General Services

Dental Implants

Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of a biocompatible metal called titanium, which are placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow custom made restorations such as crowns, bridges and dentures to be placed on the dental implants to complete your new smile.

Implant Supported Bridge

An implant supported bridge is a restorative solution for spaces where three or more adjacent teeth are missing. The bridge replaces multiple adjacent missing teeth without the use of a denture. This restoration typically requires two implants to support the porcelain bridge. The bridge provides a functional and aesthetic replacement for the patient’s natural teeth.

Implant Supported Dentures

Implant supported dentures can be either fixed or removable. This solution requires the placement of two or more implants. If a removable denture is selected, the denture will “snap” on to the implant rather than requiring the use of denture paste or adhesives. Removable dentures can be taken out for cleaning at night.

This technique offers many advantages over traditional dentures.

Easy to care for, this solution can simulate the look and feel of natural teeth and stay fixed in place with the implants acting as anchors. Patients will not experience the typical rocking and movement or gum irritation associated with dentures.

Dental implant placement can also help alleviate the sunken look that can occur with bone loss in the jaw by stimulating bone growth in the area around the implant. This process is called osseointegration and can also help prevent future bone loss.

A crown is a dental restoration that completely covers the outside of a severely decayed tooth. Dental crowns can be completed in two visits. During the first visit, the tooth is prepped (shaved down) and an impression is taken. A temporary crown is placed while the permanent crown is being made. During the second visit, the permanent crown is carefully fitted and then cemented into place for a permanent restoration.

A bridge replaces missing teeth without the use of a denture or dental implant. A false tooth is held in place by being attached to a neighboring tooth. In order to fabricate a bridge, crowns are made for the teeth on either side of the space and a false tooth is placed in between the crowns, which act as supports. 

Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth. To place a veneer, a very small amount of the original tooth enamel must be removed. Afterwards, an adhesive layer is placed between the slightly prepped tooth and the veneer. The veneer is then hardened with a curing light.

Tooth-colored fillings are the most lifelike material used to fill cavities. Composite fillings can be done in one visit. Once the decay is removed from the tooth, it is filled with this composite material and left to harden immediately afterwards.

An inlay or onlay is a partial crown restoration that can be placed when there is not sufficient tooth structure to support a filling, but not quite large enough to require a crown. They are made of a composite or porcelain that aesthetically and functionally replaces the missing tooth structure.

Cosmetic bonding is the process of filling or restoring teeth with a tooth-colored material in order to maintain a natural appearance. In order to bond a tooth, tooth colored material is added to the tooth to build it up.

A denture is a removable replacement for missing teeth. There are two types of dentures: Complete (Full) and Partial Dentures.

Complete (Full) Dentures are made after all the teeth in the upper and/or lower jaw have been removed and the gum tissue has healed. The denture includes an acrylic base that is custom made in the dental laboratory and is made to look like natural gums. The denture sits over the gums or can be anchored to dental implants.

Removable Partial Dentures are made when only a few teeth need to be replaced. Removable partial dentures either attach to crowns on either side of the denture or to a metal framework that is then attached to the teeth on both sides of the partial denture. When worn during the day, removable partial implants can also be supported in place by dental implants. As opposed to being removable, partial dentures can also be anchored in place by being attached to dental implants.

Whitening, also known as bleaching, is the procedure used to brighten teeth. There are two different ways to achieve a desired whiter smile: In-Office Bleaching and At-Home Bleaching.

In-Office Bleaching usually requires only one office visit. A protective gel or a rubber shield is placed over the gums to protect the soft tissue. A bleaching agent containing carbamide peroxide is applied to the teeth, and a laser light is then used to enhance the action of the whitening agent .

At-Home bleaching requires an impression of the teeth to be taken to make a customized mouth guard to hold the whitening gel, containing carbide peroxide, against the teeth. Once the mouth guard is made, it is worn for a period of time, as instructed by our office. The amount of time may vary from a couple hours a day, or all night, to up to four weeks or longer, if desired.

Scaling and root planing is a non-surgical procedure used to treat gum disease. During the scaling process, specialized dental instruments are used to remove dental plaque and calculus from beneath the gums. Planing is the procedure used to smooth the tooth’s root after the scaling process. Root planing helps the gums heal and reattach themselves to a cleaner and smoother root surface. 

Root canals are most often necessary when decay has reached the nerve of the tooth or the tooth has become infected.  When root canal therapy is performed, infected or inflamed pulp is removed from the tooth chamber. The inside of the tooth is then cleaned and disinfected before being filled and sealed to limit the possibility of future infection.   Soon after the root canal is performed, the tooth is restored with a dental crown or filling to protect the tooth and restore normal tooth function. 

A tooth that can not be saved with restorative materials may need to be removed. Before removing your tooth, the area will be numbed with anesthesia. The tooth is then loosened using a special dental instrument known as an elevator. After it is loosened from the socket, it is gently removed by forceps, a dental instrument commonly used in dental extractions. Stitches may be necessary after the removal of a tooth. 

The temporomandibular joint (TMJ) is similar to a sliding hinge that connects your jawbone to your skull. TMJ disorders can cause pain in the jaw joint and in the muscles that control jaw movement.

To treat TMJ disorders, first the cause has to be identified. In less severe cases TMJ disorders can be treated with self-managed care (eating soft foods, using ice packs, avoiding extreme jaw movement) or nonsurgical treatments (anti-inflammatory medications, Botox injections, stabilization splints). 

Sleep apnea is a disorder in which breathing stops or pauses during sleep. The most common type of this disorder is called obstructive sleep apnea.

Obstructive sleep apnea occurs when the muscles in the back of the throat relax, causing a narrowing of the airway and inability to breathe in enough oxygen. The brain briefly wakes the body, which allows the airway to reopen. This can occur between 5 and 30 times each hour, and often the person suffering from the disorder is unaware they are awake so many times during the night. A variety of factors increase the risk of obstructive sleep apnea including obesity, family history, use of alcohol or tobacco, age, and nasal congestion.

It is important to receive treatment for obstructive sleep apnea in order to avoid complications. Can this condition be treated? Yes, there are many effective treatments for snoring. A widely accepted treatment for sleep apnea is oral appliance therapy. An oral device custom fit by your dentist is designed to keep your airway open and help prevent apneas. This treatment does not involve medication or surgery and helps many patients enjoy sleeping safely for a healthier life.

If you feel you may be suffering from obstructive sleep apnea, schedule a complimentary consultation appointment with our office to discuss your treatment options. Dr. Ayas and Dr. Fadi have been trained in the latest technology and have the experience to ensure the best treatment for sleep apnea to all of their patients.

An oral examination is a visual inspection of the mouth, head, and neck, performed to detect abnormalities.  Radiographs allow for a more complete examination, helping the doctor to detect cavities, problems in existing dental restorations, gum and bone recession or other abnormal conditions within the mouth, head and neck area.

A dental cleaning, also known as an oral prophylaxis, is the removal of dental plaque and tartar (calculus) from the teeth. Specialized instruments are used to gently remove these deposits without harming the teeth. First, an ultrasonic device that emits vibrations and is cooled by water is used to loosen larger pieces of tartar. Next, hand tools are used to manually remove smaller deposits and smooth the tooth surfaces. Once all the tooth surfaces have been cleaned of tartar and plaque, the teeth are polished.

Many sports require athletes to use a Mouth Guard to protect their teeth while practicing and playing. Frequently used in contact sports, the mouth guard covers the gums and teeth to provide protection for lips, gums, teeth and arches. A properly fitted mouth guard can reduce the severity of dental injuries.

Pre-formed, ready-to-wear mouth guards can be purchased inexpensively at many sporting stores, but they do not always fit well. They can be uncomfortable and interfere with talking and even breathing.

Sporting goods stores also offer semi-custom mouth guards, in which the plastic is heated and then the athlete bites on it while still warm to provide some level of custom fit.

Your dentist can make a custom mouth guard by taking an impression of your teeth and then creating a device fitted to your mouth for the highest level of both comfort and protection. A custom fitted mouthguard can be particularly important for athletes who wear braces.

Be sure to bring your mouthguard to your dental appointments so your doctor can be sure it still fits you well.