Walk-in and Emergency Care with same day treatment in most situations
General Procedure Information
Whether your dental needs are a complete exam and cleaning, a full-mouth restoration, or anything in between, Brown Road Dental will provide you with exceptional care as we enhance the natural beauty of your smile. Please browse some of the many procedures and services we regularly provide to our patients – with a gentle touch and aesthetic results. Part of our commitment to serving our patients includes providing information that helps them make more informed decisions about their oral health needs. Your smile is important to us!
Please feel free to call our office if you have any questions, concerns, or would like to schedule an appointment. We look forward to providing you with the honest and personal care you deserve. When you visit our office, your concerns are our top priority. Our entire team is dedicated to your comfort.
One of our main goals at Brown Road Dental is to stabilize the oral health of our patients and teach them the techniques that will help them care for their mouths independently at home. In contrast to modern prevention based dentistry, a trip to the dentist was traditionally instigated by a toothache or other problem. In our office, we strive to prevent and treat tooth decay before the toothache starts. With regular dental care, many dental diseases are now preventable.
Fluorides, high fluoride and tarter control toothpastes, sealants, anti-microbial mouth rinses, and many other agents are available to prevent cavities, periodontal disease, and other dental diseases before they start. Studies have shown that some small cavities may be stopped or reversed with proper oral hygiene and chemical care. Misaligned teeth (Malocclusions) and crowding may be prevented or corrected by early treatment thereby preventing extensive orthodontic treatment and/or corrective surgery. We are here to answer any of our patient’s questions and keep them up to date with advancements in oral health care.
At Brown Road Dental, we are excited to use state of the art digital x-ray technology for our patients. Digital x-rays give off approximately 80% less radiation than traditional x-rays. Our office also uses an Intraoral digital camera for diagnosis and cosmetic restoration. Thus, allowing you to see what the Doctor sees.
We offer the following anti-anxiety methods.
- Nitrous Oxide (Laughing Gas)
Nitrous Oxide mixed with Oxygen is a safe and effective anti-anxiety agent. The nitrous oxide is mixed with oxygen by a fail-safe machine. The gas is then administered to the patient through a nose mask. The onset and recovery are rapid, each happening in about three minutes. If patients opt to have Nitrous Oxide, they should not eat for about two hours before the appointment.
Low doses of medications from the same class as Valium can be prescribed to calm the anxious patient. The dose is kept low enough that the patient is not sedated, but feels more relaxed. Patients taking Valium and similar medications should not consume alcohol while these drugs are in the bloodstream.
The “shot” that you get at the dental office is usually to administer what we call Local Anesthetic. When we restore teeth with fillings and other restorations, or if we need to do any oral surgery, it is necessary to get the teeth and the gums we will be working on numb so the patient does not feel any unnecessary pain. The chemical used to establish local anesthesia is traditionally called “Novocain”, which is now rarely used in dentistry. More modern, safe, and effective anesthetics such as lidocaine, articaine, and mepivacaine are some of the anesthetics you will see in our dental office. At Brown Road Dental, we place an anesthetic gel (“topical”) on the gums to numb them before the actual injection takes place. We use the latest techniques in pain reduction so that our injections are as comfortable as possible.
The most common cosmetic dental procedure that patients ask for in our practice is teeth whitening. Whitening is a very safe and accessible procedure that can be completed in our office or at home, depending on your time and budget. Here are the basic methods of whitening and the facts that may help you decide which method is best for you:
- Chairside Whitening (KöR Whitening Deep Bleaching™ System)
The KöR Whitening Deep Bleaching™ System works so well because it helps to restore your teeth’s ability to absorb oxygen. The oxygen from its whitening gel is absorbed deeply into the tooth, dissolving stain molecules. This procedure is usually a 1 1/2 hour visit at our dental office.
- Take Home Whitening (KöR Whitening Deep Bleaching™ System)
This is the option most patients choose, who have a little extra time to get the results they want. First, a dental professional will make molds of your teeth so you can have your own unique, ultra-comfortable KöR Whitening Trays. Then, you will have a simple visit in the dental office, followed by wearing KöR Whitening Trays for two weeks at home while you sleep. The KöR Whitening Deep Bleaching System is completed with a final visit in the dental office.You simply place a small amount of the whitening gel into the molds and wear for an hour a day. The major benefit to Take-Home Trays is there is no limit to how white you wish to get your teeth. You just keep wearing them until you are satisfied with the color. Many patients choose to start their whitening process with a single session of Chairside whitening to get an immediate boost, and then continue to whiten at home with this method. So, if you are looking for the best at home teeth whitening kit, feel free to call us today.
- Over-the-counter Whitening Solutions
Although most over the counter products yield poor results, our Doctors do recommend the Crest® 3D Whitestrips Advanced Dental Whitening system. This is a great option for patients that need to whiten their teeth just a little bit. You can buy a 1-2 week supply of material for under $40. However, if you need to whiten a lot, you may find yourself going through 5 or 6 boxes…or even more and that can add up cost quickly. This is a great solution for touch up if you have already whitened and you wish to maintain the color every 6-12 months.
Dental veneers are the most conservative way to completely reshape and revitalize a smile. Depending on the case, some veneers require very little drilling to remove natural tooth structure. Typically a very thin layer of the enamel is shaved away from the front of the teeth and replaced with a lustrous porcelain veneer that is bonded to each tooth. At Brown Road Dental, Dr. Porter will consider all of the facets of a natural look to create a smile that is bright, beautiful, and natural. We want people you meet to comment on how beautiful your smile is!
Let’s face the facts, sometimes the cost of porcelain restorations can be a limiting factor to many patients that want to improve their smile. In many cases bonding is a viable solution to change the shape of teeth, repair small chips, or even improve the color of your teeth.
Technological advances in dental bonding, allows Dr. Porter to fuse a tooth colored composite resin to your existing enamel. Typically, this can be done without anesthesia, since there is very little drilling on sensitive tooth structure and the entire procedure will be completed in a single visit.
If your gums rest too low or too high on your teeth and you are unhappy with your smile, you may be a candidate for gum contouring surgery. Also called gum reshaping or tissue sculpting, this cosmetic dental procedure can even out an uneven gum line and give you a smile you can be proud of.
At Brown Road Dental, Dr. Porter and his staff have been trained to use the newest CAD/CAM technology for same day crown appointments by using the E4D Dentist® Technology. This system is designed to provide a tremendous convenience to the patients by milling same day crowns, inlays, onlays, and veneers. Dr. Porter has complete control of the final restoration process and will be able to create beautiful restorations that provide the form, fit, and function you will love.
If you want a restoration that restores the original strength of the tooth while maintaining the most amount of natural, finite tooth structure, metal-free fillings are for you. Brown Road Dental utilizes bonding to fuse metal-free filling material with teeth, so teeth do not need to be drilled beyond their decay. These metal-free and mercury free fillings are incredibly strong because of their advanced bonding properties. Another advantage is that these tooth-colored, metal free fillings, also called composite resins, are a good long-term material for a filling.
A host of ailments can be cured or prevented with oral surgery. Various treatments fall under the oral surgery category including the removal of impacted wisdom teeth, routine or surgical tooth extraction, tooth implants to replace missing teeth, temporomandibular joint disorder (“TMJ” or, more appropriately, “TMJD”), facial infections, benign and malignant lesion removal, snoring, and other surgical procedures. Each procedure has differing requirements in terms of how long a person will need to be under anesthesia, but in most cases, some form of tissue removal, or at least the cutting of tissue, is involved.
Periodontal disease is a disease of the gingival tissue (“gums”) and bone that support the teeth. The first phase of this disease is usually gingivitis. Gingivitis is a term used to describe inflammation of the gingival tissues. Almost everyone has at least a mild form of gingivitis. Gingivitis is caused by bacterial plaque (“plaque”), a sticky biofilm that is produced by the bacteria in the mouth as they break down sugars that we eat. When our gums get inflamed, the inflammatory response causes the tooth supporting bones to recede, a condition we call “Periodontitis”. Plaque is formed daily in our mouth and if not removed it can absorb minerals from our saliva and become calculus (“tartar”), a hard substance that needs to be physically removed or scraped off by your dentist or dental hygienist.
Periodontal disease is preventable with quality oral hygiene and good eating habits. We recommend our patients brush their teeth at a minimum of two times per day (after meals and before bed) and floss at least once daily (before bed). Not only is it important to brush and floss regularly, but with good technique and proper instruments. We usually recommend that patients use a mouth rinse solution at least twice a day as an adjunct to brushing and flossing. Your dentist or dental hygienist can demonstrate proper brushing and flossing techniques and recommend a mouth rinse that is appropriate for your oral health needs.
Root canal therapy is needed when the nerve of a tooth is affected by decay, infection, trauma or necrosis. When the nerve of a tooth becomes negatively affected it is often necessary to open and clean the tooth of any decayed, bacterially infected, and/or necrotic (dead) nerve tissue. After this is done, the tooth is filled and restored to its normal function. A crown is usually placed over a tooth to allow it to maintain its natural form and strength.
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 fear the root canal treatment, but with modern anesthetic techniques and numbing agents a root canal can be done with no discomfort. The tooth is numbed in the same manner as it is for a filling. In most cases the only difference is the time involved in doing root canal therapy. Depending on the shape of the roots and complexity of the nerve tissue, the root canal may go very quickly, in as little as one hour. If the nerve has severe bacterial infection the root canal may need to be opened and medicated for a couple of weeks to suppress the infection. Root canal treatment is usually successful (ranging from about 90-95% success depending on the study) and lasts many years. On occasion a tooth that has previously been root canal treated may need to be re-treated due to re-infection or lingering infection.
If you need a root canal, you may have symptoms including: an abscess or puss coming out of the gums, bad taste in the mouth, sensitivity to hot or cold, a constant pulsating pain, or pain with biting pressure. Sometimes the infection has already killed and infected the canal system and no symptoms are present. After a root canal, it is possible to have some pain or swelling while the area heals.
When you lose a tooth, a dental implant may be needed to replace the tooth root and crown. Dental implants are simply “anchors” that permanently support replacement teeth. They are secure and durable and can be cleaned and cared for much like your natural teeth. This restoration can be used for a single tooth, a bridge of several teeth or a denture.
The procedure requires a titanium ‘root’ (cylinder) be fitted into your jaw to replace the lost tooth’s root. Once the implant is placed, the bone requires four to six months to heal. Once the implant has integrated, a support post and replacement tooth, bridge, or denture is anchored onto the implant.
If a crown cannot save a tooth that needs to be extracted, a bridge is a one tooth replacement option. Bridges are often considered if you are not a candidate for dental implants, which is an more realistic means of replacing natural tooth function. As with any medical procedure, you should discuss your best option for treatment with Dr. Porter, whether it is between dental implants or a bridge.
A dental bridge is the visible portion of the tooth which is secured by the neighboring teeth. It is one of several tooth replacement options, and you and our dentist can discuss the most advantageous method for you. A benefit of a dental bridge is a less surgically invasive procedure and a restoration that takes considerably less time than dental implants. It is sometimes the best option to replace missing teeth when a patient is not a candidate for dental implants.
Our dental bridges use the best materials for your unique needs. These materials will provide the strength and structure needed for the area of the mouth repaired. Modern bridges are advanced dental work that is very realistic in both form and function, so you can still enjoy smiling and eating your favorite foods.
The Tempero-Mandibular Joint is the center for all function in the mouth, whether it is eating or speaking. If it has to do with the mouth moving, it hinges on this joint. Patients with TMD (Tempero-Mandibular Disorder) may suffer many different symptoms:
- Headaches or migraines
- Discomfort chewing or speaking
- Worn teeth
- Clicking or popping in the jaw
- Muscle pain in the neck, head and upper back
The TMJ is one of the most complex joints in the body. Trauma to the joint due to improper mechanics combined with overactive muscle activity or abusive habits can cause the joint to become inflamed and begin to degenerate leading to permanent damage that may become difficult to manage.
Many patients who suffer from headaches or migraine, do not realize that the true source of these types of headaches are TMD-related. Often, they have been to multiple Physicians and Chiropractors before seeing a dentist. Imagine reducing the frequency and intensity of headaches and opening your jaw wide again!
Our practice focuses on a conservative approach to treating this condition. Many times patients find that once they understand the condition, they can manage it very effectively.
If you have lost some or all of your natural teeth, dentures can be used to replace your missing teeth and improve your health as well as your appearance. Dentures prevent the sagging of facial muscles, which makes a person with no teeth look much older. Dentures also enable you to eat and speak normally, little things we often taken for granted until natural teeth are lost.
Fitting a patient for dentures does not have to be a traumatic experience. During the preliminary visit, the remaining teeth are removed and a model is made of the patient’s jaw. An immediate denture may be fitted so the patient does not have to be without teeth while the mouth tissue heals. Once the mouth tissue is completely healed, the patient is fitted with their custom dentures. Implants may also be placed to improve the fit of new or existing dentures.
Brush your gums, tongue, and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and to help remove plaque. Regular dental checkups are needed so we can examine your mouth and dentures to ensure a healthy and comfortable fit.
The first dental visit is generally recommended by a child’s first year to establish a good protocol for oral hygiene and to acclimate the child to the dental office. Some children can be seen in a general dental office while others need to go to a pediatric dental specialist. The first few appointments that your child has will be fairly simple and quick. We highly recommend you take your child for regular dental visits so they develop good relationships with your dental team and good habits at home. Poor oral hygiene and neglect of teeth can lead to various dental problems in the future. Your dentist and their staff will probably focus on oral hygiene and preventative dental care. New parents often have many questions about their child’s oral health and hygiene, Dr. Porter and his staff will be happy to answer any questions or concerns.
- Invisalign®:Made from an invisible, plastic-like material, Invisalign is a material that works like braces without the use of wires or brackets. Using computer-generated renderings of the mouth, the Invisalign is generated for each specific set of teeth. Generally, patients can wear Invisalign for shorter durations than traditional braces, but Invisalign is usually recommended for more simple orthodontic cases. Doctors recommend wearing Invisalign at least 20 hours a day for maximum effectiveness.
- Traditional Braces and Retainers:
Braces consist of small metal or plastic brackets that are bonded to the teeth using composite cement that acts like glue. Sometimes the orthodontist will also use a band that encircles the whole tooth for better anchoring. After the brackets and bands are attached to the teeth the orthodontist fixes a wire in the grooves of the bracket with small rubber bands. The wire usually starts out thin and gets thicker as the teeth move into the desired position. Depending on the specific case, sometimes the orthodontist will do the treatment with two phases of braces and/or retainers, one phase in late childhood and one phase in teenage years. After having any type of orthodontic treatment, the patient usually has to wear a retainer at night to retain the position of the teeth and to prevent relapse. We recommend that post orthodontic patients wear retainers at night for life. If a retainer is broken or lost, you can go to your dentist or orthodontist to have it repaired or replaced.
We Use Advanced
Equipment & Technology
- E4D Same Day Crown System
- Ultra-Low Dose Digital X-Rays
- Digital Panoramic X-Ray
- Soft Tissue Diode Laser
- Dental Anesthesia
- Cavity Detection
- Digital Charting
- Ultrasonic & Ultraclave Sterilization
- Computers in Every Room