Most people can manage dental treatment with little more than some anxiety. For others however, going to the dentist is much more difficult. Whether it was a bad experience as a child or some other issue, the fear makes it very difficult for some to take care of themselves. Dr. Randall Teich is credentialed in Moderate Sedation including Nitrous Oxide, Oral and IV sedation. These methods are a safe and effective way for patients to obtain their needed and desired dental care.
Bonding & White Fillings
Bonding is a popular method to enhance the aesthetics of your smile. Bonding can be used to correct
cracks or gaps in teeth, as a filling after a cavity has been removed, or to cover up stains or discolored
A composite resin is used on the affected tooth or teeth. It is molded and sculpted over an adhesive gel
that is placed on the tooth. After the resin has been applied an ultraviolet light is used to harden the resin,
which is then polished to give you a fresh, new smile.
Bonding is an obvious improvement over unsightly silver amalgam fillings. With the advancements in
dental technology, bonding usually lasts for over 10 years. It is a safe, affordable, and attractive solution
for many dental problems.
Over time our teeth begin to weaken and become more susceptible to problems such as decay, cracks,
discoloration and others. If you feel your smile isn’t what it once was, crowns can help you recover your
smile. If your dentist notices that a tooth is decayed or seems weakened/cracked a crown may be
necessary to make sure that there are no additional problems with the tooth. In cases like this a filling or
bonding will not be sufficient.
Crowns can be made from porcelain, porcelain fused to metal, or a full gold crown. To maintain a natural
look and feel a porcelain finished crown is best, as it can be matched to the shade of your other teeth. This
will allow it to blend in and appear just like one of your natural teeth.
The process of installing a crown takes 2-3 visits to the dentist. On the first visit the tooth will be reshaped
by filing down the enamel so that the crown can be placed over it. You will be given a local anesthetic
before this part of the procedure so that you do not experience any discomfort. Once the tooth has been
reshaped, a mold will be taken of that tooth and the surrounding teeth. This mold will be sent to a dental
lab so that your new crown can be made so that it fits in the spot created for it and looks the same relative
to the surrounding teeth. Before leaving, your dentist will fit you with a temporary crown until your
permanent crown is ready.
The crown takes about 2-3 weeks to be returned to your dentist. At this time you will have another
appointment to place and fit the permanent crown. You will again have a local anesthetic to numb the
area and the tooth will be placed using a cement to ensure the tooth sets in place. When you look in the
mirror, you will see your old smile back. Crowns are durable and will usually last about 10-15 years. You
should care for it as you would any of your other teeth with regular brushing and flossing. Call us today if
you would like to learn more about how crowns can help restore your smile.
Dental Hygiene/Periodontal Health
While at our office, we make sure that you receive the highest level of service and ensure that our dental
work is of the highest quality. To ensure that you maintain great oral health, this level of quality needs to
extend into your personal oral hygiene routine. We can help you establish a dental hygiene routine that
will keep your teeth healthy and white. If you have any questions about your current hygiene plan please
Your teeth are not the only important part of your mouth. Your gums are essential to oral hygiene as well.
We can provide periodontal cleanings and treatment, or refer you to one of our recommended specialists.
Please let us know if you have any questions.
Oral Cancer Screenings
Oral cancer screenings are a very important part of the dental visit for the patient. With the advances in
modern technology, we are now able to pinpoint the start of a potential problem much earlier in its
evolution. The ability to do so is extremely important in being able to treat any issues prior to them
becoming a major irreversible problem.
The oral cancer screening is often completed with an ultraviolet light or similar device that allows us to
view issues that can’t always be detected by the human eye under normal conditions.
Certain lifestyle choices can have a great impact on the health of tissues and your overall health in the
mouth. If you are a smoker or heavy drinker, make sure to get regular screenings when you visit the
Often there is plaque and tartar that accumulates below the gum line. In this scenario, we will clean and
smooth this area with special instruments to ensure that the area is completely spotless. If this area is not
kept clean the entire area can become irritated with the bacteria that resides in the tartar and plaque. It’s
very important to have your dentist check this area if you have bleeding during brushing.
Whitening and Bleaching
Keeping our teeth their whitest is a lot harder than it sounds. With all the coffee, wine, smoking and other
foods that have the ability to stain our teeth on a daily basis, even proper maintenance sometimes leaves
them a little lackluster. Teeth whitening is an excellent way to restore the natural color of your teeth or
even make them whiter than your natural color if you would like.
To accomplish the whitening of your teeth, we utilize a tray whitening system. This tray whitening system
is completed in 2 steps. The first step is to make an impression of your teeth. With this impression, we’ll
craft you custom whitening trays that you can use over and over. Finally, you will take the whitening gel
and put it in the gel for a short period of time over a period of a few days. This often results in a whiter
smile of 4 – 8 shades!
Please contact us today to see if you are a candidate for this type of whitening
Veneers are an excellent way to redesign and reshape your entire mouth. Veneers are a very thin ceramic
shell that covers your existing tooth structure. In placing these new veneers on your teeth, you are able to
fix the look of issues such as staining, cracked teeth, spaces, misaligned teeth, chipped teeth and many
In terms of the process to place veneers, it is a process that takes approximately two to three visits. In the
first visit, we will discuss the new shape and look of what we are going to accomplish by placing the
veneers. Once we have put a plan in place, we will carefully prepare the teeth for the placement of the new
veneers. As we complete this piece of the process, the next step is to take an impression of the newly
prepared teeth. This impression will be sent to our laboratory for the final product to be fabricated. We
only utilize the highest standard laboratory for fabrication of all of our work. This process at the
laboratory takes between 10-14 days. While the new veneers are being fabricated at the lab, we will
provide you with a beautiful temporary solution to wear for this time.
As the veneers are finalized, we will make every effort to make sure that your new veneers will feel just like
your natural teeth. We will bond them into place ensuring that you can enjoy your new smile for a very
Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are
better than other alternatives like bridges because no additional teeth need to be altered to place the new
The entire implant process is performed over the course of a few months. The first part of the process is to
install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that
the implant can be inserted. Multiple implants can be placed at once if necessary. After the implants are
placed the gums are sutured.
The implant must be allowed about 3-6 months to heal, and during this time the jaw bone will form
around the implant in a process called osseointegration. During this healing time you can have temporary
crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for
After the implant has healed it is time to place an abutment on the implant. The abutment serves as the
base for your new tooth. One this is placed an impression of the abutment is taken and is used to create
your permanent restoration. Some offices have an onsite lab to create the crown, but others will have to
send it to an outside lab. Once the restoration is completed you can return to the office to attach the
restoration permanently. Your smile will look just like it used to, and after a short period of getting used
to the implant it will feel just like one of your own teeth.
Dentures are a replacement for missing teeth that can be removed and put back into your mouth as you
please. Depending on each individual patient case, they may receive full or partial dentures. Full dentures
are used when all of the natural teeth are removed from the mouth and replaced with a full set of
dentures. There are two types of full dentures.
Conventional Full Dentures – This is when all the teeth are removed and the tissue is given time to heal
before the dentures are placed. It could take a few months for the gum tissue to heal completely, and
during this time you will be without teeth.
Immediate Full Dentures – Prior to having your teeth removed, your dentist takes measurements and has
dentures fitted for your mouth. After removing the teeth, the dentures are immediately placed in your
mouth. The benefit is that you do not have to spend any time without teeth. You will, however, need to
have a follow up visit to refit your dentures because the jaw bone will slightly change shape as your mouth
heels. The dentures will need to be tightened after the jaw bone has healed.
Partial dentures are another option when not all of your teeth need to be removed. This is similar to a
bridge, but it is not a permanent fixture in your mouth.
Your dentures may take some time to get used to. The flesh colored base of the dentures is placed over
your gums. Some people say that it feels bulky or that they don’t have enough room for their tongue.
Other times the dentures might feel loose. These feelings will affect the way you eat and talk for a little
while. Over time, your mouth becomes trained to eat and speak with your dentures and they begin to feel
more and more like your natural teeth. They may never feel perfectly comfortable, but it is much better
than the alternative of not having teeth.
Even though dentures are not real teeth, you should care for them like they are. You should brush them to
remove plaque and food particles before removing your dentures. After they have been removed you
should place them directly into room temperature water or a denture cleaning solution. Never use hot
water because it could warp the dentures. Your dentures are delicate, so make sure you are careful when
handling them so you don’t drop them. Also, never try to adjust your dentures yourself. You could ruin
them, so you should always seek assistance from your dentist if they feel uncomfortable or loose.
Although permanent teeth can last a lifetime, teeth that have become damaged or decayed may need to be
removed or extracted.
Often wisdom teeth cause problems as they are trying to protrude through the gums. When a wisdom
tooth is impacted, it means the tooth is coming in at an angle and not straight through the gum line. This
can cause pain, the tooth can come in unevenly, or the tooth may only emerge partially.
When a wisdom tooth only emerges partially a flap of skin, called an operculum, may form over the tooth.
This can make the tooth hard to clean, and pieces of food may be caught under the skin. This makes it
easy for an infection, called pericoronitis, to develop. It will usually go away on its own, but it causes
swelling and pain in the area.
Impacted teeth and wisdom teeth that can potentially cause problems, like infections, need to be removed.
Extractions can range from a single tooth, to removing all four wisdom teeth at once. Based on the
preference of the doctor and/or the patient, a local anesthetic could be used to numb the areas where the
teeth will be extracted. Others will prefer to go under a general anesthetic so that they will be sedated
during the procedure.
Root Canal (Endodontics)
Endodontics is the dental specialty that deals with the nerves of the teeth. Root canals are probably the
most notorious procedure in dentistry and the most common procedure relating to endodontics. When a
tooth becomes infected it is usually related to the nerves in the root of the tooth. The infected nerves need
to be removed. If left untreated an infection can turn into an abscess, which is a much more serious
problem that includes bone loss in the jaw.
The area around the tooth is numbed with a local anesthetic to start the procedure. The dentist will then
drill down into the tooth to create an opening into the canal. They will then be able to remove infected
tissue and clean the canal. After the infection has been removed, the space if filled with a sealant called
gutta percha. It is highly recommended that a tooth that has undergone a root canal is fitted with a crown.
This will improve the appearance of the tooth, and will also make it much more likely that the root canal is
“Root canal” has become a scary term for dental patients to hear, but the benefits of the procedure and
advances in dental technology have made it much less “scary”. Local anesthetics and proper pain
medication allow the procedure to be performed with little to no pain in most cases. There may be some
soreness following the procedure, but that is normal for most dental procedures. Over the counter
painkillers are usually enough to relieve any pain afterwards, but your dentist may prescribe medication.
The procedure will also relieve you from pain caused by the infection allowing you to enjoy all the foods
you love without any pain from heat, cold, or biting too hard. If you are experiencing pain consult your
Soft Tissue Graft
A soft tissue graft is used when there has been a significant amount of gum recession in a particular area.
When the gingiva recedes further it exposes you to greater risk for infection and bacterial penetration.
You will likely be more sensitive to hot and cold foods when you have receding gums. If the gums recede
enough as to expose the root you can set yourself up for more serious problems. The root is softer than the
enamel making it more vulnerable to bacteria and plaque.
To restore proper gum level and functionality a soft tissue graft can be performed. This is done by either
removing soft tissue from the roof of the mouth, using donor graft or repositioning healthy gum tissue
from adjacent teeth. This procedure is very predictable and has a high success rate. This procedure should
be performed before more serious problems develop and periodontal surgery is necessary.
Bone grafting is where the jawbone is built up to accommodate a dental implant or other restorative
device. Bone grafting is a common procedure that is used frequently for dental implants and other
periodontal procedures. The bone used to graft is taken from a sample from the patient. Many times, the
bone is taken from another area of the mouth when drilling takes place. The bone fragments are suctioned
from the mouth and used for the graft. Cadaver bone fragments are also used. They are harvested by bone
banks and are a very safe source for bone donation.