Rock Creek

Dental

Services

Comprehensive Exam

Oral Hygiene

Professional dental cleanings (dental prophylaxis)   Your cleaning appointment will include a dental exam and the following:

Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface.  Calculus forms above and below the gum line and can only be removed with special dental instruments.

Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth.  It is a growing colony of living bacteria, food debris, and saliva.  The bacteria produce toxins (poisons) that inflame the gums.  This inflammation is the start of periodontal disease!

Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.

A comprehensive Exam is the best way to get the big picture of your oral health. Our goal at Rock Creek Dental is to treat your whole mouth and get your smile to look just the way you want it...Beautiful! We use digital x-rays to assess your complete oral health A comprehensive exam includes:

• An intra-oral and extra-oral head and neck exam

• Hard and Soft Tissue Exam

• Screening for Oral Cancer

• Panoramic X-ray

• Digital X-rays for your Teeth.

• Diagnosis and Treatment Plan

• Jaw Joint Assessment (TMJ)

Composite Restorations

Inlays and Onlays

A composite resin filling (white filling) is, mercury free, made of a tooth colored plastic mixture filled with glass particles, used for restoring decay, and used for cosmetic improvements
Composite filling integrates with the tooth...it doesn't weaken the tooth as a silver filling does. We now can make a smaller hole, since the white material can flow into small places.     Due to the smaller hole, there is more of your own tooth left, leaving it stronger. Advantages:
Secondary decay is easier to spot beneath tooth colored fillings. If damaged, they can be easily fixed. They are temperature and electrical insulators-resistant to extremes of heat and cold. Environmentally safe-no hazardous metal wastes to dispose of and no risk of mercury allergy. You don't have to wait till a cavity gets "big enough to fill". In some cases we can do an almost microscopic filling just when it starts by using air abrasion instead of the drill. They are a more natural, attractive choice. Composites bond to the tooth to support the remaining tooth to help prevent breakage. Composite insulate the tooth from excessive temperature changes.
Disadvantage: • Composites (white fillings) last about
8 years with a range of 7-10 years

When more than half of the tooth’s biting surface is damaged a dentist will often use an inlay or only, when tooth is not restorable with a composite filling.
Inlays and onlays can be made of porcelain, composite resin, or can be made with metals like gold. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.

Crowns

Bridges

Having one or more missing teeth is a very common dental condition. It is not usually a serious condition, but can cause problems and affect your smile. There are many options available to replace missing teeth. As you will discover in this article, dental bridges are viable teeth replacement options that rival implants and dentures. What are Dental Bridges? A dental bridge is a type of restorative dental component that is created to permanently replace one or more missing teeth. Dental bridges are considered cosmetic (a visual improvement), but can also function to prevent future dental problems. People with missing teeth have a higher risk of developing tooth decay, periodontal disease, and temporomandibular joint disorder (TMJD). In addition to replacing missing teeth and reducing your risk of serious dental conditions, dental bridges can also improve the way you talk. A bridge typically consists of three parts: a pontic (false) tooth to cover the empty space and two abutment (support) teeth. There are three types of dental bridges available: resin-bonded, conventional, and cantilever. Your dentist will determine the best option for your situation. Resin-bonded bridges are considered the best alternative when the missing tooth is located in the front of the mouth. Conventional dental bridges consists of a pontic tooth adhered to two crowns. A cantilever bridge involves a single abutment and a pontic tooth. People who have teeth missing are perfect candidates for dental bridges. The best candidates for resin-bonded dental bridges are people whose teeth are in good condition and where the two abutment teeth are not damaged or restored. A missing tooth in the front of the mouth without abutment teeth is the ideal scenario for a cantilever bridge. The pontic is fastened to at least one abutment tooth.

Crowns are dental restorations otherwise known as "caps" which are coverings that fit over teeth. Crowns may be necessary because of broken down old fillings, fractured, chipped or sensitive teeth. Crowns are also used to improve the appearance of natural teeth that are malformed, malpositioned or discolored. Crowns are made of natural looking porcelain and are made to improve your overall smile or to blend in with your own teeth. Sometimes an underlying metal shell is used under the porcelain if additional strength is needed. Some of the indications for a crown are: A previously filled tooth where there now exists more filling than tooth. The existing  tooth structure becomes weakened and can no longer support the filling. Extensive damage by decay. Discolorations and compromised esthetics. Fractures. Root canal treated tooth - After root canal, teeth tend to become brittle and are more apt to fracture. These teeth need to be protected by a crown. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your teeth. Crowns can be made from different materials which include the full porcelain crown, the porcelain fused-to-metal crown, and the all-metal crown. You and your dentist will decide which type is appropriate, depending upon the strength requirements and esthetic concerns of
the tooth involved.

Extractions

Full and Partial Dentures 

A denture is a set of removable replacement teeth that dentists recommend when you are missing several or all your teeth. The biggest advantage of dentures being you can get your life back to normal so you can eat and smile like you used to. Though they may take a short time to get used to, dentures do provide the facial structure that is often lost when teeth are missing. They can also restore your confidence in social situations. Dentures are designed to create great looking teeth that look natural in your mouth. As a result when you get dentures, your smile may be even more beautiful than the one you remember. Types of Dentures:  Full Dentures, Partial Dentures, Immediate Dentures If you still have some teeth that are in good condition, you may be a candidate for a partial denture. There are also upper and lower dentures, which are used if all of the teeth on either the top or bottom are missing. What about an immediate denture? An immediate denture is used only if your dentist cannot save any of your natural teeth. Recent advances in denture materials and fitting have made it possible to have full dentures that both fit securely and are comfortable to wear. Would bridges or implants be a better option? Yes, if you recently lost one or a few teeth. Bone in the mouth tends to degrade after teeth are missing for a while. If your teeth have been missing for several years you may not have the bone needed for implants and bridges. In that case, a partial denture can be an effective option for you. A 2008 Harvard University study showed that partial dentures are the best option for patients who do not meet the criteria for implants. And best of all, they are cost effective. Getting Dentures: If you think you may be a candidate for dentures what do you need to know? Whether you are getting a full, upper, lower or partial denture the procedure is essentially the same. In order to have your denture fit perfectly, you may need to visit your dentist more than once before you get your denture. The most important thing to remember is to focus on your dental hygiene, and possibly improve your daily routine. The best thing you can do for yourself is to take good care of the teeth you still have and keep your gums healthy. Brushing, flossing and using mouthwash multiple times daily are still best ways to keep teeth and gums healthy Partial Dentures: A partial denture is a removable dental
appliance that replaces multiple missing teeth.
It can be attached to the teeth with clasps
(clasp or conventional partial) or it can be
attached to the teeth with crowns with
precision attachments (hidden clasps).
Both types have a metal framework and
plastic teeth and gum areas.

One of the main goals of modern dentistry is the prevention of tooth loss. All possible measures should be taken to preserve and maintain your teeth because the loss of a single tooth can have a major impact upon your dental health and appearance. However, it is still sometimes necessary to remove a tooth. Here are some of the reasons a tooth may need to be extracted.
• Severe Decay
• Advanced periodontal disease
• Infection or Abscess
• Orthodontic correction
• Malpositioned teeth
• Fractured teeth or roots
• Impacted teeth

Root Canal Treatment

Veeners

Your dentist may have suggested to you that Root Canal Therapy (otherwise known as Endodontics) was needed for a particular tooth. They may have briefly discussed some of the facts concerning the procedures involved in root canal therapy but perhaps you would like some more information. Years ago, a badly infected tooth, or one that just had significant decay, was doomed to be extracted. Today the majority of these teeth can be salvaged through procedures utilized by both the General Dentist and the root canal specialist, the Endodontist. Extraction is truly our last resort! Indications for root canal treatment may be: • Spontaneous pain or throbbing while biting. Sensitivity to hot and cold foods. • Severe decay or an injury that creates an abscess (infection) in the bone.
How is it done?
Root canal treatment consists of the removal of the infected or irritated nerve tissue that lies within the root of the tooth. It is this infected pulp tissue that causes an eventual abscess.
1. The first step in a root canal is to obtain access to the nerve. This is accomplished    by establishing a small access opening in the top of the tooth. It will be done under a local anesthetic. 2. The length of the root canals is determined and the infected pulp is removed. 3. At the same visit, the canal where the nerve is located will be reshaped and prepared to accept a special root canal filling material. This filling procedure will probably not occur until your next visit. The number of visits necessary to complete your root canal will depend upon several factors including the number of nerves in the tooth, the infected state of the nerve and the complexity of the procedure. 4. The final step in your root canal will be the sealing of the root canal with a sterile, plastic material, called gutta percha this is done in order to prevent possible future infection. The tooth will then possibly need a post and core and a crown in order to re-establish normal form and function. This decision will be based upon several additional factors. If treated early, root canal therapy need not be uncomfortable. With the use of local anesthetics, the entire procedure can be totally painless.

Veneers are a fantastic way to fix front teeth. You can whiten your teeth, close spaces, and create a great smile. We can even do virtually instant orthodontics to straighten crooked teeth. Indications for veneers include Spaces between the teeth (diastemas), Broken or chipped teeth, Unsightly, stained or washed out fillings, Permanently stained or discolored teeth, Mis-shaped or crooked teeth, Whiten dark yellow or stained teeth Have you ever wished you had better looking teeth without all the hassle of braces (orthodontics) or crowns (caps)? NOW YOU CAN! Porcelain veneers are the answer for instant orthodontics to straighten smiles, close spaces, reshape, and accomplish minor realignment of your teeth.You can even have that "Hollywood" smile you've always wanted. What Are Veneers? Veneers are very thin and are bonded on the front of your anterior teeth. Dentists use some of the same techniques to bond plastic resins for minor smile corrections. These veneers are about 0.3 mm to 0.5mm in thickness but are very strong once bonded to your teeth. They have a "life like" appearance with the strength, beauty, and durability only porcelain restorations can afford. Veneers have several advantages over crowns (caps). There is no "dark line" that is sometimes seen with older front caps. They transmit light better and, therefore, have a more translucent appearance giving a natural, esthetic look. Veneers do not require the massive grinding of tooth structure that caps do, yet, they accomplish a lifelike esthetic result. How's it done? After a through discussion with your dentist to establish just what you wish to accomplish and establish what can or can not be done, your first appointment usually involves some minor contouring of the front teeth and taking an impression of the teeth. The veneers are tried in, and, if satisfactory, they are bonded in place. A follow up visit is made in a week. The results are instant and spectacular! Many times, we combine bleaching with porcelain veneers to make that perfect smile. If some front teeth are already badly broken down, we can place new all porcelain crowns combined with veneering and other cosmetic techniques. As always, talk to your dentist or one specializing in cosmetic dentistry and discuss your specific desires.
Usually, we can give you that
you have always wanted.

Whitening

Future Services

Whitening is indicated to give new life to stained or darkened teeth. Your dentist can recommend several different types of bleaching treatments.
There are three types of whitening treatments available, In office bleaching, take home bleaching trays, and over the counter treatments. In office whiting allows fro the greatest results as the dentist can use stronger concentrations of bleaching solutions compared to take home and over the counter treatments. Don't hesitate to ask your dentist about whitening treatments that are right for you

Coming soon to enhance your dental experience :
Oral Conscious Sedation
One visit Crowns
Implant Restorations
Laser Dentistry
Botox Therapy