Oral Exam and Cleaning
Your initial appointment will consist of a comprehensive oral and dental exam, which includes digital radiographs and photographs as necessary. Your appointment also includes an overview of your general oral health, assessment of tooth decay, and evaluation of gum disease. Dr. Gogate and/or Dr. Lin will also take time to review your dental health as well as address any concerns and questions you may have about your teeth and gums. Once a diagnosis is reached, you will be presented with recommended treatment options. Sometimes it is possible to start your treatment within your initial visit.
If you have had X-rays taken within 6 months of your initial visit with Dearfield Family Dentistry, please request your previous Dentist to forward your X-rays to our office. If this is not possible, we'd be happy to take a new set of X-rays for our records. As our office is fully digital, there is minimal risk from retaking X-rays.
In terms of the cleaning, the professional ultrasonic or hand scaling (cleaning) involves the removal of calculus (tartar), and plaque, and includes teeth polishing, as well as the review of home care tips and tricks.
Please inform our staff at your first visit if you have any serious medical conditions, allergies involving latex or other materials, and/or if you are taking anticoagulants or bisphosphonates. Please do not hesitate to also let us know if you have been asked by your physician to be pre-medicated before any dental procedures.
A parent or guardian must accompany all patients under 18 at the consultation visit.
Digital Radiographs (X-rays)
At Dearfield Family Dentistry, we are equipped with Digital X-ray equipment. This uses technology that is similar to what is found in a digital camera. The image is captured by the Digita X-ray and is stored on our computer and can be viewed instantly, enlarged, and have filters applied to them in order for a Dentist or Dental Hygienist to detect issues. Digital X-rays eliminate operating errors and also reduces the duration of the previously time-consuming process of developing and fixing films. Our digital X-rays are environmentally friendly as it does not use any chemicals. More importantly digital X-rays reduce the required radiation by 80-90% compared to the already low exposure of traditional dental x-rays.
The team at Dearfield Family Dentistry uses all digital equipment, including digital sensors and panoramic digital radiographs to diagnose oral conditions. The panoramic digital X-ray helps identify problems found in the TMJ, problems with impacted wisdom teeth, and issues that may be associated with surrounding structures. Panoramic X-rays are easier on children as no film is introduced in the mouth, and helps evaluate eruption patterns of permanent teeth. Intraoral digital X-rays help accurately diagnose very small problems that may be missed otherwise.
There are two common types of professionally applied fluorides. Acidulated phosphate fluoride (APF) is acidic; neutral sodium fluoride is not. They can be delivered as rinses, gels or varnishes. We believe that the benefits of fluoride should be standard of care. The team at Dearfield Family Dentistry offers fluoride treatment after cleanings to all patients irrespective of insurance coverage.
Fluoride is applied as a varnish during a dental appointment. The teeth are dried so the fluoride doesn’t become diluted. Fluoride varnish can be painted directly on parts of the teeth that are most likely to get a cavity, to strengthen them. This is an advantage of varnish over gel or foam. Varnish also contains a very strong concentration of fluoride. Topical fluoride comes in a variety of flavors, but it should never be swallowed.
Enamel is the outer layer of the crown of a tooth (the visible part). It is made of closely packed mineral crystals. Every day, the enamel loses and gains minerals. The loss of minerals is called demineralization. Gaining new minerals is called remineralization. These two processes balance each other.
Demineralization begins with the type of bacteria that cause plaque on your teeth. These bacteria feed on sugar in your mouth and produce acids. The acids dissolve the crystals in your teeth. Remineralization builds the enamel back up. In this process, minerals such as fluoride, calcium and phosphate are deposited inside the enamel. Too much loss of minerals without enough repair of the enamel leads to tooth decay.
Sealants are thin, resin coatings applied to the chewing surface of molars, premolars and any deep grooves (called pits and fissures) of teeth. Deep grooves are inaccessible to the toothbrush or floss. More than 75% of dental decay begins in these deep grooves. Dr. Gogate and/or Dr. Lin use BPA free resin sealants to fortify these grooves, creating a smooth, easy to clean surface. Sealants can be placed on teeth for all ages. They are most effective in patients with a “sweet tooth” and enjoy eating sticky foods or candy. Most insurances cover sealants in children, and are a fraction of the cost of fillings in adults. The procedure is absolutely painless, generally done in 10 minutes or less per tooth.
Cosmetic (White) Fillings
White (composite) fillings are an alternative to traditional silver (amalgam) and gold fillings. White fillings are made of a strong composite resin that is matched to the surrounding tooth color. With advances in dentistry, the fillings are more durable and bond to the tooth, rather than taking support from the tooth. The materials have a high filler content, making them resistant to wear from chewing pressure.
Cosmetically, there are over 20 shades available to accurately match the fillings to the unique characterization of most teeth.
Patients prefer white fillings due to the ease of placement (same visit), instant results, and relief from sensitivity from hot or cold traditionally a problem with metal fillings.
Dr. Gogate and/or Dr. Lin use BPA free materials and runs an “amalgam-free office”. All restorations are placed with adequate desensitizing agents, to minimize post filling sensitivity. We use a combination of barriers and high vaccum suctions to virtually eliminate any mercury contamination during removal or replacement of old fillings.
Porcelain Crown and Bridge
A crown is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are often needed when a large cavity threatens the ongoing health of a tooth. They are typically bonded to the tooth using a dental cement. Typically, implants, root canal treated teeth, badly broken teeth and improvement of esthetics are the most common reasons for placing crowns.
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace a missing tooth (or several teeth) by joining an artificial tooth permanently to adjacent teeth or dental implants. A bridge is fabricated by slightly reducing the teeth on either side of the missing tooth and using them as support or “abutments” to replace the missing tooth. As with crowns, bridges are cemented with a special dental cement and are non removable.
With advances in dentistry, these crowns and bridges can be fabricated to exactly look and feel like the teeth they replace. Traditionally they are made from precious base metal and porcelain, now it is possible to make full porcelain or full ceramic restorations that further enhance the esthetics of the teeth.
Dr. Gogate and/or Dr. Lin will determine based on your specific condition, which materials are best suited for long term success. As always, all treatment options are discussed to best suit your specific situation.
Porcelain veneers are ultra-thin shells of ceramic material, which are bonded to the front surfaces of teeth. This procedure requires little or no anesthesia, and can be the ideal choice for improving the appearance of the front teeth. Porcelain veneers are placed to mask discolorations, to brighten teeth, or to improve a smile. Highly resistant to permanent staining from coffee, tea, wine or even cigarette smoking, the wafer-thin porcelain veneers can achieve a tenacious bond to the tooth, resulting in an esthetically pleasing naturalness that is unsurpassed by other restorative options.
Tooth Whitening Systems
In-Office or At Home : It’s your choice
We offer a variety of teeth whitening options tailored to your needs.
ZOOM! Whitening System
This is one of the quickest, easiest way to effectively whiten your teeth. In-office systems are that has variable intensity setting so each treatment can be customized to maximize patient comfort. The system also includes desensitizers to help minimize sensitivity and protect your enamel. This dentist-supervised, in-office procedure is safe, effective and clinically proven to whiten up to eight shades—for a brighter, whiter smile in just one office visit. The laser or light assisted whitening option is an extremely popular choice amongst patients who want a dramatic instant results such as before a wedding, graduation or function.
OPALESCENCE BOOST – In Office Power Whitening System
This In Office system offers the same quick and instant results, without the use of a light. The chemically activated system is safe effective and caters to patients who are concerned with using a light to whiten their teeth. The special formula minimizes sensitivity, reduces cavities and strengthens enamel. As it is chemically activated, the mix is fresh for each application, with instantaneous and dramatic results every time.
TAKE HOME WHITENING SYSTEMS
Take home whitening systems consist of specially formulated dental trays or molds, which can be reused and a whitening agent. These whitening agents are less concentrated than the in office whitening materials, and are safe on gums and teeth. Dr. Gogate and/or Dr. Lin will formulate a custom mold and tray for your teeth and dispense the appropriate concentration whitening agent based on your needs. Generally 1-2 weeks of application at home will deliver a whiter smile. As the whitening is gradual, you can use the trays till the desired shade is achieved. The trays can be reused as needed even months after completing the whitening. This is a great option to rejuvenate the in-office whitening especially for wine lovers, smokers or patients who want to keep their smile at optimum brightness.
Is teeth whitening safe?
Yes. Clinical studies have shown that whitening your teeth with carbamide or hydrogen peroxide under the supervision of a dental professional is safe for teeth and gums.
What are the side effects?
The most common side effect is transient (1-2 days) tooth sensitivity. Your dentist is your best resource to ensure that you are a good candidate for whitening and that you are using the right concentration of whitening formula. At-home whitening products have two mild desensitizing agents, potassium nitrate or Amorphous Calcium Phosphate (ACP), to minimize tooth sensitivity.
What’s the difference between OTC whitening solutions and Take Home whitening?
Over-the-counter whitening products are not customized to your needs. With take home whitening, the whitening process is tailored to your needs by your dentist, with custom-fitted trays for at-home treatments or just the right light intensity and duration in the dentist’s office.
How long will my Zoom whitening results last?
Whitening treatments help to reduce existing stains, but through consumption of coffee, soft drinks or just through natural aging, your teeth may eventually become discolored again. Maintenance whitening can help combat recurring discoloration. The take home whitening can help reduce whitening fade-back.
What causes teeth to discolor?
There are many causes to tooth discoloration. Some of the most common include the consumption highly colored foods and drinks (berries, coffee, tea, red wine). Some medications, aging, smoking and trauma can also cause teeth discoloration.
How long does it take?
With all in office systems your teeth will be visibly whiter in one day. The procedure generally achieves up to five to eight shades whiter teeth in just 1 hour. With Take home systems, when used as instructed, you will achieve the same great results in one-two weeks, depending on concentration of formulation and wear time you select.
Tooth Whitening Systems
Your teeth are meant to last a lifetime. Teeth are vital in esthetics, speech and chewing. Years ago, diseased or injured teeth were often pulled. But now, with better knowledge and advanced treatment options, many such teeth can be saved with root canal (endodontic) treatment. Root canal therapy can help you retain your natural tooth instead of pulling it out and replacing with more expensive implants or bridges. A successful root canal treated tooth generally requires a crown to protect it for years to come.
Root canal treatment involves one or more visits. First, your tooth is numbed for your comfort. An opening is made through the crown of the tooth into the pulp chamber. The infected nerve or pulp is then removed from both the inside of tooth and the root canal (the space inside the root).The tooth canal is then filled with an inert non reactive material.
Sometimes, medications may be placed in the pulp chamber and root canal to help get rid of bacteria. A temporary filling will be placed in the opening of the tooth to stop saliva from getting into the chamber and root canals. Depending on the severity of infection, antibiotics may be prescribed. Finally, the tooth may be restored by a crown or a filling to strengthen it and improve the way it looks.
Dental implants are a fantastic option when a tooth needs to be replaced. Dental implants can last a lifetime.
Teeth that are damaged due to severe decay, disease or bone loss may need to be removed. Sometimes, teeth are removed for orthodontic reasons, to create space for remaining teeth. Removing or “pulling” a natural tooth is called a tooth extraction.
Removing a tooth is a daunting process for many. Removing a tooth causes changes in your adjacent teeth, gums and bone. The Dentists at Dearfield Family Dentistry always do their best to make the process painless and comfortable.
All your options are discussed, any questions you may have are answered and the procedure is always planned with a restorative focus in mind, so as to get you back to your pre-extraction state as soon as possible.
Partial dentures are great alternatives to bridges, if for some reason, a patient is unable to move forward with one!
A mouthguard is an essential “gear” while playing active sports. Mouthguards work on the “United We Stand, Divided We Fall” Principle, where a properly fabricated mouthguard cushions the blow to the mouth and dissipate the forces to the bones. Therefore it is critical that a mouthguard is properly fitted. While over the counter mouthguards are cheaper, they make it harder to breathe and speak as they are not custom fabricated. Improper use of a mouthguard is equal to not wearing one at all and may lead to broken teeth, jaw injuries, or cuts to the lip, tongue or face.
Common sports that generally require mouthguards are Acrobatics, Baseball, Basketball, Bicycling, Boxing, Equestrian Events, Extreme Sports, Field Hockey, Football, Gymnastics, Handball, Ice Hockey, Inline Skating, Lacrosse, Martial Arts, Racquetball, Rugby, Shotputting, Skateboarding, Skiing, Skydiving, Soccer, Softball, Squash, Surfing, Volleyball, Water Polo, Weightlifting & Wrestling
Dr. Gogate/Dr. Lin will custom fabricate your mouthguard to precisely fit the conforms of your teeth and jaw. They can be made with multiple colors, with options such as embedding your name, team name, stickers etc to make them truly unique.