleaning and discuss the health of your tissues and make recommendations as needed. Dr. Stacey and the periodontist at times team up and alternate cleanings to help keep costs down and also perform dental checkups for cavities. It is vital to keep the tissue healthy to ensure lasting smile. We will do what we can to motivate one to continue their homecare and regular visits!
Generally when the nerve becomes diseased or affected, pain to the tooth can become intense or unbearable. However, there are times when an abscess can arise without ones knowledge. The classic signs of a tooth needing RCT (root canal therapy) are:
- Pimple or swelling next to the tooth
- Tooth wakes one up at night
- Throbbing or pulsating pain
- Ice or cold relieves the pain
- Cracked tooth … hurts more to the bite and lessens when pressure removed
- Foul taste
- Sweets or cold air causes pain to linger for SEVERAL minutes
- Decay into the nerve
Treatment consists of removing the nerve tissue out of the roots and replacing it with a material to seal the root tips (apex), so that bacteria cannot come in or out of that existing space. It should be noted that not all root canals are going to have the same post op outcomes. Root canals are done for several reasons which can have different pain levels after the procedure. Someone that comes in with severe swelling is likely to have more discomfort than one that chipped a tooth and exposed a nerve after a root canal.
Most root canals can be done in one appointment. However, at times a second appointment may be needed due to severe discomfort/swelling or excessive fluids that may not allow the procedure to be completed that day. Complex root canals with multiple roots or severely curved roots could also lead to second a appointment.
Dr. Stacey can generally do most Root Canals in the office. There are a few times a year that he will refer a root canal to a specialist (endodontist) due to the complex nature of the tooth. Dr. Stacey’s staff will assist you in finding a suitable endodontist if needed.
Sealants are a plastic coating that goes on the top surfaces of molar and bicuspid teeth. Statistically, most cavities that arise on the developing child are on those surfaces. These surfaces are called pits and fissures which are difficult to keep clean since the bristles from the toothbrush generally cannot reach those areas!
The procedure is simple. The tooth is thoroughly cleaned and then a tooth etchant is placed on the tooth for 20-30 seconds and rinsed and dried. Then the plastic coating is applied and a light source is use to “cure” the resin similar to white fillings. The color of the sealants can vary from white, clear or tinted yellow. No anesthetic is needed for this service.
Sealants are placed preferably within 6 months after the tooth has erupted. This is usually around age 6 and age 12. Sealants can be applied more than one time if needed BUT they CANNOT be applied to teeth that have existing fillings.
Veneers are another way to improve one’s smile. They are simply a porcelain facing that is bonded to the outside (facial) of the tooth. They can close gaps between teeth and hide imperfections on the outside of the tooth. However, if one has an existing filling on a tooth, it is better to restore with an all porcelain crown to prevent breakdown of the old filling that may severely affect a veneer. Heavy bruxism and finger nail biting or any similar habits, can also affect the long term success of veneers due to minimal coverage and bond strength from excessive tensile strength.