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Services
Taking care of the teeth you have is one of the biggest steps you can take to ensuring your mouth, gum, and dental health.

Learn about the services offered at Sunrise Family Dental:

Crowns & Bridges


A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens the tooth structure giving the tooth a longer life than it would have if restored by fillings or other types of restorations.

There are three common types of crowns, All Porcelain (tooth colored), Porcelain Fused To Metal, and Gold.

All Porcelain
A very esthetically pleasing usually recommended for front teeth only. There is a high risk of fracturing this type of crown when used to restore back teeth.

Porcelain Fused To Metal
A metal based crown with porcelain baked to the outside to make it more Cosmetic. This type of crown is great for someone who wants a tooth colored crown but still wants durability. There is still a risk of fracturing these types of crowns but usually it is just the outside porcelain that chips off.

Gold
This type of crown is very durable! Mostly they are recommended for back teeth where the crown cannot be seen. They are often recommended for people that grind or clench their teeth. Gold crowns are most like your natural teeth and your tissue adapts best to this material. Also, less actual tooth structure needs to be removed for this type of crown.

If a crown is needed, Dr. Wong will discuss what type of crown would be best for you.

Reasons For Crowns
• Broken or fractured teeth
• Cosmetic enhancement
• Decayed teeth
• Fractured fillings
• Large fillings
• Tooth has had a root canal

What does getting a crown involve?
A crown procedure usually requires two appointments. Your first appointment will include taking impressions that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your crown. As always, proper oral hygiene will help extend the life of your new crown.

Bridge
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

There are several types of bridges. We will discuss the best options for your particular case. The "traditional bridge" is the most popular type and is usually made of porcelain fused to metal. These fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists of crowns that go over two or more anchoring teeth (abutment teeth) and are attached on either side of the artificial teeth (pontics), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years with proper homecare; however, they may need to be replaced or re-cemented due to normal wear.

Reasons For a Fixed Bridge
• Fill space of missing teeth
Maintain facial shape
Prevent remaining teeth from drifting out of position
Restore chewing and speaking ability
Restore your smile
• Upgrade from a removable partial denture to a permanent dental appliance

What does getting a Fixed Bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two or more anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit and comfortable bite.

You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Tooth Extractions


A tooth extraction is the procedure done to remove a tooth from its socket in the jawbone that is damaged beyond repair.

Our office is very selective of what extractions we do. If the doctor feels like a tooth is something that he or she cannot remove we will refer you to the oral surgeon.

Why Are Teeth Extracted?
Severely decayed
• Periodontally diseased ("gum and bone disease")
Fractured in such a way that it is impossible or impractical to repair
• Badly positioned (impacted wisdom teeth)
• Non-functional or poorly functional teeth

Extractions are generally classified as either non-surgical (also known as "simple") or surgical (involving cutting procedures). A simple procedure can quickly become a surgical procedure if the tooth fractures or refuses to loosen under pressure. We perform these procedures only after making the extraction site(s) profoundly numb.

Tooth Extraction Post-Operative Instructions
Following tooth extraction you may experience bleeding, oozing, soreness, or moderate to severe pain.

Bleeding should stop by 8-12 hours following the extraction. If you experience significant bleeding past this time please call our office immediately. Oozing of pink fluid for 1-2 days is normal.

Discomfort following the tooth extraction is best managed with a mild analgesic like Tylenol, Advil, or Aleve. If you experience severe pain that lasts more than 2-3 days after your extraction please call our office.

Healing should be as smooth as possible following tooth extraction. It is important to disturb the extraction site as little as possible. Remember to eat a soft diet for 72 hours following the extraction. Avoid vigorously rinsing with any type of liquid for 72 hours.

After 24 hours gently rinse with warm salt water for 1 minute a couple of times daily for 3-4 days. This will reduce the number of bacteria in your mouth and will promote better healing.

If you have any further questions, please feel free to call us.

Dentures


Dentures are a "replacement" option for missing teeth. Dentures come in 2 varieties: partial dentures and full dentures. The difference between the two lies in how many natural teeth remain.

When the condition of the teeth has deteriorated so far that they can no longer be repaired, removal is the only option.

A complete denture is a removable prosthesis of white plastic teeth in a pink gum-colored plastic base that rests on the remaining gum ridge once all of the teeth in the arch have been removed.

It is important to note that life with an upper denture, a lower denture, and especially both, is a major lifestyle change when compared to natural teeth. Dentures impact the type of food you are able to eat, your self-confidence in social situations, and even your self-esteem.

Reasons For A Full Denture
• All Teeth missing in the same arch
• Restore chewing ability
• Restore a natural looking smile
• Economical alternative to other procedures

An upper full denture will almost always feel better than a lower full denture. In order to dramatically improve the fit of a lower full denture, we frequently suggest using dental implants as a retentive mechanism. Two dental implants placed in the lower jaw can help anchor the denture and significantly improve comfort. Sometimes, the implants can even be placed in the jaw after a denture has been in use for several years.

Dental Implants


A dental implant is a metal device designed to replace missing teeth. The device is usually made out of titanium and is surgically placed into the jawbone where the tooth is missing. Unlike a dental bridge, an implant is permanent.

Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Surgically placed below the gums over a series of appointments, implants fuse to the jawbone and serve as a base for individual replacement teeth, bridges or a denture. Implants offer stability because they fuse to your bone, a process called osseointegration. Integration of the implants into your jaw also helps your replacement teeth feel more natural and some people also find the secure fit more comfortable than conventional substitutes. Candidates for dental implants must have healthy gums and adequate bone to support the implant.

Reasons For Dental Implants
• Replace a missing tooth
• Maintain healthy bone levels
• Help support overdentures
• Keep the look and feel of a real tooth where one is missing

What does a dental implant involve?
Implant Site Preparation The gum tissue is opened to expose the bone area where the implant will be placed. In situations where there is insufficient bone structure, bone grafting may be a recommended procedure. Once healthy bone material has been established, a special drill is used to prepare the bone to receive the implant.

Placing the Implant After the bone has been prepared, the implant is placed and the tissue is sutured. The healing process takes three to six months. This is the amount of time it usually takes the implant to become part of the lower jaw, commonly refered to as osseointegration. Even though it takes so long for osseointegration the sutures are typically removed seven to fourteen days after surgery.

Attaching the Post When the gum tissue is ready, a special post is attached to the implant. It is the support for the new porcelain crown. Today's technologies often include zirconium abutments attached to the implant post, to assure that the new porcelain tooth possesses translucency properties similar to a natural tooth.

Placing the Crown After impressions are taken a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented. This final prosthetic crown appears as a natural tooth.

There is a high rate of failure of implants in patients who smoke, so dental implants tend to not be an option for patients who are actively smoking. We will help you determine whether dental implants will be a good tooth replacement option for you. Proper brushing and flossing will maximize the longevity of your new dental implant.

Fillings


Composite fillings are tooth-colored to blend in with the remaining natural part of the tooth.

The term composite refers to the actual filling material which is a mixture of glass or quartz filler in a resin medium.

Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than with an amalgam.

In addition, composites are "bonded", or adhesively attached, to the tooth, often allowing a more conservative repair for the tooth. Composite fillings require that the tooth be kept clean and dry during the entire filling process and they are subject to stain and discoloration over time. The life expectancy of a white filling can depend greatly on where it is in your mouth and how heavily your teeth come together when you bite.

Composite filling material is also commonly used to repair front teeth that have chipped or worn. Where possible, esthetic bonding of composite material to front teeth is generally much less expensive than veneers or crowns. However, bonding typically does not last as long as veneers or crowns.

Reasons For Composite Fillings
• Restoring small to medium sized cavities
• Restoring a cavity on an anterior (front) tooth
• Restoring a chipped anterior (front) tooth

What does getting a composite filling involve?
First, your dentist will answer any questions you have and then will apply anesthetic to the tooth requiring the composite filling.

Then your doctor will thoroughly remove the decay that is present and prepare the tooth to successfully bond with the composite filling material. A blue light will be used to turn the composite material from soft to hard and durable.

The tooth may be sensitive for a little while, but if it persists for a week or more it is important to call our office so we can examine the tooth and determine if additional treatment is needed.

Root Canals


A "root canal" or, endodontic therapy, is a procedure available to save a tooth that is infected and would otherwise require extraction. There are many reasons that teeth can become infected including cavities, previous large fillings, crowns, cracks, fractures, trauma, and extreme wear.

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what they do not realized is that extracting (pulling) a tooth could ultimately be more costly and cause significant problems for adjacent teeth as well as loss of bone in the area where the tooth was removed.

While root canal therapy has a high degree of success, it is not 100% guaranteed. It is very important to have a permanent restoration (usually a crown) placed within 30 days of the root canal. If a permanent restoration is not placed, the tooth can further decay to the point where the root canal must be re-done or, worse, the tooth must be removed.

Reasons For Root Canal Therapy
Decay has reached the tooth pulp (the living tissue inside the tooth)
Infection or abscess have developed inside the tooth or at the root tip
Injury or trauma to the tooth
• Extreme wear

What does Root Canal Therapy involve?
A root canal procedure requires one or more appointments and can be performed by your regular dentist or endodontist (a root canal specialist).

Gum Disease


Gum disease is an infection of the tissues that surround and support your teeth. Because gum disease is usually painless, you may not know you have it. Also referred to as periodontal disease, gum disease is caused by plaque, the sticky film of bacteria that is constantly forming on our teeth.

Here are some warning signs that can signal a problem:
• gums that bleed easily
• red, swollen, tender gums
• gums that have pulled away from the teeth
• persistent bad breath or bad taste
• permanent teeth that are loose or separating
• any change in the way your teeth fit together when you bite
• any change in the fit of partial dentures

There are many factors that increase the risk of developing gum disease including smoking, pregnancy, and diabetes. It is important to visit Sunrise Family Dental if you suspect you have gum disease because the sooner you treat it the better.

The early stage of gum disease is called gingivitis. If you have gingivitis, your gums may become red, swollen and bleed easily. At this stage, the disease is still reversible and can usually be eliminated by a professional cleaning at your dental office, followed by daily brushing and flossing.

Advanced gum disease is called periodontitis. Chronic periodontitis can lead to the loss of tissue and bone that support the teeth and it may become more severe over time. If it does, your teeth will feel loose and start moving around in your mouth. It usually gets worse slowly, but there can be periods of rapid progression.

Aggressive periodontitis is a highly destructive form of periodontal disease that occurs in patients who are otherwise healthy. Common features include rapid loss of tissue and bone and may occur in some areas of the mouth, or in the entire mouth.

Research between systemic diseases and periodontal diseases is ongoing. While a link is not conclusive, some studies indicate that severe gum disease may be associated with several other health conditions such as diabetes or stroke.

Regular dental checkups and periodontal examinations are very important. The treatment methods that our dentists diagnose will depend upon the type of disease and how far the condition has progressed. Good dental care at home is essential to help keep periodontal disease from becoming more serious or recurring.

Dental X-rays


X-rays (Radiographs)
Dental X-rays are a primary tool for early identification of dental problems. Dentists can detect issues with X-rays before they become problems saving you money in the long run by preventing the need for more extensive, expensive procedures or surgeries. X-rays are primarily used to detect:
• Internal tooth decay
• Cysts (fluid filled sacks at the base of your teeth)
• Tumors, both cancerous and non-cancerous
• Impacted teeth
• Teeth that are still coming in

Digital X-rays
Digital x-rays are a benefit because they have a much lower radiation exposure than traditional film. The x-ray image can be viewed immediately so you can save valuable time. We are also able to enlarge the digital image so that you can see what the doctor sees on the x-ray.

Cosmetic Services


Veneers
Veneers are a very thin pieces of durable, tooth shaped, porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.

Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many cosmetic dental conditions for the front teeth.

As with most dental restorations, veneers may someday need replacement; however, they are still very durable and will last many years, giving you a long – lasting, beautiful smile.

Reasons For Porcelain Veneers
Cosmetically, to create a uniform, white, beautiful smile
Crooked teeth
Misshapen teeth
Severely discolored or stained teeth
• Teeth that are too small or large
Unwanted or uneven spaces
• Worn or chipped teeth.

What does getting Porcelain Veneers involve?
Getting veneers usually requires two visits to complete the process. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.

On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.

You will receive care instructions for your veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new and beautiful veneers.

Teeth Whitening
Tooth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.

Because having whiter teeth has now become the number one aesthetic concern of most patients, there are several ways to whiten teeth. The most popular method is using a home tooth whitening system that will whiten teeth dramatically. Since tooth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.

Tooth whitening is not permanent. A touch-up maybe needed once a year and more often if you smoke and/or drink coffee, tea, or wine.

Reasons For Tooth Whitening
• Florousis (excessive fluoridation during tooth development)
• Normal wear of outer tooth layer
• Stained teeth due to medications (tetracycline, etc.)
• Yellow, brown stained teeth

What does tooth whitening involve?
This type of tooth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear, plastic trays.

At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.

You will receive care instructions for your teeth and trays, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.




Susan Xu-Wong, DDS
Sunrise Family Dental
726 SE Geary St, Albany, OR 97321


(541) 928-9990

 

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