A. Preventive Dental Care

  1. Digital X-rays; - Dental Exam; -Prophylaxis (Cleaning); -Fluoride treatment; -Oral Hygiene Aids; -Sealants
  2. Bruxism

B. Periodontal Disease

  1. What is Periodontal Gum disease?
  2. Diagnosis; Treatment; Maintenance

C. Teeth Whitening

  1. In office teeth whitening
  2. Take home teeth withening kit

D. Restorations

    Cosmetic Dentistry

    1. Porcelain Veneers
    2. Porcelain Crowns
    3. Tooth-colored (Composite/White) fillings
    4. Snap-On Smiles

     

    Fixed Bridge Prostheses

    1. Porcelain Bridges

     

    Removable Prostheses

    1. Full dentures
    2. Partial dentures

     

    Implant Restorations

     

    Root Canal Therapy

E. Invisalign or Clear Correct

The Invisible way to Straighten your Teeth

F. Children's Services

 

A. Preventive Dental Care

  1. Digital X-rays; - Dental Exam; -Prophylaxis (Cleaning); -Fluoride treatment; -Oral Hygiene Aids; -Sealants

sealant

Dental Cleanings: Regular tooth cleaning by the dentist or dental hygienist is important to remove plaque that may develop even with careful brushing and flossing, especially in areas that are difficult for a patient to reach on his own at home. Professional cleaning includes scaling and polishing. This involves the use of various instruments or devices to loosen and remove deposits from the teeth.

Many dentists recommend having the teeth professionally cleaned every 6 months. More frequent cleaning and examination may be necessary during the treatment of many of the dental/oral disorders. Routine examination of the teeth is recommended at least every year. This may include yearly, select dental X-rays.

Personal Care: The teeth should be brushed at least twice daily and flossed at least once per day. For some people, brushing and flossing may be recommended after every meal and at bedtime. Consult the dentist or dental hygienist if instruction or demonstration of proper brushing and flossing techniques is needed.

Special appliances or tools may be recommended to supplement (but not to replace) tooth brushing and flossing. These include interdental brushes (special toothpicks), electric toothbrush and flosser, water irrigation, or other devices. Initially electric toothbrushes were only recommended for persons who have problems with strength or dexterity of their hands, but many dentists are now recommending them to many other patients in order to improve their dental home care.Fluoride-containing, caries and tartar control toothpastes or mouth rinses may be recommended by the dentist or dental hygienist. However, brushing and flossing is of utmost importance in removing plaque and regular professional cleaning every 6 months in removing plaque and tartar is essential.

Dentures, retainers, and other appliances must be kept extremely clean. This includes regular brushing and may include soaking them in a cleansing solution.

  1. Bruxism

Temporomandibular Joint Disorder – TMJ - Neuromuscular Dentistry is the science of dentistry that embodies the principles of pathophysiology, anatomy, form and function. It evaluates the complex relationship between teeth, Temporomandibular Joints and muscles of mastication in order to obtain an occlusion (bite) that is based on optimal relationship between the lower jaw (mandible) and the skull.
Occlusion is the foundation of dentistry. It is of key importance in the success of every major dental procedure.

Who could benefit from TMJ treatment?

Worn, flat, chipped or uneven teeth are often signs of a bite that is "off" and there may be neuromuscular/TMJ problem. Grinding and clinching of teeth due to stress or a habit can aggravate the symptoms. When this is beyond tolerance, one may experience some of the following signs and symptoms: pain in the jaws which radiates to head, headache, ringing of the ears, clicking or popping of the TM joint. A thorough examination is recommended before any extensive dental treatment.

"The jaw joints, also known as temporomandibular joints (TMJ), are the most complex joints in our body. These joints are essential to all jaw movements such as eating, speaking, facial expressions and most importantly breathing. Unfortunately this joint is a common area for recurrent pain. Most individuals are aware that joint pain, popping noises, and headaches are common TMJ problems. Equally important, but often over looked, symptoms are: tooth loss, fatigued muscles, cracked, worn or broken teeth, the inability to open your mouth as wide as you used to, and fluctuation in the health of your gums. Less obvious, but just as important symptoms include ear congestion, dizziness, and neck and/or shoulder pain. Pain or abnormal function is Mother Nature's way of telling you something is wrong. If left untreated these problems may become debilitating.

MUSCLES, TEETH & JOINTS

Dentistry is about more than just teeth; it is also about the role muscles play in the relationship between teeth, bones and the alignment of the jaw with the rest of the body. Physical and emotional stress can also be a factor on tight tense muscles, which reduce the adaptive capabilities of the jaws. Usually the patient cannot voluntarily relax the muscles that are held in constant tension. Depending on the individual circumstances, muscles may be in a constant state of hyperactivity. This is due to sub-conscious programming or because they are in the self-perpetuating "pain-spasm-pain" cycle.

Up to 75 percent of the population has at least one sign or symptom of temporomandibular (TM) dysfunction at any given time; and 34 percent of the population reports having a temporomandibular disorder (TMD). TMD is a common problem, but its effect on people's lives is very serious. These conditions usually result in a progressive degeneration of the joint(s) with symptoms and pain becoming more and more severe.

If you have any of the above problems, or even just a concern about your jaw joints call us today. We can schedule an evaluation to determine if you have a true TMJ problem. This evaluation may include a series of radiographs; plaster models, diagnostic photographs, clinical analysis, and your symptom history.

UNDERSTANDING TEMPOROMANDIBULAR DYSFUNCTIONS

TMJ stands for Temporo Mandibular Joint. These joints are made up of the Temporal bone of the side of the skull (T) and the Condyle or Mandible (M), the lower jaw. The joint (J) they form is the Temporomandibular Joint (TMJ) which connects your lower jaw to your skull. These joints are located in front of the ears and allow the jaw to open and close, move side-to-side and forward and backward. Unlike any other joints in the body, these joints move in unison. When one or both aren't functioning properly, it is referred to as "dysfunction."

TMJ problems are also referred to as TMD - Temporal Mandibular Dysfunction, CMD - Cranio Mandibular Dysfunction and MPD - Myofascial Pain Dysfunction along with other names.

ETIOLOGY OF TMD'S

TMD's result from the various types of trauma:

MACROTRAUMA (direct trauma) is injury due to impact or extensive stretching, twisting, or compression of the mandible (lower jaw). It is due to sudden force and may also result from indirect trauma such as acceleration-deceleration injury (also known as whiplash).

MICROTRAUMA occurs as a result of sustained and repetitious adverse loading or continued compression due to Para functional oral activities (clenching and grinding). This activity becomes a vicious cycle, a dwindling spiral: The clenching or grinding causes the teeth to wear unevenly and the jaw joints to deteriorate, often unevenly, which causes the muscles to contract unevenly and the whole cycle starts all over again. This can cause all of the symptoms mentioned above and more. The signs and symptoms vary from person to person depending upon their body's particular "weak links."

The jaws are literally one end of the postural (skeletal) chain. When teeth do not fit together properly it can result in muscle tension of the face and jaws. This imbalance can be transmitted down this chain and result in neck or back pains and symptoms. Similarly, abnormal back and pelvic positions can upwardly contribute to jaw imbalances.

Forward head posture has been found to be a contributing factor that leads to joint strain and musculoskeletal pain including headache. Chronic forward head posture results in increased load. Correct head posture with the center of the ear sitting directly over the center of the shoulder results in a head that weighs approximately 10 pounds, producing a 10-pound load on the spine and its tissues. However, for each inch forward the load increases by 10 pounds. For example, a head posture that is three inches forward of normal would result in a 30-pound increase in the load on the spine and its tissues. Patients with chronic forward head posture are predisposed to headaches by nerve entrapments and increased load on the cervical (upper) spine.

Morning headaches or facial muscle pains are common symptoms of TMJ/TMD's and obstructive sleep apnea (OSA), which is caused by a decrease in oxygen saturation. Scalloping of the tongue is also predictive of TMD's and OSA. Patients with headaches and facial pain are frequently mis-classified. It is important that an assessment for OSA be included to distinguish between these disorders.

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B. Periodontal Disease

periodontal

 

 

 

 

 

 

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. Gingivitis is the mildest form of periodontal disease. Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums, causing inflammatory response and infection in periodontium (gums). In advanced gum disease, teeth can become loose and may have to be removed..

"What is Periodontal (Gum) Disease?

The term "periodontal"means "around the tooth."  Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition which affects the supporting and surrounding soft tissues of the tooth; also the jawbone itself when in its most advanced stages.

Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can lead to shifting teeth, loose teeth and eventually tooth loss.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild inflammation of gum) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis – Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) and the supporting underlying bone are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.
  • Aggressive periodontitis – This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.
  • Necrotizing periodontitis – This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.
  • Periodontitis caused by systemic disease – This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.
    Treatment for Periodontal Disease
    There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing – In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.
  • Tissue regeneration – When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.
  • Pocket elimination surgery – Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums.  Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.
Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.

C. Teeth Whitening

whitening

We can help brighten teeth discolored by age, smoking, cigarettes, even medications. It's one of the easiest and best things you can do for your smile to whiten your teeth.

We use several methods of tooth whitening. The most popular and successful of these is the Zoom in-office tooth whitening technique.

  • We also offer tray bleaching for maintenance and for that "special occasion" touch up.
  • There is no substitute for Professional, in office bleaching. Call our office to make an appointment
  • Read further on FAQ

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D. Restorations

          Cosmetic Dentistry:

  1. Porcelain Veneers:

veneer01

A great smile is never out of style.

veneers

Porcelain veneers are conservative cosmetic restorations that permanently restore teeth painlessly with whiter and perfectly aligned smile. They are ultra thin, permanent smile- enhancers that transform decayed, broken, worn, misshapen and discolored teeth into the most naturally beautiful smile.

Some of the reasons Veneers are so popular are:

  • They are virtually pain free. Most often, no anesthetic is required.
  • Minimal or no reduction of tooth is required
  • No post-op sensitivity
  • Very beautiful natural looking smile
  • A viable alternative to braces
  • Ideal for yellow or gray colored, spaced front teeth
  • Ideal for people of all ages

Schedule a consultation with Dr. Golshan for your cosmetic consultation.

  1. Porcelain Crowns

crown

When a tooth is cracked, decayed and has an existing large filling, or is damaged, a dental crown may need to be made for that tooth. A dental crown is a permanent covering that fits over the original tooth and can prevent fracture, and preserve tooth and function.

Crowns can be made of porcelain, gold or a combination of both materials. Porcelain crowns typically have the most realistic appearance. Other types of no metal crowns are Zirconia and Inceram crowns. Dental crowns can whiten, reshape and realign existing teeth, adding to a healthy and vibrant smile.

  1. Tooth-colored fillings and bonding

fillingsbonding

Ideal when you need a small filling but don't want ugly silver in your tooth. Direct resin composite or white fillings are the best way to go. They have many advantages. Their most obvious advantage is aesthetic and conservative tooth preparation. A well-done white filling can be indistinguishable from the natural tooth, and can last a long time if the home care oral hygiene is good.

White fillings are bonded to tooth structure. This allows for the more varied uses of resin beyond just regular fillings - like placing thin layers over front teeth to change their color, shape or general appearance; or repairing small chips or fractures in teeth; or even being placed in the grooves of teeth to prevent decay from ever occurring. Bonded white fillings are an extremely beautiful advance in the creation of fantastic and healthy smiles. however, they may need to be replaced after a few years.

  1. Snap-On Smiles

Don't let yellow stained or rotated front teeth distort your image!

Enhance your beauty by restoring your yellow stained or rotated front teeth with affordable non-invasive cosmetic dental restorations at our office.
Find out which of our cosmetic dental treatments can help you achieve your dream smile:

Porcelain dental veneers;

all porcelain (metal-free) crowns such as Zirconia crowns;

Tooth colored bonding restorations;

Snap-On Smile® to close diastema/spaces between teeth non-invasively;

Teeth whitening such as in office Zoom!® (1 hour in-office teeth whitening), Opalescence® teeth whitening, Nite White® teeth whitening, Day White® teeth whitening

fillings fillings

Snap-On Smile® is a non-invasive Cosmetic treatment/appliance which can be used as an affordable yet long lasting provisional to give you superior esthetics. It is an excellent choice to enhance your smile in the following situations as shown on the pictures:

  • Cosmetic enhancement of your smile
  • Full or partial arch temporary
  • fills in space of missing tooth
  • Implant provisional
  • Removable partial denture
  • Non-invasive
  •           Fixed Bridge Prostheses

bridge

  1. Porcelain Bridges:

A dental bridge is a Fixed prostheses used to fill the space where a tooth has fallen out or been removed. Once complete, the 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.

                 Removable Prostheses

removable

  1. Full dentures
  2. Partial dentures

An alternative option to restore edentulous areas is Removable – Full or Partial – Denture, vs Fixed bridge or Implant.  At occasions, a partial denture can be used as a temporary solution to fill the edentulous space, such as during the healing period after Implant placement.

A Fixed prosthesis is the preferred and recommended treatment of choice.  However, in any case a thorough exam, diagnosis and treatment plan should be made prior to the start of the treatment.

denture

              Dental Implants

    implant

    Dental implants are permanent replacements for missing teeth. They hold a crown, bridge or denture just like roots hold natural teeth in place.

    Many consider implants to be one of the greatest advancements in dentistry since they truly are "the next best thing to your natural teeth." Unlike a traditional plate or bridge, dental implants are actually anchored to your jaw. After integration with the jawbone, the crown, bridge or denture is then attached to the implants. This provides much greater stability for more effective eating, speaking and smiling!

              Root Canal Therapy

    root

    One of the most common approaches to saving teeth is called Root Canal Therapy or in dental terminology, Endodontic Treatment. Years ago, infected or decayed teeth were removed. Today, modern dental techniques are able to save your teeth.

    Root canal therapy is generally necessary when the bacteria enters deep into tooth and infects the nerves and blood supply of the tooth. The decay or damage may be caused by a number of situations.

    Some of these are as follows:

    Trauma: If a person is involved in a car or any other traumatic accident, or falls while playing a sport. This can lead to broken tooth, Avulsed tooth, Necrotic/dead tooth, all of which would need immediate professional dental attention. They may need root canal treatment, Post and Core build-up, Crown or Implant and Crown restorations.

    What is involved in root canal therapy?

    The first step taken will be to remove the pulp tissue and carefully clean the pulp chamber and root canals. Once the tooth has been cleaned, medicine is then placed in the roots and the tooth is temporarily sealed.
    Every case to be evaluatedand treated individually. In cases of severe infection is present, antibiotics and drainage may be necessary.

    When the tooth is free of infection, the inside of the tooth and canals will be filled with gutta-percha, a rubber-like material, to prevent bacteria from entering the tooth. Once this is completed, the tooth should be restored and strengthened with a crown.

    Will the treatment be painful?

    Many of the treatments can even be done without local anesthesia. However, local anesthetic will be given in almost all cases. Sometimes there may be temporary irritation of the tissues surrounding the tooth following treatment.

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    E. Invisalign

    The Invisible way to Straighten your Teeth

    Invisalign: Clear Tooth Aligners
    Invisalign (sometimes misspelled as Invisaline) clear tooth aligners are one of the more popular alternatives for those who find the idea of a mouthful of metal braces and brackets ð though effective ð too unattractive to commit to. If you are a candidate for Invisalign or other "invisible braces," you don't have to sacrifice your smile while straightening your teeth.
     
    What is Invisalign?
    Introduced in 1999 by Align Technologies, Invisalign incorporates a series of invisible (clear) plastic aligners that fit comfortably over your teeth and are designed to move your teeth gradually into the desired position. Today, Invisalign is a leading brand of orthodontic appliance, primarily because the removable aligners (less than one millimeter thick) are designed to be more esthetically pleasing than conventional wire-and-bracket dental braces for treating certain types of minor misaligned tooth problems.
     
    How Invisalign Works
    The use of a series of removable aligners for the adjustment of occlusion (bite) is not new. The Invisalign method is based on a concept first introduced in the 1940s and revisited in the 1970s that required a series of dental impressions to determine the optimal position of the teeth. The Invisalign method is simpler than its predecessors, requiring only one set of impressions and photographs of the teeth, taken during an initial consultation.

    These impressions are used to create a three-dimensional computer projection of how the teeth could be moved incrementally, forming the basis for developing a series of custom-made aligners designed to accomplish this movement.

    Invisalign aligners are manufactured at the Align Technologies dental laboratory using computer-aided design/computer-aided manufacturing (CAD/CAM) processes. The aligners are sent to the dentist, who typically dispenses them in groups of one or two at a time during regular check-up appointments (about every four to six weeks) so that treatment can be properly managed. Each aligner must be worn in its specific order for about two weeks, during which time it moves the teeth in small increments of about .25 millimeters to .33 millimeters. Although the aligners are removable (for eating, drinking certain beverages and brushing/flossing), they must be worn at least 20 hours a day in order to reposition the teeth successfully.

    A typical Invisalign treatment requires 20 to 30 aligners for both the upper and lower teeth. Most adults complete their treatment in less than one year. However, treatment time depends on the specific alignment problem.

    F. Children's Services

    Some of our favorite patients to treat are children and younger adults.  The kids that we see are always happy to come in for their treatments and have often made a great impression on their parents as well.

    For example, a parent that has been fearful of seeing a dentist in the past is so pleased with their child's response to treatment that the parents themselves feel comfortable making appointments for their own treatments.  In fact, some of those fearful parents have gone on to refer their own friends and family to us as a result of our fantastic service.

    We truly enjoy our work and feel it's very important to establish a good rapport with all of our patients; from child to adult, as to maintain their oral health.  Obviously, referrals are essential to the success of any practice, therefore, we treat all of our patients with kindness and respect and they continue to come back to us year after year. 

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