Even a subtle change in your smile helps you to project an image of self-confidence and high personal esteem. When you feel good about yourself, it shows in your appearance.

Today's advanced techniques and materials can make a real difference, and the skill, experience, and commitment of our practice — using a unique combination of science and artistry — can literally redesign your smile.

Dr. Sheard A. Ber can now correct a wide variety of so-called "permanent" dental problems:

• Missing teeth, gaps between teeth, general bite dysfunction
• Chipped, cracked or worn teeth
• Unsightly, stained, or washed-out fillings
• Permanently stained or discolored teeth
• Crooked or crowded teeth

Fillings

We are a mercury-free practice. However, many people still have silver/mercury fillings in their mouths from years past. These fillings are not particularly pleasing to the eye, and we know that by unavoidable design, silver/mercury fillings ultimately result in a weaker tooth structure. Porcelain inlays and Tooth Colored Restorations (onlays) create fillings that are not only beautiful (or unnoticeable) but also add strength to weakened teeth. These restorations are esthetically pleasing and very strong thanks to new bonding technologies.

Disadvantages of Silver fillings:

• Silver fillings have many drawbacks. The edges of the silver filling can wear down, become weak or break. This results in the tooth not being protected and lets cavities get started once again. With age, the metal of a silver filling expands, contracts, and can split.
• Silver fillings contain 50 percent mercury. They can corrode, leak and cause stains on your teeth and gums.
• Fortunately, silver fillings can safely be replaced with Tooth Colored Restorations.

Advantages of Tooth-Colored Restorations

There are many advantages to tooth colored restorations. Resin onlays are bonded to the teeth creating a tight, superior fit to the natural tooth. Such restorations can be used in instances where much of the tooth structure has been lost. The tooth remains intact and stronger.

Since the resin used in tooth colored restorations contain fluoride this can help prevent decay. The resin wears like natural teeth and does not require placement at the gum line, which is healthier for your gums!

The result is a beautiful smile!

Veneers

What are porcelain veneers?

Porcelain veneers are thin shells of ceramic that bond directly to the front and top surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility. With veneers as an alternative, there is no reason to put up with gaps between your teeth, teeth that are stained, badly shaped or crooked. A veneer placed on top of your teeth can correct these maladies, simply and quickly, to help you achieve a beautiful smile!

Will they look like normal teeth?

When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options. Because they are thin, light can shine through them and they take on the natural color of the underlying tooth.

How durable are porcelain veneers?

With proper care, porcelain veneers will brighten your smile for well over a decade.If you are a known clencher (bruxer), please be sure to let us know. Dr. Ber may recommend a night guard for you to wear to minimize stress placed upon your teeth while you sleep.

We hope that your new veneers fulfill your esthetic goal. With proper home care and scheduled visits, they are sure to provide you with a beautiful smile for years to come.

Dr. Ber will ensure that your veneers are crafted from the highest quality porcelains and are bonded with the most advanced and proven materials available.

Inlays / Onlay

When over 1/2 of the tooth’s biting surface is damaged a dentist will often use an inlay or onlay.

What are inlays and onlays?

Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth; an onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.

Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth.

How are they applied?

Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth taken, and sent to a lab for fabrication. Dr. Ber will then apply a temporary sealant on the tooth and schedule the next appointment.

At the second appointment, the temporary sealant is removed. Dr. Ber will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.

Extractions

You and Dr. Ber may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Ber will discuss alternatives to extractions as well replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Bleaching

Having a beautiful smile may be even easier than you think. Many people achieve the look they've been dreaming of with our simple "bleaching" procedure.

It's safe, quick, and inexpensive. Just let us know at any appointment if you would like to begin bleaching. You can lighten only your upper teeth or both the upper and lower, depending on how much of each shows when you talk and smile.

In only a day or two your custom bleach splints will be ready for you to pick up. We provide you with a special bleaching agent that you put into the clear, almost invisible splints. With only a few hours of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short time without altering tooth structure or existing dental work in any way. When your teeth reach the brightness you want, only occasional treatment is needed to maintain your new smile. We'll want to take "after" photos at your next appointment.

Dental bleaching can be used to correct many tooth discolorations. These discolorations may have been caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful, "brilliant" smile.

In cases of extreme tooth discoloration, crowns or veneers may be the only choice. But because of the low cost of bleaching treatments, bleaching is nearly always worth a solid try.

Key Benefits

• Corrects brown, yellow and mottled tooth staining
• Works on people of all ages.
• Is a near permanent solution for a "dull" smile, restoring brightness and bringing a smile alive.

Bridges

All of your teeth play an important role in speaking, chewing and in maintaining proper alignment of other teeth. Tooth loss doesn't necessarily have to occur as you age, but if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss.

Options

A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable.

Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.

If you're missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it's difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.

What exactly is a bridge or fixed partial denture?

A bridge (fixed partial denture) is a device, which fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.

Crowns

Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.

Where damage to a person's teeth is extreme, and apparently beyond repair, we can use porcelain or porcelain "pasted on gold" crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long lasting correction of major dental problems.

How long does it take?

Fitting a crown requires at least two visits to our office. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of plastic.

On the subsequent visit we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.

Key Benefits

• Replaces missing tooth structure
• Offers support to misshapen teeth or badly broken teeth
• Looks completely natural
• Fixes "smile" and functional chewing problems

Laughing Gas (see Nitrous Oxide)

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Nitrous Oxide, N2O, also called laughing gas, is a colorless gas with pleasant, sweetish odor and taste, which when inhaled produces insensibility to pain preceded by mild hysteria or laughter.

Nitrous oxide was discovered by the English chemist Joseph Priestley in 1772, but was named nitrous oxide by Humphry Davy. The principal use of nitrous oxide is as an anesthetic in surgical operations of short duration as prolonged inhalation of nitrous oxide can cause death.

Nitrous oxide is prepared by the action of zinc on dilute nitric acid, by the action of hydroxylamine hydrochloride on sodium nitrite, and, most commonly, by the decomposition of ammonium nitrate.

Nitrous oxide is used in roughly one third of dental practices in the United States, especially to allay anxiety that many patients may have toward dental treatment, and it offers some degree of painkilling ability. The benefits of nitrous oxide are many, and the risks are few. The gas is administered with a comfortable mask placed over the nose, and the patient is instructed to breathe in through the nose and out through their mouth. As a precaution, patients should not eat anything for about two hours prior to use of the gas. The patient begins to feel a pleasant level of sedation in anywhere from 30 seconds to three or four minutes. The cheeks and gums will also begin to feel numb in about a third of the patients.

After the gas is adjusted to the appropriate dose, and the patient is relaxed and sedated, the dentist can comfortably give the anesthetic injection (if needed) to the patient, and then proceed with dental treatment. After the treatment is completed, the patient is given pure oxygen to breathe for about five minutes, and all the effects of sedation are usually reversed. Unlike IV sedation or general anesthesia, the patient can almost always leave the office by themselves, without an escort.

Nitrous oxide has few side effects although high doses can cause nausea in some patients, and about 10% of patients do not benefit from it. Patients that are claustrophobic or have blocked nasal passages cannot use nitrous oxide effectively. Nitrous oxide is one of the safest anesthetics available.

Root Canals

What is a root canal?

A root canal is one of the most common dental procedures performed, well over 14 million every year. This simple treatment can save your natural teeth and prevent the need of dental implants or bridges.

At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature or pain in the tooth and gums.

How is a root canal performed?

If you experience any of these symptoms, your dentist will most likely recommend non-surgical treatment to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required. Success for this type of treatment occurs in greater than 90% of cases. If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment. We deliver gentle local anesthesia to eliminate discomfort. In addition, we will provide nitrous oxide analgesia if indicated. You will be able to drive home after your treatment, and you probably will be comfortable returning to your normal routine.

What happens after treatment

After your root canal therapy has been completed, Dr. Ber will decide what type of restoration is necessary to protect your teeth. For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications. We are available at all times to respond to any questions you may have.