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Dental Health Guide

Become Better Informed
Dental Issues & Problems
Restoration & Treatment
Prevention Information


Dental Services

Cleaning

Cosmetic Dentistry

Our practices provide a wide range of cosmetic dental services at affordable fees that Caredental patients have come to expect. We have the ability to provide nearly every type of dental service without having to refer you to specialist. Our services include veneers, implants, fillings, crowns, bridges, teeth whitening, bonding and more.

Caredental also provides Restorative dental care for mouths that have fallen victim to dental disease or injury. By not needing a referral, you save time and money, as well as being able to stay within the Caredental family of practices. Our goal at Caredental is to provide total preventative care and educate patients on its importance. Complete oral care begins with regular cleanings, checkups, and an at home oral care routine.

Teeth Whitening

Teeth whitening is one of the most requested services at Caredental. Your teeth will darken over time. Beverages such as coffee, tea, and soda and factors such as childhood medications or illnesses, tobacco use or improper oral hygiene can have an affect on the color of your teeth.

At home whitening often does not provide the results patients are looking for. As trained dental professionals, Caredental implements industry-approved techniques to gently and safely whiten your teeth. And with many of our offices offering ZOOM! Whitening, your teeth may be able to be whitened on your lunch break!

Composite Bonding

Bonding is a common solution for:
Repairing chipped or cracked teeth
Reducing unsightly gaps or spaces between teeth
Hiding discoloration or faded areas on the tooth's surface.

Bonding is achieved by applying a composite material to an existing tooth. Unlike veneers or crowns, composite bonding removes little, if any, of the original tooth. Composite bonding is a quick process, usually taking less than an hour.

Crowns & Bridges

Crowns

A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.
The treatment plan for a patient receiving a crown involves:
Numbing the tooth to remove the decay in or around it.
Re-sculpturing the tooth to provide an ideal fit for the crown.
Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
After ensuring that the crown has the proper look and fit, the dentist cements it into place.
This process generally consists of a minimum of 2-3 visits over a three to four week period.

Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:
Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.
There are three main types of bridges, namely:
Fixed bridge- this is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
The Cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.

Fillings

Dentists and patients today have several choices when it comes to selecting materials to repair missing, worn, damaged or decayed teeth.
Several factors influence the performance, durability, longevity and cost of dental restorations. These factors include:
Patient’s oral and general health
Components used in the filling material
Where and how the filling is placed
Chewing load that the tooth will have to bear
The length and number of visits needed to prepare and adjust the restored tooth.
The ultimate decision about what to use is best determined by the patient in consultation with the dentist. Before your treatment begins, discuss the options with your dentist.

Amalgam Fillings

Used by dentists for more than a century, dental amalgam is the most thoroughly researched and tested restorative material among all those in use. It is durable, easy to use, highly resistant to wear and relatively inexpensive in comparison to other materials. For those reasons, it remains a valued treatment option for dentists and their patients.
Dental amalgam is a stable alloy made by combining elemental mercury, silver, tin, copper and possibly other metallic elements. While questions have arisen about the safety of dental amalgam relating to its mercury content, the major U.S. and international scientific and health bodies, including the National Institutes of Health, the U.S. Public Health Service, the Centers for Disease Control and Prevention, the Food and Drug Administration and the World Health Organization, among others have been satisfied that dental amalgam is a safe, reliable and effective restorative material.
Because amalgam fillings can withstand very high chewing loads, they are particularly useful for restoring molars in the back of the mouth where chewing load is greatest. They are also useful in areas where a cavity preparation is difficult to keep dry during the filling replacement, such as in deep fillings below the gum line.

Composite Fillings

Composite fillings are a mixture of glass or quartz filler in a resin medium that produces a tooth-colored filling. They are sometimes referred to as composites or filled resins. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be "bonded" or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth.
The cost is moderate and depends on the size of the filling and the technique used by the dentist to place it in the prepared tooth. It generally takes longer to place a composite filling than what is required for an amalgam filling. Composite fillings require a cavity that can be kept clean and dry during filling and they are subject to stain and discoloration over time.

Gum Treatment

Periodontal simply means “the tissue around the teeth.” Periodontists specialize in the treatment and surgery of this area, which is often characterized by gum disease. Plaque is the most common element causing gum disease.

Unfortunately, periodontal-related problems are often discovered after they have persisted for an extended period of time. Proper oral hygiene, daily dental care and regular dental checkups will minimize the risk of gum disease. Gum disease ranges from mild (gingivitis) to moderate (periodintitis) to the severe (periodontitis). Treatments are available for every case of gum disease.
Common problems associated with gum disease:
“Long” teeth (receding gum lines expose the root portions of your teeth)
Discolored or deteriorating tooth structure
Gum depressions (holes in between the teeth in the gum tissue)
Infected gum line (discoloration or inflammation of the gum tissue)
Tooth loss or tooth movement
The effects of gum disease can be damaging to your dental health. However, through proper preventive care and oral hygiene, you can avoid problems associated with gum disease.

Please contact our office for a periodontal evaluation.

Implants

Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:
Single Tooth Replacement
Anterior Replacement
Posterior Replacement
Full Upper Replacement
Types of Implants
There are three main types of implants:
The root implant
The plate form implant
The subperiosteal implant
The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient’s natural tooth. This implant is often as strong as the patient’s original tooth. The implant or artificial root is placed into the jawbone under local anesthesia, then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.

The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form implant is long and thin, unlike the root implant, and anchors into thin jawbones. It is inserted the same way as a root implant. In certain cases, the plate form implant is immediately fitted with the restoration without waiting for the healing process to run its course.

The subperiosteal implant is used when the jawbone has receded to the point where it can no longer support a permanent implant.

Root Canals

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.
A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.

Procedure:

The patient undergoes anesthesia.
A dental dam is used to isolate the tooth.
The tooth is opened to allow for removal of infected or dead dental pulp.
The tooth is comprehensively cleaned, including any cracks and canals.
With special tools, the doctor reshapes the canals.
The tooth is filled again with cutting edge biocompatible filling material.
A temporary covering is used to cover the access opening.
Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.

Apicoectomy

Also known as a root-end resection, an apicoectomy literally means the removal of the apex of the root of the tooth. This procedure, done following a root canal, treats the bony area surrounding the end of your tooth, which has become inflamed or infected. By folding back the gum near the tooth, the doctor can access the underlying bone and extract the inflamed tissue. At the same time, the very tip of the root is removed and usually replaced with a small plug or filling. At this time, the doctor may treat the area with antibiotics and will then close the area with a small suture. Eventually, the jaw surrounding the tooth will fill in with bone, supporting the tooth as before. This procedure helps ensure the lasting result of your endodontic treatment.

Veneers

Veneers are thin, semi-translucent “shells” typically attached to your front teeth. Veneers are customized from porcelain material and permanently bonded to your teeth. Veneers are a great alternative to improve the appearance of your smile.

Common problems that veneers are used for:
Spaces between the teeth
Broken or chipped teeth
Unsightly, stained or discolored teeth
Permanently stained or discolored teeth
Crooked or misshapen teeth
In most cases veneer applications are completed in only two office visits.

Please contact our office if you have any further questions on veneers.

Contact Us

Caredental Associates Of Haverhill P.C.
62 Brown St, Suite 504 Haverhill MA 01830
Phone: 978 521 8477
Fax: 978 521 3698


Caredental Associates Of Stoneham P.C.
62K Montvale Avenue, Stoneham MA 02180
Phone: 781 481 9004
Fax: 781 481 9008

Meet Dentist

Dr. Gehlot Nidhi ( DMD, BDS) is a graduate of Tufts University Dental School and also a graduate of Bharti Vidyapeeth Dental School. Dr Gehlot has performed several community related camps and provided free services to rural and impoverished. She enjoys all area of dentistry including pediatric dentistry. Dr Gehlot has over 6yrs of dental experience and owns another practice in Stoneham. She speaks fluent Hindi.

Dr. Tsaparlis Kyriyaki (DMD, AEGD) is a graduate of Boston University Dental School. She has completed the prestigious Advanced Education in General Dentistry (AEGD) fellowship at Boston University. She enjoys all areas of dentistry including pediatric dentistry. Dr Tsaparlis has over 10 yrs of dental experience and she is fluent in Greek.