Services

The terms dental crowns and caps are synonymous. If dental decay, cracked fillings, root canals, clenching or grinding the teeth have caused extensive damage to the underlying tooth structure a dental filling may not be a sufficient restoration. The only way to completely restore the cosmetic appearance and function of this tooth is often full coverage with a dental crown. The good news is that a completed dental crown looks and feels like a natural tooth.

In addition to restoring a single natural tooth, crowns can be used in other situations including being the supporting ends of dental bridge, covering dental implants, or as coverage for a cracked tooth to prevent further breakdown. A crown may also be indicated when a discolored or stained tooth needs to be restored to its natural appearance. Crowns can be made of either porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.

At the office of Zhukovsky Dental, we provide skilled and experienced care to help every patient enjoy the benefits of optimal oral health and a beautiful smile. For individuals who are missing teeth due to extensive decay, periodontal disease, trauma, the result of an illness, or side effect of medical treatment, we offer a comprehensive range of services to rebuild complete, attractive, and functional smiles.

How missing teeth impact the health and function of your smile

Missing teeth do more than cause embarrassing gaps in your smile. In the absence of a replacement, they can affect the health and function of your smile in the following ways:

• Impair your ability to smile, speak, and chew with confidence and ease.
• Allow the adjacent teeth to ever so slowly drift into the unoccupied spaces, thereby changing the alignment of your smile and bite.
• Cause teeth in the opposing arch that no longer occlude with a counterpart to extrude and further compromise your bite.
• Promote cavities and gum disease as the teeth shift out of place and impact the distribution of biting and chewing forces, and become more difficult to keep clean.

Rebuilding a complete smile

Although the consequences of missing teeth can compromise your dental health and overall well-being, modern dentistry offers effective solutions for reestablishing a complete, attractive, and well-functioning smile.

Today, thanks to advances in dental materials, technology, and treatment methods, it's easier than ever before to replace missing teeth and achieve aesthetically pleasing and long-lasting results.

Of course, each smile is different, and every patient has unique needs and individual expectations of care. Helping a patient rebuild a complete and beautiful smile may involve partial or full dentures, fixed dental bridges, or dental implants.

As skilled and experienced providers of care, the office of Zhukovsky Dental offers expert guidance on choosing the most suitable treatment option. Whatever type of tooth replacement method you select, you can feel confident that your smile will look good and feel great!

About dental bridges

A dental bridge offers a highly effective, stable, and fixed solution for replacing missing teeth. Unlike removable partial dentures that clasp on to the remaining teeth, a dental bridge relies on the support of crowns attached to teeth adjacent to the edentulous area (space without teeth) or strategically placed dental implants. In addition to restoring the look, feel, and function of a natural smile, they also prevent the teeth from shifting, thereby protecting the alignment of a patient's bite.

Far from a new idea, the history of replacing teeth with a fixed dental bridge goes back thousands of years. Ancient civilizations made impressive use of available materials, including animal and human teeth, bones, gold, and ivory, to fill gaps in a person's smile.

Fortunately, over the millennia, dental materials and technology have evolved. Today, dental bridges are fabricated from the highest quality of dental materials, including porcelain, porcelain fused to metal, and engineered ceramic products like zirconia. Now, in addition to being stronger and more durable than ever before, they appear more attractive and naturally beautiful.

Common types

Depending on the number of missing teeth, the health of the remaining dentition, and other factors, a dental bridge can replace a single missing tooth or multiple ones.

Although most resources list a traditional fixed bridge, an implant-supported bridge, a cantilever bridge, and a Maryland bridge as the four main types of bridges, the most commonly recommended ones are the first two.

• Traditional fixed bridge

  A traditional fixed bridge typically requires the preparation and crowning of teeth on either side of the edentulous space. These crowned teeth function to support the artificial ones, known as “pontics,” that span the gap. In much the same way a bridge that extends over a body of water relies on the support of strong, sturdy pillars at each end, a dental bridge garners strength and stability from the terminal crowned teeth fused to a single or multiple pontics.

  Although related and similar to a traditional fixed bridge, a cantilever fixed bridge differs in one significant way. Only one side of the pontic will get attached to a crown for support.

• Implant-Supported Bridges

  As the most advanced method for the replacement of missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile. For this reason, an implant-supported bridge often represents the best option in care.

  With an implant-supported bridge, there's no need to prepare, crown, or involve any adjacent natural teeth. Because dental implants behave in much the same way as the roots of natural teeth, they provide all the support a bridge requires.

  In addition to providing a self-supporting solution for the replacement of missing teeth, Implant-supported bridges offer the most versatile approach for rebuilding a complete smile. Strategically placed dental implants can support any number of replacement teeth up to an entire set of upper or teeth.

  Furthermore, as dental implants provide the same stimulation as actual roots to the surrounding jawbone, implant-supported bridges also help prevent the bone shrinkage that naturally occurs when teeth have been lost. This feature helps maintain normal facial contours.

  At the office of Zhukovsky Dental, our mission is to help every patient enjoy good oral health and the benefits of a beautiful smile. We provide skilled, experienced care and offer the most advanced dental implant-based solutions to transform incomplete smiles into ones that look great, function well, and inspire confidence.

Before a bridge gets fabricated

Successful treatment outcomes rely upon many things, including a careful assessment of a patient's oral health, overall well-being, smile goals, lifestyle, and budget. Whether you're a candidate for a traditional fixed bridge, an implant-supported bridge, or a removable denture will be determined following a comprehensive assessment and discussion with our office. We value patient input and strive to fulfill your expectations of care.

Before the fabrication and placement of a dental bridge, it's essential that your mouth is free from gum disease. If you have gum disease, it will need to get treated in advance of fabricating your bridge.

For traditional fixed bridges, the crowned teeth need to be strong and have sufficient bone surrounding them to offer strong support. Sometimes, a bone-grafting procedure to boost bone volume and provide a solid foundation is required before the fabrication of an implant-supported or traditional bridge.

At the office of Zhukovsky Dental, the care and comfort of our patients are our top priorities. Our goals are to create healthy and beautiful smiles and make every dental experience a positive one.

What to expect when getting a traditional bridge

Fixed bridges are typically fabricated over the course of multiple visits. The process involves the preparation of the supporting teeth, impression taking, the placement of a temporary bridge, and the try-in and cementation of the permanent restoration.

It begins with a complete diagnostic workup to develop an appropriate treatment plan. For patients getting a traditional fixed bridge, the next step in the procedure involves preparing the abutment (supporting) teeth for full-coverage crowns. Depending on the number of teeth involved and other factors, an impression for the permanent bridge can get taken this visit or the next one. Either way, a temporary bridge or temporary crowns to cover the prepared teeth will get placed to protect the prepared teeth.

Following the preparation of the involved teeth, it's not unusual to experience some sensitivity and gum soreness. This discomfort typically subsides. However, since the fit of a temporary restoration is often less precise than the final permanent crown or bridge, you may still feel some residual sensitivity until treatment is completed.

Until the permanent crown or bridge is placed, it's essential to be extra careful. Temporary restorations are far less durable than permanent ones. If your temporary gets damages or comes off, please hold on to it. Contact our office, and we will set up an appointment to replace it. Do not attempt to do this on your own.

Before cementing your new bridge, the shade, contours, fit, and occlusion are checked. Once that is done, your new, permanent restoration is placed. Since you have been wearing a temporary, your bite may feel slightly different, and you may feel some pressure as the new restoration reestablishes appropriate contact with the adjacent teeth. If the bite still feels slightly off after a couple of days or any discomfort persists, get in touch with our office. You may still require a minor adjustment.

What to expect when getting an implant-supported bridge

Surgery to place the dental implants is typically considered a minor surgical procedure and performed on an outpatient basis. However, the exact extent of the procedure depends upon the type and number of dental implants and whether or not any additional procedures are required to prepare the supporting bone.

As your trusted partner in care, you can count on our office to keep you well informed every step of the way. To facilitate the precise placement of dental implants for your implant-supported bridge, we'll take several detailed diagnostic records, including 3D images of your jaws and the involved area.

Patient care and comfort are our top priorities. We do everything we can to put you at ease and make every visit to our office both comfortable and stress-free. Prior to placing your dental implants, we'll discuss the anesthesia, options in dental sedation, and provide detailed pre-op and post-op care instructions.

Once the dental implants for your bridge are placed, it can take a few months for them to fully integrate with the surrounding bone. In some cases, a same-day temporary bridge can get placed to provide an immediate and cosmetically pleasing look. However, the permanent bridge typically gets placed when healing and osseointegration (fusion) with the surrounding bone are complete.

Restoring Teeth With Dental Fillings

When dental decay compromises a tooth's structural integrity, a filling gets placed to rebuild its natural form and restore its strength and function.

Because tooth decay, also known as dental caries, remains one of the most prevalent chronic diseases affecting both children and adults worldwide, procedures to place fillings are routinely performed each and every day.

At the office of Zhukovsky Dental, we provide precise and gentle treatment and maintain a position at the forefront of advances in care to provide patients with the highest quality of aesthetically pleasing and durable dental fillings.

The History Of Dental Fillings

According to archaeological findings, for as long as dental problems have existed, there have been efforts to provide emergency and restorative care. In fact, attempts to place dental fillings have been found in the skeletal remains of people who lived around the year 8000 BC. However, it wasn't until thousands and thousands of years later, in the 19th century, that a variety of metal fillings, including dental amalgam, appeared on the scene. Although gold achieved status as a popular restorative material, it was soon apparent that amalgam fillings, consisting of a mixture of mercury and an alloy composed of silver, tin, and copper, offered a less expensive, durable, and simpler alternative.

Until recent decades, the vast majority of dental fillings remained silver-colored, amalgam restorations. However, as dentistry has evolved in the last 50 years, new filling materials have been developed. While amalgam fillings are long-lasting and durable, today's newer materials offer the benefits of being mercury-free, metal-free, and much more aesthetic. These "tooth-colored or white fillings" invisibly restore the form and function of the involved tooth, while seamlessly blending in with the remaining tooth structure and the entire smile.

Our Commitment To Restoring Oral Health And Beautiful Smiles

At the office of Zhukovsky Dental, we tailor treatment to address specific dental needs and expectations of care. As with all the services our practice provides, we'll explain all your options in care, including the type of dental filling materials we offer to restore your tooth. Our goals are to gently remove the dental decay and the damaged tooth structure and then rebuild your tooth's form and function while providing you healthy, durable, long-lasting, and cosmetically pleasing results.

What are the different types of dental fillings?

While traditional dental materials like gold and amalgam have been in use for over a century, recent advances in dental technology have made a more expansive and improved selection of restorative choices widely available. Beyond offering strength and durability, these new filling materials provide aesthetically pleasing and natural-looking results.

Some commonly used filling materials include the following:

• Composite Fillings

  Composite fillings, which are frequently referred to as either "tooth-colored fillings" or "white fillings," consist of a combination of biocompatible resins and finely ground, glass-like filler materials that become strong and durable when set. Available in a complete range of natural-looking shades, composite fillings offer a cosmetically pleasing alternative to traditional "silver" fillings. Composite resins are also used in dental bonding procedures to improve a tooth's color or shape, mask defects, or close minor gaps between teeth.

  Composite fillings adhere to natural tooth structure through a bonding process, which also serves to seal and strengthen the tooth. Beyond providing a close match to your natural tooth color, a composite filling does not require removing of as much tooth structure for placement, nor are they subject to expansion or contraction with temperature changes as is the case with dental amalgams. However, composite restorations can be more vulnerable to wear and staining and may require replacement down the road.

• Silver Fillings (Amalgam)

  For many years, amalgam fillings represented the standard of care for restoring decayed teeth. While they don't offer the cosmetic appeal of other types of filling materials, amalgam restorations are strong, durable, and less likely than some other types of fillings to break or wear down.

• Glass Ionomers

  Another type of white filling material, glass ionomer cements bond to the tooth's surface to provide a tight seal between the tooth and surrounding oral environment. Besides offering a natural-looking restoration, glass ionomer cements slowly release fluoride to strengthen and help protect the involved tooth from future decay. Since they are not as durable or wear-resistant as other filling materials, glass ionomers are most frequently used to treat baby teeth, cavities near the gumline, and in temporary fillings.

• Ceramic Fillings

  Ceramic fillings, inlays, and onlays are fabricated from the highest quality of dental porcelain and ceramics. As the most stain and wear-resistant option in tooth-colored fillings, these restorations offer durable, attractive, and long-lasting results. While "direct" fillings such as dental amalgam and composite fillings get placed immediately after the tooth is prepared, "indirect" fillings such as inlays or onlays get fabricated outside of the mouth before insertion and cementation or bonding.

• Gold Fillings

  Far less common these days and more expensive than any of the other materials, gold fillings remain excellent restorations. With excellent physical and chemical properties, gold fillings are strong, long-lasting, kind to the surrounding tissues, and remain stable over time.

How are cavities treated?

Once our office has a chance to assess your smile, we'll advise you of our findings and outline a comprehensive treatment plan to help ensure your smile is healthy and functions at its best. If any tooth decay is detected, we'll schedule appointments to treat those cavities and place the fillings or restorations that are needed.

At the office of Zhukovsky Dental, patient care and comfort are our top priorities. While treating cavities and placing fillings are among the most routine procedures in dentistry, our office understands you have questions and concerns and will keep you well informed every step of the way.

Treating a cavity involves the precise and gentle removal of decayed and damaged tooth structure and any preparation of the remaining tooth structure needed to secure your new filling. Although every patient and every smile is different, you can expect your visit to take about an hour.

In most cases, this visit is performed under local anesthesia. As the work gets performed, your tooth is completely numb, and you should not feel any discomfort. A dental drill, dental laser, or air abrasion technology can be used to remove decay. Once the cavity gets excavated, and healthy tooth structure remains, it's time to place the filling. The type of dental filling material being used determines the manner of placement. Composite fillings, glass ionomer cements, and amalgam fillings are typically placed right away. However, in the case of an extensive cavity, a tiny palliative dressing and a temporary filling may be placed. Whatever type of filling is used, our office will check the fit, do any necessary polishing, and meticulously adjust the bite to ensure your optimal comfort and function.

For patients who are anxious about dental work, you can rest assured the office of Zhukovsky Dental is mindful of your needs. As skilled and experienced providers of care, we pride ourselves on providing gentle dentistry and do all we can to make your visit comfortable and stress-free. While we perform dental procedures under local anesthesia, we're also happy to discuss options in dental sedation.

What Do I Need To Know Following The Placement Of My New Filling?

At the office of Zhukovsky Dental, our goal is to help our patients enjoy optimal oral health and to keep them well informed every step of the way.

Immediately after the placement of a new filling, it's essential to keep the following in mind:

• Until the anesthesia wears off
  Immediately following your dental visit, you may experience a period of lingering numbness. Normal sensation typically returns within an hour or two. However, until the anesthetic has completely worn off, it's essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue. Be mindful of chewing, drinking hot beverages, or smoking.

• Now that your tooth has been restored and rebuilt, it may feel slightly different
  While we take the utmost care to polish your new filling and make sure the bite is correct, on rare occasions, a patient may feel additional minor smoothing or further bite adjustment is required.

• You may experience short-term sensitivity
  It's perfectly normal for a tooth to feel a little sensitive following the placement of a filling. You may experience a twinge when eating cold or hot foods and beverages. This sensitivity should subside by itself within a few days. If your sensitivity worsens, you experience ongoing pain or develop any other symptoms; please contact our office.

• Caring for your new restoration
  Our office uses the latest generations of strong and durable filling materials. With proper oral hygiene and routine care, your new filling should last for many years to come. However, in cases of extensive tooth decay or injury to the underlying tooth, even the best restoration may need to be replaced, or further dental work may be needed down the road.

We're passionate about what we do and dedicated to providing the highest quality of care. If you have any additional questions or concerns, feel free to contact our office.

Thanks to advances in dental materials, technology, and methods of care, it’s easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing treatment outcomes. While dental implants and fixed bridgework provide effective and satisfying solutions for missing teeth, removable dentures remain a tried and true method for reestablishing a complete smile.

At the office of Zhukovsky Dental, we fabricate dentures from the highest grade of dental materials for a precise and comfortable fit. Our dentures are meticulously designed to rebuild beautiful smiles and support natural facial contours while enabling patients to speak, smile, and chew with renewed confidence and ease.

We’re dedicated to helping patients to enjoy the benefits of a beautiful smile and take pride in offering personalized solutions to address their dental needs, lifestyle, and budget.

How missing teeth affect your smile, your health, and your outlook

According to recent statistics, it’s estimated that across the country, over 175 million adults have lost at least one tooth, and close to 40 million are missing all of their teeth. In most of these cases, tooth loss is the end result of extensive dental decay, advanced gum disease, a traumatic injury, a congenital anomaly, or associated with a medical condition. 

In addition to the psychological and social consequences having embarrassing gaps in your smile often produce, missing teeth can affect your ability to speak clearly and eat a satisfying and nutritious diet. Left unaddressed, missing teeth can also cause gradual changes to your appearance and the alignment of your remaining teeth. These changes not only affect your bite, but they have the potential to create more unsightly and unhealthy gaps in your smile. Furthermore, without the support of a complete set of teeth, facial contours may also begin to look more sagged and haggard over time. 

While it’s never too late to rebuild a complete and beautiful smile, it’s always best to replace missing teeth sooner than later. Both partial and full dentures from the office of Zhukovsky Dental offer an effective and satisfying solution for reestablishing a complete smile.

What are dentures?

Dentures are removable appliances that are designed to precisely and comfortably rest on top of the gums that cover the jawbones. They consist of natural-looking artificial teeth set in a supportive base. In addition to offering a cost-effective solution for the replacement of missing teeth, dentures are quite versatile. They can be used to replace either a few teeth that have been lost or all of the teeth in the upper or lower jaws.

While conventional bridgework and dental implants offer fixed solutions for rebuilding complete smiles, partial and full dentures are removable oral appliances. This statement means it’s possible to take dentures out of the mouth to clean and maintain the health of the underlying tissues and any remaining teeth, as well as clean the dentures themselves, or remove them while sleeping.

Types of Dentures

You can rest assured that rebuilding your smile is in the best of hands at the office of Zhukovsky Dental. As skilled and experienced providers of care, we’ll carefully evaluate all aspects of your smile, the health and integrity of any remaining teeth, along with the surrounding tissues and the supporting bone to develop a treatment plan that satisfies the functional and aesthetic requirements of your case.

The two main types of removable dentures are full dentures and partial dentures. Which of these types offers the best solution for your smile depends on how many natural teeth are still present in your mouth and the health of these remaining teeth. While a partial denture can offer an effective solution in cases where some sturdy natural teeth remain, you may be a candidate for a complete denture when all the upper or lower teeth are missing or require extraction.

Full Dentures

Full dentures, also known as complete dentures, can effectively replace all the upper teeth, lower teeth, or both the upper and lower teeth. As with other types of dental solutions, there’s no one-size-fits-all approach for every case. The ultimate design, fabrication, and insertion of a full denture can vary based upon a patient’s specific needs.

Conventional Full Denture

This type of denture is fabricated and placed after all of the remaining teeth are removed, and the surrounding tissues have adequately healed. Fabricating a full denture when healing is complete supports a precise and comfortable fit.

• Immediate Denture

  With an immediate denture, a patient does not have to go without teeth while waiting for complete healing of the extraction sites. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require a reline and adjustments as the tissues remodel and heal. In some cases, for optimal comfort and fit, a conventional denture may eventually be required.

• Overdenture

  An overdenture is a type of complete denture that receives added stability and support from special attachments that are secured to the remaining underlying teeth or specialized dental implants.

• Implant-Supported Dentures

  As the name implies, this type of denture attaches to a select number of strategically placed implants in the upper or lower jaw. These small surgical posts provide precise points of attachment for the overlying denture and add a significant measure of stability and retention.

Partial Dentures

In situations where some sturdy teeth remain, partial dentures can offer an effective solution for the replacement of missing teeth. Partial dentures typically achieve adequate retention and stability with clasps or precision attachments on the teeth adjacent to the edentulous areas (the spaces formerly occupied by the missing teeth).

Removable partial dentures can fill the void left by individual missing teeth and multiple ones to restore the look and function of a complete smile. At the same time a partial denture fills the gaps left by missing teeth; it also stabilizes the dentition and bite and prevents unwanted drifting of the remaining natural teeth.

As with full dentures, partial denture design and fabrication varies based on a patient’s specific needs. With advances in dental materials and technology, partial denture wearers have more options than ever before. Today, a partial denture’s supportive framework can be fabricated from various materials, including cast metal, flexible resins, and hybrid materials.

At the office of Zhukovsky Dental, we’re dedicated to building healthy and beautiful smiles. As your trusted partner in care, you can depend on our office to design and fabricate a denture that will look good, fit comfortably, and serve you well for years to come.

Providing integrated solutions to rebuild smiles

Fabricating an attractive, well-fitting, and long-lasting denture requires a comprehensive understanding of oral function, facial aesthetics, dental materials, and appliance design. At the office of Zhukovsky Dental, we maintain a position at the forefront of advances in care and successfully combine the art and science of dentistry to provide patients with outstanding treatment outcomes.

Once we’ve had an opportunity to review your medical and dental history, assess all aspects of your smile, and discuss your expectation of care, we’ll discuss the best options for restoring and rebuilding your smile.

Based upon a comprehensive analysis of your case, including advanced diagnostic imaging, we’ll advise you if any dental work, additional procedures, or extractions are required prior to the fabrication of a partial or complete denture. It’s essential that any remaining teeth are healthy and have sufficient bone support. Sometimes, a pre-prosthetic procedure to improve the tissue anatomy and ensure a denture’s optimal fit is recommended.

Having a denture or set of dentures made is a sophisticated process involving dental impressions, framework try-ins, selecting the right shade, shape, and size of the artificial teeth, and making sure that the bite and all aspects of oral function are comfortable and healthy. Whether it takes a single visit or a few visits to fabricate a partial or complete denture, a satisfying and healthy outcome relies on the careful execution of every step in care.

What To Expect When You Receive Your New Denture

At the office of Zhukovsky Dental, our patients' care and comfort are our top priorities. Our goal is to help patients enjoy optimal oral health and to keep them well informed every step of the way.

• Adjusting to wearing a new denture

  Getting used to wearing a new denture, especially a full denture, can take a little time. It’s not unusual to need some minor adjustments as you begin to speak, chew, and function with your new teeth. It can take a few adjustments to fit completely and feel comfortable. If you have a sore spot, try to wear the denture at least the day before your adjustment visit. In this way, we can see exactly where we need to relieve the area causing your irritation.

• More saliva than usual

  One of the natural responses to a new denture is for your mouth to produce more saliva. Not to worry, this is only a temporary reaction. The flow of saliva gradually decreases back to a normal level.

• Speaking with ease

  While it may seem challenging to speak clearly at first with a new denture, that feeling will pass within a few days. It’s important to keep talking, as usual, to allow yourself to adapt to your new set of teeth. You can help things along by reading some passages from printed materials or a computer out loud.

• Getting used to eating with a denture

  If this is your first denture, it can also take some time to adapt to eating with your new prosthesis. Getting used to eating with a full denture is typically more challenging than doing so with a partial denture. It’s best to start with soft foods and to avoid chewing on just one side. Your tongue, lips, cheeks, and soft tissues will soon adapt to chewing with your new denture, and from then on, you’ll be able to eat with ease.

• Taking care of your dentures

  • It’s essential to keep your denture clean! Rinse your dentures after eating and brush them daily. In this way, you can prevent stains and bacteria from accumulating on your new set of teeth. It helps to use a brush designed for dentures. Also, remember to soak your dentures in water when you’re not wearing them and at least once a week in the recommended denture cleaner.

  • Brush any remaining teeth as well as your gums to keep them clean and the tissues healthy and firm. If you wear an upper denture, rinse and gently clean the roof of your mouth as well.

  • Take your dentures out at bedtime. This practice gives the gums and the jawbone a chance to rest, helping to prevent irritation and infection as well as bone resorption (shrinkage).

• Added stability

  Due to the status of the underlying tissues and other factors, there are some cases where full dentures benefit from additional means of retention. While denture adhesive is often sufficient, full dentures that are implant-supported or clip onto special attachments offer added stability and retention.

• Follow-up care

  Maintaining oral health and overall well-being involves routine checkups and care. At these visits, we not only check the fit and condition of your dentures but we also perform a comprehensive exam to check the status of any remaining teeth as well as assess the health of all of the soft and hard tissues in and around the oral cavity.

• Relines

  Over time, the tissues supporting the denture can change. As the shape and contours of these tissues shrink or remodel, your denture may not fit as comfortably or feel as stable as it once did. A separate procedure, which is known as a reline, may be recommended.

At the office of Zhukovsky Dental, we’re dedicated to providing the highest quality of care. If you have any additional questions or concerns about your new dentures, feel free to contact our office.

What You Need To Know About Having A Tooth Extracted

At the office of Zhukovsky Dental, our patients' care and well-being are our top priorities. Every member of our skilled and experienced team strives to ensure patient comfort and a stress-free dental experience. Our dedication to the consistent provision of compassionate and personalized attention along with gentle, precise care has earned our office the respect and trust of our patients.

While we do everything we can to preserve the integrity of your natural smile, it's sometimes necessary to extract a tooth to protect your oral health and overall well-being.

Some of the most common reasons our office may recommend having a tooth extracted include the following ones:

• A "baby" or deciduous tooth that is over retained (reluctant to fall out), severely decayed, or damaged
  In most cases, a baby tooth will fall out as scheduled as the underlying permanent one begins to erupt into place. However, occasionally a baby tooth continues to remain firmly attached to the bone. Either the roots of the baby tooth have failed to resorb and shrink as intended, or the baby tooth has become anklylosed and fused to the supporting bone. The problem is that over-retained baby teeth can disrupt the development and alignment of your child's smile. As we monitor your child's smile as they grow, we'll advise you if and when an extraction of a baby tooth is required to facilitate the eruption of its underlying permanent successor.

• A permanent tooth that has extensive decay and is deemed non-restorable
  Beginning as a simple pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay will continue to compromise healthy tooth structure as it works its way to the inner layers of the tooth. Without proper care, a cavity can lead to significant damage to tooth structure, irreversible damage to the nerve of the tooth, a dental infection, and serious consequences to your oral health and overall well-being. When the tooth has sustained far too much structural damage and cannot be restored, a dental extraction may be required.

• A permanent tooth that has been severely fractured or cracked and can not be restored
  There are many different types of chips, cracks, and fractures that can affect your teeth. The extent of the damage that it causes will determine if there is enough intact tooth structure to save the tooth and the type of treatment required. In cases where too much tooth structure or the root of a tooth has also been compromised, an extraction may be necessary.

• Advanced gum disease that has significantly compromised the tooth's supporting tissues
  The most common cause of tooth loss in adults is gum disease. When left untreated, periodontal disease, which affects the hard and soft tissues supporting your teeth, can lead to gingival pocket formation, gum recession, and diminishing alveolar bone. As advanced and untreated gum disease progresses, the teeth ultimately loosen, fall out, or require extractions.

• Poorly positioned, impacted, or decayed wisdom teeth
  Wisdom teeth, which are also known as the third molars, are the last permanent teeth to develop in the oral cavity and the final ones to come into place. However, as is often the case, many wisdom teeth do not have sufficient room to erupt, are not developing correctly, develop extensive decay, or cause issues for the adjacent teeth and the surrounding tissues. Although the extraction of wisdom teeth sometimes gets recommended for an older patient, the early removal of troublesome or potentially problematic third molars in young adults is more often the case.

• Overcrowded Teeth
  A tooth size to jaw size discrepancy often results in a crowded and misaligned smile. More simply put, the upper and lower jaws are not large enough to accommodate all the permanent teeth. As part of an orthodontic treatment plan to optimally align teeth and establish an attractive, healthy, and functional bite, the extraction of select permanent teeth may be required.

How is a tooth extraction performed?

Whatever the reasons for a dental extraction may be, you can rest assured that your care is in the best of hands at our office. As the first step in care, our dentist will review your medical and dental histories and discuss any special considerations in care.

It's essential to inform our office of any existing medical conditions or medications you are currently taking. In some situations, extra precautions, including premedication with antibiotics, a change in medication, and a medical clearance may be required. Follow all our pre-surgical directives and let us know if you are sick or have developed other symptoms on the day of surgery.

Our goal is to reduce any anxiety and help ensure patient comfort whenever a tooth extraction is necessary. In advance of the procedure, we'll discuss any medical considerations or precautions and go over our pre-surgical instructions. We'll also discuss post-surgical recommendations, including whether replacing the extracted tooth or teeth is needed and the best options in care.

To thoroughly assess the tooth and the type of extraction required, we perform a comprehensive examination and take digital radiographs as indicated. Extractions are typically categorized as either "simple" or "surgical extractions."

What Is A Simple Extraction?

When the tooth is clearly visible in the mouth and the root anatomy is not extensively hooked, fused to the surrounding bone, or otherwise unusual, it usually falls into the category of a simple extraction. Once the tooth and the surrounding tissues get sufficiently numbed with a local anesthetic, our dentist will loosen any attached periodontal tissues and apply forceps to remove the tooth. As with all dental procedures, we do all we can to help ensure your comfort and relaxation throughout every step in care. For patients who are anxious about dental work or certain procedures, we can discuss additional options in dental sedation.

What Is A Surgical Extraction?

For teeth that are severely broken down, anklylosed, or impacted, a surgical extraction is often indicated. We may refer you to an oral and maxillofacial surgeon to perform this procedure. During a surgical extraction, a small incision in the soft tissues and localized, precise removal of overlying bone provides greater access to remove the tooth. As with all tooth extractions, patients are given a local anesthetic to completely numb the involved tooth and the surrounding tissues. Once again, additional options in dental sedation, pre-surgical considerations, and directives are thoroughly discussed and explained.

What To Do After Getting A Tooth Taken Out

As skilled and experienced providers of care, we recognize that every case is different and provide treatment that addresses the unique requirements of each patient. Depending on a patient's specific needs, we provide post-operative instructions, including special instructions, limitations on activities, medications, and follow-up care that support optimal recovery and healing. In some cases, post-op care may also include the involvement of a patient's physician. In general, and unless modified otherwise by our office, the following post-operative guidelines apply to simple extractions.

Post-Op Care Following An Extraction

1. Maintaining gauze pressure
   Following your extraction, some gauze to bite down on will be placed over the extraction site. By biting down and maintaining pressure on the gauze as instructed, any active bleeding should stop. You may change the gauze pad after the first hour. Continue to bite down for another 45 minutes if heavy oozing continues. While it's normal for a little oozing to continue for 24 hours, contact our office if you are still experiencing profuse oozing or bleeding.

2. Until the local anesthesia wears off
   Until the local anesthetic has completely worn off, it's essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue.

3. Take medications as prescribed
   

   • Antibiotics:
     If you have been given a prescription for antibiotics, be sure to take the correct dosage and full course of medication as prescribed.

   • Pain management:
     It's helpful to take a pain reliever before the local anesthetic completely wears off. Over-the-counter (non-aspirin) pain medication may be taken to relieve discomfort. Any prescription pain medication should only be taken as directed.

4. To facilitate healing
   Do not rinse your mouth, spit, drink through a straw, or suck on candies. It's essential to allow the extraction site to clot and not dislodge the new clot once it has formed.

5. Applying ice
   An ice-pack held in place in the facial area overlying the extraction site helps to control swelling. Apply the ice for 10-minute intervals during the first day following your procedure.

6. Avoid smoking
   Smoking not only prevents clot formation, but it also interferes with healing. Avoid smoking and tobacco products for the first week.

7. Watch what you eat and drink
   Stay away from hot or spicy foods and drinks for the first day or two. Also, refrain from drinking any carbonated or alcoholic beverages. Stick with a diet of soft foods and liquids for the first couple of days following surgery. Drink plenty of fluids.

8. Oral hygiene
   Brush gently; it's essential to take great care not to disturb or irritate the extraction site for a few days. A very mild lukewarm saltwater solution can be used to freshen your mouth. Remember not to rinse or spit that first day or two. Simply let any liquids gently fall from your mouth into the sink.

9. An appointment for a follow-up visit
   If sutures (stitches) were placed, or if a complex extraction, an infection, or other issues requires a visit to monitor your healing and progress, you will be given an appointment for follow-up care. It's essential that you keep this appointment as provided.

If you experience continued bleeding, ongoing pain, more swelling, have a bad taste in your mouth, or other unusual symptoms, contact our office.

Why choose the office of Zhukovsky Dental?

You deserve quality care that's personalized to meet your individual needs, and at the office of Zhukovsky Dental, you can rest assured your smile is in the best of hands. We deliver precise and gentle care, keeping you informed and relaxed throughout your procedure. If your tooth needs to be replaced, we'll discuss your best options, including dentures, fixed bridges, and dental implants. As the most advanced method of tooth replacement available, dental implants come the closest to replicating the look, feel, and function of a natural smile.

Replacing Missing Teeth With Dental Implants

If you're missing teeth, you're not alone. Tooth loss is a far more common problem than you think. In fact, studies show that 178 million people across the United States are missing at least one tooth, and 35 million are completely edentulous (missing all their teeth). Whether you have lost one tooth or multiple ones to gum disease, tooth decay, or a traumatic injury, the office of Zhukovsky Dental can help. We provide state-of-the-art care and offer the latest solutions to help patients reestablish complete, healthy, and beautiful smiles.

Dental implants for a smile that looks and feels completely natural!

Today, dental implants represent the most advanced system for the replacement of missing teeth. While conventional fixed bridges and dentures remain effective and satisfying ways to replace missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile.

With dental implants, you can once again enjoy all your favorite foods and speak and smile with renewed confidence and ease. Because dental implants behave in much the same way as the roots of natural teeth, they provide unrivaled stability for the placement of a broad range of dental prostheses, including crowns and bridges up to a complete set of teeth. For patients who wear full dentures, dental implants provide the added stability and retention required to improve comfort and fit while preventing any embarrassing slippage.

If you are struggling with tooth loss and looking for the best solutions for the replacement of missing teeth, visit the office of Zhukovsky Dental to learn more about dental implants and all the state-of-the-art services we provide. At the office of Zhukovsky Dental, we take pride in creating beautiful and healthy smiles!

Let The Office Of Zhukovsky Dental Help You Rebuild A Beautiful Smile

Missing teeth do more than cause embarrassing gaps in your smile. For one thing, they can also affect your ability to speak or chew nutritious food with ease. By not replacing missing teeth, the adjacent ones can shift towards the space over time and change your bite and compromise the health of your smile in many ways.

With all of the advances in dental materials, technology, and treatment methods available today, it's easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing results of care.

At the office of Zhukovsky Dental, we're pleased to offer leading solutions to improve your oral health and give you a smile you can feel confident sharing with the world. We give you back the complete smile you have lost and provide personalized solutions for all of your oral healthcare needs. To find out more about dental implants or schedule an appointment so that we can take a closer look at your smile, give us a call today.

Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night causing an individual to wake up with any number of symptoms including jaw pain, headaches, and sore teeth that may feel loose. Although, stress and anxiety are the most common causes of bruxism there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.

To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events, including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.

In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom night guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.

At the office of Zhukovsky Dental, we emphasize taking a proactive approach as the best way to maintain a healthy, beautiful smile. By coming to our office as recommended for checkup visits and routine care, we can help you and every member of your family prevent the onset and progression of many oral health problems. As skilled and experienced providers of care, we offer a comprehensive range of preventive services, including examinations, professional teeth cleanings, and oral cancer screenings, along with patient education on hygiene, diet, and healthy practices.

What Happens at the First Checkup Visit?

Your first visit to our office establishes your oral health baseline and provides essential information on your dental interests and needs. We begin by carefully reviewing your medical and dental histories and taking special note of all of your dental concerns, as well as any symptoms that you may be experiencing. This initial conversation is followed by a thorough clinical examination, including an oral cancer screening, periodontal evaluation, and an analysis of your occlusion (bite). To perform a comprehensive oral exam, we'll recommend and take diagnostic films as needed. As we take a close look at your smile, we'll examine your teeth, the supporting bone and soft tissues, and the surrounding areas of the mouth, head, and neck. We'll make a note of any signs of clenching or grinding your teeth and assess your TMJ (temporomandibular joint) function. A comprehensive oral exam can also reveal the consequences that certain dietary choices, eating disorders, medications, harmful habits, and inadequate oral hygiene practices may have on your smile.

We want every patient to enjoy the benefits of a healthy and beautiful smile. At the office of Zhukovsky Dental, you can rest assured that your oral exam is performed with the utmost care and that every member of our team is sensitive to your needs. Based on your oral exam findings and what we see on your diagnostic films, we'll outline what further treatment, if any, may be needed and discuss all your options in care.

A Healthy Smile is Vital to Your Overall Well-Being

At the office of Zhukovsky Dental, we recognize that a healthy smile is more than just an attractive asset; it is also essential to one's overall well-being. Harmful conditions affecting your teeth, gums, jaws, and structures in and around the oral cavity can impact your overall well-being. As we perform an oral exam and check for the development of common dental conditions such as tooth decay or gum disease and screen for oral cancer, we also take note of any signs of problematic health issues that may have originated elsewhere in the body.

Today, researchers are establishing more and more links between poor oral health and systemic disease. Mounting evidence supports the idea that dental disease contributes to a range of health issues, including the following conditions:

• Digestive disorders

• Respiratory Problems

• Cardiovascular Disease

• Stroke

• Diabetes

• Alzheimer's Disease

The reverse is also true. Just as oral health problems can be linked to systemic illnesses, diseases in the body can likewise produce oral health issues. According to statistics, more than 90% of all systemic diseases (conditions affecting organs and systems in the body) can manifest signs and symptoms in the oral cavity. Experiencing dry mouth, bad breath, gum problems, ulcerations, or other oral lesions may be indicative of an underlying medical condition.

The Importance of Routine Checkups and Professional Dental Cleanings

Enjoying a smile that looks good and functions at its best is not something you can take for granted. To maintain optimal oral health and a vibrant smile requires an effective dental hygiene regimen, a nutritious diet, routine checkups, professional cleanings, and a comprehensive program of preventive care.

Remember, it's important not to hold off seeing the dentist until you're in terrible pain or think there's something wrong. By scheduling a routine appointment for a comprehensive dental checkup and professional cleaning, we can help you keep your smile looking and functioning at its very best.

Our office encourages patients to come in twice a year for routine checkups and professional cleanings. In this way, we can monitor your oral health, reduce your risk of dental disease, and detect any issues early in their onset when they are typically the simplest to treat.

While maintaining a healthy smile depends upon keeping your teeth and gums clean at home, even for the best "brushers" and "flossers," it's difficult to reach every nook and cranny between the teeth and gums. For this reason, we emphasize the importance of professional teeth cleanings. In this way, our hygienist can thoroughly remove any accumulated plaque and tartar from between the teeth and gums, including areas that you may have missed. Since dental plaque harbors the bacteria that are responsible for cavities and gum disease, its removal prevents these disease processes from occurring. Following a dental cleaning and polishing to remove any superficial stains from your teeth, your mouth will feel fresh and clean.

Checkup and cleaning visits also represent an opportunity to educate patients in the best oral hygiene homecare methods and routines to maintain a healthy smile. As your trusted partner in care, we'll carefully explain and demonstrate the proper techniques for brushing, flossing, and other healthy oral care practices.

Even though proper dental care is essential at every stage of life, it's especially important for children to establish a strong foundation for a lifetime of oral health. With routine checkups, preventive treatment, and age-appropriate education in the best methods for taking care of their teeth, we can help your little ones protect their smiles from dental disease. We also monitor your children's dental and jaw development as they grow; keeping a close watch to determine if any orthodontic intervention will be needed to align their smiles.

Our goal is to help you and every member of your family establish healthy practices that will last a lifetime. At the office of Zhukovsky Dental, we're proud of the reputation we've established for providing skilled and compassionate care. We work hard to make every visit to our office a positive experience while building long-standing relationships with our patients and achieving outstanding treatment outcomes.

What Do Dental X-Rays Show?

Although we perform a thorough visual inspection of every aspect of your smile, the only way to see the deeper structures of the teeth, as well as the surrounding tissues and bone, is with dental x-rays or radiographs. Diagnostic x-rays not only reveal the presence of dental disease, but they also provide valuable information on the development, health, and integrity of teeth and orofacial structures.

Thanks to advances in technology, x-rays have entered the digital age. Instead of using traditional film-based methods, which involved long-exposure times and developing solutions, digital x-ray images can now be acquired, stored, and managed via digital sensors and integrated software programs.

Digital radiography offers several benefits to the patient, including the following:

• Quicker with minimal exposure to x-ray radiation

• Images can be viewed immediately after acquisition

• Images can be electronically shared

• Digital radiographs do not require any developing chemicals, create less waste, and are safer for the environment

• Images are immediately stored in the patient's electronic file, where they can be easily viewed on a screen, shared, or printed out.

What Are the Different Types of Dental X-Rays?

The type of diagnostic images our office will recommend depends on the nature of your visit and your oral healthcare needs.

Here's a list of some of the most common diagnostic films and the value of these images:

• Periapical x-ray - This small film is typically taken of an individual tooth and provides a view of the entire tooth from the top of the crown to the tip of the root and bone adjacent to it.

• Bitewing x-ray - This small film captures detailed views of the crowns of the premolars or molars and is typically used to check for dental decay.

• Full Mouth Series - This set of x-rays consists of bitewing and periapical views of all the teeth.

• Panoramic Film (panorex) - This film provides a 2D panoramic view of all the teeth and the left and right sides of the jaw. It offers a view of erupted teeth, developing teeth, impacted teeth, and allows an assessment of the health and integrity of the jawbone.

• Cephalometric Film - This film provides a profile view of the face and jaws and is often used by orthodontists to assess a patient's skeletal facial and jaw growth.

Today, it's also possible to capture detailed three-dimensional images for diagnostic purposes, treatment planning, and the delivery of care. By using Cone-beam computed tomography (CBCT) your dentist can acquire, analyze, and reconstruct 3D images of a patient's teeth, jaws, and surrounding anatomy. This technology is often employed for diagnosis, surgical planning, treatment, and the accurate placement of dental implants.

At the office of Zhukovsky Dental, the health and development of your child's smile are our top priorities. Our goals are to help children establish a strong foundation for a lifetime of good oral health and experience the benefits of healthy, beautiful smiles.

Excellent Oral Health Begins With Good Oral Care

All parents want what's best for their families. When good oral care, including routine dental checkups, start at an early age, our office can closely monitor the development and health of your child's smile as they grow. It's essential to keep in mind that preventive care and timely treatment for any emerging dental issues not only helps to ensure ongoing oral health but also supports overall well-being, and contributes to a positive self-image.

You can rest assured that your child's smile is in the best of hands at our office! We provide gentle and precise care in an environment that's comfortable, warm, and engaging. At the office of Zhukovsky Dental, we offer a comprehensive range of dental services designed to address the dental needs of children of all ages. Whether it's your little one's first trip to the dentist, a routine visit, treatment for a dental emergency, or more, we're well equipped to provide the care that's needed.

We take a proactive approach and emphasize the importance of dental prevention as the key to good oral health. We provide you and your child with the resources as well as the tools to establish an effective brushing and flossing routine and offer nutritional guidance and advice on potentially harmful oral habits. Our entire team strives to make each visit with your child a positive, informative, and beneficial experience.

The Importance Of Regular Checkups And Routine Care

Studies show that children and teens lose an estimated 51 million school hours each year to dental problems. To help your child maintain optimal oral health and a smile that's healthy and bright, we recommend dental checkups and cleanings twice a year.

As skilled and compassionate providers of care, we understand all aspects of dental development and are sensitive to the unique needs of children. At each periodic exam, a member of our professional team will review your child's medical and dental history and then perform a thorough clinical assessment of the teeth, gums, jaws, and the surrounding oral tissues. We'll also check your child's bite, jaw alignment, and function.

Because it's vital to see what's going on below the surface, we'll take digital radiographs as needed, to check for the presence of any cavities, or infection and to evaluate the position of your child's developing teeth and the health of jaw bone. We'll also perform a professional dental cleaning to eliminate any plaque or debris that has accumulated between the teeth or in hard to reach places.

Tooth Decay Is The Single Most Common Chronic Childhood Disease

At every stage of your child's development, we'll advise you on the most effective methods of keeping his or her teeth clean and discuss the foods, beverages, and harmful oral habits that can lead to problems. While it can be difficult sometimes to get children into a regular oral hygiene routine, we'll give you tips and advice on how to make brushing and flossing a fun part of their daily activities. As your trusted partner you can rely on the office of Zhukovsky Dental to keep a close watch on your child's oral health and development.

By following these simple guidelines, you can help your child maintain optimal oral health and develop a positive attitude towards dental care:

• Establishing a dental partnership when your child is small

• Keeping your baby's and toddler's teeth clean

• Not allowing your baby to sleep with a bottle of milk or juice.

• Bringing your child to the dentist for routine checkups and care

• Leading by example and encouraging the recommended tooth brushing and flossing routine

• Promoting wise dietary choices and healthy snacking, including replacing sugary drinks with water and limiting sweets

• Providing supportive guidance to help your child put away their pacifier and stop thumb or finger sucking at the appropriate time

• Making sure your child wears a mouthguard when playing specific sports

Your Baby's Smile

Even before your child is born, your little one's first set of teeth is already forming. As a matter of fact, by the time your baby is a year old, some of the front teeth will have already emerged into place. For this reason, it's essential to establish an oral care routine at an early age. As per the recommendations of the American Dental Association and the American Academy of Pediatric Dentistry, parents are encouraged to have their baby see the dentist around the time of their first birthday.

More On Dental Care For Children and Teens

Childhood is a time of incredible physical and emotional changes. As kids go through several stages of development, so do their teeth. Many things, including both genetic and environmental factors, contribute to the health and appearance of your child's smile. While some issues cannot be prevented, there's still a lot you can do to help ensure your child experiences optimal oral health and develops an attractive, functional smile. Our office will make sure your children are instructed in the best methods for caring for their teeth and will provide them with useful, age-appropriate information on following a healthy diet as well as make them aware of which oral habits and activities may be harmful to their teeth and overall well being.

Assessing Facial Growth And Dental Development

In addition to checking for the presence of dental disease, we also monitor your child's facial growth, jaw development, and alignment of their smile. If orthodontic treatment is indicated, we'll advise you of our recommendations for care. Since many children and teens wear braces, paying extra attention to what they eat and how they maintain their oral hygiene is of the utmost importance.

Good nutrition is essential for a healthy smile

Beyond good oral hygiene and routine dental care, a balanced, nutritious diet is essential for a healthy smile in a growing child. Sticky, sugary foods and drinks are not only harmful to children's oral health but also detrimental to their overall well-being. A diet rich in nutrients is critical for optimal growth and development and keeping the teeth and gums strong.

Did you know that the most common cause of tooth loss in adults is gum disease? According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease. However, the good news is that periodontal disease is almost entirely preventable. At the office of Zhukovsky Dental, we offer a comprehensive range of services to help patients maintain optimal periodontal health and enjoy the benefits of a smile that look, feels, and functions at its best.

What is periodontal disease?

Periodontal disease, more commonly known as gum disease, is a set of inflammatory diseases that affect the "periodontium", which are the hard and soft tissues surrounding and supporting your teeth. Just like tooth decay, gum disease is attributed to the harmful bacteria in dental plaque and tartar that accumulate around the teeth and under the gums.

Since the progression of periodontal disease is often painless, you may not even be aware of an ongoing disease process. For this very reason, it’s essential to practice good oral hygiene and schedule visits for regular checkups, professional cleanings, and routine care.

Taking care of your smile includes being mindful of the signs and symptoms of gum disease.

Some indications that you may have periodontal disease include:

• Inflamed and red gums

• Bleeding when brushing or flossing

• Receding gums and exposed tooth root surfaces

• Sensitivity to hot or cold temperatures

• Bad breath or a bad taste in the mouth

• Teeth that feel loose

• New spaces developing between the teeth or a change in the bite

• Change in the fit of existing partial dentures

• Discharge around the teeth and gums

• Sharp or dull pain when biting down or chewing food

The Importance Of Good Oral Health

Taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, and respiratory problems.

At the office of Zhukovsky Dental, we emphasize the importance of prevention, early detection, and timely treatment of periodontal disease. We provide patients the guidance, support, and care required to maintain optimal periodontal health.

What is gingivitis?

Gingivitis represents the initial stage of gum disease. Although it doesn’t cause overt discomfort and often goes unnoticed, there are specific signs to be aware of that indicate the start of a problem. If you notice your gums bleed when you brush, look red and inflamed, or feel a little tender, you more than likely have gingivitis.

The good news is that by treating gingivitis early, the tissue damage associated with more advanced stages of gum disease can be avoided. Despite the presence of inflammation, the overall integrity of the periodontal tissues in this stage remains intact.

Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.

What is Periodontitis?

When left untreated, a case of gingivitis develops into a more advanced and damaging stage of gum disease, known as periodontitis. At this point, the connective tissue and bone that hold the teeth in place begin to break down. With the progression of periodontal disease and periodontitis, more and more tissue loss ensues. Damage often includes an increase in pocketing between the teeth and bone, gum recession, and bone loss. As unresolved periodontitis goes from mild to moderate to severe, it increasingly compromises the soft and hard tissues supporting the teeth.  

Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. Treatment may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.

Let Us Help You Maintain Optimal Periodontal Health

At the office of Zhukovsky Dental, we offer personalized, state-of-the-art solutions to help you maintain healthy gums and an attractive, well-functioning smile. As skilled providers of care, we utilize leading-edge technology and treatment methods to address a broad range of periodontal conditions and needs.

Thanks to advances in care, periodontal treatment today not only helps to halt the progression of gum disease but also delivers effective solutions, including bone grafting and regenerative procedures to repair tissue damage, restore bone volume, improve cosmetics, or provide adequate support for the placement of dental implants. 

How is gum disease treated?

The type of periodontal treatment you receive depends on several factors including the stage of periodontal disease, the extent of tissue damage, your overall oral health, existing medical conditions, and other considerations in care. After a thorough assessment of your case, we’ll discuss your options to reestablish and maintain optimal periodontal health. We welcome your questions and are always on hand to provide guidance and address your concerns.

Periodontal treatment can be categorized in the following ways:

• Non-Surgical Periodontal Treatment

  When periodontal disease is detected early in its onset, conservative or non-surgical methods of care combined with improved hygiene routines can restore periodontal health. While periodic, professional cleanings are sufficient to maintain periodontal health in patients that do not have gum disease, once gingivitis is present, deeper cleanings and possibly other non-surgical methods of care are recommended to treat the condition.

  The American Academy of Periodontology emphasizes achieving periodontal health by means of the least invasive and cost-effective treatment approaches to care. Deeper cleanings, which include Scaling and Root planing, are non-surgical procedures that are considered the first line of defense against the progression of periodontal disease.

  With scaling and root planing, any plaque and tartar (hardened dental plaque) that have accumulated below the gumline are carefully removed, and then the root surfaces of the teeth are smoothed. Since periodontal disease is an inflammatory response to plaque, tartar, and bacterial toxins, by simply mechanically eliminating these agents, the progression of gum disease can be halted. In addition to removing plaque and tartar with a scaling and root planing procedure, antimicrobial medication placed under the gumline or systemic medications can be used as adjuncts to care to further reduce the bacterial population.

  If non-surgical approaches to managing periodontal disease do not achieve the desired outcome, surgery may be recommended to halt its progression and repair damage as possible.

• Periodontal Surgery

  When gum disease has advanced beyond the initial stage, periodontal surgery is often recommended to effectively remove bacteria and tartar from around the teeth, reduce gingival pocket depth, restore lost tissue as possible, and halt disease progression. It’s essential to keep in mind that gum disease is a progressive condition. If appropriate measures are not taken, gum disease continues to compromise the support of the teeth and have consequences to one’s overall dental health and well-being.

  As untreated gingivitis evolves into more advanced stages of gum disease, periodontal pockets deepen, the bacteria become more difficult to remove, and the gaps between the surface of the teeth and gums get larger. When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is typically recommended.

  The good news is that with proper surgical treatment followed by improved oral hygiene, the chances of tooth loss, further damage to the bone and soft tissues supporting the teeth, and complications from health problems that are linked to periodontal disease can be decreased.

  The goals of pocket reduction surgery are to accomplish the following:

  • Remove sub-gingival bacteria beneath the gums and from the surfaces of the roots of the teeth

  • Halt damage to the underlying bone, and recontour the affected hard tissues as needed

  • Reduce pocket depth to facilitate easier cleaning of the teeth and gums and the maintenance of optimal periodontal health

  In many cases, a periodontal procedure, which is known as flap surgery, is frequently recommended. During this procedure, the gums in the affected area are reflected away from the teeth and supporting bone. Now, the pocket and roots of the teeth can be thoroughly cleaned and supporting tissues recontoured as needed. When this step gets completed, the tissue flag gets sutured back into place.

  Today, in addition to conventional surgical approaches to care, dental lasers are also used to perform select periodontal procedures. When applicable, laser technology can help treat periodontitis, reduce pocket depth, address peri-implantitis, and remove or recontour gingival tissues for cosmetic purposes.

For more information on our office and the many services we provide, give us a call today.

According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.

To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.

It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.

Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.

If you are told that a tooth requires a root canal procedure, there’s no need for alarm. Today, a root canal procedure is as routine and comfortable as receiving a dental filling. As a matter of fact, a root canal procedure is typically the best way to relieve toothache pain, save a damaged tooth, and preserve your natural smile.

At the office of Zhukovsky Dental, we use the latest technology to provide precise and gentle care to help patients maintain healthy, beautiful smiles. Patient care and comfort are our top priorities, and you can rest assured your oral health is in the best of hands.

An effective way to preserve your natural smile

With a demonstrated success rate of well over 90%, root canal procedures remain the most effective way of saving and retaining a tooth that has been severely compromised by dental decay or injury. Because having a healthy natural dentition supports your oral health and overall well-being, root canal therapy, as opposed to having the involved tooth extracted, is a routine and widely recommended procedure. Across the United States alone, root canal procedures are routinely performed almost 41,000 times daily and close to 15 million times per year.

Why you may need root canal therapy

Your teeth are much more than just the hard outer biting surfaces and the roots. Inside each one is a central chamber containing connective tissue, a nerve supply, and blood vessels. Collectively, these core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. Once your tooth is in place, the dental pulp provides nourishment, keeps the tooth vital, and alerts you of problems.

Having sensitivity to various stimuli like biting down and eating or drinking hot or cold items is a warning from the nerves inside your tooth that dental decay is present, dental trauma has occurred, or infection is brewing. The degree of pain that you experience depends on the extent of the damage and nerve involvement.

When a tooth needs a root canal, it is because the dental pulp has become irreversibly damaged or has died. However, if enough intact tooth structure remains, and there’s good bone support around the compromised tooth, you do not need to have the tooth extracted. A fully developed tooth does not require the dental pulp to remain functional. You can preserve your natural tooth by having your dentist perform a root canal on the tooth.

Although not every instance of dental discomfort indicates the need for root canal therapy, some of the warning signs that you might require this procedure include the following:

• Unresolved, persistent pain

  Pain is your body’s way of signaling that something is amiss. Although, there are many explanations for oral pain, one of the most common reasons is a toothache caused by decay or damage that has affected the tooth’s inner vital tissues. Patients in need of root canal therapy often report dental pain that wakes them up at night.

• Temperature sensitivity

  If the pleasure of sipping hot beverages or foods are overshadowed by dental pain that makes you wince, it's time to contact our office. Extreme sensitivity to hot or cold foods and drinks can indicate an inflamed, irritated, or non-vital dental pulp.

• Discomfort with pressure or the slightest touch

  If it hurts when you bite and chew or when you just touch the tooth, it may indicate pulpal involvement, irreversible damage to the inner vital tissues of the tooth, or the presence of an infection.

• Darkened, discolored tooth

  A discolored tooth is often a message that the inner vital tissues, including the tooth’s nerve and blood supply, have been compromised. Teeth that have sustained an injury may demonstrate discoloration as the internal tissues have devitalized.

• Chipped, cracked, or fractured tooth

  An injury that chips or fractures a tooth can also traumatize the dental pulp or even compromise so much tooth structure that a root canal procedure is required to save the tooth.

• Swelling around the tooth and gums

  Swelling of the gums around a tooth may indicate that an infection has developed. While the swelling can worsen and cause more harmful consequences, sometimes a dental abscess starts to ooze pus and drain. In either case, prompt care is required.

• Tooth mobility

  The pathology associated with a tooth need of root canal therapy can damage the bone supporting the tooth and produce some mobility. Root canal therapy can often resolve this issue as tissue healing occurs.

The importance of timely care

While some of the above signs and symptoms can indicate other dental problems, they all require prompt evaluation and care. In some cases, a tooth in need of root canal therapy has not yet demonstrated overt symptoms. It may first get diagnosed and brought to your attention following a comprehensive, routine exam. Typically, these teeth show radiographic evidence of periapical pathology (root end pathology) or other types of structural damage.

It is essential that when a root canal is recommended that you receive timely care. Delaying the procedure increases the risk of more widespread and severe symptoms developing. A dental infection can pose significant consequences to your oral health and even threaten your overall health and well-being.

How is a root canal procedure performed?

With the modern dental instruments and advanced techniques available today, having a non-surgical root canal procedure is often as comfortable as getting a routine dental filling.

While some root canals can be completed in one visit, others may involve 2 or 3 appointments. How long it takes depends on factors such as the number of canals in a tooth, its anatomy, and whether an active infection is present.

During a root canal procedure, our dentist will remove the diseased dental pulp, clean the internal portion of your tooth, and then fill all the prepared canals with a biocompatible filling material. Root canal therapy is typically performed under local anesthesia, but additional options in dental sedation are available to reduce any anxiety associated with dental procedures.

What to expect following root canal treatment

At the office of Zhukovsky Dental, the care and comfort of our patients are our top priorities. Our goal is to help our patients enjoy optimal oral health and to keep them well informed every step of the way.

After your root canal procedure, you may experience the following:

• Until the anesthesia wears off

  Immediately following your dental visit, you may experience a period of lingering numbness. Normal sensation typically returns within an hour or two. However, until the anesthetic has completely worn off, it’s essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue. Be mindful of chewing, drinking hot beverages, or smoking.

• Post-procedure discomfort

  A root canal procedure will alleviate the pain of a toothache. However, you may still experience some mild to moderate discomfort in the immediate aftermath when the anesthesia wears off. These feelings should subside within days. To help prevent any undue pressure, which may cause pain, the biting surface of the involved may be slightly filed and taken out of occlusion. Our office will also recommend appropriate over-the-counter pain medications and provide a prescription if indicated.

• Take any antibiotics as prescribed

  If you have been given a prescription for antibiotics to treat or prevent an infection, it’s essential to complete the course of medications as prescribed.

• Be mindful of the involved tooth

  Even with a temporary filling, a tooth with a root canal remains vulnerable to stress and can fracture until a permanent crown or suitable permanent restoration is placed. In the interim, be mindful of the involved tooth. Try to chew on the opposite side of the mouth and avoid hard and sticky foods.

• Continue to brush and floss

  While you need to be mindful of a tooth that has received root canal therapy, it’s essential to continue to brush and floss. By maintaining proper oral hygiene, you’re preventing further problems as well as supporting healing and optimal oral health.

• Get the tooth restored in a timely fashion

  To rebuild the strength and integrity of a tooth that has received a root canal therapy, it needs to be restored with a permanent crown or suitable restoration. Until that time, the remaining tooth structure is weak and vulnerable to fracture. The sooner a permanent restoration is placed, the sooner you can bite and chew with confidence and ease.

With proper maintenance and care, a tooth that has been treated with root canal treatment can last a lifetime.

At the office of Zhukovsky Dental, we’re dedicated to providing the highest quality of care. If you have any additional concerns, continuing discomfort, or signs of an infection, or concerns following your procedure, contact our office for prompt attention and care.

Improving the appearance of your smile can make a difference in your confidence and overall quality of life. At the office of Zhukovsky Dental, we provide experienced care, skillfully combining the art and science of dentistry to give patients teeth that are as beautiful as they are healthy.

If your teeth appear dull, drab, discolored, or stained, don't despair. Thanks to advances in cosmetic dentistry, you too can enjoy the benefits of a beautiful smile. With a teeth whitening procedure from our office, we can quickly and dramatically lighten and brighten your smile.

You can rest assured your smile in the best of hands with us. We use the latest generations of professional strength teeth whitening systems to transform the appearance of your teeth and give you a smile that's several shades lighter, brighter, and more vibrant than before your procedure.

Personalized care to achieve your cosmetic goals

As dedicated providers of care, our goals are to help every patient maintain good oral health and wear their best-looking smile. We tailor treatment to address individual needs and meet every patient's expectations of care.

After examining your smile and determining if a teeth whitening procedure is suitable for you, we'll recommend the best in-office procedure or a take-home whitening system to achieve your cosmetic goals.

Factors that influence the color and vibrancy of your smile

How white your teeth look depends on how they reflected and scattered light. Although external staining is typically due to certain foods, beverages, or tobacco use, internal tooth discoloration is usually the result of genetics, certain medications, tooth decay, restorations, and trauma. Aging also plays a significant role in tooth color. Over time, as the outer layer of enamel thins, the yellow inner layer of dentin becomes more apparent.

About teeth whitening

Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. Today, there's an abundance of choices in teeth whitening products and procedures available to you. Options run the gamut from over-the-counter toothpastes, rinses, strips, or gels to professionally supervised in-office treatments and customized take-home kits.

With so many choices in care, how do you know which one to select? Despite the many over-the-counter products on the market today, it's essential to keep in mind that the premiere teeth whitening systems are the professional-strength ones provided by the dentist. Not only do these whitening systems offer a higher concentration of whitening components than the ones available in stores or online, but they also get delivered to the teeth in the safest, most effective, and well-supervised way.

While you may be tempted to purchase a kit in the drugstore or online, be careful. Some over-the-counter teeth whitening products can damage the teeth and soft tissues in the mouth. Even though many work when healthy teeth and gums are present, they may be ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work exist.

How does a teeth whitening procedure work?

Whitening products typically fall into one of two of the following categories:

• Peroxide-containing bleaching agents.
• Whitening toothpastes or dentifrices.

Under the category of peroxide containing bleaching agents, most whitening systems contain either carbamide peroxide or hydrogen peroxide as the active ingredient. While both can readily permeate the enamel to achieve pleasing results, the concentration of either one of these ingredients determines the strength, effectiveness, and safety level of the whitening system.

Teeth whitening systems rely on a chemical reaction between the bleaching agent and the discolored molecules. As the latter get oxidized, the stains and discoloration get broken up and erased.

Considerations in care

At the office of Zhukovsky Dental, we combine the art and science of dentistry to create beautiful and healthy smiles. We value your investment and provide treatment that supports good oral health while fulfilling your smile goals and expectations of care. We offer a range of advanced cosmetic dental services and will help you choose the option that's right for your smile.

While teeth whitening procedures in most cases produce highly satisfying results, not every type of stain or discoloration responds well to one. First of all, a teeth whitening procedure only works on natural teeth and does not change or improve the color of dental fillings, crowns, or bridges. It should also be mentioned that just as individuals with yellow tones to their teeth typically respond well to a teeth whitening, brown and grayish teeth can respond less well and may require more intensive whitening regimens or alternative cosmetic treatments. Furthermore, a teeth whitening procedure may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.

You can trust us to take a close look at your smile and advise you if a teeth whitening is right for you, or if another cosmetic procedure offers healthier and better results.

What to do and what to expect after a teeth whitening procedure

1. Watch what you eat and drink
   Maximizing the benefits of a teeth whitening procedure involves being mindful of what you eat and drink. This guideline is especially true for the first 48 hours following an in-office treatment. The reason is the ultra-thin, membranous protective layer of the tooth that was temporarily removed as a result of the whitening procedure takes a couple of days to reestablish itself.

   You can protect the results by avoiding deeply colored foods and beverages that can stain your teeth!
   Refrain from drinking coffee, red wine, dark soft drinks, and teas. Stay away from fruits like berries and grapes, and chocolate products as well as other foods that are darkly colored.

   Feel free to eat and drink foods with a low potential to stain your teeth!
   Beverages such as water, milk, white wine, and clear soft drinks are okay. Eating fruits such as a banana or peeled apple are fine. Cheeses, as well as white foods like chicken, fish, pasta, oatmeal, potatoes, and bread prepared without red sauces or dressings, are acceptable as well.

2. Avoid Smoking
   Smoking stains and yellows your teeth under the best of circumstances. If you are a smoker and have just had your teeth whitened, it's a good idea to refraining from the habit for at least the first couple of days. Of course, smoking less frequently after that or quitting the habit altogether not only benefits the appearance of your smile but also your oral health and overall well-being.

3. Some sensitivity is normal.
   You may experience some sensitivity to cold and hot for a couple of days. This discomfort typically subsides. We recommend taking over-the-counter pain medication just as you would for a headache. Using toothpaste designed for sensitive teeth may also be helpful.

4. Treatment Results
   While teeth whitening procedures provide satisfying outcomes of care, it's essential to keep in mind that results vary from patient to patient. Both short-term and long-term results are influenced by the original shade of the tooth, diet, and oral habits.

   Also, as explained before treatment, teeth whitening procedures do not change the color of existing fillings, crowns, bridgework, or dental bonding. If this issue presents an aesthetic concern, we can discuss replacing a restoration.

5. Keeping your smile bright
   Maintaining the results of treatment also rely upon proper oral hygiene and routine dental care. We'll also discuss a take-home whitening system if any periodic touch-ups are indicated following the procedure or down the road.

At the office of Zhukovsky Dental, we're dedicated to providing the highest quality of care. If you have any additional questions or concerns about your teeth whitening procedure, feel free to contact our office.

As the most recognizable expression and the universal sign of happiness, a beautiful smile is an important asset. Studies show that an attractive smile can boost your self-confidence, contribute to your overall well-being, and help make a positive impression on everyone you meet.

Transforming Smiles With Porcelain Veneers

If your front teeth are stained, discolored, chipped, worn-down, misshapen, a little gapped, or slightly misaligned, you're not alone. According to statistics, more than one-third of adults in the United States are dissatisfied with the appearance of their smiles. Cosmetic imperfections may be due to genetics, excessive wear and tear on the teeth, the aging process, dietary choices that stain the dental enamel, smoking, or as a side effect of certain medications.

In some cases, if the imperfections are minor ones, a teeth whitening procedure or cosmetic bonding may be all it takes to create a more perfect-looking smile. However, darker dental stains, discolorations, and more significant flaws involving the size, shape, and alignment of the teeth, are sometimes better addressed with porcelain veneers.

At the office of Zhukovsky Dental, we recognize that every smile is different and tailor treatment to address individual needs and expectations of care. Whether your smile is best served by the fabrication of dental veneers or another cosmetic dental procedure we provide, you can count on our office for the latest, most effective, pleasing, and healthy solutions for your smile.

What are dental veneers?

One of the most conservative yet highly effective and aesthetically pleasing ways to transform the appearance of imperfect looking teeth is the fabrication of dental veneers. Fully customized to the exact specifications of your smile and the cosmetic corrections required, veneers are ultra-thin facings, seamlessly bonded to the fronts of the involved teeth.

This versatile and minimally-invasive cosmetic procedure conceals a range of imperfections to dramatically improve the look of teeth that are misshapen, exhibit minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues.

Among the chief benefits offered by veneers are that they require little to no preparation of the underlying tooth and offer a relatively quick way to achieve long-lasting and pleasing results. And because they are ultra-thin, veneers preserve the maximum amount of natural tooth structure and are kind to the tissues along the gumline.

With veneers, your smile looks naturally beautiful.

Whether you're looking to improve the appearance of a single front tooth or multiple ones, dental veneers can turn a less-than-perfect smile into one that appears naturally beautiful and flawless.

Your veneers are fabricated from the highest quality of dental-grade porcelain to recreate the natural translucency of healthy tooth enamel. Since porcelain reflects light in much the same way as dental enamel, veneers produce a vibrant, flawless, and naturally beautiful-looking smile.

From preparation to taking an impression and placement, the entire process of getting dental veneers only takes a few visits. Furthermore, even though a veneer is fragile to handle before placement in the mouth, once it gets bonded to the underlying tooth, it becomes quite strong and durable. With proper oral hygiene and care, you can maintain your new veneers for many years to come.

At the office of Zhukovsky Dental, we successfully combine the art and science of dentistry to create healthy, beautiful smiles. We've helped many patients enhance the look of their smiles and feel confident we can do the same for you.

What to expect when getting veneers

• Initial consultation and care

  The process of getting dental veneers begins with a consultation and thorough assessment of your dental health, oral function, and smile aesthetics. We'll also discuss your smile goals and treatment expectations. Although getting veneers is a relatively quick process, it's essential to address any periodontal problems or cavities in the involved teeth before your new veneers get fabricated.

• Tooth preparation and Impression taking

  While the amount of tooth preparation varies, depending on the unique requirements of the case and the type of porcelain veneer, the removal of tooth structure from the front and sides of the tooth is typically quite minimal. It's just enough enamel for the ultra-thin facing to look most natural and remain sturdy and strong when placed.

  Once the teeth are prepared, an impression gets taken, and an appropriate shade of porcelain is selected, your new veneers are ready for fabrication. Porcelain veneers are most often sent out to a dental laboratory for custom fabrication. For the short time it takes the permanent ones to come back from the lab, attractive temporary veneer facings cover the teeth.

• Fitting and placement

  When your veneers are ready, it's time to check their fit, size, shade, and shape. Prior to getting affixed to the teeth, any adjustments to ensure a precise fit and optimal aesthetics are made. At this time, we'll also confirm that you're pleased with the look of your new smile. Once fitted and approved, the involved teeth are then cleaned, and the veneers are permanently bonded in place with composite resin cement. Following placement, any further adjustments or minor refinements are performed as needed.