When a tooth is cracked, no longer structurally sound or contains a large filling with decay underneath, the tooth can be repaired and strengthened using a porcelain crown. Crowns cover the tooth completely and, with modern materials and techniques, have a very realistic appearance. Crowns can whiten, reshape and realign existing teeth, adding to a bright, healthy smile.
Missing teeth can be replaced with good results using fixed bridges that are cemented on supporting teeth for a natural feel and appearance. Not only will the bridge complete your smile but it will also stabilize the jaw so remaining teeth don't shift position. (Also see Implants)
When a tooth is weakened by decay and fillings and the remaining tooth structure is prone to fracturing, we bond porcelain inlays/onlays into the tooth.
Our goal is to conserve as much of your natural tooth as possible, including any remaining walls of the tooth. Only the missing or decayed part of a tooth is restored. Large older and/or silver fillings are replaced with natural looking, much stronger bonded inlays/onlays to enhance the overall integrity of the tooth.
These inlays/onlays are custom made pieces created by a dental lab using a mold of the tooth — much as a crown is made. The perfectly fitted porcelain piece is bonded to the tooth, strengthening the remaining structure and restoring the tooth to a natural appearance.
For small to medium cavities, we use directly placed bonded fillings, which can be completed in one visit, to seal off cavities, protect the nerves of your teeth and strengthen the remaining tooth structure.
We recommend bonding rather than unsightly metallic fillings, because it restores your teeth to their natural appearance, as well as strenghtening the tooth instead of just filling a hole with metal.
Dental implants are titanium cylinders placed in the jawbone where original teeth are missing. These root-like cylinders are used to secure the replacement teeth in the jawbone and are as close as possible to having your natural teeth.
When your natural teeth are missing, many problems can occur. The remaining teeth can shift or rotate causing an improper bite. Spaces and gaps may cause embarrassment, problems with speech or difficulty chewing. People who have dental implants report better ability to chew food and eat properly, renewed confidence while speaking and higher self-esteem.
Dental implants can be used to replace a single tooth, avoiding the need to alter or grind down adjacent teeth to anchor a permanent dental bridge.
If multiple teeth are missing and sufficient bone exists, a permanent dental bridge can be built on multiple implants, again avoiding the involvement of the remaining natural teeth.
Dental implants can also provide stability for complete or partial dentures, eliminating the uncomfortable moving and clicking often associated with dentures.
Dentures are removable replacements for missing teeth and surrounding tissues. While an excellent solution for some patients who have lost teeth, ill-fitting dentures can result in sore spots in the mouth, dietary problems caused by the inability to chew food properly, a loss of enjoyment in eating and even changes in facial features.
Dr. Krochak and Dr. Perlman have the skill, aesthetic expertise, and technological know-how to ensure that your dentures are fitted for optimum functionality and appearance.
In the roots of a tooth are small canals contain the dental pulp, which sometimes becomes infected and inflamed. This infection is usually due to tooth decay or tooth fractures that give bacteria and other microorganisms access to the pulp of the root canals. In these cases, the infected tissue must be removed by a procedure known as endodontic therapy, commonly called a root canal. A tooth that has had a root canal procedure is usually stabilized and can be crowned, saving the tooth.
Root canal is a term that produces fear in many people. With the sensitive administration of anesthetics and skill, Drs. Krochak and Perlman are committed to making root canals completely painless during and after the procedure.
Dr. Krochak and Dr. Perlman provide a wide range of services because they seek to give their clients optimal, comprehensive care. They realize the results of one procedure can affect the success of subsequent procedures. As an example, unlike many dentists, Drs. Krochak and Perlman offer extractions and other oral surgery procedures to their patients rather than referring them to specialists because they can better control the subsequent results.
This also enables clients to have oral surgery in the same relaxed, supportive environment that they enjoy on a regular basis. The doctors know each of their patients well and can help them as necessary with their fears and concerns, which an outside specialist may not be able to do.
Periodontal disease is an infection of the gums that is usually painless. It can go unnoticed, making regular dental checkups very important. Periodontal disease can cause serious deterioration in healthy gums, leading to loss of bone mass and the structure that holds teeth in place. Many adults lose teeth not to decay, but to periodontal disease.
Periodontal disease can also cause halitosis (bad breath), which can be a handicap in the business and social world.
Moreover, many people don't realize that periodontal disease may be associated with premature births and birth defects as well as increased risk of heart disease, diabetes, and respiratory disease.
Drs. Krochak and Perlman and their staff are committed to your complete dental health. Every patient is assessed for periodontal health at the outset of treatment, including a full assessment of the bone around the teeth, the presence of any gum pockets and your risk factors for periodontal disease.
Based on the findings of the periodontal assessment, you will be scheduled for regular professional cleanings and evaluation. The actual time period between cleaning/assessment visits is determined by the health of your gums and bone. If you are striving to achieve and maintain good dental health, the interval may be shorter. Conversely, if you have a long history of good dental health, the interval between visits would be longer.
Halitosis (bad breath) is often a sign or periodontal disease, although it may be caused by other factors. Whether the result of periodontal disease or other causes, Dr. Krochak and Dr. Perlman can help you eliminate or minimize halitosis with regular dental hygiene visits or other treatments, depending on the source.
The doctors take a conservative, non-surgical approach to periodontal disease. If you have gingivitis or periodontitis, they will first try to treat it with deep cleaning -- root planing and scaling, with local anesthesia -- and antimicrobial therapies. Only in extraordinary cases do they use localized surgery, deep pocket reduction, and bone grafting to encourage the regrowth of bone in the jaw. As always, Drs. Krochak and Perlman use the latest techniques and equipment to ensure your comfort during these important procedures.
TMD stands for TemporoMandibular Disorder which is a neuromuscular imbalance of your jaw and facial muscles which lead to various pain patterns throughout your head and neck region. Earaches, clogged ears, and headaches are also typical symptoms. Many people used to refer to this and still do as TMJ which solely stands for TemporoMandibular Joint which is the name of the main jaw joint that often is the center of the pain patterns.
TMD can be quite debilitating, worsen over time and can seriously affect the quality of your life. Although stress is a common underlying component of TMD, it’s the mechanical aberrant use of your jaw and its’ muscles that cause the pain patterns. Habits such as grinding or clenching your teeth in your sleep, clenching during daily activities or athletic endeavors and chewing gum if you are prone to TMD can cause or exacerbate the symptoms.
An often overlooked component of TMD is an unstable bite relationship of your teeth. This can generate many detrimental forces to your joint and muscles making you more prone to symptoms. A simple removable appliance to wear to counter the forces of grinding or clenching (two different activities requiring the distinction to make the proper device) can help stabilize your symptoms. Correcting your underlying bite relationship if needed can stabilize your muscles and keep you symptom-free for life. This can be done with Invisalign orthodontics and/or the proper restoration of your teeth with porcelain crowns or onlays to balance your bite. If you have had this problem in the past, speak to us to develop a plan to prevent recurrences and keep you pain-free in the future.
Untreated sleep apnea may be responsible for headaches, job impairment, and motor vehicle crashes. It can also cause serious long-term health problems such as high blood pressure and other cardiovascular disease, memory problems, weight gain, and impotence.
Interestingly, snoring in many people has the same root causes as sleep apnea: throat weakness causing the throat to close during sleep or a mispositioned jaw often caused by tension in the muscles.
There are several treatments for apnea, but one of the most convenient and effective is the use of an oral appliance. Placed on the back teeth just before retiring, the simple easy-to-use device holds the jaw in position during the night to make certain that air passages remain open during sleep, preventing apnea and snoring in most cases.
Not all dentists have the necessary knowledge of apnea to fit and adjust the corrective oral appliances. Both Dr. Krochak and Dr. Perlman have had great success treating sleep apnea, because they are trained and experienced in these procedures and will fit and adjusts the device to maximize both its comfort and effectiveness.