Repairing what is damaged and replacing what is missing, so you can eat, speak and smile without thinking about it.
Composite Tooth-Coloured Fillings
When decay has broken through the enamel, the decayed tissue has to come out and the space has to be filled. We use composite resin, a tooth-coloured material bonded directly to what remains of your tooth, rather than the silver amalgam you may remember from childhood. It is shaded to match the tooth beside it, so a filling on a front tooth is invisible and one on a molar does not announce itself when you laugh. Most fillings are done in a single visit of under an hour, and you can eat normally as soon as the numbness wears off. Some sensitivity to cold for a few days afterwards is normal. Fillings are covered by most PPO plans and by Medi-Cal.
Dental Crowns
A crown is a cap that covers the whole visible tooth. It is what we recommend when a tooth is too broken down for a filling to hold: a large old restoration that has failed, a tooth that has cracked, or a tooth that has had a root canal and needs protection from splitting. We shape the remaining tooth, take an impression, and fit the finished crown so that it matches your other teeth in colour and shape. Expect two visits a couple of weeks apart, with a temporary crown in between. A well-made crown that is kept clean commonly lasts ten to fifteen years and often longer. Crowns are usually covered in part by PPO plans; we will tell you your share before we begin, and CareCredit can spread the balance over time.
Dental Bridges
A bridge closes the gap left by one or more missing teeth by anchoring a replacement tooth to the healthy teeth on either side. It is fixed in place, so it does not come out for cleaning the way a partial denture does, and it restores your bite on that side. Gaps are worth closing for more than appearance: the teeth beside a gap drift into it over time and the tooth above or below it drifts down, which changes how your bite meets and can cause problems years later. A bridge takes two to three visits. It is often the right answer when the teeth on either side of the gap would benefit from crowns anyway, and it is generally less involved than an implant.
Root Canal & Endodontics
A root canal has an undeserved reputation. The pain people associate with it is the pain of the infection that makes it necessary, and the treatment is what takes that pain away. When decay or a crack reaches the nerve inside a tooth, that tissue becomes infected. We open the tooth, clean the infected tissue out of the canals, disinfect them, and seal them. The tooth stays in your mouth and keeps doing its job. With modern anaesthetic the appointment feels much like having a deep filling done. Most root canals are finished in one or two visits and are followed by a crown to protect the tooth from fracturing. The alternative is losing the tooth, which then needs replacing, so saving it is almost always the better deal.
Dentures & Partials
A full denture replaces all the teeth in an arch; a partial fills in around the natural teeth you still have and clasps onto them for stability. Both are made from impressions of your own mouth and fitted over several appointments, with adjustments along the way, because a denture that is nearly right is not good enough to live with. Give yourself a few weeks to adapt: speech and eating feel strange at first and then stop feeling strange. We will show you how to clean them and what to avoid. Dentures are covered by Medi-Cal for adults who qualify, and by most PPO plans in part. If you have been managing with a denture that no longer fits well, come in. A reline is often all that is needed.
Dental Implants
An implant is a small titanium post placed into the jawbone where the root of a missing tooth used to be. The bone fuses to it over a few months, and a crown is then fitted on top. The result is fixed, cleaned like a natural tooth, and does not rely on the teeth beside it for support. Implants also preserve the jawbone, which shrinks over the years wherever a tooth has been lost. This is a longer process than a bridge, usually spread over three to six months to allow healing, and not everyone is a candidate — it depends on how much bone is there and on your general health. We will tell you honestly whether an implant or a bridge is the better choice in your situation. CareCredit is commonly used for this treatment.