Sealants have been a leading preventive tool against dental caries for a couple of decades. A sealant is a thin, resin coating applied to the deep grooves of molars. A sealant protects the tooth by sealing deep grooves, creating a smooth, easy to clean surface.
Gum (periodontal) disease is the most common cause of tooth loss in adults. It is generally caused by plaque, a colorless film of bacteria that forms on the teeth. When sugars and starches in the diet mix with plaque, acids are formed which irritate the gums. The inflamed gums become red, tender and swollen and bleed easily. Plaque, if it is not removed, hardens to form calculus (tartar) around the necks of the teeth. This could lead to advanced periodontal diseases which involves bone loss, jeopardizing the teeth.
Good homecare as well as routine cleanings by the dentist are essential in preventing or managing periodontal disease.
When the teeth lose their shape or structural integrity as a result of dental caries, fractures or other causes, there is a variety of options in restorative dentistry.
The new generation of composite resin bonded white fillings have replaced the old Amalgam ( silver) fillings. Besides the great esthetics, resin fillings allow the dentist to prepare the tooth more conservatively and generally do not cause sensitivities that were associated with silver fillings.
An onlay is a custom fabricated restoration by the lab. It can be made of composite material, gold, or tooth-colored porcelain. Onlays can be utilized to repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are conservative alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays.
A crown, also known as a "cap", is a tooth-like covering used to strengthen, restore or improve the appearance of your natural tooth after treatment. Crowns provide support and structural integrity when there is no longer sufficient tooth structure left to place a filling, such as restoring a tooth that is fractured or broken. Natural looking crowns can be made of all porcelain or porcelain fused to gold.
To replace one or more missing teeth a custom designed bridge is anchored to adjacent teeth. In order to replace a missing tooth with a bridge, crowns must be placed on the teeth on either side of the missing one to serve as abutments to hold the replacement in place.
Another option for replacing teeth is surgical placement of dental implants. Dental implants are titanium posts that are surgically placed into the upper or lower jaw bone by the dental surgeon. After a short period, the posts can be restored with natural looking crowns. This option can be a more conservative approach than fixed bridge, since there is no need to prepare the adjacent teeth.
Root canal therapy is indicated when the nerve of a tooth is affected by decay, trauma or infection. The procedure entails removing the tissue inside the root canals and sealing the chambers. Generally after the root canal procedure, a tooth will also need to be restored by a crown to protect it against fracture.
Restorative options such as bonding and crowns can also be used to change the shape or color of teeth in order to improve one's smile. Porcelain veneers provide a conservative way to achieve dramatic esthetic results.
Dr. Moayeri was the first dentist in the Palisades to incorporate BriteSmile teeth whitening into his practice. We also offer Zoom Whitening. Both of those procedures are a one time in office procedures that provide excellent results in about an hour. The patient is provided with a choice of DVDs to watch on HD TV during the procedure.
There is also the option of fabricating custom trays for the patient to use with a take home whitening kit. The new generation of gels do not require overnight treatment and trays can be worn for only 15 minutes at a time.