Joseph Diacovo
DMD, MAGD
Local Restorative Dentistry Office
Fillings
Traditional Fillings
If you've been told you need a dental filling, you're not alone: 92% of Americans have had at least one cavity. Dental fillings are the tried-and-true treatment for treating cavities – and they come in a variety of options to suit every need. Dental fillings can be made of silver amalgam, composite, porcelain and even gold. Amalgam fillings have been used by dentists for more than a century and are still the most common and cost-effective type of dental filling. But composite fillings, which are made of a tooth-colored plastic and glass composite, are quickly becoming the preferred dental filling due to their natural appearance and durability. The type of dental filling used is determined by a number of factors, including size and location of the cavity, as well as your budget.
Tooth Colored Fillings
If your silver fillings make you feel self-conscious when you smile, or it's simply time to replace them, consider white fillings. White fillings are just as durable as they are attractive! Made of composite resin, white fillings match the natural color of your teeth and are an excellent option for small to mid-sized cavities. White fillings are strong, stain-resistant and require less removal of your tooth structure than amalgam fillings.
Dental Crowns
We provide porcelain crowns and porcelain infused metal crowns. Although dental crowns can be made of a variety of materials, including stainless steel, gold and silver, nothing looks better than a porcelain dental crown. Porcelain dental crowns match the natural color of your teeth and are virtually undetectable by the naked eye. And because they're metal-free, porcelain dental crowns are an excellent option for patients with metal allergies. Best of all, porcelain crowns don't just look beautiful – they're long-lasting, too!
Dental Bridges
Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape intact.
There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is bonded to a metal or composite framework and cemented to the enamel of surrounding teeth.
With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.
Dental Implants
Dental implants are an extraordinary blend of science and art. Made of titanium, dental implants are securely anchored into the jaw and serve as roots for dental crowns. In many cases, dental implants – and mini dental implants, the smaller version -- are considered the best option for replacing missing teeth. They are also used to replace dental bridges or partial dentures, or to provide support for dentures. Dental implants offer several advantages over other tooth replacement options. They look, feel and function just like real teeth! With dental implants, surrounding teeth are left untouched. Finally, dental implants are exceptionally reliable. Year after year, dental implants have had high success rates and typically last 15-20 years.
Dentures
Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.
The process of getting dentures could take a few months and several dental visits. In some cases, however, immediate dentures are also possible but aren't for everyone.
Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.
Root Canal (Endodontics)
Root canals get a bad rap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Pulp capping is an alternative to root canals that are used when the infection has yet to penetrate the pulp. Pulp capping can also prevent a large dental filling from getting too close to the nerve.
Gum Disease (Periodontal) Treatment
Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planning to remove stubborn deposits below the gum line. Laser assisted periodontal therapy, a new addition to scaling and root planning, uses beams of high-speed light to disinfect deep pockets and promote healing. If non-surgical methods of gum disease treatment are ineffective, periodontal surgery may be necessary.
Oral Surgery
Oral surgery is an umbrella term for surgical treatments such as dental implants, wisdom teeth extractions and bone grafting. Dental implants, an excellent solution for missing teeth, are surgically placed tooth roots that hold dental crowns in place. A wisdom tooth extraction may be recommended if there isn't enough room in your mouth to accommodate wisdom teeth and they become impacted, partially erupted or infected. Bone grafting transfers bone from one part of the jaw to another, usually to accommodate a dental implant. While a general dentist can perform some oral surgery procedures, an oral surgeon is required for others.