Restorative Dentistry
Porcelain Restorations generally require two or more visits. They include inlays, onlays, veneers, crowns and bridges fabricated with gold, ceramics or composites. During the first visit, Dr. Hwang prepares the tooth and makes an impression of the area to be restored. The impression is sent to a dental laboratory, which creates the dental restoration. At the next appointment, Dr. Hwang cements the restoration into the prepared cavity and adjusts it as needed.
What are dental crowns?
Crowns are a type of dental restoration which, when cemented into place, fully cup over the portion
of a tooth that lies at and above the gum line. In comparison, fillings are dental restorations that fill in
or cover over just a portion of a tooth. Since dental crowns encase the entire visible aspect of a tooth,
a dental crown in effect becomes the tooth's new outer surface. Crowns can be made out of porcelain,
gold, or a combination of both. Other terms that are used to refer to dental crowns are "dental caps"
and "tooth caps."
Why do teeth need dental crowns?
Dr. Hwang might recommend placing a dental crown for a variety
of reasons but, in general, most of these reasons will usually fall
within one of the following basic categories:
To restore a tooth to its original shape.
To strengthen a tooth.
To improve the cosmetic appearance of a tooth.
What is a Dental Bridge?
Sometimes called a fixed partial denture, a bridge replaces missing teeth with artificial teeth, looks
great, and literally bridges the gap where one or more teeth may have been. The restoration can be
made from gold, porcelain or a combination of these materials and is bonded onto surrounding teeth
for support.Unlike a removable bridge, which you can take out and clean, a fixed bridge can only be
removed by a dentist.
What is a Dental Implant?
A dental implant is one option for replacing a tooth. Implants are manufactured devices that are
placed surgically in the upper or lower jaw, where they function as anchors for replacement
teeth. Implants are made of titanium and other materials that are compatible with the human body.
An implant-restored tooth consists of several parts.
An implant looks and feels like a natural tooth. It fits securely when you chew and speak.
A single-tooth implant is a free-standing unit and does not involve treatment to the adjacent
teeth. With a dental implant, the surrounding teeth can remain untouched if they are healthy,
and their strength and integrity may be maintained. The implant can stabilize your bite and help
prevent problems with the jaw.
Emergency Treatment
There are a number of simple precautions you can take to avoid accident and injury to your teeth. One way to reduce the chances of damage to your teeth, lips, cheek and tongue is to wear a mouth guard when participating in sports or recreational activities that may pose a risk. Avoid chewing ice, popcorn kernels and hard candy, all of which can crack a tooth. Cut tape using scissors rather than your teeth.
Accidents do happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.
We reserve time in our daily schedules for emergency patients. Call our office and provide us with as much detail as possible about your condition. Remember, pain is a signal that something is wrong—a problem that will not disappear even if the pain subsides. If you’re concerned about visiting us because you have limited or no dental insurance, please ask us about convenient outside monthly payment plans. If that is something you are interested in, you can submit an application online and get an immediate credit decision—and the emergency care you need.
Tips for Dealing with Dental Emergencies
Bitten Lip or Tongue
Clean the area gently with a cloth and apply cold compresses to reduce any swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.
Broken Tooth
Rinse your mouth with warm water to clean the area. Use cold compresses on the area to keep any swelling down. Call our office immediately.
Jaw-Possibly Broken
Apply cold compresses to control swelling. Call our office or a hospital emergency department immediately.
Knocked Out Tooth
Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. Do not scrub it or remove any attached tissue fragments. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to our office as quickly as possible. Remember to take the tooth with you!
Objects Caught Between Teeth
Try to gently remove the object with dental floss; avoid cutting the gums. Never use a sharp instrument to remove any object that is stuck between your teeth. If you can’t dislodge the object using dental floss, contact our office.
Toothache
Rinse your mouth with warm water to clean it out. Gently use dental floss or an interdental cleaner to ensure that there is no food or other debris caught between the teeth. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. If the pain persists, contact our office.
Comprehensive New Patient Exam
The minute you walk in the door, you will be welcomed by our friendly staff. You will then be accompanied to the treatment room where Dr. Hwang will complete your Comprehensive Examination which will include:
Invisalign
What is INVISALIGN?
Your Invisalign treatment will consist of a series of aligners that you switch out about every two weeks. Each aligner is individually manufactured with exact calculations to gradually shift your teeth into place. And since your Invisalign system is custom-made for your teeth and your teeth only, with a plan devised by you and Dr. Hwang, you know you'll end up with a smile that truly fits.
Am I a candidate for INVISALIGN?
Your initial consultation with Dr. Hwang, is offered free of charge. During this visit, you'll discuss the issues you have with your teeth and what kind of results you would like to see. Once Dr. Hwang decides your situation is suitable for Invisalign treatment, a treatment plan will be mapped out with your goals in mind. Then, impressions and pictures of your teeth will be taken for digitization purposes.
The impressions of your teeth will be digitized in order for your doctor to work with a computerized 3-D image of your teeth. Then, Dr. Hwang will plan your tooth movements throughout your entire treatment timeline. You'll be able to see a virtual representation of your teeth before, during, and after completion of the Invisalign process so you can see what your smile should look like when you're done with treatment.
How long does Invisalign take to work?
From Dr. Hwang’s precise treatment plan, customized aligners are created with advanced technology for you to wear at each stage of your treatment. While the number of aligners varies for each individual situation, a full set of treatment typically includes 20-30 aligners per arch.
Do I have to wear my aligners all the time?
You should wear your aligners at all times, with the exception of eating and drinking, in order to complete your treatment in the timeline determined by you and Dr. Hwang. You'll go in for occasional checkups, to monitor your progress and to receive your next set of aligners. During the entire treatment process, you'll be able to watch your teeth gradually moving into place. Your smile will, little by little, move into something you'd like to show off. The people around you will be sure to notice your new-found confidence.
Porcelain Veneers
What are porcelain veneers?
Porcelain veneers are thin wafers of porcelain, about half a millimeter thick (the thickness of a fingernail) that are bonded onto the front of teeth to create a smile makeover. They create a beautiful result. Porcelain mimics tooth structure better than any other restorative material. It is harder than enamel, so it resists wear and can last for many years. Dental artists can manipulate the color and translucency to re-create the look of any tooth. A porcelain veneer resists stain better than tooth enamel.
What is the dental science associated with porcelain veneers?
Porcelain veneer technique is an offshoot of the basic science of cosmetic dental bonding. Dentists have had materials available to them for decades that are capable of creating a tenacious bond with tooth enamel. Porcelain veneer technique utilizes the bonding capability of these materials to securely attach a thin shell of porcelain (the porcelain veneer) to a tooth. Although porcelain is inherently brittle, when it is firmly bonded to a sturdy substructure (a tooth) it becomes very strong and durable.
White Fillings
What is a Composite Resin (white filling)?
A composite filling is a tooth-colored plastic and glass mixture used to restore decayed
teeth. Composites are also used for cosmetic improvements of the smile by changing the
color of the teeth or reshaping disfigured teeth.
How is a composite placed?
Following preparation, Dr. Hwang places the composite in layers; typically using a light
specialized to harden each layer. When the process is finished, Dr. Hwang will shape the composite to fit the tooth. Dr. Hwang then polishes the composite to prevent staining and early wear.
What are the advantages of composites?
Aesthetics are the main advantage of composites, since dentists can blend shades to create a color nearly identical to that of the actual tooth. Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage and insulate the tooth from excessive temperature changes.
What are the disadvantages?
After receiving a composite, a patient may experience postoperative sensitivity. Also, the shade of the composite can change slightly if the patient drinks tea, coffee or other staining foods. Composites tend to wear out sooner than silver fillings in larger cavities, although they hold up as well in small cavities.
Periodontal Therapy
What is periodontal disease?
Periodontal disease is a chronic bacterial infection that can lead to damage to the gums,
tissue, and bone around your teeth. The destruction of tissue and bone causes "pockets"
around teeth and can lead to tooth loss. In addition, although a causal relationship between
periodontal disease and an elevated risk for systemic events has not been established,
recent data suggest a possible association between periodontal disease and other health
issues including cardiovascular disease, diabetes, and preterm low birth-weight babies.
With proper treatment, you have a better chance of saving your teeth and controlling further
disease progression.
What are the symptoms of Periodontal Disease?
It is possible to have periodontal disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to help keep periodontal disease from becoming more serious or recurring. You don’t have to lose teeth to periodontal disease. Brush, clean between your teeth, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
What is scaling and root planing (SRP)?
A. To treat periodontal disease, dental professionals use a common mechanical procedure known as SRP. Scaling removes plaque, tartar, and stains from the surface of the tooth and its root, and planing smoothes the rough areas on the roots of teeth to promote healing.
Why would you use an antibiotic to treat periodontal disease?
Even though SRP removes a great deal of the bacteria that cause periodontal infection, the instruments used during this mechanical procedure can’t always reach the bacteria that hide in the bottom of pockets or in difficult-to-reach areas. That’s why your dental professional may decide to add a locally administered antibiotic (LAA) such as ARESTIN®. ARESTIN® helps to kill the bacteria left behind by SRP.
How do I know if I'm at risk for periodontal disease?
There are a number of important factors that may put someone at risk for periodontal disease. It is important to talk to your dental professional about your specific risk factors. One important factor that can lead to periodontal disease is poor oral hygiene. Brushing, flossing regularly, and regular dental cleanings help prevent plaque buildup and therefore help guard against periodontal disease. Other risk factors include a genetic predisposition, some prescription medications, diabetes, pregnancy, stress, smoking, grinding or clenching teeth, poor nutrition, diseases that affect your immune system, and tooth irregularities.
What is the best way to protect against periodontal disease?
Good brushing and flossing habits are vital to strong oral health. However, regular dental check-ups are critical to the prevention of more serious oral infections.
Are there any websites where I can receive additional information regarding oral health?
Yes. Please check out the internet websites for the following organizations: The American Dental Association (www.ada.org), The American Academy of Periodontology (www.perio.org), The American Dental Hygienists’ Association (www.adha.org), and/or The Academy of General Dentistry (www.agd.org).
Teeth Whitening
Your smile is important. It's one of the first things you notice when you meet someone. A whiter, brighter smile is beautiful - it can help you feel better about yourself and make a memorable impression
Your lifestyle and the aging process can stain and darken your teeth. Many things we do on a regular basis can contribute to stained teeth, such as drinking coffee, tea, cola and red wine or smoking.
Whitening can get your smile looking its best. Non-professional procedures and clinically unproven teeth whitening tips can often lead to unsatisfactory results, you should look for a whitening procedure that is:
Full Mouth Reconstruction
Full mouth reconstruction, full mouth rehabilitation and full mouth restoration are terms often used interchangeably to describe the process of rebuilding or simultaneously restoring all of the teeth in both the upper and lower jaws.
Full mouth reconstruction can help restore oral health and functionality.
Full mouth reconstruction typically involves general or restorative dentists (performing procedures like crowns, bridges and veneers), and can incorporate dental specialists like periodontists (specializing in the gums), oral surgeons, orthodontists (specializing in tooth movements and positions) and endodontists (specializing in the tooth pulp).
The need for full mouth reconstruction may result from:
How the Full Mouth Reconstruction Process Begins
If you think you need full mouth restoration or reconstruction, see your dentist for a comprehensive examination. Your dentist will examine your mouth to determine the extent of the problem and the treatment options that can be used to correct it. In particular, he or she will examine the condition of your:
The examination process requires records of your mouth, such as X-rays and photographs, impressions of your upper and lower teeth, models of your teeth that are made from the impressions and a model of your bite. Your dentist may also refer you to specialists (periodontist, orthodontist, oral surgeon) for a consultation in order to develop a treatment plan that is best for you.
Once your dentist has obtained all information relevant to your case, he or she will develop a comprehensive, step-by-step treatment plan to correct all of the problems in your mouth and complete your full mouth reconstruction. If you do not understand the procedure being described to you, ask for a detailed written description of the proposed treatment plan so you can review it. This can be helpful if you want to get a second opinion. Be sure you understand the risks and benefits of the recommended procedures and treatments.