General Treatment

  

general treatmentBonding | Tooth Extractions | Teeth Whitening | Laser Cavity Detection |
Space Maintainers | Root Canals | Thumb/Finger Appliance |
Nance Appliance | Distal Jet Appliance | Lip Bumpers

 

Our practice can provide a wide range of dental services for your children. Our flexibility in our services 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.

We provide many preventative measures to keep your child’s teeth clean and healthy, including sealants and fluoride treatments. We also educate the parents in early detection of some common problems children may face, including thumb sucking, bruxism and baby bottle tooth decay.

Our primary goal for your children’s dental development is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.


Bonding

Bonding is a common solution for:

  • Fixing or repairing chipped or cracked teeth
  • Reducing unsightly gaps or spaces between teeth
  • Hiding discoloration or faded areas on the tooth’s surface

Often, composite boding is used to improve the appearance of your teeth and enhance your smile. As the name indicates, composite material, either a plastic or resin, is bonded to an existing tooth.

Composite bonding has many advantages:

  • It is a quick process, which typically lasts less than one hour.
  • It does not reduce the tooth’s original structure and is relatively inexpensive.
  • Composite resins come in many different shades and provide better matching of shades to the natural color of your teeth.
  • Composite bonds, however, are not as durable and long-lasting as veneers and crowns and may need to be re-touched or replaced in the future.

Composite bonds stain more easily and therefore require proper care and regular cleaning. In order to ensure the longest possible duration of the bonding, composites should be brushed and flossed daily.

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Tooth 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.

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Teeth Whitening

Your teeth will darken over time. Changes in the color of your teeth can be caused by such factors as the food and beverages consumed (like tea and soda). Other known factors for discoloration may include childhood medications or illnesses, or improper oral hygiene. Restoring your natural white smile is a priority for our dental whitening team. We can provide a variety of options for whitening your smile.

We are trained professionals using industry-approved methods. Our goal is to meet the needs of every patient, and every patient’s needs are different. One of the methods used by our practice is a gentle hydrogen-peroxide gel-activated solution. Call us today for a whitening evaluation.

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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. Laser cavity detection 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.

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Space Maintainers

Baby or primary teeth are significant to your child’s current and future dental health. They promote normal development of the jaw bone and muscles, preserve space for the eruption of permanent teeth and guide them into their proper positions. If your child loses baby teeth due to injury or decay, Dr. Nolfi may recommend space maintainers.

Made of metal or plastic, space maintainers are small and unnoticeable in appearance. They are customized to fit in your child’s mouth. Space maintainers hold open the empty space left by a lost baby tooth. They stabilize the remaining teeth by preventing movement until the permanent tooth erupts; taking its proper place in the jaw. Space maintainers are affordable and comfortable. Avoid giving your child sticky sweets or chewing gum. Do not allow them to push or tug on the space maintainer with their tongue or fingers. Assist your child with brushing and flossing daily. Your child should continue to see Dr. Nolfi regularly for dental visits.

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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.

This procedure involves:

  • The patient undergoes 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.
  • Patients must see their regular dentist quickly for a permanent restoration of the tooth.

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Thumb/Finger Appliance

Sucking is a natural reflex that relaxes and comforts babies and toddlers. Children usually cease thumb sucking when the permanent front teeth are ready to erupt. Typically, children stop between the ages of 2 and 4 years. Thumb sucking that persists beyond the eruption of primary teeth can cause improper growth of the mouth and misalignment of the teeth. If you notice prolonged and/or vigorous thumb sucking behavior in your child, please talk to your dentist.

One solution to thumb sucking is an appliance called a "fixed palatal crib." This appliance is put on the child's upper teeth by an orthodontist. It’s placed behind on the upper teeth on the roof of the mouth. The crib consists of semicircular stainless steel wires that are fastened to molars using steel bands. The stainless steel wires fit behind the child's upper front teeth, and they are barely visible. The crib usually stops the habit of thumb sucking within the first day of use.

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Nance Appliance

The Nance Appliance is used to prevent upper molars from rotating or moving forward after you’ve worn a headgear or any other appliance to move your molars back. Some patients wear the Nance Appliance while they are awaiting their bicuspids to grow into place.

This appliance is made of two bands that are cemented onto the first molars and a wire spans the roof of the mouth from one molar to the other. An acrylic pad or “button” covers the wire that touches the roof of your mouth directly behind your front teeth.

Patients should always brush around the bands daily. Do not eat sticky, chewy candy as it can loosen your appliance. If you have any problems with your Nance Appliance, please call our office immediately.

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Distal Jet Appliance

The Distal Jet Appliance is a non-removable lingual appliance that is used to move upper teeth backward faster and more predictably than headgear. The Distal Jet distalizes molars and corrects teeth that have rotated. This appliance corrects class II problems.

The Distal Jet Appliance uses a solid track wire and two sets of locking screws on each side. The appliance is self-limiting by design because it has a distal stop attached to the tracking wire. The Distal Jet can be converted to a Nance Appliance by tightening the distal and anterior locks against the track wire and adding a Nance holding arch.

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Lip Bumpers

We like to avoid pulling teeth as often as possible, so we use lip bumpers on our patients who need to create more room for their crowded teeth. The lip bumper is a wire on the lower jaw that extends from one molar to another and keeps lips and cheeks from touching your teeth. When you move your mouth or speak, your lips and cheeks push on the bumper, and the bumper applies pressure to the teeth. This pressure pushes the molars back, creating more space for overcrowded teeth.

If you have a lip bumper, please remember to leave it in while eating, but do not eat hard or sticky foods. Proper, thorough brushing should remove any food that gets stuck in your lip bumper.

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