SERVICES

Tooth Color Composite Fillings

A tooth colored filling is a composite resin that we use as an alternative to a silver amalgam filling with mercury. This is an excellent cosmetic option for those patients who do not want the look of silver in their mouths.

Procedure

The composite filling is completed in one visit. The first step is to remove the decayed and/or unsightly portion of the tooth. A bonding agent is then applied to the tooth. This will allow the composite resin to be placed in the prepared tooth. The resin is then carved and polished, leaving you with a beautifully sculpted, natural-looking restoration.

Indications For Composite Fillings

Cracked or chipped teeth, decayed teeth, discolored teeth, gaps or spaces between teeth, sensitive teeth around the gums.

Dentures/Partial Dentures

What are Dentures?

Dentures are replacements for missing teeth that can be taken out and put back into your mouth. While dentures take some getting used to, and will never feel exactly the same as one’s natural teeth, today’s dentures are natural looking and more comfortable than ever.

There are two main types of dentures: full and partial. We will help you choose the type of denture that’s best for you based on whether some or all of your teeth are going to be replaced and the cost involved.

How do Dentures Work?

With full dentures, a flesh-colored acrylic base fits over your gums. The base of the upper denture covers the palate (the roof of your mouth), while that of the lower denture is shaped like a horseshoe to accommodate your tongue.

Dentures are custom-made in a dental laboratory from impressions taken of your mouth. We will determine which type of dentures described below is best for you.

Conventional Full Denture

A conventional full denture is placed in your mouth after any remaining teeth are removed and tissues have healed. Healing may take several months, during which time you are in an immediate denture.

Immediate Full Denture

An immediate full denture is inserted immediately after the remaining teeth are removed. (Your dentist takes measurements and makes models of your jaw during a prior visit.) While immediate dentures offer the benefit of never having to be without your teeth, they must be relined several months after being inserted. The reason is that the bone supporting the teeth reshapes as it heals, causing the denture to become loose.

Partial Denture

A partial denture rests on a metal framework that attaches to your natural teeth. Sometimes crowns are placed on some of your natural teeth and serve as anchors for the denture. Partial dentures offer a removable alternative to bridges.

How Long Before I Get Used to My Dentures?

New dentures may feel awkward or uncomfortable for the first few weeks or even months. Eating and speaking with dentures might take a little practice. A bulky or loose feeling is not uncommon, while the muscles of your cheeks and tongue learn to hold your dentures in place. Excessive saliva flow, a feeling that the tongue does not have adequate room, and minor irritation or soreness are also not unusual. If you experience irritation, see your dentist.

How Long do Dentures Last?

Over a period of time, your denture will need to be relined, remade, or rebased due to normal wear. Rebasing means making a new base while keeping the existing denture teeth. Also, as you age, your mouth naturally changes. These changes cause your dentures to loosen, making chewing difficult and irritating your gums. At a minimum, you should see your dentist annually for a checkup.

Here are tips for caring for your dentures:

When handling your dentures, stand over a folded towel or basin of water. Dentures are delicate and may break if dropped.
Don’t let your dentures dry out. Place them in a denture cleanser soaking solution or in plain water when you’re not wearing them. Never use hot water, which can cause them to warp.

Brushing your dentures daily will remove food deposits and plaque, and help prevent them from becoming stained. An ultrasonic cleaner may be used to care for your dentures, but it does not replace a thorough daily brushing.

Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures. This stimulates circulation in your tissues and helps remove plaque.

See your dentist if your dentures break, chip, crack or become loose. Don’t be tempted to adjust them yourself  this can damage them beyond repair.

Teeth Whitening

Your smile is very important. This is one of the first things you notice when you meet someone. A white, brighter smile can help you feel better about yourself and make you look years younger. Dr. Chesney has recently started using the incredible new bleaching process called deep bleaching.

Procedure

The process takes three appointments. The first step is to make an accurate impression of your teeth. Plastic trays are made which form a tight seal around your teeth. The fabrication of these custom bleaching trays is very important in order to seal the bleaching material in and keep saliva out.

At the second appointment a mild bleaching agent is used to condition the teeth and start the process. The patient will then continue the process at home each night for two weeks.

On the third and final appointment, Dr. Chesney will bleach the teeth to achieve a radiant, white smile that is simply amazing! Then your new white smile can be maintained by periodic bleaching at home. Remember, the bleaching process will only work on your natural teeth.

At Chesney Dentistry, we also offer the immediate one visit Zoom Bleaching Technique.

Before Whitening

After Whitening

Bridges

A bridge is one of the few options that you have when deciding how to deal with a missing tooth or teeth. The replacement of these missing teeth is necessary in order to maintain the proper mouth functions. Tooth loss can affect the way you eat, speak, and the alignment of other teeth in your mouth.

Types of Bridges

A bridge, by definition, is a link or connection between two permanent structures. A dental bridge is very similar in that it attaches the restorative teeth (bridge) to the natural teeth on either side of the gap. This bridge acts as your new teeth, closing the gap and restoring your smile. Bridges are often constructed of gold or metal foundations with porcelain fused to the foundation. This ensures that the bridge will support the normal functions of the mouth.

There are three main types of bridges:

  • Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
  • Cantilever bridges are used when there are adjacent teeth on only one side of the missing tooth or teeth.
  • Maryland bonded bridges (also called a resin-bonded bridge or a Maryland bridge) are made of porcelain teeth and gums supported by a metal framework. Metal wings on each side of the bridge are bonded to your existing teeth.

Procedure

The procedure begins with preparation of the natural teeth, or abutments. We will shape the abutment teeth so that the ends of the bridge will fit comfortably on each one. The next step is to take an impression of the area. This impression will be sent to our lab where your new restoration will be crafted. While this new tooth is created, we will provide you with a temporary restoration. Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or unattractive tooth.

During your second visit to the office, we will proceed with the placement of your final restoration. This bridge will be fitted comfortably into the mouth. We will make every effort to ensure that the new bridge feels exactly like your natural teeth. The final step in the process is to cement the bridge into your mouth, leaving you with a beautifully restored smile.

Bridge Building

Crowns

As we get a little older, our teeth begin to change and are prone to decay. There are many possible reasons for this change in your smile. These reasons can include bruxism(teeth grinding), general decay, cracked fillings, root canals, and many others. If your tooth is beyond repair with a filling material, we may recommend that the best viable option to save the tooth is a full crown. The reasons for this type of restoration in a badly damaged tooth are durability, cosmetic appearance, and overall support of the chewing function.

Types of Crowns

If we decide that you are in need of a full crown, there are a few different options for the repair of your tooth. These options include a full porcelain crown, a porcelain fused to metal or a gold crown. We will make the determination as to which of these options is the most appropriate for you. You can be confident that your new tooth will be virtually unnoticeable and will flawlessly complement the rest of your smile.

Procedure

When we have decided to go ahead with a full crown restoration, we will set aside 2-3 appointments for the entire process. Although the majority of crowns are completed in two visits, there is sometimes a need for a third visit to ensure a proper fit.

The procedure begins with the removal of all decay in the tooth. Once we have removed the decay, we will take an impression of the tooth. This impression will be sent to our lab where your new restoration will be crafted. While this new tooth is created, we will provide you with a temporary restoration. Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth.

During your second visit to the office, we will proceed with the placement of your final restoration. This crown will be fitted comfortably into the mouth. We will make every effort to ensure that the new tooth feels exactly like one of your natural teeth. The final step in the process is to cement the crown into your mouth, leaving you with a beautifully restored smile.

Hygiene/Periodontal Health

In addition to the meticulous cleaning, polishing, and examination of your teeth, we also take the time to help our patients develop proper oral hygiene habits at home. We will evaluate your hygiene techniques and make adjustments to your routine where needed. Our doctors and hygienists will also make suggestions for preventative measures such as dental sealants or nightguards to protect against bruxism & TMJ.

If we feel that you are suffering from gingivitis or more severe gum disease, we may recommend a root scaling or planing. These measures can be instrumental in preventing bone loss and helping you to keep your natural teeth.

Oral Cancer Screenings

During a dental exam, the dental hygienist will check your neck and oral tissues for lumps, red or white patches or recurring sore areas.

Screening for early changes in the oral tissue can help detect cancer at a stage when it can be more successfully treated.

Smoking, especially combined with heavy alcohol consumption (30 drinks a week or more), is the primary risk factor for oral cancer. In fact, this combination is estimated to be the most likely trigger in about 75 percent of oral cancers diagnosed in this country. Other lifestyle and environmental factors also may increase your risk of developing oral cancer.

Scaling & Root Planing

Scaling and root planing is a non-surgical procedure in which the hygienist removes plaque and tartar from below the gum line. Root surfaces are cleaned and smoothed with specially designed instruments. It is important to remove the plaque and tartar from the pockets, because aside from the bacterial toxins that irritate the gums, plaque and the rough surfaces of tartar make it easier for bacteria to gain a foothold.

Dental Implants

Dental implants are becoming more popular in today’s dental society for a number of reasons. Implants are utilized to offer patients a foundation for new restorative teeth where natural teeth are missing or have been extracted. The implant offers the patient the opportunity to regain normal function of the tooth without being forced to resort to a bridge or a denture.

Benefits

  • The implant will osseointegrate. Bone grows through the implant.
  • The new implant will support your teeth firmly and safely.
  • Your new implants are aesthetically pleasing.
  • You will no longer have pain during talking or eating.
  • The dental implant will prevent progressive bone atrophy.
  • Implants have a proven scientific basis.

Procedure

The tooth structure has two main sections, the root and the crown. The root is the section of the tooth that should be below the gumline. A dental implant acts as the restorative for this section of the tooth. The metal implant acts as an anchor in the jawbone. The first step of the procedure is surgical placement of the implant. Under regular dental anesthetic, the gum tissue is opened and the dentist places the implant into the jawbone. When this is achieved, the tissue is then sutured closed. There is not often significant discomfort with this procedure. This process can take from 1-3 hours depending on the number of implants being placed.

This implant will be left untreated for a period of 3-6 months. During this time, the bone will grow through the implant in a process called osseointegration. A removable crown may be utilized during this time period to allow for chewing and to preserve the cosmetic appearance..

The next step in the process is to attach an abutment to the tooth. This is achieved by exposing the top of the implant and placing the abutment. This is the part of the implant that will support the final crown.

Finally, an impression is taken of the implant and a final restoration is crafted. This restoration will be comfortable and cosmetically pleasing. Your completed implant will be fully functional, allowing you to resume normal activities.

Root Canal (Endodontics)

Root Canal, or endodontics, is the process of removing the nerves from the roots of a tooth. A root canal is often necessary to save an infected tooth. If an infected tooth is left alone for a long period of time, an abscess can form. An abscess will show up on an x-ray as a dark spot below the apex of the root. This is actually bone loss in the jaw. It is very important to catch this problem before it deteriorates too far.

Process

The first step of the procedure is to anesthetize the effected area. The next step is to open an access point through the top, or biting surface of the tooth. The doctor will then determine a working length of each canal. Each canal is then cleaned and shaped in preparation for the filling material. Once each canal is prepared, it is filled with an inert material called gutta percha. The canals are then sealed. The tooth is now ready for a restoration, which is usually a crown. This entire procedure is often completed in two visits.

Why do I need a root canal?

There are a number of reasons why one of your teeth may need a root canal. These include but are not limited to, a very deep cavity that extends into the nerve, a trauma to the tooth that exposes the nerve, or a crack in the tooth that extends into the nerve of the tooth.

Signs/Symptoms

  • Moderate to severe lingering toothache pain when drinking hot or cold liquids or foods.
  • Moderate to severe pain when biting on a tooth
  • Sensitivity to tapping or pressure on the tooth
  • Toothache that wakes you up in the middle of the night
  • A pimple on your gum that may release pus or blood
  • Radiating pain from one area of the mouth to another

Six Month Smiles

Straight Teeth. Less Time. Clear Braces for Adults.

Are you one of the millions of adults in need of adult braces who are unhappy, self-conscious or even embarrassed of your smile?

Many adults spend their entire lives covering their mouths when they laugh, smile or talk. They feel stuck because they do not want to wear adult metal braces for years or they are concerned that other corrective teeth straightening procedures could be too invasive or too expensive.

Now, there is an effective, safe and affordable cosmetic braces solution that fits your lifestyle.

Veneers

Porcelain veneers are extremely thin casings of ceramic that are bonded to the front of the patient’s tooth to create a new smile. Porcelain veneers are placed over the front of teeth that appear too small or large, slightly discolored, or simply are not cosmetically pleasing to the patient. For many patients, teeth may have chipped, become discolored, or are slightly crooked. For the majority of these patients, porcelain veneers can prove to be the perfect solution.

When placing porcelain veneers, we pay close attention to the patients surrounding teeth and design each veneer to complement the overall smile. The result is a beautiful, attractive new smile.

If cared for properly, your veneers will last you a long time. We ensure that your new veneers are constructed of the most durable porcelain materials available.

Procedure

The procedure begins with the preparation of the tooth. This entails removing the discolored or unsightly portion of the tooth and meticulous shaping, in preparation for the new veneer. Once we have shaped the tooth, we will take an impression. This impression will be sent to our lab where your new restoration will be crafted. While the new veneers are created, we will provide you with a temporary restoration. Our temporary restorations will resemble your natural teeth so that you can continue with your daily life without worrying about a missing or incompatible tooth.

During your second visit to the office, we will proceed with the placement of your final restoration. The veneers will be fitted comfortably into the mouth. We will make every effort to ensure that the new tooth feels exactly like one of your natural teeth. The final step in the process will be to bond the new veneers into your mouth, leaving you with a beautifully restored smile.

Post-Op Instructions

These are general post op instructions for the following procedures. If you are having symptoms that are not covered here or have a dental emergency, please contact the office directly.

ROOT CANAL THERAPY

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue. This will also allow the temporary restorative material to harden.

You will most likely feel soreness in the area as well as pressure when you bite down. For this reason, you should avoid hard and chewy foods. Do not eat on the treated side of your mouth for at least 24 hours. The soreness should decrease within a week.

Take any antibiotic medication prescribed to you by the doctor as this will eliminate any remaining infection in the tooth.
If you notice any of the following symptoms please contact our office:
– Increasing tenderness or swelling in the area surrounding the tooth
– A reaction to the medication
– Loss of the temporary filling material
-Tooth fracture

CROWNS AND BRIDGES

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Temporary: Please be careful when cleaning around the temporary restoration. Do not pull up on the temporary when flossing this area. Make sure to brush this area gently and not to chew any hard foods on the restoration. If your temporary comes off between appointments, please call our office so that we can reapply it for you.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages.
It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an Advil or Tylenol if the discomfort persists.

Permanent Crown/Bridge: When the final restoration is placed, your bite may feel a little different. This is just your mouth adjusting to the new addition. If it still feels off in a few days, please call the office for a slight adjustment.

Home Care: It is important to resume regular brushing and flossing immediately.
A consistent daily home care routine will increase the longevity of the restoration.

WHITE FILLINGS (BONDING)

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages. It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an Advil or Tylenol if the discomfort persists.

Home Care: It is important to resume regular brushing and flossing immediately. A consistent daily home care routine will increase the longevity of the restoration.

SCALING AND ROOT PLANING

After your scaling or root planning, it is best to rinse your mouth 2-3 times per day with warm salt water. One teaspoon salt / 8 oz. water. You should start home care immediately, although you should be extremely gentle with the treated areas.

If you feel discomfort in the gum tissue where you had treatment, an Advil or Tylenol may be taken to relieve this feeling. The treated areas will probably be sensitive to hot and cold.
It is best to refrain from eating any hard or chewy foods for the next 48-72 hours while the treated area begins to heal.

You may also experience some swelling or jaw stiffness. If this does occur, you can place a cold compress on the swelling or a hot towel on the stiffness.

Smoking should be terminated for a period of 48-72 hours following these procedures. Please contact the office if the pain or swelling persists.

PORCELAIN VENEERS (LAMINATES)

It is best to refrain from eating for at least 2 hours and until the anesthesia has worn off to prevent possibly injury to your soft tissue.

Temporary: Please be careful when cleaning around the temporary restorations. Do not pull up on the temporary when flossing this area. Make sure to brush this area gently and not to chew any hard foods on the restoration.

If your temporary comes off between appointments, please call our office so that we can reapply it for you.
Sensitivity: Sensitivity to hot and cold is to be expected following treatment.
For the first few days, try to avoid extremely hot or cold foods and beverages It is normal to have discomfort in the gums around the tooth after the anesthesia wears off. If you feel discomfort in the gum tissue, rinse the area with warm salt water. You can also take an Advil or Tylenol if the discomfort persists.

Permanent Veneers: When the final restoration is placed, your bite may feel a little different. This is just your mouth adjusting to the new addition. If it still feels off in a few days, please call the office for a slight adjustment.

Home Care: It is important to resume regular brushing and flossing immediately. It is very important to thoroughly clean the area between the veneer and the tooth at the gumline. A consistent daily home care routine will increase the longevity of the restoration.

EXTRACTIONS

Bleeding:

It is normal for minor bleeding to occur for the first 24 hours following surgery If slightly heavier bleeding occurs:

1. Place a piece of gauze over the surgery site.

2. Bite firmly on the gauze for at least 30 minutes. DO NOT chew on it.

3. If the bleeding continues, call the office

4. Do not suck on area where surgery occurred or drink through a straw during the first 48 hours.

Rinsing:

1. Don’t spit or rinse the surgical area on the day of the surgery.

2. The day after surgery you may gently rinse with warm salt water.

3. You may brush your teeth and your tongue after the surgery. Be careful of the surgical site.

Eating:

You should start with liquids and very soft foods for the first 24-48 hours following the surgery. If the area feels a little better, you can then move on to a normal diet. Be careful of chewing on hard foods near the surgical area.

Pain & Swelling:

It is normal to experience some degree of swelling.

If you do experience swelling, you can place ice over your face for 20-30 minutes at a time during the first 24 hours. This should help to reduce pain and swelling. Do not ice after the first 36 hours.

If you feel discomfort, it is recommended that you take an Advil or Tylenol to ease the pain. If the pain persists, please contact the office.