Even a subtle change in your smile helps you to project an image of self-confidence and high personal esteem. When you feel good about yourself, it shows in your appearance. Today's advanced techniques and materials can make a real difference, and the skill, experience, and commitment of our practice — using a unique combination of science and artistry — can literally redesign your smile.

The dentists at Birch Street Dental Care can now correct a wide variety of so-called "permanent" dental problems:

Fillings

Our office provides both amalgam (silver) fillings and composite (tooth colored) fillings depending upon the condition of the tooth being restored and the esthetic requirements of the patient.

Sealants

Highly effective in preventing decay on the biting surfaces of your chewing teeth, sealants are a simple procedure in which a tooth-colored acrylic "coating" is painted onto the surface of the tooth.

This effectively "seals" the deep grooves acting as a barrier, protecting enamel from plaque and acids.

Sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can't reach.

Easy to apply, sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed. 

Children and adults can benefit from sealants in the fight against tooth decay.

Bonding

Bonding can be used as a restorative procedure for teeth that are chipped, cracked, discolored or misarranged, and is an alternative to veneers.

How does it work?

The tooth is prepared for the procedure by lightly etching the surface and applying a bonding liquid. Once the liquid sets, a plastic resin is applied and sculpted into the desired shape by the dentist. Once set, the resin is trimmed, smoothed and polished to a natural appearance.

Considerations

The bonding procedure can often be completed in a single office visit, and can improve the appearance of a tooth significantly. However, since the plastic resin used is not as strong as your natural tooth enamel, it is more likely to stain, chip or break than natural teeth. Bonding typically lasts three to five years before repair is needed.

Dental Implants Dentistry

Extractions

You and our Doctors may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, we will discuss alternatives to extractions as well replacement of the extracted tooth.

Bleaching

Having a beautiful smile may be even easier than you think. Many people achieve the look they've been dreaming of with our simple "bleaching" procedure.

It's safe, quick, and inexpensive. Just let us know at any appointment if you would like to begin bleaching. You can lighten only your upper teeth or both the upper and lower, depending on how much of each shows when you talk and smile.

In only 7-10 days your custom bleach splints will be ready for you to pick up. We provide you with a special bleaching agent that you put into the clear, almost invisible splints. With only a few hours of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short time without altering tooth structure or existing dental work in any way. When your teeth reach the brightness you want, only occasional treatment is needed to maintain your new smile. We'll want to take "after" photos at your next appointment.

Dental bleaching can be used to correct many tooth discolorations. These discolorations may have been caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful, "brilliant" smile. In cases of extreme tooth discoloration, crowns or veneers may be the only choice. But because of the low cost of bleaching treatments, bleaching is nearly always worth a solid try.

Key Benefits

How is it done?

An impression is taken to make a specialized "mouth guard" or "stint" to hold the bleach against the teeth. The material is used each night for about 3-4 hours for a week or two, after which significant whitening will occur. In some cases, the change is nothing short of brilliant. For confidence in appearance, bleaching technology offers improvements in yellowing, aging or stained teeth. For very severely stained teeth, crowns or veneers may be more appropriate.

Bridges

Crowns

Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.

Where damage to a person's teeth is extreme, and apparently beyond repair, we can use porcelain or porcelain "pasted on gold" crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.

How long does it take?

Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of either plastic or metal.

On the subsequent visit we will remove the temporary crown, and then cement the final crown, which will restore your tooth to look like your natural tooth.

Key Benefits

What are the capabilities of crowns?

Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases or wear and tear. Major problems can usually be corrected using these techniques. Material used in these repairs is either high-grade porcelain, or porcelain bonded to gold.  A higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred, resulting in lost teeth, or where teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.

Many people have unexplained pain from filled back teeth, which is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause "appearance" problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.

Root Canal Therapy

Laughing Gas (see Nitrous Oxide)

Copyright: http://www.dentalfind.com/glossary/laughing_gas_see_nitrous_oxide.html

Nitrous Oxide, N2O, also called laughing gas, is a colorless gas with pleasant, sweetish odor and taste, which when inhaled produces insensibility to pain preceded by mild hysteria or laughter.

Nitrous oxide was discovered by the English chemist Joseph Priestley in 1772, but was named nitrous oxide by Humphry Davy. The principal use of nitrous oxide is as an anesthetic in surgical operations of short duration as prolonged inhalation of nitrous oxide can cause death.

Nitrous oxide is prepared by the action of zinc on dilute nitric acid, by the action of hydroxylamine hydrochloride on sodium nitrite, and, most commonly, by the decomposition of ammonium nitrate.

Nitrous oxide has very distinct characteristics and when inhaled, nitrous produces a variety of physical effects including:

The physiological effects of using nitrous oxide last approximately a minute for a lung full of nitrous and then mainly dissipate. Some residual effects may last up to several minutes later. Nitrous gas works by infusing into the membranes of the body and produces an anesthetic effect.

Nitrous oxide is used in roughly one third of dental practices in the United States, especially to allay anxiety that many patients may have toward dental treatment, and it offers some degree of painkilling ability. The benefits of nitrous oxide are many, and the risks are few. The gas is administered with a comfortable mask placed over the nose, and the patient is instructed to breathe in through the nose and out through their mouth. As a precaution, patients should not eat anything for about two hours prior to use of the gas. The patient begins to feel a pleasant level of sedation in anywhere from 30 seconds to three or four minutes. The cheeks and gums will also begin to feel numb in about a third of the patients.

After the gas is adjusted to the appropriate dose, and the patient is relaxed and sedated, the dentist can comfortably give the anesthetic injection (if needed) to the patient, and then proceed with dental treatment. After the treatment is completed, the patient is given pure oxygen to breathe for about five minutes, and all the effects of sedation are usually reversed. Unlike IV sedation or general anesthesia, the patient can almost always leave the office by themselves, without an escort.

Nitrous oxide has few side effects although high doses can cause nausea in some patients, and about 10% of patients do not benefit from it. Patients that are claustrophobic or have blocked nasal passages cannot use nitrous oxide effectively. Nitrous oxide is one of the safest anesthetics available.

I. V. Sedation

One reason that many people avoid or postpone needed dental treatment is simply put, fear.  While contemporary techniques allow the delivery of local anesthetic virtually pain free, memories of painful experiences from the past still haunt the dental public.  IV sedation techniques are an excellent alternative for treatment of such patients as well as for lengthy restorative or surgical appointments in the non phobic patient.

IV sedation involves the use of sedative agents administered by way of an IV line directly into the patients circulation.  This allows the gradual dosing of appropriate medications until the patient is safely and comfortably sedated.  Patients who have experienced procedures performed while undergoing IV sedation report that they feel as though they had been “put to sleep” and have no memory of any of the dental treatment.  IV sedation which is extremely safe should not be confused with general anesthetic which embodies certain inherent hazards. 

Our Doctors are highly trained and experienced in the safe and effect use of modern IV sedation techniques.