John F. Adams, D.D.S. & Nathan J. Adams, D.D.S.
(530) 677-8181
3421 Robin Lane Cameron Park, CA 95682

 

 ADVANCED PROCEDURES

TECHNOLOGY
Our office features low radiation digital x-rays, CAD/CAM (CEREC) one appointment crowns and veneers and Cone Beam Computed Tomography (CBCT) 3D imaging. CBCT imaging is particularly usefull in diagnosing and treatment planning for implants and root canal therapy.



CROWNS
Crowns are full coverage restorations that are used to cover a tooth that cannot be restored with a filling. They are most commonly used when teeth are cracked or badly broken down by previous decay and restorations. Most root canal treated teeth require crowns to protect from further damage. Crowns and or veneers are sometimes used to correct cosmetic problems.

It normally takes two appointments to restore a tooth with a crown. However, in our practice we use a sophisticated CAD/CAM system (CEREC® by Sirona) that allows us to prepare the tooth/teeth, mill and finish the restoration(s) and bond to the tooth in the same appointment. No more impressions and no more inconvenience due to lost temporary crowns.

IMPLANTS
A dental implant is a titanium device placed into the bone to replace a lost tooth root. Integration of the implant to the bone takes several months. After the implant is integrated a crown or implant supported bridge can fabricated and delivered. 

Implants can also be used to support partial or full dentures. These devices can be removable, supported and retained by a clips or snaps to titanium bar or semi-permanently retained with screws. In come cases a transitional denture can be delivered the same day as the teeth are extracted which means the patient is never without teeth.

 


REMOVABLE DENTURES
There are two types of removable dentures, full and partial. The purpose of these dentures is to replace missing teeth that have been lost from decay, periodontal disease, congentital defects or trauma.

Before denture treatment is provided an examination which includes x-rays is conducted. Some or all the teeth may need to be extracted. Others teeth may be restored to allow for a partial removable denture which is more stable than a full denture. There is an adjustment period after dentures are placed in the mouth, and it can take some getting used to. In some cases dentures will not provide satisfactory function or esthetics.

It should be noted that removable dentures, especially full dentures, do not provide nearly the function and convenience that natural teeth afford. Every reasonalbe effort should be made to maintain the natural teeth. If it becomes necessary to extract some or all of the teeth patients should seriously consider the benefits of implant retained or supported dentures. Our office has the experience and qualifications needed to guide you throught the decision making process and treatment that involves implant retained or supported dentures.

 

ROOT CANAL TREATMENT

Root canal treatment (also referred to as root canal therapy or endodontic therapy) is made necessary when the pulp becomes infected. Sometimes unchecked decay, deep restorations or trauma to a tooth may cause the nerve to be damaged to the point where it dies and becomes infected. Once the pulp or nerve becomes infected the only two treatment choices are extraction or root canal treatment. Symptoms that the pulp has become infected may include sensitivity to hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Sometimes, however, no symptoms are apparent and the person is unaware of any problem until the infection is detected with x-rays at a checkup.

Root canal treatment is accomplished by cleaning out, disinfecting and sealing the infected tooth pulp and roots.


BRIDGES
A bridge is option for restoring function and filling spaces caused by missing teeth. A bridge is fabricated to look like and replace a missing tooth or teeth. The materials used may be gold alloy, porcelain bonded to metal alloy, or all ceramic material. The choice of material depends on requirements for strength, wear, and/or esthetics.

Loss of function and sometimes esthetic demands make it important to replace missing teeth. In some cases the teeth surrounding the gap may begin to drift into the space left by the extracted tooth. 

It should be noted that in most cases now, implant supported crowns have become the treatment of choice to replace missing teeth. 


TMJ TREATMENTS

TMJ stands for temporal-mandibular joint. Temporal, as in temple area of skull; mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet. Problems in this joint may be caused by a misalignment of the teeth, trauma, or forces, often occuring at night. Aside from the two bones that meet there are cartilage cushions and five sets of muscles for control of the jaw. If something goes wrong a good deal of trouble can result.

Problems in this area can cause:

  • Headaches
  • Earaches
  • Trouble/soreness in opening and closing the mouth
  • Clicking or popping of the jaw
  • Pain in the jaw muscles
  • Soreness in the area, sometimes extending to the face

Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, etc. There is no one solution that is right for all cases. Sometimes a plastic mouthpiece is used to prevent clenching or grinding that is contributing to the problem. If untreated and taken to extremes, surgery may be required to repair badly damaged joints.

 


 

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