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At “Deccan Dental” our team of highly skilled dentists offer a range of dental treatments for the entire family. Right from a regular cleaning and exam to cosmetic treatments like whitening and veneers, we do it all and with great attention to detail.

Routine Cleaning and Exams

A daily regimen of brushing and flossing will help keep your teeth clean, cavities at bay and your breath smelling fresh. However regular visits to Deccan Dental for a professional cleaning will remove calculus and plaque in places your toothbrush and floss have missed.

Your visit to our office is an important part of your program to prevent gum disease.

Your dentist will discuss a oral hygiene regimen that best fits your needs. While most patients are seen every 6 months for a routine cleaning, based on the health of your gums we may recommend more frequent cleanings.

See our section on your first visit to learn more.

Plaque

Dental plaque is a biofilm, of colonizing bacteria, usually pale yellow in color. It develops naturally on the teeth.

Calculus

Calculus or tartar is a form of hardened dental plaque. When plaque is not brushed away there is accumulation of minerals from saliva that harden the plaque. Its rough surface provides an ideal medium for further plaque formation, threatening the health of the gums.

Dental Implants for Missing Teeth

Dental implants are now considered as the preferred technique for tooth replacement whenever possible. The Titatium root shaped implant acts a tooth root substitute. Once it integrates with your natural bone to form a stable foundation, it will look and feel like your permanent natural teeth. In fact dental implants help preserve the surrounding bone and as such the integrity of the facial structures.

By choosing to place an implant over other traditional treatment options you could spare your adjacent teeth from being ground down for a bridge or for clasps to hold a partial denture. Dental implants have greater longevity than bridges and partials and spare you from the many problems associated with false teeth. With dental implants you should be able to eat virtually anything and smile with confidence knowing that your teeth appear as natural as they could.

Dental Implant Procedure
1

Consult with the Restorative Dentist

Here at Deccan Dental one of our highly trained dentists will evaluate and determine if you are a good candidate for an implant. Once we have made our initial determination we will seek a second opinion from the implant surgeon.

2

Consult with Implant Surgeon | Periodontist

At this appointment the specialist will confirm our diagnosis and will make further determinations using specialized x-rays and diagnostic tools. Based on their evaluation they will advise on further treatment and plan for the implant placement.

3

Implant placement

The specialist will place your dental implants. This is generally an uncomplicated procedure done under local anesthesia. We recommend a healing period of 4 to 6 months. Occasionally you may be a candidate for placement of an immediate temporary crown.

4

Implant Crown Placement

Following healing the next step begins. This is generally a two-step procedure that involves making an impression and mold for the laboratory to fabricate a crown that is custom shaded and fit for your mouth. Once the crown is returned ready from the lab we will schedule you back in our office for the final placement.

Glossary of Relevant Terms

Implant Crown: the final restoration that will look and feel like your natural tooth

Abutment: an implant component that protrudes from the implant and over which the crown is placed.

Pre-fabricated abutment: a non-customized abutment that is manufactured with set values

Custom abutment: an abutment that has to be specifically crafted by a laboratory for a better and more reliable restoration.

Abutment screw: the screw that hold the abutment in place and on the implant..

Healing abutment: a temporary abutment that is placed over the implant while it is left undisturbed to heal. The healing abutment will be replaced by the final abutment before the permanent restoration is placed.

Immediate implant placement: in a few cases a specialist might place an implant into the tooth socket immediately following its extraction.

Two-stage implants and Implant exposure: the specialist might bury the implant in the tissue to allow for undisturbed healing. The procedure to uncover the implant following healing is called implant exposure.

Osseointegration: the process of attachment/integration of the bone onto the surface of an implant.

Dental Crowns

A Crown is used to replace missing tooth structure on a tooth. When a tooth is fractured or weakened by root canal treatment often a filling will not give it enough support. In such cases the tooth will be treatment planned to receive a full coverage crown. A crown is like a cap, it fits snugly over your tooth and is attached in place using a type of permanent cement.

A crown may need to be replaced if it fractures or your underlying tooth develops decay. It is important to maintain very good oral hygiene around a crown and have your dentist check it at each periodic visit.

Crown Procedure

The treatment usually takes two or three appointments to complete.

1

First Appointment

At the first appointment one of our highly trained dentists will prepare the teeth on by removing a portion of the enamel and dentin. It is necessary to remove some tooth structure to be able to create a space for the crown materials so that it is the same size as the original teeth. We always try to be as conservative as possible during this procedure.

A detailed impression of the prepared teeth and arch are taken and sent to a lab where the bridge will be fabricated.

A temporary crown made of acrylic resin will be placed and cemented. You will receive care instructions as temporary crowns can be quite fragile.

2

Second Appointment

At the second appointment the temporary crown is removed and the final bridge is seated. A visual, tactile and radiographic exam is used to verify the fit. You will also have a chance to approve the esthetics and fit of the crown. Following that the crown is cemented.

3

What materials are used?

Crowns can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either precious or non-precious metal.

Glossary of Relevant Terms

PFM: porcelain fused to metal crowns have a metal undersurface over which tooth colored porcelain is placed. This design may allow for some exposure of the metal and may not be as esthetic as a all porcelain crown.

Emax | Zirconia: these are high quality brand names for all porcelain crowns. There is no metal substrate and esthetics are generally superior

High Noble metal: the metal used for the crown has high content of precious metals

Porcelain margin: the crown will have porcelain on the outer surface to mask the metal show

Dental Bridges

A bridge is used to replace missing teeth. It attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable.

Fixed bridges are cemented or bonded into place and can only be removed by a dental professional. Removable bridges on the other hand can be taken out and cleaned or adjusted. They hold on to your natural teeth with clasps or by precision attachments. Fixed bridges do offer more stability than their removable counterparts.

Fixed Dental bridge procedure

The treatment usually takes two or three appointments to complete.

1

First Appointment

At the first appointment one of our highly trained dentists will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin. It is necessary to remove some tooth structure to be able to create a space for the bridge materials so that it is the same size as the original teeth. We always try to be as conservative as possible during this procedure.

A detailed impression of the prepared teeth and arch are taken and sent to a lab where the bridge will be fabricated.

A temporary bridge made of acrylic resin will be placed and cemented. You will receive care instructions as temporary bridges can be quite fragile.

2

Second Appointment

At the second appointment the temporary bridge is removed and the final bridge is seated. A visual, tactile and radiographic exam is used to verify the fit. You will also have a chance to approve the esthetics and fit of the bridge. Following that the bridges are cemented.

3

What materials are used?

Bridges can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either precious or non-precious metal.

Glossary of Relevant Terms

PFM: porcelain fused to metal crowns have a metal undersurface over which tooth colored porcelain is placed. This design may allow for some exposure of the metal and may not be as esthetic as a all porcelain crown.

Emax | Zirconia: these are high quality brand names for all porcelain crowns. There is no metal substrate and esthetics are generally superior

High Noble metal: the metal used for the crown has high content of precious metals

Porcelain margin: the crown will have porcelain on the outer surface to mask the metal show

Dentures

Customized Full Dentures and Partial Dentures are a common way to replace a few or all missing teeth. We also offer implant-supported dentures. Complete denture can be attached to dental implants to allow for a more secure fit of the appliance.

Most dentures are made of acrylic. There are few variations in the type of acrylic used ranging from the standard to high impact acrylics.

Partial dentures may be made entirely of a flexible plastic but often have a metal substructure with metal clasps that help hold it in place. Ask your dentist about other esthetic alternatives.

Dentures over a normal course of time will wear and need to be replaced or relined in order to keep the jaw alignment normal.

The Complete Denture and Partial Denture Procedure

Dentures and partials take several appointments to fabricate. Expect to return to our clinic at least 3 to 4 times before your final prosthesis is ready.

At the initial diagnostic appointment we will take impressions of your mouth to make molds. Following that you will return for a more detailed impressions, recording of your bite, a try in of your teeth to approve esthetics and function and finally for the delivery of the final acrylic denture or partial

Glossary of Relevant Terms

Conventional denture: a conventional denture is made after all teeth have been extracted and the tissues (gums) have healed

Immediate denture: an immediate denture is fabricated and inserted immediately after the teeth are extracted and the tissues are allowed to heal under the denture.

Valplast/Flexible denture: these are partial dentures with no metal substructure and instead are made of high strength flexible plastic. They are shorter term esthetic alternative to standard partial dentures

Stayplate | Flipper: a stayplate is an all acrylic partial with possible one of more wire clasps. It is most often used as an interim partial denture until you are ready for your final partial denture.

Veneers

Porcelain Veneers are thin laminates or shells of ceramic that bond directly to the front surfaces of your teeth.

Veneers require minimal reduction of tooth structure as compared to full coverage crowns. They are great alternative to crowns when used for cosmetic purposes. Veneers can be used to alter your smile in many ways.

  • close spaces between your teeth
  • change the color of your teeth
  • give your teeth a more customized look – fuller, straighter, longer , whiter ….

Not all patients are good candidates. Please talk with your dentist so that you can make the right choice.

Whitening

If you are interested in a brilliant white smile start by speaking with one of our highly trained dentists. He or she can tell you whether whitening procedures would be effective for you. We often have exciting promotions to make this cosmetic treatment more affordable.

Is whitening for you?

Whiteners may not correct all types of discoloration. For example, yellowish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all.

If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening, Deccan Dental offers a few ways to whiten your smile:

1

In-office bleaching

This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used.

2

At-home bleaching

Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a mouth tray. We will take impressions of your mouth to make customized whitening trays. Once the trays are ready, you will return to the office for a demonstration and instructions on use. There are potential side effects, such as increased sensitivity or gum irritation.

3

Whitening toothpastes

All toothpastes help remove surface stain through the action of mild abrasives. “Whitening” toothpastes in the ADA Seal of Acceptance program have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these ADA Accepted products do not change the color of teeth because they can only remove stains on the surface.

See our Whitening Promotions

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Fillings

Why do I need a filling?

When bacteria reside in the grooves or broken facets of your teeth they begin to produce chemicals and acids that degrade and break down tooth structure. The process of degradation is called “decay”. The longer the bacteria are left undisturbed the more the damage will progress eventually leading to further tooth fracture or the need for root canal treatments.

If your dentist identifies an area of decay, we will treatment plan the tooth for a filling. This process involves removing the decayed tooth structure until only healthy tooth structure remains. This is followed by replacement of the lost tooth structure with a filling material like a composite resin.

Composite Resin Fillings (Tooth-Colored Fillings)

Composite fillings are the preferred filling material at Deccan Dental. Composite is a mixture of acrylic resin and powdered glass-like particles that produce a tooth-colored filling. There are many advantages to tooth-colored restorations:

Resin fillings are usually completed in a single visit. The resin material is bonded to the teeth creating a tight, superior fit to the natural tooth. The fillings are durable, tissue compatible, and kind to the opposing teeth. Resin fillings allow us to preserve the greatest amount of natural tooth structure. Most importantly, color and shading can be matched to the existing tooth.

Replacing Silver Fillings with a Tooth-Colored Restoration

It is your decision whether or not to replace any old silver fillings however our dentists will evaluate your existing silver fillings and give your our recommendations.

Glossary of Relevant Terms
Bonding: the process of placing a tooth colored composite restoration is often referred to as bonding. The reference is to the chemical bond that the filling material forms with the tooth.

Silver Amaglam: these are the dark silver color restorations that at one time were the most common form of fillings. Presently there is some discussion regarding its favorability considering its mercury content. We recommend that you check with the ADA and refer to other literature readily available online to make your decision regarding the use of amalgam in your tooth. Your dentist will also help guide you in this decision.

Abrasion: Teeth submitted to abrasion acquire a yellowish color because of the thinness of the remaining enamel, revealing the color of dentinal tissue to a greater degree. It is common to see these areas along the gum line of the teeth.

Root Canals

Root canals have a bad reputation but here at Deccan Dental we try and make the experience as painless as possible so that you are comfortable during and after the procedure.

Your dentist will evaluate the tooth in question for the need of a root canal. Based on the complexity of the treatment we make decide to refer you to a specialist. Sometimes treatment by a specialist is in your best interest to help minimize complications.

Why would you need a root canal?

In the middle of your tooth and running down its root are blood vessels and nerves housed in a pulp chamber and root canal. Infection or inflammation of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or other dental procedures. Teeth with infected pulp can cause varying degrees of pain and are usually not responsive to other conservative treatments. Often the infection might present itself as a draining fistula or a pimple on your gum in front of your tooth. Other symptoms include pain that keeps you up at night, lingering sensitivity to hot or cold and pain on biting that stays for 10 seconds or longer.

How is a root canal performed?

This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required.

Do I need a crown after root canal treatment?

In most cases we recommend a full coverage restoration like a crown to protect the tooth from fracture. Your dentist will advise you regarding the need for such a restoration.

Extractions

Pulling a tooth can be traumatic experience physically and psychologically. Here at Deccan Dental we understand that and make every effort make your experience as comfortable as possible. We treat extractions as a last resort treatment and only consider it when all other treatment options have been exhausted.

Some reasons why a tooth needs to be pulled are because it:

  • is severely decayed and not restorable
  • has advanced periodontal disease making it lose and a possible source of infections
  • is broken in a way that cannot be repaired.
  • is badly positioned in the mouth such as impacted wisdom teeth or is in the way of ideal orthodontic treatment.
  • is a baby tooth that is retained long past its regular exfoliation timeline affecting the growth of the adult tooth.

Whatever the reason is for the extraction our dentists will make explain the need and procedure to you in ample detail.

Glossary of Relevant Terms

Surgical extraction: In some case the shape of the existing bone, position in the mouth, the type of surrounding bone make an extraction more complex requiring a surgical approach that could involve removal of the surrounding bone, placement of sutures and/ or sectioning of the tooth itself

Bone Graft: this is a bone preservation mechanism wherein the empty socket left by the extracted tooth is filled with artificial or cadaver bone to create a site that will hold an implant or other type of restoration more adequately.

Periodontal Scaling & Root Planning

The health of your gums is paramount. Gum disease can cause the loss of bone around your teeth and once bone is lost, it\’s gone forever. There are various stages of gum disease and it is best to treat the problem as early on as possible. All our dentists periodically check your gum health to make sure both you and us are doing everything we can to keep them healthy.

Gum disease is what happens when bacteria gets below the gum line and the attachment between the gum and tooth is lost. Gum disease is a silent and chronic bacterial infection that often goes undetected or ignored until severe gum and bonedestruction is unbearable and no longer able to be ignored. Left untreated, gum disease can cause tooth mobility and tooth loss. Three out of four Americans have some form of periodontal disease and only 3 out of 100 will ever get treated before it’s too late.

Gingivitis

Red, swollen gums that bleed easily are generally a sign of gingivitis. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease can progress to a more aggressive type that could include loss of bone and tissue that hold teeth in place.

Periodontitis

When gingivitis is left untreated, it often advances to “periodontitis”. Here the attachment of the gums to the teeth is affected creating spaces around your teeth called “pockets”. Pockets can range in depth and are usually the site of infection . If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

Periodontal Cleaning (Scaling & Root Planning)

If you have periodontitis and the “pockets” around your teeth are significant your dentist will institute a gum health regimen that included a deep cleaning, irrigation of the pockets with antiseptic rinse, placement of medications like “Arestin” in the pockets and specific at home care methods. This procedure generally takes two visits and requires that you received local anesthetic in the area being cleaned.

If the disease is very aggressive and does not respond to the treatments above me may recommend you see a specialist for further treatment that may include surgicalpocket reduction.

Glossary of Relevant Terms

ARESTIN®: minocycline hydrochloride, an antibiotic to treat individual areas of periodontal disease. It comes in a powder form that is placed within the infected periodontal pockets (between the tooth and the gum) that are 5mm deep or greater. The placement of ARESTIN typically occurs immediately after a scaling and root planing procedure. ARESTIN uses its direct application between the teeth and gums to continually fight periodontal (gum) infection for up to 21 days.

(Please let your dentist know if you are allergic to Minocycline, Tetracycline or any
other related medication)

SRP: Scaling and root planing, this is the name for the procedure to treat periodontist. The common term for this is deep cleaning.

Chlorhexidine Irrigation: 0.12% Chlorhexidine rinse is used as an irrigant following a deep cleaning.

Periodontal Maintenance: Following a deep cleaning we recommend a regular cleaning every 3 months. These cleanings are a bit more intensive than a regular cleaning and additionally includes irrigation of the pockets with antiseptic rinse, measurement of pocket depths and additional scaling of areas that might have a repeat of calculus build up.

Promotions

Whitening Special

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For $450, whiten your upper and lower teeth in under 2 hours. Also receive take home whitening trays for maintenance and touch-ups.

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New Client Special Offer

Exam, Clean and Polish for only $105

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