Laser Dentistry – I have been using this treatment protocol for many years now and could not practice dentistry without it. Primarily we do fillings without having to give a shot and without pain. This makes many dental procedures fast, painless and longer lasting with tooth colored fillings with no numbness after the restoration. White fillings done with laser etched enamel have a 70 percent better retention of the material.
Laser Perio – We do periodontal (gum treatment for gum disease) with deep hand scaling, ultrasonic scaling and laser sterilization. The aim of periodontal treatment is to remove the hard scale, plaque and bacteria associated with gum disease. Our laser use is a step beyond most treatment approaches. Treating the gum pockets with laser energy kills and sterilizes the pockets around the teeth and results in longer lasting and rapid recovery. We do not charge any more for the use of the laser.
Implants – I have been doing dental implants since 1970. To my knowledge they have been 99% successful. We use a titanium implant which is absolutely compatible and non-rejectable by bone and the mouth. We normally place the implant (I place my own implants), take the impressions on the same visit, and then place the permanent bridge within two or three weeks. Dental implants became an accepted dental modality around 1985. I was years ahead of that date. – I would like to consult with you and show you some of my cases. The consult is no charge, x-rays may be necessary to determine if you have the anatomy to be a candidate, not all people are.
Bonding/Veneers – These are cosmetic approaches to make a person’s smile prettier. The bonding is a composite material applied to the visible part of the tooth to make the smile aesthetic. Composite is a tooth colored material made of plastic, glass and porcelain which can be "bonded" to the tooth.
Veneers are thin porcelain coverings that are bonded to the outside of the tooth. They can close spaces, correct minor rotations, mask wear areas and discolorations, and result in a more perfect smile.
TMJ/TMD – stands for Temporomandibular joint or Temporomandibular joint dysfunction (disease). This condition is relative to head pain, rear neck pain, throat pain, pain in the upper chest and/or scapular area of the back. These headaches are often thought to be "migraines;" they are usually on that part of the head between the eye and the ear. This condition is often associated with a click in the jaw when eating or opening wide and the pain in the condyle (jawbone where it meets the skull in front of the ear). Grinding (gritting) and/or clinching of the teeth is indicative of TMJ. Notches or recession of the teeth at the gum line is another clue. There may be clinical signs of impending TMD without any current pain, maybe just a few sensitive teeth.
This is a difficult condition to diagnose and then to treat. TMJ is the most unfamiliar and mysterious condition in the dental profession. Often I don’t see the patient until they have seen many other doctors, (eye doctor, ENT, general practitioners, orthopedists and other doctors). When all else fails they may see a dentist and often with no satisfaction. Many dentists shy away.
I like treating this condition because I have a lot of success and I enjoy a nice result and challenge. I love patients who are happy with the relief and results. It is necessary to know all of the treatment modalities and how to switch and implement different approaches.
Oral Surgery/Wisdom Teeth – I like to remove wisdom teeth because I have been blessed with the results. I try to finesse the surgery to remove these teeth without many post-op problems; very seldom do I have swelling or dry sockets afterwards. Thank the Lord. We do other oral surgery procedures like bone cyst removal and bone grafting along with placing implants for crown and bridge work. This includes blade and root form implants.
I love to do cosmetic gum surgery to show more teeth. This procedure is to lengthen the tooth crown and eliminate short teeth and a gummy smile. The cosmetic results are amazing, like a Hollywood smile. No post-operative recovery.
We do apioectomies to save failing root canals. Frenectomies to reduce the spaces between the front teeth and to eliminate tongue tied problems and gum recession from a pulling frenum. These are simple operations using laser surgery or microwave surgery.
Of course, I do extractions of teeth and removal of root tips under the gum. If a tooth must be extracted, I believe in doing it that day to get the patient out of pain and not to make them wait and suffer for 2 or 3 days on antibiotics. The pain is instantly gone, swelling goes away fast and antibiotics can do the rest.
Dentures – Dentures can be a blessing for many people who have suffered with bad teeth and gums for multiple years. If a person has widespread pyorrhea (pus producing advanced periodontal disease) and is causing pus through your whole body and to every organ causing overload physiological stress on your whole body and immune system, then dentures may be the cure. If you eliminate these untreatable teeth your body will recover rapidly and you will feel better. Dentures are the quick answer to restoring your dentition. Dentures are very challenging to dentistry. 50% of all denture patients can wear them with few problems. The next 40% have some problems, and 10% have great difficulty.
If you have teeth that have to be extracted we generally replace them with immediate dentures so you do not have to go without teeth. This is a procedure whereby we take impressions of the remaining teeth, pour up the models of this situation, remove and re-contour the gums and teeth and then construct dentures. The patient comes in, the teeth are extracted and the gums modified and then the dentures are inserted. Post-operative recovery is usually not remarkable but variable. I try to be as accommodating and technique sensitive as is possible with replacement of full dentures, immediate dentures and partial dentures.
Our partial dentures replace missing teeth with a new nylon plastic flexible material that fits the gum ridges more comfortably and no metal clasps, you just see teeth. Former partial denture patients are delighted with this current protocol. They look great, and are comfortable and functional.
Give me a call for a free consultation.
Root Canals – This is a procedure whereby we save teeth that are failing due to large decay or trauma. This is not painful if the dentist is sure that the patient is truly numb before starting. We go through the crown of the tooth, remove remaining pulp and infection, sterilize the pre-existing nerve area and then fill it with a proper material. If done properly you can keep these teeth for a lifetime so they will look good, be comfortable and functional.
Years ago I thought of limiting my practice to just root canals (endodontics) but I like general dentistry too much.
Orthodontics – I studied orthodontics (braces) on a post-graduate basis for three years at LSU Dental School under Dr. Walden Brehm. He was an inventor of the straight wire appliance. This is a technique that greatly reduces the number of extractions previously done so as to straighten the teeth and improve function and appearance. Our results are great. Since I do not just do orthodontics, we can see patients anytime so that no school is missed by school children and we can work around any patient’s schedule.
Filling – We do all our patients’ fillings with tooth colored composite. This is a hard porcelain, glass and plastic combination composite material. It does not discolor the teeth or release mercury into your system. The teeth are often cut with a special laser or etched with a laser for longer lasting better retention.
Reconstructive – This is the application of many disciplines of dentistry to achieve aesthetics, comfort and function. The dentist may have to do extractions, root canals, post and core buildups, crown and bridge preparation, implant insertion, front or back fillings, perio procedures or whatever else is necessary to restore the person’s dentition. I do all of these dental disciplines in my office without having to send the patient running around from one specialist to another to get complete dentistry.
Sedation Dentistry – We can implement this approach when the patient has a long procedure to do and the patient requests it. It is necessary to have a person with you to drive you home and to make no plans the rest of the day. Nitrous oxide or conscious sedation is always available upon request.
Children’s Dentistry – I have been doing children’s dental treatment since I started my practice. Using the laser and without having to give a shot makes it easier on the patient and dentist. Parents can stay with the children. Bring in the kids.
Cosmetic Dentistry – has been on my agenda for my whole practice life. A beautiful smile has always been my goal. This makes the patients feel better about themselves – they smile more and often times have a personality change for the better. Beautiful esthetic smiles make patients more appreciative of dentistry. Cosmetic dentistry requires many disciplines, and not just veneers or crown (caps). Caps and Veneers alone can make a patient look like they have chicklets lined up in their mouth. We have to take into consideration the length of the teeth, shape and relative size of the adjoining teeth, the amount and symmetry of the gums. Proper following of the smile line, the length and fullness of the upper and lower lip, the width and curvature of the lips when at rest and when smiling. I aim for you to have a gorgeous forever smile.
Crowns (Caps) and Permanent Bridges – are often what is used to restore a mouth. This is to save badly broken down teeth, to replace missing teeth, to make teeth and mouths feel comfortable, look great, function better and last a life time. I generally give patients a 20 year guarantee on these that I do.
Crowns (Caps) and bridges can be of many different materials from all gold to all synthetic porcelain. The most common cap is made of a body-acceptable space age metal and then covered by fusing porcelain to the structure. Properly done this technique can last a lifetime working and looking great. Permanent bridges replace teeth and are often a more practical method of replacing missing teeth. They can be longer lasting and cheaper than single tooth implants.
Laser Bleaching – We use a low level laser protocol to bleach teeth in the office. The laser projects the bleaching substance deeper into the tooth. It is about 20 percent more effective than other in office techniques. Of course, if you have enough discipline you can buy some drug store products that eventually will work.
Fees – We try to keep our fees on the average to the low side. I can always show the patient the accepted fee scale. Our office keeps current on fees and codes.
Why is there never enough time to do it right the first time, but always time to do it over. This is a principle that guides my mode of operation and prevents a lot of revisits to the office.