Our Services

Sedation Dentistry

Sedation Dentistry – You No Longer Have To Be Afraid

Fearful patients no longer have to be afraid of the dentist. Getting the treatment you need, can be done easily and painlessly while you are totally relaxed and comfortable.

Oral sedation has many benefits that make getting your dentistry possible. Being sedated using oral medications means there are no needles. While you do not actually sleep during treatment, you will be sleepy-sedated just enough to make you totally relaxed and at ease. One of the best parts is that by the next day, most people remember little-to-nothing of the time they spent in the dental chair. Gone are memories of the sights, sounds and smells of the office that are often that are often so traumatizing.

With sedation dentistry, time seems to pass very quickly, so hours feel like minutes. It’s a great option if you need a large amount of dental care completed at one time. Oral sedation enables your dentist to work more efficiently and complete more treatment in fewer visits, reducing four or five appointments to just one or two.

Many dental procedures can be completed with the help of sedation dentistry, including crown work, routine extractions, dentures, filling cavities, gum care, tooth whitening, bonding, hygiene, even root canals! It IS possible for you to smile with confidence and chew without pain.

TREATMENT
After a consultation and health history review are completed, you and Dr. Ziegenhorn will decide on a treatment plan that’s right for you. He will select the best oral sedation medications and protocol to meet your individual needs. Sometimes a pill is given to take the night before the appointment and/or one hour prior. You will arrive (with your companion) at the office already feeling relaxed, maybe even drowsy. Once there, Dr. Ziegenhorn will decide whether or not to administer more medication.

Since the purpose of oral sedation dentistry is to make you as comfortable as possible, you’ll be encouraged to come to your appointment wearing loose, comfortable clothing. You’ll be covered in a thick, warm blanket to relax with while you’re waiting treatment to begin.

Who Can Benefit from Oral Sedation Dentistry?

People who have:

• High fear and anxiety about seeing a dentist
• A history if traumatic dental experiences
• Difficulty getting numb
• Very sensitive teeth
• A need to have more dentistry completed in fewer visits
• A bad gag reflex

And people who:
Hate needles (oral sedation uses pills, not an IV needle)
Don’t do well with the sights, sounds, and smells associated with dental treatment
Are embarrassed about the amount of dental work that may be required

Common Questions:

Q. Will I be unconscious?
A. No, but you will be completely relaxed and comfortable.

Q. Will I be monitored?
A. Yes, at all times. Your vital signs will be taken throughout the appointment and you will be monitored closely. One of our team will always be with you.

Q. Will someone need to accompany me to my appointment?
A. Yes, you will need a companion to drive you to and from your appointment.

Q. How long will I remain sedated after my appointment?
A. Each person’s recovery time is different based on the medications and dosages that are used. You should plan on relaxing and taking it easy for the remainder of the day after your appointment and have your companion stay with your until you are fully recovered.

Sedation Dentistry…A reason to dream

HOURS WILL SEEM LIKE MINUTES
Fortunately, sedation medications have an amnesic effect. That means you’ll have very little, if any memory of the sights, smells or sound of your visit.

RECOVERY IS A DREAM
When your treatment is complete you may feel a bit wobbly, so your companion will take you home and stay with you until you’re recovered.  You’ll be amazed how much can be accomplished in such a seemingly short period of time, while you were totally relaxed and completely comfortable.  As best of all, the very next day you will feel fantastic.

With sedation dentistry you can regain your healthy and have the fabulous smile you always wanted.

TURN BACK THE HANDS OF TIME
Whether it’s a broken tooth that needs to be fixed, yellow teeth that need to be whitened, missing teeth that need to be replaced, or pain that needs to be eliminated, with Sedation Dentistry you can regain your health and have the fabulous smile that you always wanted.

ACCOMMODATING YOUR BUDGET
We’ll work with you to maximize your insurance benefits and make convenient financial arrangements that will be as comfortable as Sedation Dentistry.

You don’t have to be afraid to go to the dentist anymore

HERE’S HOW IT WORKS

Step 1
Making your first appointment
This is difficult for many anxious people, so we try to make this as easy as possible.

Step 2
Welcoming Visit
We gather information regarding your health and discuss with you your wants and desires. If you are comfortable, we’ll take x-rays and look in your mouth. But you will never be judged or embarrassed.

Stop 3
Preparing for your sedation visit
We’ll give you a prescription for a sedative to take the night before your first appointment to guarantee a good night’s sleep and to make sure you wake up relaxed.

Step 4
Arriving for treatment
Your companion will bring you into the office.  Additional medications will be provided to create your ultimate relaxation. Your experienced sedation team will monitor you through out your entire visit.

Step 5
Going home with your new smile
Your companion will take you home and stay until you’re completely recovered from your sedation medication.

Step 6
The next day
Most patients feel no discomfort or residual effects from the dental visit and you’ll be thrilled with all the compliments you will get.

Testimonials:
“My confidence is up, I feel god about myself, and I fallen in love with the dental team.”
Edna

“I hope that I’m sharing this with somebody younger than me.  I wish I had done this years sooner.  Your own teeth are wonderful things. Try to keep as many of them with you can with Sedation Dentistry.”
Chris

“My new smile has received so many glowing compliments.”
Gwen

“I couldn’t have done this without Sedation Dentistry. I was embarrassed to smile.  I couldn’t chew my food.  I was afraid.  Now I am smiling, eating what I want and have my confidence back.”
Pat

Are You…

• Delaying Treatment you need and want?
• Scared, even terrified, to pick up the phone to schedule?
• In pain especially when you eat?
• Someone who has trouble with gagging or getting numb?
• Having trouble finding someone you can trust?
• Looking to smile again with confidence?
• Overwhelmed by thoughts of repeated visits to the dentist?

Join the millions of people just like you and experience Sedation Dentistry’s relaxed, easy state where dentistry can be accomplished in just a few visits, in the most comfortable way possible.

Call for an appointment today.

Nitrous Oxide Sedation

Perhaps you've heard your friends or other patients in the office talk about the benefits of nitrous oxide (N202) or "laughing gas." It may be an option for you during your next dental procedure. Here are some important facts that you should review first.

What Is Nitrous Oxide?
Nitrous oxide is a non-allergenic, non-irritating gas that affects the central nervous system. It's one of the safest forms of sedation available and patients who have used it report very few, if any, side effects. If you're like most patients, you'll begin to feel the nitrous oxide take effect within 3-5 minutes. Following treatment the effects of this gas are completely reversed within 3-5 minutes, simply by breathing normally. In fact, you will be able to safely drive home or to work following your appointment.

What Are The Benefits Of Having Nitrous Oxide During Dental Treatment?
There are many. Following are the most common ones:

1. Nitrous oxide can make you feel more comfortable during your appointment.
2. You remain conscious and are fully aware during treatment.
3. The depth of sedation can be varied throughout your treatment as required.
4. Your gag reflex and flow of saliva are somewhat decreased.
5. Nitrous oxide can reduce the discomfort or anxiety associated with an injection of local
   anesthesia; in some cases (particularly with small children) it takes the place of an injection all together.
6. Most importantly, it helps to eliminate fear and reduces anxiety by helping you relax.

Who Can Have Nitrous Oxide?
Nearly all patients. There are practically no side effects associated with nitrous oxide use. Occasionally however, asthmatic patients or those suffering from severe bronchitis or other known lung disorders may elect not to use it. Ultimately, this is a decision best made by you and your dentist. Make sure you report any changes in your medical history to your dentist prior to using nitrous oxide.

How Is Nitrous Oxide Administered?
A soft rubber hood is placed over your nose. This hood is attached to equipment that regulates the amount of nitrogen and oxygen you receive. You simply breathe in and out through your nose as you would normally breathe. Toward the completion of your treatment, the nitrous will gradually be replaced with 100% oxygen, so that by the time you're ready to be dismissed, you will feel completely normal again.

How Does Nitrous Oxide Feel?
Individual patients experience its effects differently. Generally, as the depth of sedation increases, you will experience the following sensations:

• tingling of your hands and feet
• warmth
• numbness in your legs
• numbness of your hands, feet, tongue and other soft tissues of your mouth
• a ringing sensation or droning sound; your hearing may become distant, but more distinct
• feelings of euphoria
• feelings of heaviness or lightness in your extremities

You should not experience giddiness, fall asleep, or become nauseous. If any of these symptoms occur while breathing nitrous oxide, immediately inform us.

What If I Don't Like The Feeling?
If you feel uncomfortable or uneasy at any time while breathing nitrous oxide, you can discontinue it at once by simply breathing deeply through your mouth. Any temporary discomfort will be eliminated with a few breaths. Please tell us if you should feel any discomfort so we can adjust the amount of gas being delivered.

What If I'm Pregnant?
Nitrous oxide is the most commonly recommended sedation technique for expectant patients. Although it does cross the placenta, it is not metabolized by the body; therefore, it has no effect on most organ systems and is removed from the body in a short period of time. If you have any further concerns about taking nitrous oxide while you are pregnant, you may wish to consult with your obstetrician prior to treatment in this office.

What Should I Do Before Taking Nitrous Oxide?
Discuss any questions or concerns about the sedation with us. Inform us of any changes in your medical history, or any medications you are presently  taking. We generally recommend that you avoid eating a large meal prior to treatment and that you use the restroom before your procedure. The less you talk or breathe through your mouth during your treatment, the faster and more efficiently the gas works.

A Final Word ...
Nitrous oxide is a safe, reversible adjunct to help you relax during treatment. You remain conscious and "in control" throughout the procedure. Simply relax and breathe deeply through your nose. It's just that easy.

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OraVerse

By now, numbness is something most of us are used to at the dentist after an injection of local anesthetic. But the lingering numbness from a local anesthetic with a vasoconstrictor can last 3-5 hours. Your dental professional has a proven way that may speed up the return of sensation in the soft tissues of the mouth after routine care.

The problem...

Numbness can be limiting, affecting your speech, your smile, and your ability to drink. You may even catch yourself drooling.

The solution...

OraVerse® is a breakthrough that reverses unwanted lingering numbness after routine dental procedures where local anesthetic containing a vasoconstrictor was used. In clinical trials, the patients were able to regain normal sensation twice as fast vs. the control group.

OraVerse is indicated for the reversal of soft-tissue anesthesia, i.e., anesthesia of the lip and tongue, and the associated functional deficits resulting from an intraoral submucosal injection of a local anesthetic containing a vasoconstrictor.

OraVerse is not recommended for use in children less than 6 years of age or weighing less than 33 lbs.

The most common adverse event with OraVerse greater than the control group was injection site pain (5% vs. 4%).

OraVerse is administered by your dental professional in the same way the local anesthetic was given so that you can return to normal sensation and function faster.

If you'd like to have OraVerse as part of your next visit, just ask your dental professional for more details.

Cosmetic Dentistry
What You Need To Know About Cosmetic Dentistry

Your smile communicates a lot about how you feel about yourself. Even a minor flaw in your smile can keep you from feeling your best about the way you look. In the past, we had few options to improve teeth that were chipped, stained or crooked. However now a wide range of cosmetic dental techniques can benefit almost any smile.

Cosmetic dentistry is a blending of art and science. With a focus on esthetic results and using a variety of the latest restorative techniques and materials, we can enhance your smile to give it a more pleasing appearance. Some of the conditions that may be helped
by cosmetic dentistry are:

• Diastemas (spaces between the teeth)
• Broken or chipped teeth
• Unsightly, stained or washed-out fillings
• Cracked or leaking fillings
• Permanently stained or discolored teeth
• Crooked or poorly shaped teeth

To address these conditions, any or all of the following cosmetic techniques may be used.

Composite Bonding
A composite resin filling may be used when only a small amount of tooth structure needs replacement. Composite bonding is one of the most conservative, versatile and affordable ways to aesthetically restore a multitude of cosmetic problems. To begin a bonding procedure, we treat the tooth with a special enamel conditioner to roughen the enamel surface and allow the bonding material to adhere. A composite resin is then applied and shaped to match the contour of your natural tooth . The surface of the composite is then restored to the tooth's natural shape and polished to achieve a natural luster and appearance.

Tooth Whitening
Due to a variety of causes, teeth tend to stain and "yellow" over time. We can help you whiten and brighten graying or yellowed teeth. We examine your mouth and recommend the best treatment for your specific needs, either an in-office treatment or a take home treatment, which we monitor to make sure you obtain the best results.

Tooth-Colored Fillings
Many dentists and patients today favor restorations done using tooth-colored composites or porcelain. The use of a tooth-colored filling material is not limited to new restorations, however. There are numerous reasons why older restorations may need replacing, and we can use these newer, more esthetic materials at that time.

Crowns & Bridges
A full crown is usually indicated when a tooth has had root canal treatment, when a substantial amount of tooth structure has been lost or when a tooth is cracked or broken. We place a crown on a tooth where there is no longer sufficient tooth structure left to place a filling.

A bridge spans a space where one or more teeth have been lost in the dental arch. We replace the missing teeth with custom-designed replacement teeth, which are anchored by crowns to existing healthy tooth structure.

Orthodontics
Addressing a variety of cosmetic and functional problems, this specialized branch of dentistry deals with straightening teeth and altering bone growth. Through the use of specially designed and fitted appliances, constant gentle pressure is put on the teeth, causing them to move into a desired position. Now adults and children can benefit from new advances in orthodontic treatment. Your total cosmetic care may include a combination of orthodontics and cosmetic restoration treatment. Our goal is to recommend the best possible treatment for your unique cosmetic and functional needs.

Lumineers
LUMINEERS' Can Make Everyone's Smile
More Beautiful Without Removing Painful Tooth Structure!'

LUMINEERS BY CERINATE
ASK FOR LUMINEERS BY NAME.

Only LUMINEERS is made of patented Cerinate porcelain
and comes with a Certificate of Authenticity.

LUMINEERS' is the most significant advancement in 9,000 years of dentistry. Now you can get the smile you’ve always wanted –that nature may not have blessed you with. Today, thousands of people who want to look and feel better about themselves are choosing to correct their smiles with LUMINEERS BY CERINATE.

Patented CERINATE LUMINEERS is the only porcelain proven in an on-going study to last over 20 years.**

Why LUMINEERS? Why now? Because LUMINEERS BY CERINATE has developed the contact lens-thin porcelain technology that provides beauty and strength, while preserving your natural tooth structure.

ASK FOR LUMINEERS BY NAME.
Only LUMINEERS are made of patented Cerinate porcelain and comes with a Certificate of Authenticity.

And, that means you can correct a wide variety of unsightly dental distortions or conditions, such as:

• Tooth discoloration
• Noticeable gaps
• Permanent stains
• Broken or misshapen teeth

LUMINEERS can even bond to existing crowns and bridgework without having to replace them. It means anyone can have a beautiful smile, and that can be a life-changing procedure. Best of all, LUMINEERS BY CERINATE are applied with a revolutionary procedure.

Just think ...No drilling, shots or pain* No removal of sensitive tooth structure. Safe for sensitive patients.

Want to know more? Ask us what LUMINEERS BY CERINATE can do for you. Maybe a life-changing smile is in your future.

Q&A
Q: What is LUMINEERS BY CERINATE?
A: LUMINEERS BY CERINATE is thin porcelain shields that are bonded to the front of your teeth to create dramatic changes in your smile.

Q: Is there any pain involved?
A: NO! Because LUMINEERS BY CERINATE require little to no preparation; there is no need for shots or drilling with no removal of painful tooth structure.*

Q: How long will it take to change my smile?
A: While some people may need other dental treatments, LUMINEERS BY CERINATE typically requires two dental visits.

Q: How do I know if LUMINEERS BY CERINATE is right for me?
A: Schedule a consultation with your dentist, who can show you how your smile can be improved with LUMINEERS BY CERINATE.

Q: How long does LUMINEERS BY CERINATE last?
A: Long-term clinical research with LUMINEERS BY CERINATE (over 20 years) shows 100% retention with no discoloration.**

Q: What if I have questions?
A: If you have further questions, ask your dentist today or visit www.lumineers.com.

*In most cases. Results available upon request

The Hygienic Benefits of Invisalign

It's removable for good hygiene. You can brush and floss normally, which can help prevent tooth decay and gum disease. Some orthodontic appliances, like braces, can cause gingivitis (usually reversible once the braces are removed.) 1*

Your gum health may improve. Research has shown that periodontal tissue health may improve with use of Invisalign Aligners during your orthodontic treatment. 2*

You can still eat what you want. Because the Aligners are removable you don't have to worry about what you eat. Cleanings are quicker and easier than with traditional orthodontics.

Invisalign has proven to be effective in both clinical research and in practices nationwide. Over a quarter million people are already smiling more thanks to Invisalign.

Straighter teeth can lead to:

Healthier Gums
Properly positioned teeth are easier to brush and floss than teeth that are crowded, crooked, or spaced too far apart. Properly aligned teeth can help gums "fit" tighter around them which may lead to better periodontal health.

Easier Cleanings
With maintenance of good oral hygiene, the chances of having plaque retention, tooth decay, and periodontal (gum) disease can be reduced.

Improved Chewing and Speech
In some instances, speech problems may result from poorly positioned teeth and jaws. Correction of the bite can help improve chewing and speech.

Decreased Risk of Dental Trauma and Abnormal Wear
Properly aligned teeth are less stressful on the supporting bone and jaw joints.

More Beautiful Smiles
Straightening your teeth with Invisalign will make you feel less self-conscious and more confident. Ask your doctor about Invisalign and Start Smiling More!

1 Ong et al., 1998 Boyd and Baumrind, 1992, Zachrisson and Zachrisson, 1972
2 Presented at the AADR in San Antonio, Effect of Invisalign® Aligners on Periodontal Tissues , Taylor, MG; McGorray, SF; Durrett, S; Pavlow, S; Downey, N; Lenk , M; Oxford, E; Dolce , C; Wheeler, IT

A Final Word
We're happy to answer any questions you might have about cosmetic dentistry. Just ask!

Invisalign Teen

Clear - Invisalign Teen's clear aligners are virtually invisible. You can always feel confident showig your smile, even while your wearing your aligners to straighten your teeth. No need to feel self conscious about attending prom, taking school photos, or any other day-to-day activity. Invisalign Teen aligners are custom built for you - it generally works without anyone else knowing you are in treatment.

Removable - Since the Invisalign Teen aligners are removable, you may take them out as needed as long as you are wearing them the prescribed number of hours each day. Additionally, you won't have to wory about your aligners preventing you from playing sports or an instrument. As an added bonus, you can remove the aligners and eat whatever foods you want, and you can brush and floss with ease.

Comfortable - The Invisalign Teen aligners are made from a lightweight plastic material and fit precisely in your mouth. Although you may occasionally experience slight discomfort wearing the product, you won't have to worry about the constant irritation and inconvenience of metal and brackets.

FREQUENTLY ASKED QUESTIONS

DOES INVISALIGN REALLY WORK?
Yes. Developed with orthodontists and used in dental practices worldwide, Invisalign has been effective at straightening teeth. Over one million patients with a wide range of dental challenges have been treated with Invisalign worldwide.

HOW DOES INVISALIGN WORK?
Invisalign uses 3-D computer imaging technology to map the complete treatment from start to finish. From this plan, a series of custom-made aligners unique to your treatment is produced. Each aligner is worn for about two weeks, and is then replaced by the next aligner. Gradually, the teeth move toward their final position.

HOW MUCH DOES INVISALIGN COST?
Fortunately, the Invisalign system is often similar in price to traditional braces. Since each treatment is unique, treatment costs can vary from patient to patient. To determine the cost of your treatment, your doctor will consider the complexity of your case, the length of treatment, and any other treatment details that may be prescribed. The price of your treatment will be determined during your initial consultation with a trained Invisalign provider. If your family’s dental insurance includes orthodontic treatment, Invisalign may be covered. Talk to your insurance provider to determine the extent of coverage for your treatment.

Sapphire Professional Whitening

Safe, Gentle, Effective 30 Minute Whitening

Ask you dentist how your teeth can be whiter in just 30 minutes.

Restore your simile to its natural beauty.  Sapphire Chairside Whitening System has been clinically proven to whiten teeth up to 12 shades* in an hour and over 7 shades in just 30 minutes.  It is safe and formulated to prevent sensitivity with the Sapphire Desensitizing Tooth Shield. 

Q: What causes tooth discoloration?
A: Discoloration may be the result of genetics, medication, poor oral hygiene, aging, smoking, certain foods and beverages, or combination of these factors.

Q: Are you a good candidate for tooth whitening?
A: People with most types of discoloration can achieve lighter teeth through Sapphire Whitening Systems.  The type of stain you have will affect how much whitening you will experience.  Ask your dentist how much whiter your teeth can be.

Q: What is Sapphire Chairside Whitening Gel?
A: Sapphire Chairside Whitening Gel is a hydrogen peroxide formula.  When activated by the Sapphire light, whitening of up to 12 shades* is often achieved in one hour.

Q: Is this whitening procedure safe?
A: Absolutely! When used under the supervision of your dental professional, the procedure is safe and will not harm teeth or gums.

Q: What is involved in the procedure?
A: It is always performed by a dental professional, so you can be assured that the procedure is safe.  They will use the Sapphire light in conjunction with the Sapphire Chairside Whitening Gel to achieve whitening up to 12 shades*.

Q: Will I have to wear a mouth tray?
A: Sapphire Chairside Whitening does not require the use of a mouth tray.  This is a one-visit procedure that your dentist will perform.  You will be given a mouth tray and Sapphire Brilliance Toothpaste for at-home touch-ups to use as you need.

*Results available upon request. Based on the Bioform Shade Guide

What Can I Expect from a Dentist Providing Sapphire Chairside Whitening?

Safe and effective in-office bleaching in 60 minutes or less with no sensitivity.

Safe and Effective take-home bleaching for enhanced in-office results, or as a cost –effective alternative to in-office bleaching.

Patients Love Sapphire Whitening

“Sapphire Professional Whitening was awesome!  I was in, out and back to work in less than an hour.  It was a great way to spend my lunch hour.”

“I was a heavy smoker and when I quit, I rewarded myself with Sapphire Professional Whitening.  The change was immediate and took 10 years off my appearance.”

“When my daughter got her teeth whitened before her wedding I wouldn’t believe the changes.  I decided to get the Sapphire Whitening myself.  My smile was as beautiful as the brides.”

“I drink a lot of coffee and I noticed an immediate color change after the Sapphire Professional Whitening procedure.  I still drink coffee and would definitely do this procedure again.”

Dentures
Information For New Denture Wearers

You Can Smile Again
You are about to join the millions of people in this country who wear dentures. While you may have some anxiety and worry, there really are no major problems that you are likely to encounter. There will be some minor annoyances and adjustments, but your new dentures can provide you with a healthier mouth and probably a better appearance.

Your new teeth will be as life-like as modern dentistry knows how to make them. The teeth used have been selected to match the shape, color and size of your natural teeth. Occasionally, some changes are made to help improve your appearance. Incidentally, you shouldn't look forward to having very white teeth. The goal is a natural look, and few people have natural teeth that are sparkling white.

Getting Used To Dentures
When your new dentures are in place, your first impression will be that you have quite a mouthful. You may feel that your face looks "full," and the teeth may actually seem to be longer than they should. Your lips might seem out of place and your tongue will probably feel crowded. In addition, your salivary glands will seem to be working overtime, and you'll notice the increased saliva.

You'll find that your mouth muscles are good at adapting and they will adjust to the new surroundings. You'll quickly learn the trick of controlling your dentures.

Be Patient
There are no lessons or books; you must simply wear your dentures constantly in order to master them . The more you want to learn, the faster and easier it will be. With daily practice, you will soon feel comfortable with your new dentures.

Practice Talking
Some patients find it difficult to speak clearly and distinctly. Often they have a tendency to lisp because of the dentures having altered the shape of the mouth. As soon as your tongue, lips, and cheeks become accustomed, speech returns to normal. Practice talking in front of a mirror or simply reading aloud to yourself for a few minutes each day until you feel comfortable.

Learning To Eat
You should be able to eat most of your normal diet within a few weeks. In the beginning, though, start with soft, easy to chew food, like chopped meat and tender vegetables. Take small bites and chew gently and thoroughly. Be sure you don't get into the habit of chewing on only one side of the mouth. Begin by placing half of each mouthful on one side and the other half on the other side. You’ll distribute the pressure more evenly this way, and it helps you learn to eat more easily.

Although hard foods, such as apples or corn on the cob, may pose a bit more of a challenge, there is something you can do to help. When you bite with natural teeth, you have a tendency to pull forward. With your dentures, develop the habit of pushing back a little as you bite, especially with something like corn on the cob. This helps produce the leverage needed to keep your dentures in place.

Sleeping With Dentures
Many people wear their dentures all the time: there are no real rules. If you grind your teeth while you sleep, you'll wake up with a sore mouth and it would be best if you didn't wear your dentures at night. On the other hand, sleeping without them may cause your facial muscles to ache. If you do sleep with dentures in place, don't be too surprised if you find them on your pillow in the morning. It won't happen often, but it may at the beginning. You will find you adjust to what is best for you rather quickly.

Sore Spots
Some discomfort is to be expected until your gums grow accustomed to their new task. If a sore spot develops, contact your dentist. He can relieve it promptly. Any denture will gradually loosen and this may cause sore spots to develop. The denture can be refitted.

Keep Dentures Clean
Just as stains and tartar can build up on natural teeth, so can they on dentures. Clean your dentures every day to keep them natural looking and odor-free. Your dentist will recommend the best method for cleaning them based on his experience and the materials used in making your denture. There are a few safety rules. When handling your dentures be sure to do so over water to cushion the fall if you should drop them . When not wearing your dentures, keep them immersed in water to prevent them from drying out.

Even though you no longer have teeth, you still have gums. Your gums will begin to recede and while this is normal, it will become necessary for the doctor to reline your denture. The only one qualified to do this is your dentist. Don't attempt the job yourself with materials commercially available or you run the risk of seriously damaging your gum ridges and throwing your
bite out of alignment.

Dental Implants

For decades, dentists have been offering patients the benefits of dental implants. Unlike traditional treatments of crowns, bridges, root canals and dentures, dental implants offer a permanent solution for your missing teeth.

The Bicon Dental Implant System, since 1985, has offered discerning dentists the ability to provide secure implant restorations that look, feel, and function like natural teeth. With Bicon Short Implants, patients can most often avoid bone augmentation or grafting procedures.

We invite you to view this website, to learn more about implant restorations, and to view the various options available for your needs.

If you are missing one or more teeth and wish to eat your favorite foods, increase your chewing ability, and improve your appearance, speech, and self-esteem, then you are a candidate for dental implants. A dental implant replaces the root of a missing tooth and is made from surgical-grade titanium alloy (Ti 6Al-4V ELI) to exacting specifications. Initially, the implant is placed into the jawbone either immediately after the loss of a tooth, or after an extended period of time. If there is insufficient bone, various bone enhancing procedures can be performed prior to the implant placement. An abutment, which acts as a base for a prosthetic tooth replacement such as a crown, is inserted into the implant at the time of implant placement, or subsequently after a period of healing.

In the past, dentists would try to keep or replace teeth with treatments such as root canals, bridges, and fixed or removable dentures. Unfortunately, a significant number of root canal treated teeth fail, bridges require that healthy adjacent teeth be cut down and removable dentures can often be unstable and require the use of sticky adhesives. Dental implants are a solution to these problems, and many of the concerns associated with natural teeth are eliminated, including dental decay.

What are the benefits of the Bicon Implant System?
Bicon dental implants preserve the integrity of the facial structure and reduce the inconveniences and embarrassment associated with tooth loss. Bicon implants may be used to replace one or all of your missing teeth, and are a prudent alternative to root canal treatments. They can improve your appearance, speech, and ability to chew and enjoy food. If you currently have dentures, Bicon implants can provide better support. No longer will you suffer the embarrassment and discomfort of loose dentures or the inconvenience of sticky adhesives. Once fully integrated with your jawbone, the implant is secure and stable. Bicon implants require minimal maintenance and cannot decay, unlike root canal treated teeth. Also, because of Bicon’s elegant design, clinicians can virtually guarantee that a patient will never have a dark, metallic gum line as is often associated with other dental implant systems.

How are Bicon implants different from other implant systems?
Most implant systems are comprised of several components, which are held together by screws with a septic connection and bacterial seepage. The crown is often affixed to the implant with an additional screw. As any engineer knows, screws inherently loosen and break. Conversely, the Bicon implant system is comprised of only two components, with a bacterially-sealed, 1.5˚ locking taper connection. The two components are the implant, which is the portion that goes into the jawbone, and the abutment, which fits into the implant and provides a solid base for a permanent crown or removable denture. Because of Bicon’s elegant design, it has a greater surface area for its size, enabling the use of shorter implants, which reduce the need for bone grafting procedures. Also, Bicon’s design provides for 360˚ of universal abutment positioning. This allows for the use of extra-orally cemented crowns, as well as the screwless and cementless Bicon Integrated Abutment Crown™, assuring natural looking gum lines and a beautiful smile.

The Locking Taper
The 1.5 degree tapered post of the Bicon abutment locks into the implant with friction. It is the metal-to-metal contact of the post against the implant wall that makes a secure, reliable, and bacterially-sealed connection.

FREQUENTLY ASKED QUESTIONS

What is a dental implant?

The Bicon dental implant serves as the replacement for the root portion of a missing natural tooth. It is machined from surgical-grade titanium alloy (Ti 6Al-4V ELI) to exacting specifications. A dentist places the implant into either the upper or lower jawbone. After a period of time, the implant integrates with the bone and becomes a secure anchor for a replacement tooth, a fixed bridge, a removable partial, or a complete denture.

Am I a candidate for a dental implant?

If you are missing one or more teeth, then you may be a candidate for a dental implant. Your dentist will be able to discuss your individual clinical situation. Dental implants will allow you to smile, speak, and eat with confidence and comfort.

Can a Bicon implant be used as an alternative to root canal treatment?

YES! Not all teeth are good candidates for root canal treatment. Root canal treated teeth are susceptible to decay and fracture, while implants are not susceptible to decay and almost never break. Bicon implants are an excellent and prudent alternative to the root canal, post and core, crown lengthening, and crowning procedures. Often, the cost of saving a tooth with a variety of treatments can exceed that of the placement and restoration of a Bicon implant.

Is the implant ever rejected by the body?

The implant is machined from surgical-grade titanium alloy (Ti 6Al-4V ELI), which is a biocompatible material. However, there is a slight possibility that it will not integrate with bone. If this were to occur, the implant would be replaced with another one. It is highly unlikely that the second implant would not integrate.

What if I smoke?

Smoking can inhibit proper healing of an implant. However, this does not prevent smokers from having implants successfully placed and restored. You should speak with your dentist for more specific information relating to your dental needs and the effects of smoking.

How much pain will I experience?

Usually minimal to none. While undergoing treatment, you will receive local anesthesia. (Some clinicians may choose to use other forms of anesthesia.) You may have mild post-surgical soreness for up to 72 hours. An over-the-counter pain reliever will alleviate the discomfort for most patients.

What will the appearance of my mouth look like during my treatment?

During treatment, your dentist may be able to provide you with a transitional prosthesis that will have the look and feel that you need during this period of healing. With the Bicon implant, it is often possible to have a fixed transitional tooth immediately after the placement of the implant.

How much time is required to have an implant procedure?

A single dental implant placement is usually completed in less than an hour as an office procedure with local anesthesia. The implant is then allowed to heal with the bone for a minimum of eight weeks. If you have poor quality bone and bone-grafting procedures are necessary, the overall process can take up to 12 months or more. Your dentist will determine which surgical procedure is best for you.

How much will it cost and does insurance cover implant treatment?

Costs vary depending upon the clinician you choose for your treatment and upon your individual dental needs. In general, implants are not covered by insurance. Detailed questions about your individual needs and how they relate to insurance should be discussed with your dentist or your insurance provider.

Why choose Bicon?

The simple and elegant design of the Bicon implant has a bacterially-sealed connection with the possibility for 360 degrees of universal abutment positioning. The design provides your dentist with the unique clinical flexibility of utilizing shorter implants with extra-orally cemented crowns or the screwless and cementless Bicon Integrated Abutment Crowns™. With either technique you can almost always be assured of a natural looking gum line and a beautiful smile. Bicon is known for the finest aesthetics.

How do I properly maintain the implant once treatment is completed?

Ironically, dental implants require less maintenance than a natural tooth. Simply brush it as though it were a natural tooth.

What is a sinus floor bone augmentation?

When an upper posterior tooth is lost, the floor of the maxillary sinus drops down into the space formerly occupied by the root of the lost tooth. In order to place an implant, it is often necessary to put the sinus floor back up to where it originally was by adding a synthetic bone substitute. This procedure is called a sinus floor bone augmentation or a sinus lift.

What is a ridge split?

After the loss of a tooth, the bone formerly around the tooth is resorbed — often leaving a very narrow ridge of bone. In order to place an implant, the ridge of bone is split as though it were a piece of corrugated cardboard being expanded to provide a wider space between each side. For the upper jaw, this is accomplished at the same time that the implant is placed; the lower jaw requires a second surgical visit approximately three weeks later.

What is a bone graft?

A bone graft is a surgical procedure for adding height or width to a jawbone in order to increase its volume for the placement of an implant.

Mini Dental Implants

The MDI System consists of a miniature titanium implant that acts like the root of your tooth and a retaining fixture that is incorporated into the base of your denture, The head of the implant is shaped like a ball and the retaining fixture acts like a socket that contains a rubber O-ring. The O-ring snaps over the ball when the denture is seated and holds the denture at a predetermined level of force. When seated, the denture gently rests on the gum tissue. The implant fixtures allow for micro-mobility while withstanding natural lifting forces.

Late in l997, Dr. Sendax collaborated about his mini implant theory and design concepts with a colleague, Dr. Ronald A. Bulard. Dr. Bulard had previously formed a dental implant company, IMTEC Corporation, which was at the time manufacturing and marketing standard sized dental implants, abutments, and other dental products. Convinced they were on to something special, the two implantologists spent countless hours studying and refining Dr. Sendax's original creative design, resulting in a more efficient top and collar to the mini dental implants. Combining this now re-designed mini implant with Dr. Sendax's original insertion protocol resulted in a successful breakthrough. Under Dr. Bulard's direction, IMTEC Corporation began the rather complex and expensive design and manufacturing procedures which ultimately resulted in what is now offered to the dental community under the brand name IMTEC Sendax MDI Mini Dental Implant. The innovative system and procedure was thereafter formally introduced to the United States dental community at an implant conference in Orlando, Florida in April, l999. It was an instant success and now represents one of the fastest growing segments of the dental product industry.

Yes. Prior to his preliminary discussions with Dr. Bulard, Dr. Sendax had submitted a formal application to the FDA in Washington, DC seeking permission to market the mini dental implant devices to the general public. After providing satisfactory technical and clinical evidence to that agency that the product was safe for public use and in fact had beneficial attributes, the FDA granted its formal consent to market the Mini Dental Implant device not only as a transitional or temporary dental product, but significantly, as a long-term item. ( IMTEC iss the first company to receive long-term approval of its MDI implants from the FDA. ) As stated, IMTEC's introduction of the Mini Dental Implant to the dental industry and appropriate marketing efforts under a license granted by Dr. Sendax followed the FDA's consent to market.

When critically needed for support purposes, and where solid bony adaptation (integration) has clearly occurred, mini implants can function as long-term supporting structures rather than as short-term or medium term devices. In fact, some have been successfully functioning in patients' jaws for several decades. In the past several years, some clinicians have been utilizing MDI's for single tooth replacements and in crown and bridge cases.

The most effective use of this unique dental product is stabilization of a lower denture. There are approximately 50,000,000 people in the United States who are "edentulous" (literally meaning lacking teeth) who struggle daily with prosthetic devices. A majority suffer a great deal of discomfort as a result of lose or ill-fitting dentures. Many denture wearers simply withdraw from any type of social engagement as a result of being compelled to wear them. Moreover, it's not uncommon for family members to complain about a denture wearer's disagreeable breath as a result of food being trapped and decaying under their denture prosthesis. Successful placement of the Mini Dental Implant addresses and solves all of these social and practical problems. Denture patients all over the world have experienced relief from loose or ill-fitting dentures from doctors who are trained to place the MDI. Uniquely, the MDI can be utilized to stabilize a denture in a couple of hours by a trained doctor, with the patient leaving the clinic with a stabilized prosthesis.

The standard insertion protocol for mini dental implants calls for four of them to be gently screwed into the front of a patient's lower jaw. This is a relatively painless procedure that can be performed by a general dentist, requiring only a mild anesthesia. The mini dental implants, which are approximately the size of wooden toothpicks, are placed about five millimeters apart in the patient's mandible. The patient's denture is then carefully adjusted by the dentist to allow it to snap onto the four mini implants. The result? A tight fitting, completely reliable system that allows a patient to speak and eat with confidence. The Mini Dental Implants are placed in about an hour's time. Because of the unique, minimally invasive procedure, the minute size of the implants, and the characteristic placement area, the typical Mini Dental Implant patient can enjoy a light meal an hour or so after having the mini implants placed. Further,a denture patient who has had his or her prosthesis stabilized with MDI can remove and replace the denture easily after a little practice, and can easily utilize good dental hygiene. All in all, the MDI is quite satisfying.

I'm somewhat aware of the tremendous forces the human jaw usually endures during normal chewing of food. How can these tiny Mini Dental Implants withstand that? 

It's true that what the dental profession calls occlusal forces create dynamic pressures on the human jaw. Our jaws are marvelously designed to adequately withstand those forces. It's also true that mankind has been struggling for centuries to come up with some type of metal or metallic element that can efficiently withstand those forces. Most have been outright failures. However, approximately twenty-five years ago some doctors around the world began experimenting with titanium as a potential dental medium. Titanium is an extremely strong metal used in the construction of aircraft and aircraft engines. The metal, in its commercial form, is incredibly strong and durable. The Sendax Mini Dental Implants takes that metallurgical concept to the next level by adapting an industry approved alloy of titanium. The result is the strongest metal on earth, now commonly referred to as titanium alloy. In fact, extensive tests conducted several years ago by the University of Alabama-Birmingham School of Orthopedics at Dr. Sendax's behest revealed that the particular titanium alloy implants used in the IMTEC Sendax Mini Dental Implants are 64% stronger than ones constructed of commercially pure titanium. The bottom line of this discussion area is simple: If a denture patient has sufficient bone mass to create a rock hard placement of the tiny implant, which an experienced dentist can usually determine by an initial examination, the mini dental implants will generally withstand normal chewing forces just like natural teeth. Fractures are extremely rare, but as the case with a person's normal teeth, can certainly occur.

After utilizing the standard Mini Dental Implants in his practice, Dr. Bulard quickly anticipated this type of dental patient, and as a result, took steps to expand IMTEC Corporation's original production offering to provide a MAX Mini Dental Implant. Equipped with the same dimensions as the standard ones, the MAX implant has a different thread design that enables it to bite into softer bone and hold.  It's ideal for a patient whose bone density is lacking.

It must be recognized that all implant systems as well as natural teeth are subject to potential failure due to natural causes, including osteoporosis, poor oral hygiene, wear and tear attrition, poor health, heavy, stressful biting habits, and lack of follow-up dental maintenance care. Mini implants similarly do not carry any actual or implied guarantee as to longevity. However, the loss of a Mini Dental Implant is a far less critical event to the patient since it may be replaced at relatively minimal cost compared to conventional implants, and with minimal associated bone or gum deterioration.

How are Mini Dental Implants different?

As a revolutionary departure from routine dental implant methods, Mini Dental Implants are so narrow they are typically inserted directly through the overlying gum tissue and into the bone underneath. Consequently the need to surgically cut and "flap" open the gum tissue, routinely required for standard implant systems, is avoided in most Mini Dental Implant applications. As a result, post-insertion patient irritation and soreness is significantly reduced. While all dental implants require care during insertion to avoid encroaching on vulnerable nerve, sinus or bony structures, the ultra small width of the mini implants offers a much more comfortable margin of safety.

A single, minimally invasive surgery is needed for insertion of the Mini Dental Implants. The implants are then put into immediate biting or "loading" function thanks to their "self-tapping" design, thereby anchoring a fixed bridge system. As a result, it is often possible to provide the complete mini implant service in a single office visit. Mini dental implants clearly represent an enormous breakthrough for the dental implant specialty as the most patient-friendly, cost-effective, proven dental implant system available today.

Leave the denture in place until bedtime. You should not experience any excessive bleeding. There will be some mild discomfort but this should be minimal and controlled by recommended pain medication. The denture should feel secure. You may eat as soon as you wish to avoid excessively hard or sticky foods at first. Upon removing the denture, rinse your mouth with an antiseptic mouthwash and carefully clean around each implant fixture with a cotton swab and toothpaste. Use a cotton swab for three days. After that, use your ACCESS toothbrush. It has been specially designed to clean your implants and gently stimulate the surrounding gum tissue.

How do I place & remove my dentures?

The Mini Dental Implants and O-ring fixture must be clean and free from debris. Grasp the denture with both hands and lightly seat the denture, feeling that the O-rings are resting above the ball head of the implants, then press down firmly and equally on both sides. Make sure that you feel the implant heads easily fitting each O-ring. You will feel the denture snap into place. If you have trouble seating your denture, first make sure the implants and your denture are absolutely clean. Secondly, make sure that you push downward equally on both sides. If you are still experiencing difficulty, see if a family member can give you assistance. To remove the denture, place your thumbs under each side of the lower denture rim and gently push both sides upward at the same time.

As with all dental applications, there's a short adjustment period during which time you become comfortable placing and removing the denture. Typically, this involves removal of the lower denture in the morning, brushing the gums and implant area with an ACCESS curved bristle toothbrush, rinsing the mouth, rinsing the denture itself, then replacing it.

You must clean and brush the ball of the implant as if they were your natural teeth. As with natural teeth food and bacterial debris must be removed or inflammation of the gums will occur. In addition, food and debris can be forced into the O-ring fixture causing improper seating and loss of retention. The O-ring fixture must also be cleaned out.

The result is a normal day's activity for you, including eating, talking, taking a nap, etc. Then, in the evening, the denture is usually removed again, the ACCESS brush is used, and the mouth thoroughly rinsed. The result is a fully functioning dental appliance that works.

Mini Dental Implants are surprisingly affordable, and are usually available at a fraction of the cost of traditional implants. By choosing the MDI, you've chosen an enhanced way of life free of a lot of the discomforts and heartaches of a loose or ill-fitting denture. That's worth a lot.

What You Need To Know About Gum Disease & Your Health

How do healthy gums become diseased? The gums of a normal healthy tooth reach up snugly onto the enamel of the tooth, protecting the roots and bone structure. Periodontal disease damages the gums and reduces their ability to protect vulnerable areas. It is the single most common cause of tooth loss in adults.

Gum disease is caused by plaque, a colorless film of bacteria that forms on the teeth. Plaque mixes with sugars and starches in the diet to form acids in the mouth, irritating the gums and causing them to become red, tender and swollen. It causes gums to bleed easily. Without daily removal, plaque hardens to form calculus (tartar) around the teeth. This process causes the gums to pull away from the teeth creating pockets that become filled with plaque. These pockets may become deeper over time, destroying the bone structure that supports the teeth, thus resulting in tooth loss.

Signs of gum disease include:

• Gums that bleed when you brush or floss your teeth
• Red, swollen or tender gums
• Gums that recede or gums that shrink away from your teeth
• Pus between your teeth
• Pain when chewing
• Calculus or tartar build-up
• Changes in bite
• Loose teeth
• Bad breath or chronic bad taste
• Teeth sensitivity to hot and cold

Making the Connection:
Gum Disease and Your Health

We also know from recent studies that an estimated 75 percent of American adults over the age of 35 have some form of periodontal disease. However, when surveyed, eight out of ten people believed they did not have periodontal disease.

Until its advanced stage, periodontal disease is usually painless. Yet up to 90 percent of all systemic diseases including kidney disease, diabetes, and heart disease have links to oral health. Because the mouth is the beginning of the digestive system, it plays a significant role in proper digestion. Improper digestion may cause a variety of digestive and intestinal difficulties. Researchers tell us that if you neglect or have inadequate oral health care, it can contribute to the development of heart disease and increase your risk of stroke.

As gum disease progresses, the buildup of plaque begins to damage gum tissue and can play a role in other systemic diseases. Brush at least twice a day with a soft-bristled toothbrush.

Gum Disease and Your Heart
If you have periodontal disease, you may be more at risk for cardiovascular disease. If you have been diagnosed with periodontal disease, you have nearly twice the risk of having a fatal heart attack than others.

It has been known for some time that bacteria may affect the heart. New evidence suggests that people with periodontal disease are at risk for bacterial endocarditis, an infection of the heart lining or heart valves. It is caused when certain bacteria from inflamed gums flow through the blood stream and attach to abnormal or damaged heart tissue. Pre-medication prior to dental treatment may be necessary to prevent bacterial endocarditis. There is also growing evidence that blood clots contribute to clogged arteries and the build-up of fatty deposits inside heart arteries are also linked to periodontal bacteria.

Gum Disease and Diabetes
For years we've known that people with diabetes are more prone to gum disease than others. New research suggests that people with diabetes who also have periodontal disease, may have more difficulty controlling their blood sugar. For diabetic patients with severe cases of periodontal disease, blood sugar is increased. If you are a diabetic, that places you at increased risk for diabetic complications. Keeping your periodontal disease under control may help control your diabetes, too.

Gum Disease and Respiratory Disease
If you have periodontal disease, you may be at increased risk for respiratory disease. Infections in the mouth, like gum disease, are associated with a high risk of respiratory infection. If you smoke, or are elderly, or have other health problems that suppress the immune system, your risk of respiratory disease is higher. Bronchitis, pneumonia, emphysema and Chronic Obstructive Pulmonary disease are some of the respiratory infections that may result from infected gums.

Gum Disease and Women
Hormonal changes throughout a woman's life can affect many tissues in the body, including gum tissue. These changes may place women at greater risk for periodontal disease and call for you to take special care of your oral health.

• Puberty: Young women, as they mature, may experience menstruation gingivitis during puberty. Bleeding gums, swollen gums, or mouth sores are common symptoms.
  
  
• Child-bearing years: For women who take oral contraceptives, or who become pregnant, gingivitis is of increased concern. New evidence confirms that periodontal disease is an infection that poses a risk to the health of a baby. Pregnant women who have periodontal disease may be seven times more likely to have a pre-term, low-birth weight baby.
  
  
• Menopause: During menopause, when hormone levels diminish, women may
  experience pain, burning, or "dry" mouth.
  
  Treatment for these symptoms are available from your dentist.

Talk to Your Dentist
Talk to us if you have concerns about the connection between gum disease and your overall health. If you have heart disease, diabetes, or respiratory disease... or if you are pregnant or thinking of becoming pregnant, let us know.

Tell us if you have a family member with a diagnosis of periodontal disease. It is possible for the bacteria that cause periodontal disease to be contracted through close contact among families. We'll take special care with your "oral health needs” and if necessary, refer you to a periodontist who specializes in gum disease.

Clean and Healthy
Maintaining clean, healthy teeth and gums is another key to preventing related health problems. It is important to consistently follow a program of oral health. Be sure you:

• Use a toothbrush with soft, rounded bristles
• Change your toothbrush every three to four months
• Replace your toothbrush after an illness
• Brush at least twice a day
• Use toothpaste with fluoride
• Floss once every day
• Visit your dentist regularly
• Have a periodontal check-up
• Have oral cancer screenings
• Avoid tobacco products
• Avoid excessive alcohol use

The Final Word
Talk to your physician about any health conditions that could impact your oral health. Today, more than ever, your physician and your dentist are working together as an integrated health care team.

Did you know that if you have gum disease, you may be at increased risk for other conditions that effect your general health? With proper care, gum disease or periodontal disease can be prevented and treated.

Good oral hygiene and regular professional care are the keys to preventing periodontal disease. Oral Health in America: A Report of the Surgeon General of the United States was recently released. Its most in important news is an understanding of the vital relationship between oral health and general health at all stages and ages of our lives.