Sedation and General Anesthesia for Dental Treatment

It is common and perfectly normal to have some degree of apprehension or anxiety prior to receiving dental treatment. Some people however, have a stronger feeling in this regard than others.

These feelings may have been produced by a less than pleasant past experience, stories told by family or friends or by the nature of the dental procedure itself.
Dental treatment may be especially frighting to young children and patients with developmental disabilities.

This service is beneficial to patients with limited mouth opening, severe gagging reflex, or who are not responding to conventional local anesthesia.

Our Anesthesiologists specialists, accompanied by their highly trained registered nurses, have been performing the procedures safely since we started in 1965. Our general anesthetic facility is equipped with advanced machines and devices for this purpose.

Crown, Bridge and Porcelain Veneers

Crown: A crown is a type of dental restoration which completely caps or encircles a tooth or dental implant. Crowns are often needed when a large cavity threatens the ongoing health of a tooth.
They are typically bonded to the tooth using a dental cement. Crowns can be made from many materials, which are usually fabricated using indirect methods. However in our office, we use CERC digital CAD/CAM technology, which allows amazing experience regarding the time and precise crown restoration, Crowns are often used to improve the strength or appearance of teeth.
While inarguably beneficial to dental health.
Bridge: A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace a missing tooth (or several teeth) by joining an artificial tooth permanently to adjacent teeth or dental implants.
A bridge is fabricated by reducing the teeth on either side of the missing tooth or teeth by a preparation pattern determined by the location of the teeth and by the material from which the bridge is fabricated.
In other words, the abutment teeth— including portions which are otherwise perfectly healthy— are “reduced” in size using a high-speed rotary tool to accommodate the material to be used to restore the size and shape of the original teeth in a correct alignment and contact with the opposing teeth.
Veneer dentistry, a veneer is a layer of material placed over a tooth, either to improve the aesthetics of a tooth or to protect the tooth’s surface from damage.
There are two main types of material used to fabricate a veneer: composite and dental porcelain.
A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental lab, and later bonded to the tooth, typically using a resin cement.
We do custom shading onsite by a professional Ceramist, to match the natural teeth color, which adds a significant aesthetic look to the final result.

Teeth Whitening

Tooth whitening (termed tooth bleaching when utilizing bleach), is either restoration of natural tooth shade or whitening beyond natural tooth shade, depending on the definition used.
Restoration of the underlying, natural tooth shade is possible by simply removing surface (extrinsic) stains (e.g. from tea, coffee, red wine and tobacco) and calculus (tartar).
This is achieved by having the teeth cleaned by a dental professional (commonly termed “scaling and polishing”), or at home by various oral hygiene methods. Calculus is difficult to remove without a professional clean. To whiten the natural tooth shade, bleaching is suggested.
It is a common procedure in cosmetic dentistry, and a number of different techniques are used by dental professionals. Many different products are also marketed for home use.
Techniques include bleaching strips, bleaching pen, bleaching gel, and laser tooth whitening. Bleaching methods generally use carbamide peroxide or hydrogen peroxide.
We use in-office Zoom whitening from Philips. Zoom is considered the most advanced system in teeth whitening. The session is about one-hour long.
We also provide home whitening kit for people who don’t have time or who cannot tolerate a long appointment.

Dentures and Implants

Dentures, (also known as false teeth), are prosthetic devices constructed to replace missing teeth; they are supported by the surrounding soft and hard tissues of the oral cavity.
Conventional dentures are removable (removable partial denture or complete denture). However, there are many denture designs, some which rely on bonding or clasping onto teeth or dental implants (fixed prosthodontics).
There are two main categories of dentures, the distinction being whether they are used to replace missing teeth on the mandibular arch or on the maxillary arch
In our office our dentists and denturist are highly trained on all forms of removable and fixed dentures.
The implant, (also known as an endosseous implant or fixture) is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor.
The basis for modern dental implants is a biologic process called osseointegration where materials, such as titanium, form an intimate bond to bone.
The implant fixture is first placed, so that it is likely to osseointegrate, then a dental prosthetic is added.
A variable amount of healing time is required for osseointegration before either the dental prosthetic (a tooth, bridge or denture) is attached to the implant or an abutment is placed which will hold a dental prosthetic.
In our office, surgical placement and restoring implants is a common procedure, we use top implant quality Straumann, which is well researched and documented, Straumann is widely respected and leading implant company in the world.

Restorative Dentistry (white and silver fillings)

Restorative dentistry, Restoring a tooth to good form and function requires two steps, (1) preparing the tooth for placement of restorative material or materials, and (2) placement of restorative material or materials.
The process of preparation usually involves cutting the tooth with special dental burrs, to make space for the planned restorative materials, and to remove any dental decay or portions of the tooth that are structurally unsound. If permanent restoration can not be carried out immediately after tooth preparation, temporary restoration may be performed.
The prepared tooth, ready for placement of restorative materials, is generally called a tooth preparation. Materials used may be gold, amalgam, dental composites, glass ionomer cement, porcelain or any number of other materials.

Pediatric Dentistry

Pediatric Dentistry is the branch of dentistry dealing with children from birth through adolescence.
Baby teeth need special type of treatment that is different from the adults. In our office we welcome all ages, the treatment for young kids can be done for awake or under sedation/general anesthesia.

Teeth Extractions Including surgical Wisdom extraction

Dental extraction is the removal of teeth from the dental alveolus (socket) in the alveolar bone.
Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease or dental trauma, especially when they are associated with a toothache.

Sometimes wisdom teeth are impacted (stuck and unable to grow normally into the mouth) and may cause recurrent infections of the gum (pericoronitis).
In orthodontics, if the teeth are crowded, sound teeth may be extracted (often bicuspids) to create space so the rest of the teeth can be straightened.
In our office we do wisdom teeth extractions under sedation/general anaesthetic, in which our patient experience no pain

Digital X-ray – Digital Panoramic X-Ray

Digital X-ray: Digital Radiography is a form of X-ray imaging, where digital X-ray sensors are used instead of traditional photographic film.
Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also, less radiation can be used to produce an image of similar contrast to conventional radiography.
Instead of X-ray film, digital radiography uses a digital image capture device. This gives advantages of immediate image preview and availability; elimination of costly film processing steps; a wider dynamic range, which makes it more forgiving for over- and under-exposure; as well as the ability to apply special image processing techniques that enhance overall display quality of the image.
A panoramic radiograph is a panoramic scanning dental X-ray of the upper and lower jaw. It shows a two-dimensional view of a half-circle from ear to ear. Panoramic radiography is a form of tomography; thus, images of multiple planes are taken to make up the composite panoramic image, where the maxilla and mandible are in the focal trough and the structures that are superficial and deep to the trough are blurred.

Teeth Cleaning and Oral Hygiene Service

Oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental problems, most commonly, dental cavities, gingivitis, periodontal (gum) diseases and bad breath.
There are also oral pathologic conditions in which good oral hygiene is required for healing and regeneration of the oral tissues.
These conditions include gingivitis, periodontitis.
The gum diseases are caused initially by plaque accumulation and calcified deposits, which can be above or below the gum. It is very important to remove these deposits and keep them as minimal as possible by regular cleaning sessions. These cleaning sessions are customized for each patient in terms of intervals between visits, depending on their needs. Our hygienists are exceptionally trained to perform cleaning on patients awake or under sedation/general anesthesia.

Root Canal Therapy

Root Canal Therapy Endodontic therapy or root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.
Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels, and other cellular entities. Together, these items constitute the dental pulp.
Endodontic therapy involves the removal of these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals.

Filling of the cleaned and decontaminated canals is done with an inert filling such as gutta-percha, Molars, and premolars that have had root canal therapy should be protected with a crown that covers the cusps of the tooth.
This is because the access made into the root canal system removes a significant amount of tooth structure.
Molars and premolars and anterior teeth, will almost certainly fracture in the future without cuspal coverage.
In our office, Dr. Abdulmajeed and Dr. Peter Bellingham, who is a Root Canal Specialists, performs the procedure on patients awake or under general anesthesia.

Treatment in just one session
Grinding and milling with CEREC For best results.

The CEREC system offers the greatest diversity of indications and materials in the market. To find the optimal process for the materials you require, in only a few minutes, the CEREC milling units deliver 100% precise results – meaning durable, safe restorations that also meet the highest aesthetic standards.
Our new milling unit makes full contour ceramic restorations possible in a single visit!
These CEREC milling machines come equipped with new precision tools as well as a device to vacuum up the mill shavings. Milling saves a considerable amount of time, the restorations then go to sintering (baking) thus enabling the chair side procedure.
Enjoy the experience itself, no more impressions, or temp crown that falls next day, or a second visit to the dentist.

Periodontal Treatment, Periodontist

Periodontist:/periodontology is the specialty of dentistry that studies supporting structures of teeth, as well as diseases.
The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament.

A person who practices this specialty is known as a Periodontist.
Our Periodontists perform various procedures like implants, gum grafting, bone grafting, open surgical cleaning for teeth or implants, and more.