All procedures are conducted with your care, safety, and comfort in mind.
ORAL HYGIENE & NUTRITIONAL COUNSELING
Maintaining your oral health is important. At PUREDONTICS, we provide ongoing oral hygiene and nutritional counseling to both our pediatric and adult patients.
With each patient, we discuss all extraoral and intraoral photographs, radiographs, and findings from clinical examinations, and we detail the treatments we recommend and why we recommend them.
Prophylaxis, also referred to as a “cleaning,” involves cleaning and polishing surfaces of the tooth with hand instruments, floss, electric rotary instrument or sonic scaling. Cleanings help to remove plaque, bacteria, stain and tartar from teeth.
Topical Fluoride Varnish
Fluoride varnish is a topical agent used to destroy bacteria. It adheres to the tooth surface and absorbs into the enamel structure to strengthen the teeth, thereby increasing the resistance of the tooth. Note that high doses of fluoride varnish could potentially be toxic. Potential alternatives include: calcium phosphate, xylitol, and chlorhexidine.
A sealant is a composite resin applied to the grooves and pits of healthy back teeth to provide a barrier. This procedure is performed in order to prevent demineralization and cavities. Note that sealants can break down without proper home care and diet.
A space maintainer is a fixed appliance used to maintain space from premature primary tooth loss. It works to maintain space for eruption of permanent teeth. Note that the space maintainer appliance must be monitored, adjusted, and sometimes replaced. It also may cause interference with adjacent erupting teeth. Decay and decalcification are more likely if oral care and diet is poor.
A pediatric exam includes a review of the child’s medical history, diet, homecare, and chief complaints, followed by a clinical extraoral and intraoral evaluation. The purpose of the exam is to obtain a diagnosis and develop an appropriate treatment plan.
Records include extraoral and intraoral photographs, a panoramic radiograph, a lateral radiograph of the face and cranium, impressions of the top and bottom teeth, and bite registration. The purpose of obtaining records is to ensure an accurate diagnosis, prognosis and treatment plan.
To detect potential disease in its early stages, intraoral and extraoral pictures are taken periodically, using radiation. The images allow the dentist to see inside and between teeth. In the absence of digital images, disease may otherwise go undetected until more obvious signs and symptoms develop. Digital x-ray equipment is used to reduce the size of the beam, and to eliminate “scatter” radiation, and lead-free, nontoxic, biodegradable barium aprons are used for additional protection.
Oro-Maxillofacial Orthopedic and Orthodontic Treatment
Maxillofacial Orthopedic and Orthodontic treatment uses procedures that enhance the growth and development of the oro-facial system, as well as enhance the positioning of the teeth. At PUREDONTICS, our orthopedic and orthodontic treatment starts with a comprehensive evaluation, followed by a series of records. Records include extraoral and intraoral photographs, a panoramic radiograph, a lateral radiograph of the face and cranium, impressions of the top and bottom teeth and a bite registration. After records are obtained, a case study is performed, and presented to the patient to discuss appropriate treatment options.
Note that depending upon the cooperation of the patient, treatment duration can take several months, or even years, to complete. The alternative is no treatment.
Composite Restoration (Tooth-Colored Filling)
During composite restoration, a resin-based material is used to fill and replace decayed areas of teeth. Composite fillings are made of stable material, and offer esthetic quality. Note that composite fillings can break and stain, may cause filtration (leak), and shades may not match exactly. Alternatives include: glass Ionomer, Amalgam, Gold filling material.
Anterior and Posterior Crowns
Anterior crowns (sometimes known as caps) are tooth-colored esthetic crowns, specially designed to replace structure lost due to decay or enamel/dentin defects in front teeth. Posterior crowns are tooth-colored or metallic, and are used to replace structure lost due to decay or enamel/dentin defects on back teeth. Crowns are stronger than resin-based or metallic restorative material, and can be used when a large percentage of tooth structure is compromised to restore normal anatomy of the affected tooth. Note that margins close to or under the gum can collect plaque and cause gingivitis, periodontal disease, or recurrent tooth decay. Crowns may loosen, break or fall out. Alternatives include: Composite or metallic fillings, or extraction.
Pulpotomy is the removal of coronal pulp/tissue. This procedure is performed to relieve nerve pain and sensitivity, by removing the infected tissue. Note that this may result in residual infection, or abscess. Alternatives include extraction or no treatment at all.
Exodontia – Extraction – Tooth Removal
Exodontia is a procedure in which a tooth is extracted, for the purposes of alleviating pain and discomfort, by removing the cause of the infection. Note that this procedure may cause a fracture of the root, infection, bone loss, shifting of adjacent teeth, and space. The alternative is no treatment.
Laser therapy is used to restructure and/or remove excess soft tissue. It results in less bleeding, less post-operative pain, no suture usage, and promotes faster healing. Note that eye damage may occur if proper protective goggles are not worn by all in the treatment room. Alternatives include: Use of Scalpel, or electrosurgery.
Pain & Anxiety Reduction
Nitrous oxide and oxygen are mixed together and inhaled through a small mask worn over the nose to aid in relaxation. This helps in the reduction of anxiety and suppresses the gag reflex. Note that this procedure may provide insufficient anxiety reduction for some patients. Alternatives include deeper sedation using inhaled oral or intravenous medication, either in the hospital or in an outpatient facility.
Local anesthesia is a medication that can be administered topically or by injection, which helps the patient to be more comfortable during dental procedures. Note that this may cause pain, swelling, tingling, pressure or damage to the nerve.
An adult dental exam includes a review of the patient’s medical history, diet, homecare, and chief complaints, as well as a clinical extraoral and intraoral evaluation of the patient including periodontal examination and oral cancer screening. The purpose of the exam is to obtain a diagnosis and develop an appropriate treatment plan.
Dental Images and Radiographs
Dental images include extraoral and intraoral photographs, taken using a camera. Dental radiographs (x-rays) include: panoramic radiograph, a lateral radiograph of the face and cranium, impressions of the top and bottom teeth, and bite registration. Images and radiographs are taken in order to help the dentist evaluate bone levels, underlying tooth structures, and other areas that may not be directly visible during the clinical examination. Digital x-ray equipment is used to reduce the size of the beam, and to eliminate “scatter” radiation. Lead-free, nontoxic, biodegradable barium aprons are used for additional protection.
A dental Prophylaxis (cleaning) is the process in which hand instruments and electric rotary or sonic scaling instruments are used to clean all surfaces of the teeth. This is accompanied by flossing and polishing of the teeth. Cleanings help to remove plaque, bacteria, stain and tartar from teeth.
Topical Fluoride Varnish
Fluoride varnish is a topical agent which adheres to the tooth surface and absorbs into the enamel structure to strengthen the teeth, thereby increasing the resistance of the tooth. It is applied with a small paint brush to the superficial surfaces of the teeth. Note that high doses of fluoride varnish could potentially be toxic. Potential alternatives include: calcium phosphate, xylitol, and chlorhexidine.
A composite resin is applied to the grooves and pits of healthy teeth (specifically the molars) to provide a barrier against bacteria and ultimately dental caries (cavities). Note that sealants can break down without proper home care and diet.
A custom fit occlusal guard is a custom-made appliance, used to protect the teeth from damage that may occur during athletic activities, while under stress, or while sleeping, as a result of clenching and grinding of the teeth. They are made to specifically fit each patient, and provide a more effective and beneficial solution than over-the-counter products can. These appliances are typically worn at night or during athletic activities; however, they may be worn during the day in cases where the patient is exhibiting significant clenching.
Dentures and Implants
Complete dentures are a traditional restorative option for patients who have lost many of their teeth or have un-restorable teeth due to severe decay. A complete denture can be for the upper, lower or both arches, depending on the needs of the patient, and replaces all teeth in that arch. A denture provides the esthetics and functionality that a patient needs to comfortably regain what was previously compromised. Complete dentures are removable.
When only a few teeth need to be replaced, the use of a partial denture can aid in restoring functionality and esthetics to those specific areas. For a partial denture, there are different options for materials that the dentist may use. Partial dentures are removable.
Implant Supported Dentures
Implant supported dentures offer the best support and retention (as compared to traditional dentures). Implants are placed into the jaw as anchors that connect to the denture with custom attachments. These attachments allow the denture to fit snugly into the mouth and to stay in place. An implanted denture may be either fixed or removable.
When a tooth is extracted or lost (due to decay, trauma, periodontal disease, etc.), a dental implant is the ideal option for replacement. A dental implant is an artificial tooth root that integrates with the jaw bone to hold a replacement tooth or bridge. They are made of titanium and integrate with the bone to create a solid foundation for an abutment and crown that are placed into the implant. Once the implant is restored with an abutment and crown, the patient has full functionality of their new tooth in the area that was previously left bare. Dental implants offer the most realistic treatment option for patients seeking to get as close to their original dentition as possible.
At PUREDONTICS, Invisalign treatment starts with a comprehensive evaluation, followed by a series of records. Records include extraoral and intraoral photographs, a panoramic radiograph, a lateral radiograph of the face and cranium, impressions of the top and bottom teeth and a bite registration. After records are obtained, a case study is performed and presented to the patient to discuss appropriate treatment options. Length of treatment is dependent on severity of the case and patient cooperation.
Composite Restoration (Tooth-Colored Filling)
During composite restoration, a resin-based material is used to fill and replace decayed areas of teeth. Composite fillings are made of stable material, and offer esthetic quality, as they are individually matched to each patient’s personal tooth shade. Note that composite fillings can break and stain, may cause filtration (leak), and shades may not match exactly.
Anterior and Posterior Crowns
When a tooth has become too compromised due to fracture or the severity of the cavity, tooth-colored crowns (custom made prosthetics, also known as caps) are placed over the remaining tooth structure to replace structure lost due to decay or enamel/dentin defects. Anterior crowns are made for front teeth, while posterior crowns are used for back teeth. Crowns are stronger than resin-based or metallic restorative material, and can be used when a large percentage of tooth structure is compromised to restore normal anatomy of the affected tooth. Note that margins close to or under the gum can collect plaque and cause gingivitis, periodontal disease, or recurrent tooth decay. Crowns may loosen, break or fall out. Alternatives include: Composite or metallic fillings, or extraction.
Over time, defects, discoloration, misalignments, cracks and chips can interfere with the esthetics of a patient’s smile. Porcelain veneers are an appealing esthetic treatment option fabricated to match the patient’s natural tooth shape and coloring. Once placed, veneers are indistinguishable from the patient’s natural teeth.
Comprehensive rehabilitation is recommended as treatment when many or all of the upper and lower teeth are involved. Extensive damage to the teeth caused by old restorations, decay, trauma, and/or grinding are all factors which may lead to full-mouth rehabilitation treatment. Treatment begins with a series of diagnostic records, including (but not limited to): extraoral and intraoral photographs, radiographs, impressions, and bite registrations. The case is then studied, and treatment options are presented to the patient, at which point they can make an informed decision on the treatment they feel best meets their desired outcome.
At-Home Teeth Whitening
Teeth whitening is the process of removing staining from teeth, using a bleaching agent which gradually whitens the teeth. To complete this process at home, custom bleaching trays are fabricated for the patient by making impressions of their teeth. The patient is then given a bleaching agent and treatment instructions to follow at home. Progress is monitored during periodic office visits. Note that the length of treatment varies from patient to patient, depending on the desired results.
We want you to achieve your desired results, and we encourage you to take a look at some of our successful case studies.
These patients are proud to show their new smiles.
Anterior Crossbite Before
Anterior Crossbite After
Crowding - Lower Before
Crowding - Lower After
Crowding - Upper Before
Crowding - Upper After
Deep Bite Before
Deep Bite After
Edge to Edge Before
Edge to Edge After
Child Malocclusion – Successful Smiles
We believe malocclusion ("bad bite", "crowding") can in many cases be successfully treated without the need for extractions of permanent teeth. We have seen the best results by providing treatment early, while the children are still growing and developing. Please browse through our case studies and be aware what to watch for in your child's dentition. All of these smiles were created without the need for extractions of permanent teeth.
“I can't say enough great things about Dr. Posada. My son had a dental emergency on a Sunday afternoon and within an hour of talking with Dr. Posada on the phone, my son was in the dentist chair. She cares about her patients....it's not just a job. I would and will recommend this dental practice to everyone!”
– Tish Garrity Campbell
Dental Fear & Anxiety
Your comfort is at the heart of our practice.
COMMON FEARS & ANXIETIES
Some of the most common fears and anxieties for children include:
- Fear of sharp instruments
- Fear of gagging
- Fear of injections/needles
- Fear of loss of control
- Fear of the unknown
- Fear of not becoming numb
- Fear of pain
- Fear of the dentist as a person
- Fear of the hand piece (or the drill)
COMMON CALMING METHODS
We realize how often fears and anxieties occur among our child patients, and we use the following methods to ease these issues:
Talking slowly, and in language they understand.
Using large, unpronounceable words, or talking faster than a child can follow is more likely to cause anxiety. It’s important that they understand what the doctor, hygienist, or assistant is saying, so they feel more comfortable before, during and after the procedure.
Displaying a compassionate attitude towards children.
We understand that children of all ages may be uneasy at the dentist, whether it’s their first visit, or 20th visit. Our team is always careful to keep the child’s fears and concerns in mind during procedures, acknowledging that their feelings are normal, and ensuring them that everything will be okay.
Showing and telling patients what we are doing.
We feel that patients, especially children, respond well to seeing what is being done, as well as hearing what we’re doing, and why. The more information we can give them, the better.
Using a mirror to watch.
In some cases, we will have the patient hold a mirror, so they can watch exactly what we’re doing. It gives some of the control back to the patient, and results in reduced fear and anxiety.
Using nitrous oxide sedation.
When the methods above prove ineffective, or additional relief is required, we do offer nitrous oxide sedation to calm the patient.
OVERCOMING DENTAL ANXIETY
Dental visits can be stressful for parents, especially for those who have dental phobias themselves. It is imperative for parents to continually communicate positive messages about dental visits (especially the first one), and to help the child feel as happy as possible about visiting the dentist.
Pediatric dentists and the dental team aim to make the child feel as welcome as possible during all visits. There are several things parents can do to make the first visit enjoyable. Some helpful tips include:
Take another adult along for the visit.
Sometimes infants become fussy when having their mouths examined. Having another adult along to soothe the infant allows the parent to ask questions and to attend to any advice the dentist may have.
Leave other children at home.
Other children can distract the parent and cause the infant to fuss. Leaving other children at home (when possible) makes the visit less stressful for all concerned.
Avoid threatening language.
Pediatric dentists and the dental team are trained to avoid the use of threatening language. It is imperative for parents to use positive language when speaking about dental treatment with their child. Please support us by NOT USING negative words often used in dental care:
|DON'T USE||USE INSTEAD|
needle or shot
sleepy juice /water
drill the tooth
clean the tooth
pull or yank
decay or cavity