Teeth Cleanings   |   Fillings   |   Crowns & Bridges    |   Root Canals   |   Tooth Extractions
Air Abrasion   |   Laser Cavity Detection   |   Digital Imaging

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.

Teeth Cleanings

Annually, you should schedule a routine dental cleaning. During this visit, one of our dental hygienists will remove plaque from your teeth, especially from places where your brush can’t reach, such as underneath the gum line and in-between teeth. We will then clean your teeth and apply fluoride to help protect your teeth once you leave the office.

Fluoride is a relatively recent but important advancement in dental and oral health. Studies consistently show that a moderate but consistent exposure of teeth to fluoride helps strengthen and rebuild tooth structure, and helps prevent future decay.

If you are due for your annual dental cleaning, please call our office to schedule an appointment.

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Fillings

The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/metal fillings that contain traces of mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

With today’s advancements, no longer will you have to suffer the embarrassment of unsightly and unhealthy silver/mercury fillings or metal margins of the past. Eliminate the dark, black appearance in your teeth with new-age, state-of-the-art, tooth-colored resin or porcelain materials.

BEFORE AFTER

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Crowns and Bridges

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Dr. Viviano uses the latest technology in all porcelain restorations.  Using computer to optically scan the tooth Dr. Viviano can mill the new crown, in office, with a cadcam milling unit in about 1 hour.  No need for a second visit and possible anesthetic

Crowns

A crown is a custom-made covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance.

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the custom-made crown is being created.
  5. Applying the custom-made crown (when received from the lab) by removing the temporary crown and fitting the custom-made one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place.
 

 

This process generally consists of a minimum of two visits over a three week period. Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

  • A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
  • The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.
BEFORE AFTER

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Root Canals

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.

A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.

Procedure:

  • The patient undergoes local anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • A permanent full coverage cap is then placewd to protect from breakage.
 

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Tooth Extractions

General Extractions

An extraction is the complete removal of a tooth. Extractions are sometimes necessary if a primary tooth is preventing the normal eruption of a permanent tooth, if the tooth has suffered extensive tooth decay or trauma that cannot be repaired, if the patient has gum disease, or if the tooth is impacted (usually the wisdom teeth). Depending on the complexity of the case, an extraction can be performed surgically or non-surgically. A mild anesthesia is used to ensure your child is as comfortable as possible throughout the procedure.

Wisdom Teeth

 

Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction.When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions, with an absolute minimum of discomfort. Ask our staff for more information regarding tooth extractions if you feel you may need one.

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Air Abrasion

Many patients' fear of the dentist stems from the drill used to treat tooth decay. In our office, we use the gentle process known as air abrasion. This decay-removing process is virtually pain-free as the dentist can control the speed of the spray of air/powder mix as well as the intensity. There is generally no need for shots with this new technology. It's also free of the noise and vibration associated with the old drill.

When the decay is removed, the dentist places a white filling that is barely noticeable! The process allows us to treat the decay immediately and restore your tooth before more damage can be done. Air abrasion can also repair fractured teeth, old fillings, sealants or broken restorations.

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Laser Cavity Detection

Did you know that half of the cavities found in your teeth could go undetected by current diagnostic techniques? However, our office now offers a new diagnostic method that can more accurately define caries in teeth.

We offer a unique service that can detect caries at the earliest stage. The DIAGNOdent Laser Caries Detector is over 90 percent accurate in detecting even the smallest lesions that don’t even appear on X-rays! Early detection enables us to better preserve and protect your teeth.

The DIAGNOdent Laser Caries Detector boasts a high patient acceptance and satisfaction with its quick, simple and painless nature.

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Digital Imaging

We are proud to utilize the latest technology available to ensure our patients enjoy the best results! We use high-resolution digital imaging to capture detailed images of your mouth, thus enabling us to maintain accurate records and keep you thoroughly informed of your treatment progress.

The digital radiography machine we use to take X-rays of your mouth releases up to 90% less radiation than traditional X-ray machines while providing crisp, clear images for more efficient diagnoses and treatment. We feel our modern practice and cutting-edge techniques ensure you are receiving the quality care you deserve!

 

Intra-Oral Cameras

We use the latest in digital intra-oral camera technology to capture photographs of broken teeth, decayed fillings, or any orther possible pathology.

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