Our Services


Prophylaxis

Prophylaxis or better known as teeth cleaning is part of oral hygiene and involves the removal of dental plaque and tartar from your teeth with the intention of preventing cavities, gingivitis, and periodontal disease. A dental hygenist will use a variety of instruments or devices to loosen and remove deposits from the teeth. A cleaning includes tooth scaling, tooth polishing, flossing and sometimes fluoride treatments.

Extractions

A tooth extraction is the removal of a tooth from its socket in the bone. If a tooth has been broken or damaged by decay the tooth needs to be extracted if it cannot be saved with a filling or crown. There are two forms of extractions.
  • A simple extraction is performed on a tooth that can be seen in the mouth. In a simple extraction, the dentist loosens the tooth with an instrument called an elevator. Then the dentist uses an instrument called a forceps to remove the tooth.
  • A surgical extraction is a more complex procedure. It is used if a tooth may have broken off at the gum line or has not come into the mouth yet. The doctor makes a small incision (cut) into your gum. Sometimes it's necessary to remove some of the bone around the tooth or to cut the tooth in half in order to extract it.

Dental Fillings

Dental fillings are used to repair damage to the structure of a tooth. Structural damage can be caused as a result of tooth decay, wear or trauma. After the removal of a problematic tooth structure, the tooth is restored with one of several filling materials: gold, amalgam (silver), composite resin (white filling material) or porcelain.

Dental Crowns

Crowns are often needed when a large cavity threatens the ongoing health of a tooth. A crown is a dental restoration which when cemented in place completely caps or encircles the visible portion of a tooth to restore its shape, size, strength and/or to improve its appearance. Dental crowns can be made of gold metals, silver metals, porcelain or a combination of porcelain and metal. During the procedure the dentist will pare down the tooth, and remove any decay. An impression of the prepared tooth is taken using an elastic material. The impression is then sent to a dental lab, where the replacement crown is made. A temporary acrylic crown will be fitted over the prepared tooth, while the crown is being made. The new crown is then cemented onto the prepared tooth.

Crown Build-up

A build-up is when teeth are built up because their foundation is insufficient to attach a crown. For the crown to be successful, it must have a good foundation to support it. Your dentist will need to grind away a significant portion of the existing tooth to create a stable platform and post to cement the crown securely in place.This procedure provides this support and effectively replaces the original shape of the tooth so that it will be easier to later design a crown for it.

Dental Bridges

Dental bridges replace missing teeth with artificial replacements. A bridge is held in place by composite materials that are anchored to surrounding teeth. This procedure consists of the dentist paring down the teeth on either side of the gap, and taking an impression of the prepared teeth. The impression is set to the dental lab where the bridge is made. At the dental lab, the technician will make a replacement crown for each prepared tooth included in the bridge, these crowns are then joined to an artificial tooth which replaces the missing tooth. The bridge is then cemented over the prepared teeth.

Bonding

Bonding is the process of using composite resins to "glue" materials to the surface of a tooth for restorative purposes. Chipped or cracked teeth are typically repaired through bonding. An enamel-like composite material is applied to the surface of a tooth, sculpted into shape, contoured and polished, making the crack or chip invisible.

Dentures

Dentures are prosthetic teeth constructed to replace missing teeth, and which are supported by surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable, however there are many different denture designs, some which rely on bonding or clasping onto teeth or dental implants. There are two main categories of dentures, complete dentures or partial dentures.
 
Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain. Complete dentures can be either "conventional" or "immediate." A conventional denture is made after the remaining teeth have been removed and the gum tissue has begun to heal.
 
Immediate dentures are made in advance and can be positioned as soon as the remaining teeth are removed. As a result, the wearer does not have to be without teeth during the healing period.
 
A removable partial denture usually consists of replacement teeth attached to a gum-colored plastic base, which is connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw.

Root Canal Therapy

Root canal Therapy is a procedure to repair and save a tooth that is badly decayed or becomes infected. Inside of all normal teeth is a space containing nerves, blood vessels and live soft tissue called the dental pulp. During a root canal procedure the infected nerve and pulp are removed from the root chamber of the tooth. When the internal space of the tooth is hollow and cleared, this space is filled with a rubber-like material called gutta percha and the tooth is "capped" with a crown for protection. Without treatment the tissue surrounding the tooth will become infected and abscesses may form.

Post & Core

A post is a metallic structure that is placed within the body of the root of a tooth that had previous root canal therapy. It consists of a post that fits into the root canal, and a core portion that projects above the gum. The post is used to help anchor the core to the tooth. This procedure is required in order to create the optimal foundation for the new restoration. Core placement is a procedure where a dentist replaces missing tooth structure in preparation for making a new dental crown. While a dental core can be created for any tooth, a post and core can only be made for a tooth that has had root canal treatment. A core can be made out of any type of permanent dental restorative. In most cases it's either dental amalgam or dental composite (bonding).

Pulpectomy

A pulpectomy is a procedure in which all of the pulp in the pulp chamber and root canal of a tooth is removed. This procedure is recommended when the pulp has become infected and the infection cannot be resolved. The goal of the procedure is to prevent the infected pulp from spreading an infection which could lead to the loss of one or more teeth. In a pulpectomy, a hole is drilled into the tooth to allow the dentist access to the pulp. The dentist uses tools to carefully remove all of the pulp, and then he or she flushes out the tooth to remove lingering traces of infectious material. Next, the tooth can be filled with an inert substance, and then sealed with a crown or cap.

Crown Lengthening

Crown lengthening is a surgical procedure performed by a dentist to expose a greater amount of tooth structure for the purpose of subsequently restoring the tooth prosthetically. Crown Lengthening requires the periodontist to remove the gingival tissue around the tooth also executing along with some bone around the tooth. This extends the tooth structure height above the gums in order to give more support for a crown.

Periodontal Pocket Elimination

When you have periodontal disease, this supporting tissue and bone is destroyed, forming "pockets" around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. As bacteria develop around the teeth, they can accumulate and advance under the gum tissue. These deep pockets collect even more bacteria, resulting in further bone and tissue loss. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. This allows the gum tissue to better reattach to healthy bone.

Periodontal Maintenance

Periodontal maintenance is the recommended ongoing treatment to manage and control periodontal disease, which is a chronic and non-curable bacterial infection. In this procedure, plaque, tartar/calculus and bacterial toxins are removed from root surfaces below and above the gum line. Periodontal maintenance (PM) is distinctly different than prophy and is most commonly utilized for patients who have had active perio treatment.

Dental Implant

A dental implant is an artificial replacement for the root or roots of a tooth. Like tooth roots, dental implants are secured in the jawbone and are not visible once surgically placed. They are made of titanium, which is lightweight, strong and biocompatible, which means that it is not rejected by the body. Placing dental implants requires a surgical procedure in which precision channels are created in the jawbone, often using a surgical guide. The implants are then fitted into the sites so that they are in intimate contact with the bone. They generally require two to six months to fuse to the bone before they can have tooth restorations attached to them
to complete the process.

Bone Grafts

Dental bone grafting is a procedure that is used to "build" bone so that dental implants can be placed. A dental bone graft procedure is performed to reverse the bone loss or destruction caused by periodontal disease, trauma, or ill fitting removable dentures.. Bone grafting techniques are designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. There are three types of bone grafts:
  • An Autograft is when the bone is taken directly from the body of the patient, and is then grafted onto the jaw bone.
  • A Xenograft is a graft using bone that is harvested from animals. The bone is processed to sterilize and is totally biocompatible. Animal bone acts as a filler and eventually a patients body will replace it with natural bone.
  • An Allograft is a bone graft taken from human bone donors. These grafts are taken from human bone donors in the same way that organs are taken from donors in the event of their death. Bone which is harvested in this way will be put through various tests and sterilization techniques to ensure that it is safe to be used as a graft. After the donor bone is placed in the jaw bone it will eventually be converted into natural bone and the jaw bone will be rebuilt.

Subepithelial Connective Tissue

A tissue graft is used when there has been a significant amount of gum recession in a particular area. During the procedure, a flap of skin is cut at the roof of your mouth and tissue from under the flap, called subepithelial connective tissue, is removed and then stitched to the gum tissue surrounding the exposed root. After the connective tissue -- the graft -- has been removed from under the palatal flap, the flap is stitched back down.

Sinus Lift

A sinus lift is done when there is not enough bone in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. A sinus lift adds bone to your upper jaw in the area of your molars and premolars. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. This procedure requires the specialist to cut the gum tissue where your back teeth used to be. The tissue is raised, exposing the bone. A small, oval window is opened in the bone. The membrane lining the sinus on the other side of the window separates your sinus from your jaw. This membrane is gently pushed up and away from your jaw. Once the bone is in place, the tissue is stitched closed. Your implants will be placed four to nine months later. This allows time for the grafted material to mesh with your bone.

Our Locations

94 Propect Street, Gloucester
Monday, 9AM–8PM
Tuesday, 8AM–7PM
Wednesday, 8AM–6PM
Thursday, 8AM–6PM
Saturday, 8AM-2PM (By appointment only)

2 Orchard Lane, Danvers
Friday, 8AM–6PM
Saturday, 8AM–2PM (By Appointment Only)