Porcelain Veneers

Porcelain veneers are durable, porcelain laminates bonded to your tooth with minimal tooth preparation, that most of the time requires no anesthetic prior to the procedure.

A. Indications for porcelain veneers:

  1. Cosmetic correction of smile, including shape and size of teeth
  2. Internal discoloration of teeth
  3. Discrepancy of tooth size and shape
  4. Crooked and crowded teeth
  5. Unwanted spacing

What does getting a veneer involve?
Porcelain veneers typically are completed in 2 visits, with little or no anesthesia required, and minimal reshaping of the tooth surface to allow for the thickness of the veneer. An impression or mold is taken and then you and Dr. Eagan can decide on the desired shade or color. The veneers are then placed at the second visit following a thorough cleansing and preparation of the tooth surface prior to bonding the veneer with a special light that will permanently adhere the veneer to your tooth. Regular visits with your hygienist and proper home care instructions such as brushing and flossing techniques will be reinforced at every visit to aid in the longevity and health of your new smile.

Porcelain Crowns

A porcelain crown is a tooth colored cap that encases the tooth to improve function or esthetics. A porcelain crown replaces the exterior surface of the tooth, to re-establish its original function and natural appearance. Porcelain crowns are the treatment of choice in situations where there has been severe destruction of the natural tooth structure either as a result of decay or trauma.

A. Indications for porcelain crown:

  1. Severe destruction of natural tooth structure by decay or trauma
  2. Loss of natural tooth structure after root canal therapy
  3. Excessive crowding of teeth
  4. Loss of tooth structure as a result of grinding or clenching of teeth
  5. Breakdown of excessively large filling with little supporting natural tooth structure

What does getting a crown involve?
In order to achieve maximum function and esthetics a porcelain crown is a two visit procedure. At the first visit under minimal, painless anesthesia the tooth is properly contoured in order for the crown to fit on the same plane as the surrounding teeth, for the most natural result. An impression or mold is taken in order to create your custom crown. It takes about 10 days for fabrication of the permanent crown to be completed, during that time a fixed temporary crown is placed for esthetics and proper tissue healing. At the second visit, the temporary crown is removed, the tooth is thoroughly cleansed and prepared to receive your new crown. The crown is then carefully placed, after ensuring that the fit is accurate and optimum esthetics have been achieved. Home care instructions will be given, along with emphasis on regular dental visits to aid in the longevity and health of your new smile.

Porcelain Fixed Bridge

A Porcelain Bridge is a fixed appliance useful when replacing a tooth or a couple of teeth that are no longer viable. The porcelain is sculpted to replicate the look of natural tooth enamel and the strength replaces any loss of function as a result of missing tooth structure.

A. Indications for porcelain bridge:

  1. Replacement of one or several missing teeth
  2. Re-establish facial contours after extreme tooth loss
  3. Prevent missing teeth from drifting
  4. Upgrade your current removable partial denture with a fixed, permanent dental appliance

What does getting a fixed bridge involve?
Having a fixed bridge made usually involves 2-3 dental appointments. At the first visit the surrounding or anchoring teeth that will help retain this bridge are properly contoured to ensure they will fit on the same plane as the surrounding teeth in order to achieve maximum function and esthetics. A mold or highly accurate impression is taken and sent to the dental laboratory where the permanent bridge will be fabricated. During that time a functional and esthetic temporary bridge is placed and will be worn for several weeks until your next appointment. At your next visit the temporary is removed and the permanent bridge is carefully placed. A thorough inspection and verification of esthetics and fit is completed prior to permanent placement of the bridge. At the completion of this appointment, new oral home care instructions along with emphasis on regular dental visits will ensure the longevity and health of your new smile.

Please note that depending on the condition of the surrounding or retentive teeth, or the length of the bridge, this treatment may sometimes require a third appointment.

Tooth Colored Fillings

Tooth colored fillings are strong durable and esthetic filling material that imitate the natural enamel of your tooth providing optimum esthetic results. These fillings are made from a metal free, composite resin material that look and feel just like your natural teeth.

A. Indications for tooth colored fillings:

  1. A cavity on a tooth
  2. Recurrent cavity under a pre-existing filling
  3. Replacement of metal amalgam fillings
  4. Improvement of esthetics on chipped teeth

What does getting a tooth colored filling involve?
Usually a one visit procedure, where the tooth is contoured properly removing any cavity present or undermined tooth structure. After careful preparation of the tooth with special material, the filling is placed and permanently secured by activating a special light for 20 seconds. The filling is then polished to ensure it fits, feels and looks just like your natural teeth. Careful home care instructions are given along with emphasis on regular dental visits in order to aid in the longevity and health of your new smile.

Dental Implants

“The Gold Standard” of care when it comes to replacing missing teeth. These implants are made of biocompatible titanium that mimic the root of the natural tooth.

A. Indications for dental implant:

  1. Replace one or several missing teeth
  2. For retention of a full denture
  3. For retention of a partial denture

What does having a dental implant involve?
Dental implants are completed in 2 phases: surgical and restorative phases; that will take several months to complete. The surgical phase consists of initial implant placement in the bone; this is done in one visit and under local anesthetic. Following initial placement, a small suture is placed, and a temporary restoration is placed and to be worn during implant healing. It will take about 8-12 weeks for the implant to heal before any permanent restoration can be placed. During the restorative and final phase of implant therapy, a mold or highly accurate impression is taken of the implant site in order to fabricate the final and permanent restoration. Prior to delivery of the implant retained crown or appliance, the fit and esthetics are verified and then the permanent restoration is placed. Oral home care instructions along with emphasis on regular dental visits will aid in the longevity and health of your new smile.

Tooth Whitening

Tooth Whitening is a simple, non-invasive way to significantly lighten and enhance the shade or color of your natural tooth in order to beautify your smile. Having whiter teeth has become a top aesthetic concern among patients. A whiter more enhanced smile personifies character and builds confidence, dramatically changing everyday interactions with just a smile. Tooth whitening systems only change the color of your natural teeth, therefore any changes in pre-existing fillings or metal restorations should be done after whitening to achieve a uniform aesthetic result.

A. Indications for tooth whitening:

  1. Improvement of overall shade
  2. Severely stained teeth, eg: coffee, tea, tobacco
  3. Staining due to medications such as tetracycline
  4. Fluorosis (excessive fluoride treatment during tooth development)

What does tooth whitening involve?
There are 2 basic ways to whiten your teeth. Custom whitening trays: are trays custom made for the individual from an accurate mold or impression, that are dispensed with a whitening kit. Precise instructions are given prior to dispensing trays and whitening kit to minimize risk of sensitivity and maximize result. This method although highly effective requires several applications to achieve the desired result. The greatest advantage to this method of treatment is the ability to touch up your shade at home without having to schedule an appointment. The second way to whiten your teeth is with a very effective in office whitening system. In office whitening systems are highly effective materials that protect the soft tissue while dramatically changing the shade or color of the tooth. This method usually takes about 2 hours and dramatically improves the color of the tooth between 3-4 shades lighter. In office whitening is a great to start and then maintain with a Custom whitening tray system. Please note as with all whitening systems, transient sensitivity is a common but temporary complication to tooth whitening. Oral home care instructions along with emphasis on regular dental visits will aid in the longevity and health of your new smile.

Laser Dentistry

Dental lasers are a family of instruments that with minimal or no anesthetic simplify many dental procedures. These procedures include; periodontal surgery, enhances effects of tooth whitening, removes unwanted or decayed tooth structure prior to placing a restoration such as a filling or crown, and periodontal pocket reduction with regeneration of tissue. Special glasses will be provided in order to protect the eyes, due to the extreme brightness of the laser beam. The beam is then directed at the affected area, to achieve the desired effect.

Benefits of Laser Dentistry

  1. Minimal or no anesthesia required
  2. Reduced risk of bacterial infections following procedure
  3. Reduced need for sutures or post op scarring
  4. Reduced or no bleeding during and after procedure
  5. Faster healing and regeneration of tissue
  6. Preservation of natural tooth structure due to minimal tooth reduction

Root Canal Therapy

Root Canal Therapy is the direct removal of the nerve tissue of a tooth. The Canals where the nerves used to lie are cleaned, sterilized and filled with a material compatible with your natural tooth structure. A crown is usually recommended following root canal therapy due to a large amount of tooth structure typically removed during the procedure. A tooth may have more than one nerve dependent on the number of roots the tooth might have.

Signs and Symptoms for possible root canal therapy:

  1. Pain to hot or cold stimulus
  2. Development of an abscess or pimple in the gum line around the affected tooth
  3. Severe tooth ache
  4. Swelling and or tenderness
  5. No signs or symptoms need be present.

Please note in some cases where the nerve tissue dies prior to removal with root canal therapy the absence of pain may be present, confusing some patients on why the root canal is required. A root canal is required anytime there is death of the nerve tissue of a tooth either through trauma or extensive decay.

Dentures: Partial, Full or Implant Retained

A denture is a prosthesis that replaces either partial number of teeth as in a Partial Denture, or all of the teeth, as in the case of a Full/Complete Denture.

Partial Denture: is a removable prosthesis used to replace several missing teeth in the same arch, either upper or lower arches. Partial dentures use the remaining teeth in order to retain the prosthesis is place. The partials are usually made with a tissue or gum like acrylic mimicking the soft tissue, with prosthetic teeth to replace the missing teeth.

Full/ Complete Denture: is a removable prosthesis that replaces all the teeth in an arch, either upper or lower full/complete dentures. These dentures depend on the remaining soft tissue and bony support for retention of the denture. With conventional dentures, retention is often lost soon after denture delivery due to the loss of bone resulting from tooth extraction. A simple way to ensure a lifetime of denture retention by maintaining proper bone height is by the placement of a dental implant to retain the denture, implant supported over denture.

Implant Supported Over Denture: a new, more retentive, more cosmetic and more natural alternative to conventional dentures. With placement of 2-4 dental implants in the upper and lower jaw, specialized, custom made implant components will fixate and retain your denture to the underlying implant components, offering the patient a confidence never before experienced with conventional denture treatment.

Botox

Although the results are visible, a treatment with BOTOX Cosmetic (onabotulinumtoxinA) will not radically change your facial apperance or make you look as if you’ve “had work done.” The muscle activity that causes moderate to severe frown lines between the brows is temporarily reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

How Quickly Will I See A Difference

Within 24 to 48 hours you may notice a softening in the appearance of your moderate to severe from lines between your brows. The area may continue to improve for up to a month.

Juverderm

Juvederm is a smooth gel filler that your doctor uses to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you’ll get smooth and natural looking results that last up to one year.

Now new Juvederm XC is manufactured using HYLACROSS technology, creating a smooth consistency gel. It is infused with lidocaine to improve comfort during treatment. With Juvederm XC you get the smooth results you expect, with the improved comfort you want.

Everyone will notice, but no one will know.

Where does it work?
Although everyone’s skin ages differently, Juvederm and Juvederm XC may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours.

Ask Dr. Eagan if your a candidate for Juvederm to improve any areas that are concerning to you.

Vizilite Plus

ViziLite is used to help oral healthcare professionals identify, evaluate, monitor and mark abnormal oral cell lesions suspicious for pathology including precancerous and cancerous cells that may be difficult to see during a regular visual exam.

Advantages?

  • Quick and easy-to use system that incorporates seamlessly into your standard visual examination. Procedure only takes 2 minutes to complete
  • Small device size enables easier access to see and focus light inside the oral cavity
  • Disposable technology eliminates cross-contamination and improves infection control
  • A clinical study has shown that the use of ViziLite after a conventional visual examination resulted in:
    • NO FALSE NEGATIVE OUTCOMES, meaning in this clinical study ViziLite identified every lesion that had precancerous or cancerous cells
    • SIGNIFICANTLY REDUCED the number of false positive lesions identified during standard visual examinations – limiting the number of biopsies that may have normally been performed.

InMan Aligner

The InMan Aligner is a simple removable appliance used to align front teeth quickly and safely. It’s ideal as a stand alone treatment or to prealign teeth prior to further cosmetic options such as bonding or minimal veneers.

How does it work?
The InMan Aligner has Nickel Titanium coil springs that power two aligner bows that gently oppose each other, guiding the teeth into their new position. These gentle forces are active over a very large range of movement, which is why the Inman Aligner works so quickly.

The image shows the squeeze effect of the two aligner bows on the front teeth. The inner bow pushes forwards, while the outer bow pulls back on the front teeth.

What does the Inman Aligner involved?

  • Find a Certified dentist who will determine if the Inman Aligner is suitable for you.
  • Impressions are needed so that the lab can fabricate your custom made Inman Aligner.
  • Initial fitting of the Aligner.
  • Wear the Aligner 16-20 hours a day.
  • Most cases are completed within 6-18 weeks, making it much faster than alternative orthodontic techniques
  • Regular Inman checks every 2-3 weeks.

Nitrous Oxide

Nitrous Oxide is a “no needle” (no injection) approach that many find appealing for a more relaxing experience. If you are reluctant to having dental procedures done due to anxiety, this can help address some of those fears that keep people from going to the dentist.

Nitrous oxide is administered through a demand-valve inhaler over the nose that only releases gas when the patient inhales through the nose.

What are the advantages of nitrous oxide?

  • Nitrous oxide works very rapidly – it reaches the brain within 20 seconds, and relaxation and pain-killing properties develop after 2 or 3 minutes.
  • Other sedation techniques have a fixed duration of action (because the effects of pills or intravenous drugs last for a specific time span), whereas gas can be given for the exact time span it’s needed for. It can also be switched off when not needed and then switched on again.
  • The gas is eliminated from the body within 3 to 5 minutes after the gas supply is stopped. You can safely drive home and don’t need an escort.
  • No injection is required. In cases of very severe needle phobia, getting laughing gas first can help you feel relaxed enough to allow the needle required for IV sedation to be inserted in your arm or hand. The very deep state of sedation achievable through IV sedation will then allow you to accept local anaesthetic.
  • Inhalation sedation is very safe. It has very few side effects and the drugs used have no ill effects on the heart, lungs, liver, kidneys, or brain.
  • Inhalation sedation has been found to be very effective in eliminating or at least minimizing severe gagging.

ClearCorrect

Looking for an alternative to metal braces? ClearCorrect is the clear and simple choice. No wires. No brackets. Just clear, convenient comfort – every reason to smile.

Wearing Your Aligners
You’ll wear your aligners all the time, except while eating and drinking or during daily tooth care, such as brushing and flossing. Your ClearCorrect aligners will be so clear they’ll barely be noticeable, so they won’t have an impact on your day to day life. Aligner by aligner, you’ll be able to see the difference as your teeth slowly adjust and align to your target smile. You’ll visit your doctor periodically to check on your progress and get new phases of aligners, until you eventually have the straight smile you’ve always wanted.