Dental Veneers
Dental veneers are thin covers that are attached to the outside of teeth to hide imperfections. Veneers effectively restore the appearance of your smile by closing large gaps between teeth, hiding chipped teeth, and covering discolored enamel. They’re also used to “straighten” teeth without making a physical adjustment. Instead, veneers cover the crooked
and uneven teeth, making them appear naturally straight.Porcelain veneers can last as long as 20 years, but they can chip or break if you bite down on something hard or they’re traumatized in an accident. Over time, your mouth can go through other changes that may affect veneers. For example, gum tissue may recede or the tooth under the veneer might move. When that happens, the veneers might need to be replaced.Veneers should be treated just like your natural teeth. Brush and floss them regularly, and come in for regular dental checkups. Don’t ignore damages or changes in veneers because the underlying tooth is still vulnerable to decay should a cracked veneer allow bacteria to gain access to the tooth.

Dental Crowns
Dental crowns are used to address problems such as broken or cracked teeth or tooth decay. A permanent covering in the form of a cap, otherwise known as a dental crown, will be placed over the tooth. This procedure is commonly used following a root canal to protect the exposed tooth.

We offer top of the line treatments such as E-Max and Zirconia Crowns, which are the perfect combination of strength, durability and aesthetic appeal. Porcelain crowns are an ideal choice for the front teeth because of the natural color of the porcelain compliments the tooth color. A combination of porcelain and metal crowns is also available. We also offer same day crowns, thanks to CAD CAM technology, where digital impression (scan) is taken and uploaded into a computer, and special software then creates and designs a virtual crown. This virtual data is then sent to a milling machine that carves a crown out of a solid block of ceramic. After which the surface of the crown is fired with stain and glazes. Finally, the crown is adjusted in the patients mouth and cemented into place.

Teeth Whitening
Teeth often get discolored from years of drinking coffee and tea, because colored pigments in these beverages can stick to tooth enamel. Acidic foods and drinks, such as carbonated beverages, sports drinks, coffee, pickles, tomatoes, and citrus fruit contribute to the problem by eroding enamel, which causes discoloration and makes it easier for pigments to stain your teeth. Tobacco products contain nicotine and tar that stain teeth a yellow-brown color. Enamel also naturally wears down as you get older, and the root, tends to get darker, which makes teeth appear darker.

A professional examination and teeth cleaning are important before getting a whitening procedure. The whitening procedure used in our office is laser whitening or – Philips Zoom – which produces better results more quickly and almost very low chances of sensitivity.

The Zoom procedure uses a whitening gel together with the Zoom WhiteSpeed light, which speeds up the process by helping the bleaching agent break up stains. After 15 minutes, the gel is removed and the results are checked. The entire treatment only takes 45-60 minutes.

Smile Makeovers
A full mouth reconstruction, more commonly known as a smile makeover, is a series of procedures aimed to improve the function, ability and aesthetic of the patient. This process is accomplished through a number of procedures including but not limited to dental implants, dental bridges, porcelain crowns and porcelain veneers.

Gummy Smile Corrections
Gummy smile refers to the condition where the gum is very exposed when a person smile. We can treat this condition surgically with a scalpel or with our laser treatment quickly, painlessly and easily.

Tooth Colored Fillings
Made from a plastic dental resin, we match the shade of your tooth’s natural enamel. This is especially beneficial if you need any of your front-most teeth repaired. There is also less enamel to be removed from the tooth to create the initial filling, making the procedure much more comfortable and relaxing than typical metal fillings.

Tooth colored fillings are less conspicuous than traditional fillings and match the natural color of your teeth.

Porcelain Inlays/Onlays
Our dental office offers two specific types of dental fillings: porcelain inlays and porcelain onlays. These same-day fillings are used to replace your decayed tooth. Thanks to CAD CAM technology, where digital impression (scan) is taken and uploaded into a computer, and special software then creates and designs a virtual restoration. This virtual data is then sent to a milling machine that carves a filling out of a solid block of ceramic. After which the surface of the filling is fired with stain and glazes. Finally, the filling is adjusted in the patients mouth and cemented into place.

Both types of fillings are extremely durable and last longer than traditional metal fillings. Materials used for porcelain inlays/onlays are designed to match the natural color of your tooth. Not only do they help retain the original aesthetics and character of the tooth, they also provide strength to avoid future fractures by increasing resistance.

Painful, injured and abscessed teeth are routinely managed by our dentists, but sometimes the problem is more complicated and requires a specialist in endodontics. Endodontics is a branch of dentistry concerned with the internal nerve and vascular structures of the tooth (the pulp). Endodontists diagnose and manage disease and injury of the pulp and tooth roots with the goal of saving teeth and/or eliminating pain. Treatments usually involve root canal therapy or some type of root surgery.

Many patients discover they need a root canal due to severe pain caused by infected nerves, or when the infection spreads into the gums and forms an abscess. Other signs that you may need a root canal include sensitivity to hot or cold substances, tooth discoloration, tender gums, pimple or bump on the gum, swollen gums and constant toothache.
The purpose of a root canal treatment is to remove all of the pulp and infection from inside the tooth and make sure that the canal is completely clean and free of bacteria. We use state of the art technology; a high magnification microscope and specially designed dental tools that go through the enamel to the pulp and remove the infected soft tissue. After cleaning the canal, it’s filled with a rubbery material that supports the tooth’s structure. If the tooth is in good shape, a natural-looking filling to cover the small opening may be all you need. However, if the infection developed due to a broken or decayed tooth, a dental crown may be used to restore its strength and appearance.

Gum disease (periodontal disease), occurs when gums have a bacterial infection. If the infection goes untreated, it damages the gum tissue and destroys the fibers and bones that hold teeth in your mouth. As a result, gum disease can lead to loss of teeth.

Periodontal disease is usually caused by poor oral hygiene. The mouth is normally full of bacteria, which mix with sugar and starch to form a plaque that sticks to your teeth. If the plaque isn’t removed, it turns into a hard substance called tartar. When plaque and tartar aren’t removed, bacteria have plenty of time to cause inflammation and infection.  Symptoms indicating you may have gum disease include; bad breath, sensitive teeth, bleeding gums, red or swollen gums, receding gums and loose teeth. When gum inflammation, or gingivitis, is caught early, it may be treated with a dental cleaning. In some cases, the dentist may prescribe an antibiotic to eliminate the infection. However, untreated gingivitis progresses to become periodontitis. In this condition, inflammation spreads around the tooth and under the gums, allowing bacteria and toxins to get into the bone.

Periodontitis may be treated with nonsurgical procedures called scaling and root planning, which gets rid of all the plaque and tartar on the surface of the tooth and its root. But when periodontitis is more advanced because inflammation and damage to bone is too severe, then periodontal surgery is needed to save the tooth and surrounding structures.

We have extensive experience performing different types of traditional periodontal surgery. Some periodontal surgery is done in healthy gums, such as a gingivectomy to remove excess gum tissue, and a gingivoplasty to reshape the gums.
One of the most common procedures for treating periodontitis is called flap surgery. During this procedure, gum tissue is temporarily folded away from teeth to allow plaque, tartar, bacteria, and damaged tissue to be cleaned away. A bone graft may also be performed to regenerate and strengthen damaged bone.

Tooth Extraction
Teeth often need to be removed when they’re so damaged or decayed that they can’t be saved with other dental treatments. Some people have extra teeth that need to come out to ensure the rest of their teeth stay properly aligned. A baby tooth that doesn’t fall out in time to let the permanent tooth grow in may need to be extracted. Impacted teeth are another common reason for extraction. Teeth become impacted when they get stuck in the bone or gum tissue, often because teeth are overcrowded or a tooth tilts rather than growing straight up. When impacted teeth are painful or pushing against other teeth in your mouth, it’s time to have them removed. Some extractions are simple, which means the tooth is above the gum and only needs to be loosened, then pulled out. But with an impacted tooth or a tooth that’s broken off at the gum line, dental surgery might be required. In certain cases, a three-dimensional radiographic
image, that is available in-house, will be required before the extraction procedure.

Dental Implants
Dental implants are used to replace missing teeth. The implant is made from a titanium post that’s embedded in the jawbone. It replaces the root of the original tooth, and it securely anchors the new tooth. A specially shaped piece of metal, the abutment, is fastened to the top of the implant, then the new tooth is attached to the abutment. Implants can be embedded in the jaw without bothering surrounding teeth, and you can have multiple dental implants. However, your gums must be healthy and your jawbone must be able to support the implant. If the bone is too thin or soft, a bone graft may be needed before an implant can be used.

Preparation for the implant includes a CT scan, that is available in-house, to get a better look at the jaw bones. After all the preparation is done and the implant is ready, you’ll have dental surgery to install the metal post into the jawbone. Over the next 2-4 months, the area heals and the implant fuses with the surrounding bone. When you’re completely healed, the dental abutment and new tooth are attached.

We also offer immediate loading of our implants when indicated, where patients can return home with teeth, thanks to the intraoral welding technique and the availability of the advanced implant stability measurement tools like the Resonance Frequency Analysis device.

TMJ Treatment
Temporomandibular joint disorder (TMJ) occurs when you have pain and dysfunction in the joints or in the muscles controlling them. If you experience any of these symptoms, you may have TMJ; pain in the jaw, limited movement or locking of the jaw, difficulty chewing or pain while chewing, aching facial pain, stiff jaw muscles and painful clicking, popping, or grating in the jaw when opening or closing the mouth.

Orthodontic Treatment
Mal-aligned teeth can leave you feeling less than happy about your smile. Enhance your smile by straightening out your crooked teeth with Orthodontic treatment. Mal-aligned teeth can also be the source of other dental problems. When teeth overlap or there are small gaps in between them, food can get trapped in these areas. Teeth can become difficult to clean properly. If they are not cleaned sufficiently, plaque builds up and turns into hardened tartar. A buildup of plaque
and tartar on the teeth can lead to gum disease. Additionally, hard to clean areas become more susceptible to decay.
In some instances, mal-aligned teeth can also cause speech problems. The teeth, tongue and lips work together to make certain sounds. When the teeth are out of alignment, it can have an impact on how you speak. Straightening teeth can improve both looks and speech. At PresiDental Esthetics we offer the traditional braces and the Invisalign option for those who want to straighten their teeth but do not want the visibility of traditional metal braces.

Pediatric Dentistry
The dentistry for children is all about having the best experience at the dentist, our team is committed in providing the best experience for you and your child. We offer exceptional pediatric treatment for many ages and we believe all great dental health begins with an excellent preventive care. We also offer Fluoride treatments because fluoride helps to strengthen enamel and protect against dental decay. Fluoride varnish applied in the deep grooves of your child’s teeth and along the gum line can help to combat the enameldestroying bacteria that causes decay.

We also offer Dental sealants which are made of clear coatings that can be applied to your child’s teeth to prevent decay. If your child is at high risk for decay or has particularly deep grooves in their teeth, we can apply dental sealants to keep food and bacteria from settling in those grooves where brushing and flossing cannot reach. They can last for up to five years and can be replaced once they wear off. For some kids, eventually some type of dental treatment becomes necessary. We are both compassionate and gentle in our approach to treating children. We know how important it is to
make sure they are comfortable and do not experience dental anxiety. That is why when we treat children, we speak to them in terms they will understand and let them know what we will be doing. That way, their treatment is more effective and less scary.