Total Wellness Approach

Total Wellness Approach Is What Makes Us Different. We Fully Diagnose Our Patients. We Believe A Healthy Face Is A Beautiful Face.

Dentistry is more than cavities and getting your teeth cleaned. Total dental wellness requires us to examine multiple systems related to your health. Our exams are Comprehensive – we review all systems related to Oral-Maxillofacial health, evaluate your personal risk factors, customize care with your personal risk factors in mind.

Review Pertinent Medical Conditions

Taken into account, which may be contributing to dental health:

Heart disease
High blood pressure
Diabetes
Medications which may increase cavity risk
Conditions which increase risk of oral cancer
GI conditions that are associated with tooth erosion and oral lesions
Effects of smoking on wound healing and oral cancer
Sleep Apnea
And many others

Radiology Examination

2D X-rays (3D imaging when necessary) – Low Dosage Digital X-rays. Intraoral for detailed visualization, Panoramic X-ray to visualize Entire Jaws and TMJ, Low dose 3D CBCT

Check for cavities, missing teeth, blocked out teeth
Bone loss associated with periodontal disease
TMJ visualization
Development of the Jaw
Pathology
Visualize Airway

Clinical Photography

We take clinical photos to examine the following:

Facial asymmetry
Development of the Face/Jaw
Evaluation of the occlusion (BITE)
Visualize the Oral Airway
Tongue Posture
Hard and Soft tissue Pathology
Communication with Specialist and Labs for interdisciplinary care

Oral Cancer Evaluation

Intraoral and Oropharyngeal evaluation at New Patient exams and every check up appointment.

TMJ Health and function

Evaluate risk factors for TMJ deterioration that could lead to pain, locking, decreased Range of Motion, and bite changes.

Bite Function (Occlusion)

Rule out bite function pathology which would increase risk of tooth wear, tooth fracture, bite changes, tooth sensitivity and pain and tooth loss.

Worn teeth – understanding the etiology causing to prevent and rehabilitate pathological bites
Identify if it is due to TMJ joint changes
Associated with an Airway problem
Need for orthodontics

Screen for Sleep Disordered Breathing Problems

Sleep disordered breathing is a spectrum, which can eventually lead to obstructive sleep apnea.

UARS (Upper Airway Resistance Syndrome) – Mild Restriction of the airway: Can be due to blockage of the the Nasal airway, the Oro-pharyngeal airway or combination.
OSA (Obstructive Sleep Apnea)
Identify contributing factors in the developing child which inhibit ideal facial growth and development, which not only improve facial esthetics but lifetime health by minimizing risk for Sleep disordered breathing and TMJ problems.

Tethered Oral Tissue

Tongue tie and its effects on tongue mobility

Preventing Lip Seal – associated with mouth breathing
Poor tongue posture/ swallowing
Causing Jaw / facial muscle tension

Dental Evaluation

Evaluation of teeth

Risk factors for dental caries
Dental erosion
Dental attrition (tooth wear)
Fractured teeth
Condition of existing restorations

Periodontal Evaluation

Evaluation of the gums, ligament and bones that support the teeth.

Goal is to examine how healthy the supporting structures around your teeth are. Are you at risk for gum recession, increased tooth mobility, or tooth loss? What can we recommend to prevent the progression of disease?
Based on evaluation we can recommend what type of cleaning therapy and frequency of preventive care is most appropriate for you.

Cosmetic Evaluation

Cosmetic Dentistry is more than tooth whitening and Veneers. Rather, cosmetic dentistry is the understanding what makes a smile attractive and knowing how to create a roadmap to get there. Dental whitening and Veneers are some of the techniques used, but there has to be a clear end vision in mind.

DIGITAL SMILE DESIGN: We take photographs, facial scans and correlate the images with digital intraoral scans of the teeth. From there we can begin a digital design to enhance your smile.

Veneers – we work with highly skilled dental lab technicians/ ceramists to design natural looking veneers with texture, variation in color and shape. The goal is not to have a fake “Chicklet” look. To obtain a natural and highly esthetic result requires a lot of pre-planning and communication between the dentist and ceramist. The dentist needs to understand the principles of designing a beautiful smile and communicate it effectively so that the ceramist can execute the vision.
Bonding
Minimal Prep Technique – First Fit Guided Minimal prep same day Veneers ( case selection is important for minimal prep technique/ not ideal for all situations, but we would advise)

DENTAL WHITENING

Go! Whitening
Opalescence Custom Tray Whitening
Boost: in office touch up treatment
KOR combination Custom Tray whitening + In office treatment
White Spot Treatment’s – Opal luster
Non vital bleaching – Dark tooth from a previous Root canal treatment

SPECIALIST TREATMENT – sometimes to achieve ideal esthetics we find tooth, gum-line, and jaw position are not ideal. When needed we work with specialist to assist in the smile design treatment process. This may include.

Orthodontic Treatment – to get the teeth where they belong
Gum Lift – to treat a gummy smile
Gum Graft – to add to areas where the gum tissue is receded. Or thin.
Dental Implants – To replace missing teeth
Orthognathic surgery – where the jaw is underdeveloped and compromising function, health and esthetics.

Our Unique Clinical Approach