Artisan Dental Care - Paul A Crandall DMD

 
 
     
   
       
Smile Gallery
 
Table of Contents
Bridges Implants TMJ Treatments
Cosmetic Dentistry Nitrous Oxide (Laughing Gas) Whitening
Crowns Non-Surgical Gum Treatments X-Rays
Dentures Root Canal Treatment Veneers
Fillings Sealants  

 

Bridges:

This is a restorative option for filling space created by a missing tooth.  A bridge uses the surrounding teeth for support, with a center unit to replace the missing tooth.  It is important that a missing tooth be replaced as soon as possible.  If left untreated, the teeth surrounding the missing tooth begin to shift inward.  Over time, this shifting will worsen, resulting in changes to occlusion (bite pattern).  It is always important to consider dental implants prior to doing a bridge since they do not require the reduction of adjacent teeth and will prevent bone loss at the site where the tooth was lost.

COSMETIC DENTISTRY:

Cosmetic dentistry can encompass any treatment to correct smile imperfections. 
Dr. Crandall offers many cosmetic treatment options, including:  whitening, smile design, cosmetic recontouring, porcelain and composite veneers, bonding and all ceramic crowns.

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CROWNS:

Crowns are full coverage restorations that restore tooth structure that is likely to break due to decay or aging restorations.   Crowns are available in different material combinations depending on the area of treatment.  Typically, crowns require two appointments:  first, an appointment to prepare the tooth, take an impression and place a temporary and second to remove the temporary crown and cement the permanent crown.  Dr. Crandall currently offers restorative options that may require only one visit, utilizing the latest dental technology.   

 

DENTURES:

Dentures are a removable restorative option used to replace teeth that are missing.    While dentures provide adequate function and aesthetics in most cases, they are never as good as natural teeth.  We always encourage patients to consider dental implants in combination with their dentures to provide a much more stable platform for chewing and speech.   

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FILLINGS:

Fillings are done to remove decay and replace damaged tooth structure.  At Artisan Dental Care, we only use bonded, tooth colored restorations to restore teeth when fillings are necessary.  We are able to create long lasting, natural looking restorations that blend with the surrounding healthy tooth structure.

 

IMPLANTS:

Dental implants can be used to replace single teeth or multiple teeth.  They can also be used to support removable appliances such as dentures.  When implants are placed, a small, titanium cylinder is surgically placed in the bone.  The bone grows around the implant, forming a tight connection, which aids in preventing continued bone loss. 
After the healing period, an abutment is placed in the implant that will support the crown.  If being used to support a denture other types of attachments can be utilized to help stabilize and support the denture. 

NITROUS OXIDE (LAUGHING GAS):

Nitrous Oxide is a safe method of temporary sedation.  It is used as a supplement to oral anesthetics.  Nitrous oxide is an inhaled gas, which can relax the patient, making dental treatment more comfortable.

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NON-SURGICAL GUM TREATMENTS:

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. The word periodontal literally means "around the tooth." Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth.
Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.

In the mildest form of the disease, gingivitis, the gums redden, swell and bleed easily. There is usually little or no discomfort. Gingivitis is often caused by inadequate oral hygiene. Gingivitis is reversible with professional treatment and good oral home care.
Untreated gingivitis can advance to periodontitis. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Often, this destructive process has very mild symptoms. Eventually, teeth can become loose and may have to be removed.
Treatment of periodontal disease  involves deep cleaning (scaling and root planing) done under a local anesthetic, along with the placement of local antibiotic agents.  Additional procedures to address non-responsive areas are sometimes necessary to control the infection.  Follow up visits are critical during the periodontal treatment process and are typically recommended on a three month maintenance cycle.

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ROOT CANAL TREATMENT:
Root canal treatment (referred to as endodontic therapy) is necessary when a cavity has advanced to the nerve space of the tooth or when a nerve in a tooth is irreversibly irritated due to deep restorations or trauma.  A root canal is performed to clean out the infected tooth pulp and disinfect the canals of the tooth.  Once the infection is resolved, the canal(s) are filled to prevent further infection.  Typically, a core build-up and crown are recommended for restoring a tooth after endodontic therapy.

SEALANTS:

Tooth structure containing deep pits or grooves can be particularly susceptible to cavities.  In order to prevent bacteria from making its way into these pits and grooves, topical sealant materials can be used.  The sealant material fills in the narrow grooves and pits, sealing the entry into the softer layers of the tooth.  Sealants are a great preventive measure available to children as well as adults!

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TMJ TREATMENTS:

TMJ is the acronym for (T)emporo-(M)andibular (J)oint.  Temporal, refers to the temporal area of the skull; mandibular, as in the mandible or lower jaw; joint, which is where the skull meets the lower jaw bone.  Problems with this joint may be caused by a misalignment of the teeth, trauma, or even excess muscular tension caused by stress. Treatments available in our office include the fabrication of occlusal guards/splints which are used to prevent clenching and grinding and to protect the teeth.  Some patients may require occlusal adjustments to correct interferences with the bite.  In some cases restorations such as crowns or veneers can be used to reestablish  a better bite relationship between the upper and lower jaws.  For some TMJ problems, referral to a Oral and Maxillofacial Surgeon is necessary.

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WHITENING:

This is the procedure to make teeth whiter, and therefore more attractive!  Our office utilizes two methods of whitening:  ZOOM! and take home whitening (trays). 
ZOOM!  is a revolutionary whitening treatment procedure.  It’s safe, effective and fast.  In around 2 hours, your teeth will be dramatically whiter.  The procedure involves isolating gum and lip tissue, then applying the ZOOM! whitening gel with light activation.  The finishing step includes a fluoride treatment to reduce tooth sensitivity. 
Take home whitening is a two visit procedure: the first is to take impressions in order to make custom trays to fit your smile, and the second is to try in the trays and receive product instruction. 

XRAYS:

X-rays are a necessary part of the diagnostic process, and without them, it subjects the patient to undiagnosed oral disease.  Our office utilizes digital radiography which allows us to take x-rays using 50-70% less radiation versus conventional x-rays.  This digital technique also allows for image enhancement for better diagnosis of dental concerns. 

VENEERS:

Veneers are a procedure in which the visible surface of the tooth is cosmetically altered in shape and color.   The two types of veneers Dr. Crandall offers are Chairside Composite and Lab Fabricated Porcelain veneers.  The chairside version is typically referred to as “bonding”, which uses the same composite material utilized when doing fillings.  In this procedure, the shade of composite resin is matched to the surrounding teeth and is placed directly onto the tooth structure, in order to change the size, shape and overall appearance of the tooth.  The lab fabricated porcelain veneers take additional time and visits to the office.  The initial visit includes tooth preparation and temporary veneer placement.  A second visit is required in order to cement permanent porcelain veneers. 

 

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Smile gallery

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