Our team is dedicated to providing you and your family with state-of-the-art, mercury-free, mercury-safe, fluoride-free, restorative and esthetic dentistry in a modern high-tech facility designed for your comfort. We can help you achieve and maintain optimal dental health, restore problem areas, and cosmetically enhance the appearance of your smile.
- Crowns, Inlays and Onlays While You Wait
- White Composite Fillings
- Teeth Straightening with Realine
- Ozone in Dentistry – Healing Instead of Restoring
- Scalpel-Free, Suture-Free Procedure for Correcting Gum Recession
- Platelet Rich Fibrin (PRF) – for Faster Healing and Increased Positive Outcomes
- Metal-Free Alternative to Titanium Implants
- Clifford Materials Reactivity Testing
Crowns, Inlays and Onlays While You Wait
On the forefront of dental advances is the amazing CEREC technology we have in our office.
CEREC is an acronym for Charismatic Economical Restoration of Esthetic Ceramics. This high-tech equipment allows us to restore damaged teeth with beautiful custom ceramic restorations in a single visit, completely eliminating the need or multiple appointments over a several week period.
The process can create a ceramic crown, inlays, onlays or veneers using 3D photography, computer-aided design and manufacturing known as CAD/CAM. Using an intra-oral camera, a photograph is taken of the tooth and the picture is loaded onto the computer. Using Computer Aided Design technology, Dr. DeGregorio and her team design the restoration and transform the image into a three-dimensional model. Then the appropriate shape is calculated to size to create a near perfect restoration.
When the model is ready, a milling machine then creates the restoration using a high-speed diamond bur and calculated precision. The restoration is then bonded to the tooth using a special resin bonded cement. The result is a beautiful custom designed metal-free restoration, made to fit your mouth perfectly. Dr. DeGregorio and her team have mastered this technology through extensive educational and clinical training, and it has been adopted as a standard of care since she introduced the technology to her dental practice.
White Composite Fillings
Composite fills are completed with a restorative material that contains 30-50% less resin than many other composite brands. Less resin means a reduction in the presence of trace amounts of bisphenols. The composite filling used in our office does not contain any Bisphenol A or B. The composite material used by Dr. DeGregorio tests high for biocompatibility among patients.
Even for smaller restorations, positive points of comparison with amalgams do not mean composites are the perfect filling material for everyone. There is speculation over potential estrogen-mimicking effects of plastic chemicals like Bisphenol A contained in certain composite resins.
Any dental material made with BisGMA may contain trace amounts of Bisphenol A. Some companies strive to produce significantly less toxic materials. VOCO (www.voco.com) brand restorative materials contain 30-50% less resin than many other composite brands, proportionately reducing potential presence of trace amounts of bisphenols. Furthermore, VOCO does not add Bisphenol A or B to its composites. Because less resin is present in its products, VOCO tests high for biocompatibility (Clifford Labs: ccrlab.com), and Scientific Health Solutions classifies VOCO products (Admira, Grandio, etc.) in the Least Reactive Components category for dental restorative materials. Other brands similar to VOCO are available.
Porcelain is the most biocompatible, hypo-allergenic, non-metallic restorative material of which we are aware at this time. Porcelain restorations are also dramatically less effected by factors that influence longevity of both amalgams and white composite fillings: i.e., restorative technique, filling size, your body chemistry, and your nutritional intake. Porcelain restorations (inlays, onlays, crowns) can last 12-15 years or longer. We offer lab-processed porcelain or, for your convenience, CEREC CAD/CAM technology for same-day, on-site porcelain restorations.
Potential longevity of dental restorations is a critical factor because every dental procedure represents trauma to the nerve of the tooth. Repeated trauma to the nerve from filling replacement during the course of a lifetime will eventually cause nerve breakdown. Porcelain restorations cost more initially than amalgams or composites, but porcelain’s longevity decreases the potential need for root canal therapy.
Whether the filling is of amalgam, white composite or porcelain, longevity is influenced by the amount of natural tooth structure preserved during removal of decay. An amalgam filling cannot adhere to tooth surfaces, and the amalgam-placing dentist must create an undercut after removing decay, sacrificing healthy tooth structure to trap the amalgam filling in place. For composites or porcelain, the dentist strives to remove decay only. The cleaned-out space inside the tooth for a composite or porcelain prep often has relatively straight or inward-slanting walls. Healthy tooth structure is preserved.
Again, we encourage you to research safety issues surrounding amalgam restorations for yourself. When existing amalgam fillings are mechanically intact, it must be your personal choice to have them replaced with other materials, whether for health or esthetic reasons.
Teeth Straightening with Realine
Straight teeth are beautiful, but the cosmetic benefit is just the start. Properly aligned teeth play a big role in both oral and systemic health.
We are proud to offer Realine, a system of “invisible braces” that is not only safe and effective; we believe it is superior to comparable treatments currently on the market.
Realine treatment is designed for people with minor crowding or small gaps in their front teeth. With Realine, we can close them and treat orthodontic relapse, giving you a straighter, more confident smile without the discomfort or disruption of traditional braces.
What is Realine?
Realine is a five-step clear aligner system designed specifically to fix minor crowding. During the course of treatment, patients will wear five sets of custom-made aligners. Worn correctly, the aligners will gently and gradually shift teeth.
Ozone in Dentistry – Healing Instead of Restoring
Amazing Benefits of Ozone Therapy
1. Reduce or eliminate tooth sensitivity
2. Prevent cavities
3. Eliminate the need for a filling in some circumstances
4. Prevent the nerve from dying and the need for a root canal or extraction
5. Reverse gum disease
6. Eliminate dental infections
7. Speed healing after extractions
8. Prevent cavitations
You have probably felt invigorated after a thunderstorm or during a stroll along the beach. If so, ozone may be at least partly responsible for your feelings of youthful energy. Ozone (O3) is an energized form of oxygen. It is that clean, fresh smell you notice during a thunderstorm, and it has been known as a powerful medicine for more than 100 years. In many ways, ozone is a perfect medicine . . . it completely destroys bacteria, mold, yeast and viruses while simultaneously stimulating the immune system. Ozone allows us to treat many dental conditions in a very conservative manner.
We are currently using ozone therapy in the following ways:
Gum Disease / Infections: Because gum disease is an infection and ozone can eliminate infection, irrigating periodontal pockets with O3 water and O3 gas is highly beneficial. Used in this manner, O3 not only helps arrest the progression of the disease but also helps prevent tooth decay on exposed root surfaces. For some patients, a custom tray that fits snugly over the teeth and gums can be made. O3 gas is then passed into the tray for a period of time, as indicated, to help maintain periodontal health and prevent decay.
Teeth: Ozone is mainly used in dentistry for the prevention and reversal of cavities. Certain types of cavities can be reversed by exposing them to ozone gas, eliminating the need for a filling.
Cavities develop as the environment below the surface of the tooth becomes acidic. Ozone not only kills the acid-making bacteria, it also neutralizes their acidic waste. This creates a new environment that is hostile to the bad streps and lactobacilli that love the acid niche. A new environment allows healthier bacteria to replace the bad ones. If we just kill off the bacteria, they’re back in weeks. But if we get rid of their acid niche, they are gone for two to three months. Ozone treatments at this interval just might keep teeth decay-free indefinitely!
The new environment that occurs following the bio-chemical change in the lesion allows minerals to flow back into the tooth, hardening and reversing the effects of decay. Early cavities can heal. The minerals to assist this repair can come slowly from the saliva or much quicker from mineral-rich solutions soaked into the teeth following the ozone treatment. Research seems to indicate that once a tooth is remineralized, it is very unlikely the decay will come back. Multiple ozone treatments over a period of months can improve chances even better.
Now we have to be realistic here. If your tooth has a big hole in it, ozone isn’t going to regrow that tooth structure. Not even the tooth fairy can do that! But if there is still structure remaining in the earlier phases of attack, that structure can harden. That cavity can heal, and the filling required will be smaller and ozone can be a big contributor to this process.
Washing teeth with ozonated water, just prior to restoring them, is an excellent way to sterilize the tooth and prevent sensitivity. Ozone is extremely beneficial when the tooth nerve has been damaged by decay. Using O3 water followed by O3 gas will often prevent the nerve from dying, thus preventing the need for a root canal or extraction.
Dental Surgery: Irrigation of a surgical site with O3 water will dramatically speed healing and reduce the possibility of infection.
Cavitations: Several conditions can cause localized areas of the jaw bone to die. These conditions include improper tooth extraction, trauma, poor circulation, clotting disorders and the use of steroids. These areas of dead bone are known as cavitations and are breeding grounds for bacteria and their toxins. Cavitations can affect overall health in a number of ways: research shows the bacterial waste products found in cavitations are extremely potent . . . cavitations can also block the body’s energy meridians. Ozone is one of the most effective methods of treating cavitations . . . it kills the bacteria and stimulates the body’s self-healing mechanism.
Cold Sores and Canker Sores: When exposed to ozone gas, cold sores and canker sores heal rapidly. We have also discovered that when treated with ozone, the sores may not ever return to the same place again.
We are happy to provide a consultation regarding our many ozone procedures.
Scalpel-Free, Suture-Free Procedure for Correcting Gum Recession
Chao Pinhole Surgical Technique
The Chao Pinhole Surgical Technique is a scalpel-free, suture-free procedure for correcting gum recession, invented by John Chao, DDS. Through a small hole made by a needle, specifically designed instruments are used to gently loosen the gum tissue and glide it over the receded part of the tooth. Patients can expect minimal post-operative symptoms of pain, swelling and bleeding. Most patients are surprised and grateful for the instant cosmetic improvement.
MyPerioPathsm and MyPerioIDsm PST
Used together, MyPerioPathsm®and MyPerioIDsm PST® salivary DNA diagnostic tests can help reduce patient incidence of periodontal disease by helping identify patients with and at risk. This is genetic testing for gum disease, performed with an easy saliva test.
According to the American Dental Association, an estimated 75% of all Americans over the age of 35 have some form of periodontal disease. Moreover, research conducted during the past 10 years has provided insight into the Perio / Systemic Connection and the link between chronic periodontal infections and heart disease, diabetes, stroke, and some forms of cancer.
OralDNA offers two DNA-Polymerase Chain Reaction (PCR) tests for periodontal disease diagnosis and genetic susceptibility: MyPerioPath detects the presence and quantity of specific bacteria associated with periodontal disease, while MyPerioIDsm PST provides a means of assessing an individual’s genetic risk for periodontal disease. The company also has an oral HPV test named OraRisksm HPV for use in assessing the risks associated with certain types of oral cancer.
Used together, the new salivary DNA diagnostic tests can help reduce patient incidence of periodontal disease. MyPerioPathsm provides early and accurate diagnosis of existing periodontal disease by identifying and measuring specific types of bacteria, while MyPerioIDsm PST assesses a patient’s genetic predisposition to developing periodontal disease well before physical symptoms occur.
Platelet Rich Fibrin (PRF) – for Faster Healing and Increased Positive Outcomes
Platelet Rich Fibrin treatment is used for oral surgery procedures such as gum grafts, extractions, implant procedures and cavitation surgery. Prior to oral surgery, a patient will have his blood drawn and placed in a centrifuge that will separate the blood into three individual components: plasma, red blood cells and a small amount of white blood cells and platelets. The white blood cells and platelets are called the “buffy coat,” which will turn into the platelet rich fibrin.
Platelet Rich Fibrin treatments can enhance the success rate of many oral surgery procedures. Every patient’s product of platelet rich fibrin is processed from his own blood, and there are scientifically proven benefits such as increased healing abilities.
After centrifugation, the platelet releases specific growth factors, including transforming growth factor beta (TGF-B), platelet derived growth factor (PDGF), vaso-endothelial growth factor (VEGF) and epithelial growth factor (EGF). Each of these factors plays a specific role in new vascularization (formation of blood vessels) and hard and soft tissue healing. Since patients heal faster, they enjoy a smaller chance of infection, dry socket, failed grafting or failed implants.
Metal-Free Alternative to Titanium Implants
One of the newest advances in dental implantology is the all-ceramic Z System® implant. Designed to promote bone growth and cater to patients with allergies or complications with metal implants, Z-systems implants are revolutionary. Made with the highest quality zirconia material, we provide this type of dental implant at our patients’ requests to improve the osseointegration process (the fusing of the implant to the jawbone) and reduce the risk for allergic reaction in particularly sensitive patients.
Clifford Materials Reactivity Testing
Clifford Materials Reactivity Testing (CMRT) is a laboratory screening process used to help identify existing sensitivity problems to various chemical groups and families of compounds in an individual patient. This process is currently being implemented in the CMRT Dental and Orthopedic panels. After a patient’s test panel has been completed, the patient’s reactivity test results are compiled in a report. Click to visit the Clifford Laboratory Website.