Please click on the service for a description; click the topic again to hide the description.
Tooth Colored Fillings/Bonding
This is one of our most common procedures. If a tooth has decay (a “cavity”) or has breaks or chips, we remove that decay and any badly damaged tooth structure and replace it with “tooth colored filling” material. This material is also called “bonding” or “composite resin”, and it adheres to the tooth and creates a wonderful barrier so bacteria, sugars, and other toxins don’t reach the inside of the tooth. These fillings come in many shades and colors and match your tooth color beautifully.
For people that have dark yellow and stained teeth to those that only need a little touch-up, this is a wonderful, non-invasive procedure to really get those pearly whites back to pearly white! The bleaching works incredibly well to help restore self esteem and the hidden beauty in all our smiles. Our whitening system is based on a very successful tray bleaching technique. All that’s required is a brief and painless impression appointment (10 minutes) to make a mould of the patient’s teeth, then the patient returns 1-3 days later to pick up the custom bleaching trays and bleach with the custom carrying case. We educate each patient thoroughly on the use of bleach and how to get the results they desire, then we allow them to bleach at home for 2 weeks. The next appointment is simply to record the new and brighter color of the bleached teeth and make sure each patient is satisfied with the level of whiteness. Tray bleaching is a SAFE, HEALTHY way of greatly improving dental esthetics WITHOUT shots, numbing or drills, and it’s remarkably easy to apply. Each patient has full control of how white they want to make their teeth. Please keep in mind that fillings, crowns/veneers and dental porcelain do not bleach. Please ask us about our BOOST Bleaching option, which allows patients to get even faster results!
Nitrous Oxide (laughing gas) Sedation
We are extremely proud to be an office that works hard to provide patients with painless and comfortable dentistry without the need for drugs and sedation. We believe that making procedures as painless as possible and emphasizing patient comfort and relaxation are important in creating great dental experiences and changing the stereotypes that dentists have in the media and in people’s minds. However, we do understand that anxiety can sometimes be difficult to control, so we gladly offer Nitrous Oxide sedation as an added way to “take the edge off” and help our valued patients relax and enjoy their time here. Should you feel the need for gas sedation, please notify our office manager when she’s scheduling your dental treatment and she’ll be delighted to add a little time to your appointment to allow the nitrous oxide to work. Nitrous oxide is a very SAFE and efficient way to decrease anxiety, and wears off as soon as we turn off the gas, so you do not need someone to drive you to the appointment and there’s NO feeling of nausea or grogginess that people get with deeper sedation techniques such as IV or oral sedation with pills.
Crowns, also called “caps” are basically a protective covering for badly damaged teeth. If a tooth has severe decay, is badly broken down, or has had very large broken down fillings, then that tooth needs to be cleaned up and protected in order for the patient to be able to use it to chew without losing the tooth or experiencing pain. Crowns generally require a minimum of 2 appointments, and the first appointment is numbing the tooth, removing any decay/infection and broken down tooth structure, filing it down, and taking a mould (impression) of it for the laboratory to fit that tooth with a custom-fitting crown. The second appointment, which is usually 2-3 weeks after the first, involves trying in the permanent crown, making sure it fits, functions, and looks fantastic, then cementing in on the tooth. During the 2-3 week waiting period, patients are fitted with a custom temporary crown which helps to protect the tooth, prevent sensitivity, and allow the patient to chew on that tooth until the permanent crown is fitted. Crowns can be made of different materials; porcelain, porcelain-fused to-metal, or gold. Porcelain crowns are the most aesthetic and popular ones, and our laboratory technicians are master artists, able to mold porcelain into crowns that not only fit and function exceptionally, but also look beautiful and natural next to the other teeth. Porcelain crowns are usually done on front teeth, but can also be done on back molars if desired and appropriate. Porcelain-fused-to –metal crowns are made of metal coverings (copings) which fit over the tooth with porcelain covering the metal for beauty and brightness (the metal is NOT visible once the crown is cemented on the tooth); these combine both aesthetics and strength—most crowns you see on people’s back teeth are porcelain-fused-to-metal. On rare occasions, for people that are severe grinders and habitually damage their teeth, gold crowns are still a great material for teeth in the very back and last for incredibly long periods of time. Whatever your needs and material of choice, our office works hard to achieve exceptional results, aesthetics and longevity.
A very popular dental service in today’s society, dental veneers are sometimes jokingly referred to as “instant orthodontics”. Veneers are basically thin porcelain “chips”/facings which are glued to the fronts of teeth to improve the look of teeth (by improving color, shape, and alignment). Veneers typically are best for patients which have damaged/broken, discolored, and poorly aligned front teeth; patients which cannot be helped by bleaching or orthodontics (braces). Veneer appointments are similar to those for crowns; the patient comes in, is anesthetized (numbing), and a small layer of enamel is removed from the front of each tooth to be veneered In certain cases, no drilling of teeth is necessary, therefore NO NUMBING is necessary either (as in Lumineers, a registered trademark product), and ultra thin porcelain veneers can be fitted to untouched teeth). A mould (impression) is taken of the teeth, then the patient is fitted with custom veneer temporaries , which they will wear during the 2 weeks necessary to fabricate the permanent porcelain veneers. At the second appointment, the veneer temporaries are taken off and the permanent veneers are glued on. Veneers can make a drastic difference in improving the color and look of a smile, and are very popular among Hollywood celebrities and models. Occasionally, additional procedures such as bleaching or braces are needed before dental veneer treatment to improve the outcome and look of veneers, and excellent brushing and flossing habits are a must to keep the veneers looking great and help them last a long time.
This is an old, tried and true technique used to replace missing teeth. If a patient has a missing tooth and a tooth on either side of the space, we would place crowns on the tooth/teeth in front and behind of the missing tooth space and fill in that space with a fake tooth that is connected to the crowns on the existing teeth (the tooth which fills in the space of the missing tooth/teeth is called a “pontic” and the crowns which it is connected to which fit over existing teeth are called “abutment crowns” or “retainer crowns”). The procedure for a bridge is similar to that for a single crown (see above Crown/Porcelain Crown section), except that it involves more teeth. Bridges are still a viable option for replacing missing teeth, however, implants are now becoming the favored technique to do that.
More accurately known as “Root Canal Treatment”, a root canal is usually done on teeth that are extremely painful, abscessed (infected), severely broken down, or a combination of those. In the old days, whenever a tooth hurt, the usual remedy was to pull it; not so anymore because root canals have made it possible to treat those teeth and bring the patient total comfort while still being able to keep the tooth and use it to chew and smile. Root canals unfortunately have a bad reputation which is mostly myth, so if you ask someone that’s had one, they’ll tell you that it’s a painless way to save a tooth and stop pain and infection. Dentistry has made great strides, not only in numbing agents but also in techniques and materials, and as a result, root canals have become a very successful and painless way to treat a tooth that’s throbbing and keeping someone up at night—this is one of those procedures that can make a dentist your hero! A root canal consists of numbing the painful tooth and making the patient comfortable, then going through the top of the tooth and cleaning out all the dead, infected, toxic tissue that’s causing the patient so much pain, then disinfecting the inside of the root, and finally placing a water-tight sealer inside the roots. Once the root canal is completed, the patient will no longer have sensation on that tooth, therefore no more pain. Teeth that are treated with a root canal treatment usually need to be crowned in order to protect them from further bacterial leakage and breakdown.
This state-of-the-art treatment is the pride and joy of dentistry; a wonderful way to replace missing teeth! Implants are simply titanium screws that are placed in the bone where a tooth is missing. After the bone grows around the implant, a false tooth is placed on top and used just like a normal tooth, so basically the implant itself acts like the root of a natural tooth (it’s even shaped like a root!). The decision to place an implant is usually made between the general dentist and the patient, and the dentist decides if the patient is a candidate and where to place the implant(s). A specialist (either a periodontist or an oral surgeon) usually places the implant(s), then the patient returns to their general dentist, where the tooth/teeth are placed on top of the implant.
Advantages of an implant are:
- a very strong, durable way to support a tooth (titanium doesn’t get cavities!)
- a great way to help maintain bone levels (when teeth are extracted, jaw bone begins to shrink leaving the patient with less and less options to replace teeth in that area—implants prevent and even reverse this trend,
- improve chewing efficiency by replacing the chewing surface lost with missing teeth; this also helps to take excess load off the natural teeth and keep them healthier
- improves cleansibility—implant teeth behave much like natural teeth,in that one can floss in between individual teeth—this is not possible with a bridge, as it’s all joined together therefore to clean a bridge requires going underneath it.
The implant procedure requires having adequate bone in the upper or lower jaws, therefore it is sometimes necessary for additional procedure such as bone grafts to be done to make a perfect environment for an implant. If an implant is done correctly, heals properly, and the tooth above it is made properly, managed and cleaned properly, this is a life-long restoration and well worth the investment in time and money. Implants can even be placed under dentures and partial dentures to help them stay in place and improve chewing and speaking! Imagine no longer having to worry about your denture staying put when you chew or speak. Imagine being able to bite into an apple with your denture without it coming loose!
Hygiene (Periodontal) Services
The term “periodontal” refers to structures that are found around the teeth, mainly bone and gum tissues, that support and hold the teeth in place. The periodontal structures are the foundation of the teeth, and keeping them healthy is critically important for keeping teeth firmly in place. Without healthy bone and gums, teeth become susceptible to gingival (gum) bleeding and swelling (also known as “gingivitis”), gingival recession, bad breath, sensitivity, decay, unwanted tooth movement, infections, and even tooth loss. Our hygienists are here to make sure that every patient is educated on periodontal health and home maintenance. They provide each patient with the appropriate type of cleaning which will help them keep their gums and bone healthy for a lifetime. Armed with the right knowledge and properly done cleanings, our patients understand the value of good oral health and have access to great care to maintain that health.
- Normal cleanings: This procedure is done for patients with good periodontal health. Good periodontal health means healthy, pink gums, little to no bleeding on brushing and flossing, little to no gum recession, no loosening of teeth, no generalized gum swelling. During normal cleanings, our hygienists work diligently to remove tartar (also called “calculus”) and bacteria from around the teeth and gums. They also spend time checking each and every area around the teeth to ensure that these areas are healthy. X-rays are taken of the teeth (usually once yearly) to determine if there are any signs of cavities, infections, problems with dental work, or gum/bone issues in areas that they cannot visibly see. Finally, the teeth are polished with a pleasant tasting fluoride polish. Throughout this cleaning procedure, our hygienists spend time educating the patient on proper home care, including brushing, flossing and mouthwash.
- “Deep” (Periodontal) Cleanings: This procedure is reserved for patients who exhibit signs of Periodontal Disease. These signs include: gingivitis (persistent swelling of the gums, usually accompanied by pain and discomfort), bleeding in multiple areas when brushing, gingival (gum) recession (which is usually accompanied by significant sensitivity to cold air or cold drinks/food), bad breath, loose teeth, heavy tartar (“calculus”) accumulations especially below the gums. To learn more about Periodontal Disease and your General Health, please click HERE.
Cavity and Sensitivity Prevention
For patients who are prone to dental decay, have many cavities, and/or are highly sensitive to cold, we have a wonderful array of products which are aimed at preventing decay, strengthening teeth, and helping to eliminate/prevent dental sensitivity. We also provide extensive counseling and education on oral hygiene, diet, and other preventative measures which help control cavities and sensitivity. Please ask us about these great services.
Dentures and partial dentures
For people who are missing teeth, dentures provide a relatively quick and low-cost way of replacing these teeth, regaining chewing ability, self esteem, and the ability to smile. Placing implants under dentures and partial dentures allows them to stay in place more firmly without need for adhesives.
Nightguards and TMJ services
Are you experiencing headaches when you wake up? Are your teeth sore? Do your jaws pop and click when you chew? Are your teeth worn or loose? You could be one of the many people who clench and grind their teeth at night or even during the day (a condition called “bruxism”). To control this, we offer a wide range of oral appliances called “nightguards” or “bitesplints”, which help alleviate the headaches, tooth wear, and other problems associated with clenching and grinding. For people who suffer from severe TMJ disorders, we work with a wonderful group of TMJ experts who can accurately diagnose and resolve these conditions.
Being a family oriented dental practice, we love to treat children. Our policy is to provide them with a wonderful and engaging dental experience which will build trust and prevent them from avoiding the dentist and dental care when they’re mature. Typical age of beginning dental visits for a child is 3 years old. We perform a wide variety of services, including cleanings, fillings, and pediatric extractions. Our hygienists are excellent with kids, and we enjoy watching them grow up before our very eyes as they return every 6 months for cleanings. Our educational tools and preventive measures are excellent for building life long oral hygiene habits which will ensure great oral health. We even offer sugar-free candy and toy prizes to our well-behaved patients!
In case of severe pain, infection, or trauma to teeth or oral structures, we offer a 24- hour emergency number. If necessary, we can see emergencies after hours or on weekends, and also prescribe appropriate medications to treat a wide variety of dental emergencies and get you comfortable.
This device allows us to film and magnify your teeth on a large screen and show you all the areas that need treatment up close and in startling detail! This device is one of our best educational tools to help teach patients about the condition of their teeth.
Flat screen television/speakers in treatment operatories/Free Wi-Fi
For your comfort and entertainment, we offer tv’s with satellite service in every treatment room and in the waiting room. Or you can choose to listen to the overhead speakers. We also provide iPod and headphones to those that want to listen to their own music and free wi-fi if you need to access the internet while waiting.
Help with dental insurance policies
Complimentary water and coffee
4525 Harding Pike, Suite 101
Nashville, TN 37205
Hours of Operation
Monday - Thursday: 8am to 5pm
Friday: 8am to Noon