Initial Oral Examination
Our first visit with you is very important in establishing your oral health baseline. Dr. Toporovsky will perform a complete oral examination which includes an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) and a thorough examination of your teeth, their supporting structures and of the oral anatomy.
The Preventive Program
Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where the intake of harmful foods is controlled. Our dental hygiene program is designed to help prevent new cavities, preserve teeth that have been restored and manage periodontal disease. Dr. Toporovsky recommends that each patient be seen at least twice a year for a dental prophylaxis.
Cleanings and Periodontal Treatment
All patients should have a standard cleaning at least twice a year. An adult cleaning might include an adult prophy (basic cleaning), and/or a periodontal scaling and root planing.
Traditional dental restoratives, or fillings, include gold, porcelain, and composite. The strength and durability of traditional dental materials make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.
The terms dental crowns and caps are synonymous. Crowns are typically used to restore a tooth’s function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth. Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance. Crowns are fabricated in a laboratory and are made either of porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.
Bridges and Dentures
A bridge may be used to replace missing teeth, help maintain the shape of your face, and 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. There are two basic types of bridges. A fixed bridge is a cemented bridge which remains in your mouth at all times and is supported by your natural teeth. Removable bridges (partials and full dentures) are removed from the mouth several times a day for cleaning and rest on the gum where the missing teeth are being replaced.
When tooth removal is necessary, we can perform simple and surgical extractions using local anesthesia.