Comprehensive and Emergency exams are performed for all patients to assess current oral health care status and to determine the appropriate plan of treatment. These exams will consist of taking a few radiographs (X-rays) to accurately observe anything we may not be able to see upon a routine clinical examination. Dr. Dill also strongly believes in oral cancer screenings by thoroughly examining the tongue, and other soft tissues for any abnormalities.
Regular check-ups involve a professional dental cleaning by Dr. Dill or Chelsea our new friendly hygienist. These involve scaling and polishing of the teeth as well as a thorough examination to ensure everything is in good shape. A visit every six months is recommended for most patients.
Pediatric patients are welcome at the office! Dr. Dill treats children beginning at age one and believes that an oral health relationship at that age will let the child feel comfortable and not anxious about having their teeth looked at.
Sealants are a great way to prevent cavities from forming on the biting surfaces of molars, which are the most common places to get your first cavity. Usually when the first molars erupt at the age of six and second molars at age twelve, it is good practice to seal those pits and fissures to provide a smooth surface allowing proper cleansing and prevention of decay.
Fluoride treatments are key at a young age—then on every six month visit, your child will receive a fluoride varnish to help prevent decay before it starts.
Both silver (amalgam) and tooth-colored (composite) restorations are offered and can be used under most circumstances.
Historically, amalgam restorations have been used for over 100 years and have been determined safe to use by the American Dental Association. The ease of use as well as ability to withstand forces over many years have shown that amalgam is still a viable and fantastic restoration. The contraindications to using amalgam are esthetic reasons or tiny cavities that may not need to have as much tooth structure removed.
Composite or tooth-colored fillings provide the best esthetic result with multiple shades to match almost any gradation of tooth color. Advancements in composite research have provided us a viable option for uses in regions that receive more wear such as the back of the mouth. However, not all cases are candidates for composite and you should always ask Dr. Dill which is best for you.
Inlays & Onlays:
These two restorations are good for teeth that have fillings that are getting old, but may not need a full-coverage crown. These are fabricated in a dental lab and are returned to be cemented after proper fitting.
For a more esthetic smile, we can place minimally invasive layers of ceramic to cover the front surfaces of teeth. With little anesthesia needed, this relatively non-invasive cosmetic procedure can make your smile improve greatly. These are placed in two appointments and require less time in the chair than a traditional crown.
When a tooth is badly broken down, or the fillings that exist are worn down to the point of replacement, a cap or crown should be used to restore function and esthetics. We offer three types of crowns for use: an all-ceramic crown, a porcelain-fused-to-metal crown and an all-metal crown. Each crown has different properties and each are indicated in different situations. All ceramic crowns are useful for highly esthetic regions of the mouth such as the front teeth and middle teeth due to their translucency and ability to look nearly the same as a natural tooth. Porcelain-fused-to-metal crowns have a metal substructure that allow more durability especially in the back of the mouth—but have enough porcelain to look like a natural tooth. The all-metal restoration is made up of gold, and other alloys to provide the best strength and durability. These crowns do not have the esthetic appeal of the other two, however, have been shown in some studies to last up to fifty years!
When the nerve inside a tooth becomes infected and pain persists, the treatment to save the tooth is to remove the nerve and place a filler. This procedure is called a root canal. After the tooth has been cleaned and disinfected, a crown is typically placed over the tooth to protect it from becoming re-infected.
Once a tooth is unrestorable, and a root canal is not an option we can extract the tooth gently and as comfortably as possible. Using local anesthesia and nitrous oxide we can carefully remove your tooth.
When your gums become infected and lead to bleeding when brushing, or your teeth are slightly mobile, you may have the beginnings of periodontal disease. To prevent the gums and bony support from receding from your teeth we provide “deep cleaning” or scaling and root planing therapy. This therapy provides a clean, smooth surface for your gums to re-attach at a healthy and cleansable level. Along with good oral hygiene, scaling and root planing is the first step to controlling periodontal disease. Once therapy has been completed, a three month recall program will be initiated to observe and follow-up on treatment outcomes and oral hygiene.
In areas with a tooth missing, we can plan to place a titanium dental implant to replace the root of the tooth. Once the implant has had time to become attached to the bone, we can restore the implant with a crown.
When an implant is not an option, or the two teeth adjacent to the missing tooth are in need of crowns, a viable and more inexpensive option is to fabricate a bridge. A bridge consists of two crowns on the adjacent teeth next to the missing tooth with a fake tooth or pontic bridging the gap. This will allow the restoration of function but without the need for implant surgery and the waiting time for healing.
After many years, you may continue to lose teeth and at that point we may need to replace the missing teeth with removable dentures. These can be fabricated in 5 short appointments and can restore function and provide the ability to enjoy foods like when you had your natural teeth.
Implant Retained Overdentures:
A common problem with lower complete dentures has always been that tricky tongue kicking the denture out of your mouth! One way to prevent this from happening is to work with our local surgeon or periodontist to place two to four implants in your lower jaw to act as anchors for a lower denture. This will drastically increase retention of the denture and make it more difficult for your tongue to dislodge it.
The use of lasers in dentistry is a new and innovative form of treatment becoming mainstream in the dental community. Dr. Dill is diode laser certified by AMD Lasers, and uses lasers in his practice regularly. Lasers can be used to clean periodontal pockets, removing aphthous ulcers (canker sores), and removing extra gum tissue (gingivectomies).
If your teeth are discolored due to coffee/tea stains or are more yellow or brown than you would like, teeth whitening may be an option for you. We will take molds of your teeth and fabricate bleaching trays that would be used at home to help whiten your teeth over a period of a few weeks. Treatment is continued until the desired shade is achieved.
For those in organized (or unorganized!) sports, you are at an increased risk for tooth damage due to trauma or tooth-to-body/wall/ball contact. To prevent these incidents from happening, or to lessen the forces on the teeth, a mouthguard made of a thick rubber can protect the teeth. In one appointment a mouthguard can be fabricated for any sport!
During any dental visit we offer complimentary nitrous oxide or “laughing gas” that helps put you at ease and relieves much dental anxiety. This will provide a slightly euphoric feeling and is very safe and reversible once the appointment is over.
Safety and Compliance
To protect our patients and ourselves, we strictly maintain sterilization and cross contamination processes using standards recommended by the American Dental Association (ADA), the Occupational Safety and Health Administration (OSHA), and the Center for Disease Control (CDC).
If you are experiencing extreme pain please call Dr. Dill at the office at (734) 663-0100. Dr. Dill will get back to you as timely as possible.