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Root Canals
A root canal is the process of
removing the nerve and blood supply that runs through the center
of the tooth root. Sometimes a root canal is necessary to save a
tooth and properly restore it. Dr Hickle has the latest equipment
to perform your root canal painlessly, and in many cases in just
one visit! Top
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High
Tech Office
Dr. Hickle and her team take pride
in educating their patients. We use state of the art technologies…intra-oral
cameras help you see and better understand your condition, computer
controlled anesthesia delivery numbs with little or no discomfort,
and digital radiography produces better, faster x-ray images than
traditional x-rays. We also have the Caesey DVD education system,
an informative DVD system which explains a variety of dental procedures.
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Composite
Bondings
Composite bondings can be used
to repair everything from a small chip in tooth enamel, to resurfacing,
straightening, and closing gaps as in a complete smile makeover.
Also, aggressive tooth brushing or a grinding habit can cause wear
at the gumline of teeth and tooth sensitivity. Composite bondings
are commonly placed at the gumline area for those reasons to protect
the exposed root surface, fill in irregularities, and to minimize
sensitivity. Top
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Crowns
& Bridges
A crown (also called a cap) is a
tooth-shaped porcelain covering that is used to restore and reinforce
teeth that are either root canal treated, or too weak to be only
filled. Whenever possible, metal-free crowns and bridges are used
to restore and replace teeth. They are more esthetic because we
avoid a black margin at the gumline (often seen with the porcelain
fused to metal style crowns and bridges) and the result is more
natural and life-like. As well, metal can cause tissue irritation
and allergic reactions. With bonding technology, placing all-porcelain
crowns and bridges can actually increase the strength of a tooth.
A bridge is used to replace one
or more teeth, when there are existing teeth on either side of the
space. A bridge is composed of at least two crowns which are attached
to teeth on either side of the empty space in the mouth. The replacement
teeth on the bridge are fused to those crowns which are permanently
cemented or bonded in.
Bridges can also be fabricated on
implants, when multiple teeth are missing. For someone missing all
of their teeth in an arch, transitioning from a removable denture
to implant bridges can be life-changing. A patient in this situation
would be able to chew and talk easier and with confidence.
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TMJ Treatment
Dr. Hickle has successfully
used TENS (transcutaneous electrical neural stimulation) to relax
the jaw muscles. Then, an orthotic (a clear acrylic device which
snaps on the teeth) is fabricated to mimic the relaxed jaw position.
With consistent wear of the orthotic, the symptoms mentioned have
disappeared for many of her patients. For a permanent solution,
some patients choose to restore their teeth to this new jaw position
with porcelain or orthodontics. Top
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Periodontics - Gum Disease
Our office
performs a thorough analysis of not just the teeth, but also the
gums and bone. A periodontally healthy patient is one whose gums
don’t bleed with brushing and flossing. If they do, chances
are your gums aren’t healthy and you may have one of the stages
of periodontal disease:
GINGIVITIS
Gingivitis is a milder and reversible
form of periodontal disease that only affects the gums (not the
bone). It develops as toxins in plaque irritate gums, making them
red, tender, swollen, and likely to bleed easily. It can usually
be eliminated by daily brushing, cleaning between your teeth, and
regular dental cleanings.
PERIODONTITIS
Gingivitis may lead to more serious,
destructive forms of periodontal disease, called periodontitis.
There are several forms of periodontitis, with the most common being
chronic adult periodontitis.
Periodontitis occurs when toxins,
enzymes, and other plaque byproducts destroy the tissues that anchor
teeth into the bone. The gum line recedes, which can become susceptible
to decay and sensitive to cold and touch. Also, the gum “pockets”
deepen, which may indicate that a deeper cleaning is needed to thoroughly
remove the tartar deposits and bacterial colonies that form on the
tooth root surfaces. In most cases, we can comfortably anesthetize
the patient for this procedure without a needle! We may also recommend
local antibiotic therapy delivered painlessly into the gumline,
again without a needle, and a prescription antibacterial mouthwash
to aid in healing.
Depending on your level of periodontal
health, our office will make a recommendation as to how often your
teeth should be professionally cleaned, and what type of cleaning
is most appropriate for you.
Because of
recent accumulated research, a patient’s periodontal status
is NOT to be ignored. Many studies have established a probable link
between periodontal disease and incidence of heart attack, stoke,
coronary artery disease, diabetes, pneumonia and bacterial endocarditis.
www.perio.org.
A chemical called “C-Reactive Protein” is a marker of
inflammation found in the body of a person with untreated periodontal
disease. High levels of C-Reactive Protein are also found in persons
with the above mentioned life-threatening systemic conditions. Additionally,
diabetic patients with active periodontal disease may have a more
difficult time controlling their blood glucose levels. These are
just a small sampling of reasons why routine visits to your dentist
for cleaning and exams aren’t to be taken lightly! Top
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Porcelain Veneers
Porcelain veneers
are a more permanent, life-like approach to change your smile. They
make teeth appear straight, close gaps, and whiten all at once.
Porcelain veneers are natural looking, instantly improve your smile
and boost confidence. Dr. Hickle uses a predictable technique taught
at the Las Vegas Institute where the patient’s models are
sent to a lab for a mock-up of the desired tooth shape. Then, the
patient can view the results on a stone model of their mouth, before
any tooth preparation. This technique is reassuring for the
patient and the doctor that the desired result will be fabulous!
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Laser Dentistry
Dr. Hickle provides her patients with the most advanced
cosmetic dentistry procedures and is equipped with the most innovative
technologies. Soft tissue laser dentistry utilizes short, controlled
bursts of light to carry out otherwise painful surgeries with no
discomfort, precise results, no bleeding, and quick recovery!
A healthy, beautiful smile not only consists of
perfectly aligned, brilliantly white teeth, but also an aesthetic,
symmetrical gumline. Using a state-of-the-art diode laser, Dr. Hickle
can artistically trim and minimize uneven or overgrown gums with
precision, creating a more even-looking smile. Sometimes, a patient
may just have a single tooth with an uneven gumline, and when treated
with the laser it makes a world of difference in their overall smile.
In other instances, a patient may have an entire “gummy smile”;
meaning when they smile, too much gum tissue shows relative to their
teeth. In some of those cases, a simple cosmetic gumlift can result
in a more esthetically balanced appearance.
Laser soft tissue recontouring is also commonly
used on patients with gum disease. Sometimes, the irregular shape
of the gums can make them prone to trapping plaque and bacteria,
causing redness and inflammation. With the diode laser, tissue can
be trimmed and tightened, making the gums healthier and teeth more
decay-resistant.
Other applications for the laser include treatment
of canker sores, herpetic and aphthous ulcers of the oral tissues;
small biopsies, and as an adjunct to root canal therapy.
Sedation Dentistry
Patients
that are anxious about their dental treatment may be sedated via
oral conscious sedation. Oral sedation is a safe and effective means
to relax a patient. Although the patient is conscious, many actually
sleep through their procedure. There is no longer an excuse to avoid
seeing the dentist! Top
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Dental
Implants
If you are missing one or more
teeth, you should know that dental implants offer a better way of
life. Dental implants allow you to bite, chew, and smile with the
comfort and confidence of natural teeth. They even help to conserve
the bone level in the jaw…otherwise, the bone level may deteriorate
over time.
After a tooth is extracted, a titanium
piece which mimics your natural tooth root is placed in the bone,
underneath the gum, and is allowed to heal. Healing time varies
depending on the area of the mouth and the quality of the bone found
at surgery time. Sometimes, the implant can be placed the day the
tooth is even removed. During healing, the patient may have a temporary
tooth to restore confidence.
Once healing is complete, impressions
are taken and a laboratory fabricates the restoration to perfectly
blend with the surrounding teeth. Implants can be used to replace
either a single tooth, or multiple teeth, which are permanently
cemented in. Also, for denture wearers, implants can be placed so
that your denture no longer moves around during chewing. It’s
like having your natural teeth all over again! Top
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General Dentistry
Dr. Hickle and her experienced team provide comprehensive restorative
dentistry for patients of all ages. Restorative dentistry includes
fillings, inlays, onlays, crowns, and bridges. Whenever possible,
Dr. Hickle uses only tooth-colored (and metal-free) restorations
using the latest bonding technology. These restorations conserve
healthy tooth structure, strengthen the tooth, and may prevent
more extensive treatment in later years.
Old black mercury fillings expand and corrode with age, which
can weaken, crack, and break teeth. Our tooth colored restorations
are beautiful, natural in appearance, and durable. Porcelain restorations
restore teeth to virtually their natural state, and are made to
blend seamlessly with the existing tooth. Top
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Cosmetic Dentistry
If you are looking for a change
in your life, you’ve come to the right office! Dr. Hickle
is a graduate of the prestigious Las Vegas Institute for Advanced
Dental Studies. Only the top 5% of dentists attend this world-renown
institute for advanced cosmetic and neuromuscular dentistry to heighten
their cosmetic dentistry skill level. With a smile makeover, porcelain
veneers and crowns can close spaces, reshape, straighten, and permanently
whiten teeth. A smile enhancement can also boost confidence and
shave years off your appearance. In most cases, a complete smile
makeover can be accomplished in only a few visits!
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