Services 

Our dental staff is here to keep your mouth healthy with regular dental cleanings, digital x-rays, and oral cancer screenings. We also offer a wide range of cosmetic services—from teeth whitening to dental implants—so that you can enjoy a smile that is as beautiful as it is healthy.

At Always There Dental Care, we are proud to offer the following dentistry services:

Preventative

Dental cleanings are the gentle removal of plaque, calculus and stains from the tooth structures. They are intended to removal irritants from the teeth. Regular cleanings help keep gums healthy and teeth cavity-free. A dental cleaning includes removal of tartar and plaque and having the polished to remove stains and further buildups of plaque that are not removed when regular tooth brushing is performed.
Fluoride is a mineral that is found naturally in water and many foods. Fluoride builds up teeth’s strength against the acids that cause cavities and tooth decay. The ADA (American Dental Association) encourages fluoride treatment, stating that professional fluoride treatments are beneficial and are best utilized as part of a comprehensive preventive program in the dental home.
An oral hygiene evaluation is the patient assessment that may include gathering of information through interview, observation, examination, and use of specific tests and X-rays that allows the dentist to diagnose existing conditions.

Diagnostic

3D X-ray gives you the best possible chance at complete diagnosis on every patient, every day. With immediate access to crystal-clear images, the entire process of diagnosis, treatment and patient education becomes faster and more effective than ever before. In fact, studies show doctors uncover up to 30 percent more diagnoses using 3D dentistry. That means healthier patients and a healthier practice.
An oral evaluation is recommended every six (6) months to prevent cavities and other dental problems. During an oral evaluation a thorough examination is done to check the hard and soft tissues of the mouth.
An Xray is an image or picture produced on a radiation sensitive film, phosphorous plate, emulsion or digital sensor by exposure to ionizing radiation. Dental X-rays are a valuable diagnostic tool used to identify decay, extra teeth, bone defects, tumors, cysts and check the progress of previous procedures. Latest technology now allow for digital X-rays, which reduce radiation exposure more than 50 percent, and produce instant, high-quality images that can be viewed immediately by the dentist and the patient. 

Restorative

After cavities are cleaned, a composite filling is used to “patch up” the cavity that bacteria leave behind when they infect the tooth. Composite fillings are safe and shaded to match the color of the tooth.
CEREC® Restorations are dental restorations that we are able to fabricate and place in one visit. CAD/CAM is an acronym that stands for computer-aided design/computer-aided manufacturing. CAD/CAM technology is used to help the dental team fabricate precise shapes and sizes for dental restorations including inlays, onlays, crowns and bridges. This technology provides patients with durable, esthetic, well-fitted single and multiple tooth restorations in a more efficient manner. The first step in using CAD/CAM technology is tooth preparation. Next, a digital impression is taken that sends the prepared tooth’s exact dimensions into a computer. Afterwards, the computer software creates a virtual restoration replacement part for the missing areas of the tooth. The software then sends the virtual restoration data to the milling machine, where the replacement part is carved out of a solid block of ceramic or composite resin. The restoration is adjusted in the patient’s mouth and cemented or bonded in place.

A dental crown is an artificial replacement that restores missing tooth structure by surrounding the remaining coronal tooth structure after the decay is removed from the tooth. Crowns are necessary when the tooth is broken down to the point where a filling won’t be effective. In order to effectively place a crown, tooth structure may be taken away to help create an esthetically pleasing fit.
Lasers are used for periodontal (gum) surgeries, TMJ pain, gingivectomy (smile line correction), biopsies and tumor removal and whitening.  These lasers are more efficient, cause less discomfort, promote a faster healing time, and decrease the risk of infection, providing a better outcome.
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, as a support.
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 for the permanent attachment of the replacement teeth.
An extraction is the process of removing a tooth or tooth parts. To perform an extraction, the area is anesthetized to minimize discomfort and the tooth is then rocked back and forth until it is removed from its socket.

Our primary goal is to save your natural teeth whenever possible. When root canal therapy is performed the pulp chamber of the tooth is removed and then filled with a suitable filling material. Root canals are most often necessary when decay has reached the nerve of the tooth or the tooth has become infected. People have anywhere from 1 to 4 canals in a tooth. Extra canals may branch out and are called “accessory canals.” The number of canals and anatomy of a tooth can vary.

Aesthetic

Cosmetic bonding is the process of filling or restoring teeth with a tooth-colored material in order to maintain its natural appearance. In order to bond a tooth, tooth colored material is added to the tooth to build it up.
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.
 This in-office whitening treatment uses a laser to facilitate the whitening process and allows the dentist to customize aspects of the treatment to the patients needs.

Why should I whiten through my dentist?

The most common concern is temporary teeth sensitivity, but lots of advances have been made in recent years to help combat this. Philips Zoom WhiteSpeed has adjustable intensity settings to help maximize patient comfort, and 99% of patients experienced little to no sensitivity. And Philips Zoom DayWhite and NiteWhite have a special formula with built-in potassium nitrate and ACP (amorphous calcium phosphate), which are known desensitizers. These special ingredients make your enamel smoother and more lustrous as well. We also recommend that you brush with a sensitivity formula toothpaste like Fluoridex Daily Defense Sensitivity Relief two weeks prior to whitening, and that you take ibuprofen on the day of your treatment.

What are the possible side effects?

The most common side effect is tooth and gum 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. Philips Zoom at-home whitening products have two mild desensitizing agents, potassium nitrate and Amorphous Calcium Phosphate (ACP), to minimize tooth sensitivity.

What kind of results should I expect?

While results vary from person to person, your smile will be noticeably whiter with Philips Zoom. With Philips Zoom WhiteSpeed, you can get up to eight shades whiter teeth in one 45-minute office visit. Philips Zoom DayWhite and NiteWhite offer a dramatically whiter smile in one to two weeks. And unlike over-the-counter options, your dentist will work hand in hand with you until you’re completely satisfied with your results.

How long will my whitening results last?

That’s all dependent on your genetics and habits, but generally around a year. Drinking staining foods or beverages and smoking can limit your results, but you can easily keep your smile shining between treatments with the Zoom Whitening Pen. And brushing with a whitening toothbrush like Philips Sonicare DiamondClean can help maintain your results.

Orthodontics

 Invisalign® takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist or orthodontist plans out for you. There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won’t even know you’re straightening your teeth.

 
Chairside Options

Nitrous oxide, sometimes referred to as “laughing gas,” is an effective and safe sedation agent that is inhaled through a mask that fits over your nose to help you relax. Mixed with oxygen, Nitrous oxide allows you to breathe normally through your nose and within minutes you should start to feel the effects. You may feel light-headed or a tingling in your arms and legs. Some patients comment that their legs and arms feel heavy. Ultimately, you should feel comfortable and calm. The effects of nitrous oxide wear of quickly after the small mask is removed. Talk to the doctor about whether nitrous oxide would be a good option for you. 
Local anesthesia is the elimination of sensation/feeling, especially pain, in one part of the mouth by the topical application or injection of a local anesthetic drug.