Common Dental Procedures
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Regular Exams and Cleanings
Regular exams are an important part of maintaining your oral health. During your regular exam, we will:
- Check for any problems that you may not see or feel
- Look for cavities or other signs of tooth decay
- Inspect your teeth and gums for gingivitis and signs of periodontal disease
- Perform a thorough teeth cleaning
Your regular exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, during which we will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth’s surface.
Visiting our office every six months gives you the chance to ask our doctors any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.
Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling “bonds” with your tooth. Because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.
Tooth bonding can also be used for fillings instead of silver amalgam. Many patients prefer bonded fillings because the white color is much less noticeable than silver. Bonding fillings can be used on front or back teeth, depending on the location and extent of tooth decay.
Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments, such as porcelain veneers. If it does break or chip, let us know. The bonding can generally be easily patched or repaired in one visit.
A bridge may be used to replace missing teeth, help maintain the shape of your face, or alleviate stress on your bite.
A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support.
The success of any bridge depends on its foundation: the other teeth, gums, or bone to which it is attached. Therefore, it’s vital to keep your existing teeth, gums, and jaw healthy and strong.
Crowns are a restorative procedure used to improve your tooth’s shape or to strengthen it. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay.
A crown is a “cap” cemented onto an existing tooth that usually covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are preferred because they mimic the translucency of natural teeth and are very strong.
Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth.
Your crown is created in a lab from your unique tooth impression, which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is sculpted just for you so your bite and jaw movements function normally once the crown is placed.
Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial.
Full dentures are given to patients when all the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed.
Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they’re not in use, and be sure to keep your tongue and gums clean as well.
There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt.
At other times, a tooth may have so much decay that it puts the surrounding teeth at risk, so we may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
When it is determined that a tooth needs to be removed, a dentist may extract it during a regular checkup or request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament.
In order to extract a tooth, we must expand the socket and separate the tooth from the ligament holding it in place. Although this procedure is typically very quick, it is important to share with us any concerns or preferences for sedation.
Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or your jaw joint function. To avoid these complications, we may recommend you replace the extracted tooth.
Traditional dental restoratives, or fillings, may include gold, porcelain, or composite. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are typically used on the front teeth where a natural appearance is important.
There are two different kinds of fillings: direct and indirect. Direct fillings are placed into a prepared cavity during a single visit. Indirect fillings generally require two or more visits. These fillings include inlays, and veneers fabricated with ceramics or composites.
Fluoride is effective for preventing cavities and tooth decay. It prevents plaque from building up and hardening on the tooth’s surface. A fluoride treatment in our office takes just a few minutes.
After the treatment, patients may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or the doctor’s recommendation, you may be required to have a fluoride treatment every three, six, or 12 months.
If you are missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. When teeth are missing, your mouth may shift and even cause your face to look older. Implants are a great way to replace your missing teeth, and if properly maintained, can last a lifetime!
An implant is a new tooth made of metal and porcelain that looks just like your natural tooth. It’s composed of two main parts: one is the titanium implant body that takes the place of the missing root, and the other is the tooth-colored crown cemented on top of the implant. With implant treatment, you can smile confidently, knowing no one will ever suspect you have a replacement tooth.
In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth so you have a more natural-looking smile.
Whether you wear braces or not, protecting your smile while playing sports is essential. Mouthguards help protect your teeth and gums from injury. If you participate in any kind of full-contact sport, the American Dental Association recommends that you wear a mouthguard.
Choosing the right mouthguard is essential. There are three basic types: the pre-made mouthguard, the “boil-and-bite” fitted mouthguard, and a custom-made mouthguard from a dentist. When you choose a mouthguard, be sure to pick one that is tear-resistant, comfortable and well-fitted for your mouth, easy to keep clean, and does not prevent you from breathing properly.
We can show you how to wear a mouthguard properly and how to choose the right one to protect your smile.
If you often wake up with jaw pain, earaches, or headaches, or find yourself clenching or grinding your teeth, you may have a common condition called “bruxism.” Many people do not even know that they grind their teeth, because it often occurs when one is sleeping. If not corrected, bruxism can lead to broken teeth, cracked teeth, or even tooth loss.
There is an easy, non-invasive treatment for bruxism. Nightguards are prevent the wear and damage that teeth-grinding causes over time. Custom-made by our office from soft material to fit your teeth, a nightguard is inserted over your top or bottom arch and prevents contact with the opposing teeth.
In the past, if you had a tooth with a diseased nerve, you’d probably lose that tooth. Today, with a special dental procedure called “root canal treatment,” your tooth can be saved.
When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but it is also detrimental to your overall health.
Root canal treatment entails one to three visits. During treatment, a general dentist or endodontist (a dentist who specializes in problems with the nerves of the teeth) removes the affected tissue. Next, the interior of the tooth will be cleaned and sealed.
Finally, the tooth is filled with a dental composite. If your tooth has extensive decay, we may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.
Sometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for your toothbrush to get between the small cracks and grooves on your teeth.
If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.
Dental sealants are plastic resins that bond and harden in the deep grooves on your tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective against tooth decay.
Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. However, adults can also receive sealants on healthy teeth. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and we will recommend sealants on a case-by-case basis.
Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealants come off, let us know, and schedule an appointment for your teeth to be re-sealed.
Lumineers® in Saint Louis, MO
Are your teeth chipped or stained? Would you like to improve your smile permanently, without any painful processes? Would you like higher self-esteem and greater self-confidence? If so, Dr. Thomure is pleased to offer advanced veneers with Lumineers®.
If you are unhappy with your smile because of the appearance of your teeth, you may smile less often, or not at all. This can come across to other people as cold, impersonal, or unfriendly. A broad welcoming smile is the first step in first impressions!
Lumineers provides a way to conceal discolored, misshapen, chipped, cracked, crooked, or worn teeth by covering your actual teeth with a permanent layer of tooth-colored material. Lumineers are less invasive than traditional veneers; since they are as thin as a contact lens, their application requires little to no reduction of the natural tooth structure, and no anesthetic is necessary.
Lumineers Treatment Process
Veneers usually require a two-visit treatment process, with the preparation and the placement appointments about two weeks apart. During the first visit, Dr. Thomure will take an impression of your teeth which will be sent to our lab for the creation of the veneers.
When your veneers are completed, they will be bonded to your teeth and set in place with a curing light. Because the process is less invasive than with traditional veneers, Lumineers patients find that they immediately enjoy their new smile without any post-procedure discomfort or sensitivity.
Cerinate®, the company that makes Lumineers, offers a five-year warranty on them, and their clinical trials show that Lumineers can last up to 20 years. Dr. Thomure’s own veneers have lasted 32 years, and he expects them to maintain their strength and beauty for many years to come.
Why choose Kirkwood Station Dental for your Lumineers treatment?
When it comes to cosmetic dentistry, experience matters! Dr. Thomure has extensive training in cosmetic dentistry from some of the masters in the field, and his 34 years of experience have allowed him to treat a wide variety of patients. Dr. Thomure knows what works and what does not, and knows how to design cases and to place veneers efficiently and effectively.
We also treat patients with orthodontic braces and Invisalign® for more complex cosmetic cases. This allows us to move teeth into the ideal position to achieve the optimal aesthetic and functional result prior to the placement of veneers.
Take control of the beauty of your smile! Schedule an appointment at our Kirkwood dental office and find out whether Lumineers veneers are a good choice for you.
Wisdom teeth are molars found in the very back of your mouth. They usually appear in the late teens or early twenties, but may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry.
When a wisdom tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.
Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier as well as shorten the recovery time.
In order to remove a wisdom tooth, a dentist first needs to numb the area around the tooth with a local anesthetic. Since the impacted tooth may still be under the gums and imbedded in your jaw bone, the dentist may have to remove a portion of the covering bone to extract the tooth.
In order to minimize the amount of bone that is removed with the tooth, the dentist will often “section” your wisdom tooth so each piece can be removed through a small opening in the bone. Once your wisdom teeth have been extracted, the healing process begins.
Depending on the degree of difficulty related to the extraction, healing time varies. We will share with you what to expect and provide instructions for a comfortable, efficient healing process.