As part of the aging process wrinkles and furrows can develop between the brows and crow’s feet can appear around the eyes. These age-related imperfections can result in a tired and weary appearance. Fortunately, there is a non-invasive cosmetic procedure available today that can effectively address these unwanted signs of aging.
Botox® is a prescription medicine that can be injected into the affected areas to dramatically improve the look of these fine lines and furrows. Made from a toxin produced by the bacterium Clostridium botulinum, Botox gives the skin a smoother, more refreshed appearance. It works by blocking nerve impulses and temporarily paralyzing the muscles that are causing these wrinkles and furrows.
Just a single short treatment with a few minor injections of Botox can produce a noticeable improvement that will last several months. Studies also suggest that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.
CEREC® offers convenient, faster and more comfortable care to provide a range of high quality same day restorations including ceramic crowns, inlays and onlays.
In just one appointment you can have a naturally beautiful restoration to enhance the beauty and function of your smile. With CEREC® there is no need for multiple office visits, messy dental impressions, a temporary crown, or waiting weeks for your dental work to come back from the laboratory. Your new restoration is designed and customized to the exact specifications of your smile all in the very same day!
CEREC® is an advanced method of care, which allows for the preparation and placement of same day ceramic restorations. Offering the utmost in terms of quality and convenience, this high-tech system utilizes CAD/CAM technology, or computer aided design and computer aided manufacturing to make every step of the restoration process more patient-friendly and precise. Using an ergonomically designed intraoral scanning wand in place of a conventional dental impression, the dentist is able to capture detailed 3D images of the prepared tooth and surrounding dentition. These images are then integrated by an advanced computer software program to produce an accurate model and plan a precise fitting, functional, and cosmetically pleasing restoration. As soon the restoration is designed and approved by the dentist, the information is sent wirelessly to a chairside milling machine where a ceramic restoration is fabricated as the patient waits.
A CEREC® single visit crown offers much more than a convenient approach to getting a dental crown. It is a high quality, naturally beautiful, extremely durable and long-lasting dental restoration!
Today, there's no need to merely imagine how nice it would be to have a dental crown fabricated in a single visit. With CEREC technology and advanced systems of care, multiple trips to the dentist are a thing of the past! Now, one appointment is all it takes for our skilled and experienced dentist to design, fabricate, and place a naturally beautiful and long-lasting same-day crown. And, best of all, unlike conventional methods of care, you won't have to endure messy dental impressions, wear a temporary crown, or wait weeks for your permanent restoration to come back from the laboratory.
Offering a level of precision and comfort that exceeds conventional methods of care, CEREC technology is nothing short of amazing! Advanced CAD/CAM technology, which stands for computer-aided design and computer-aided manufacturing, enables our dentist to translate images from an optically scan tooth into a 3D virtual model upon which a custom crown can be digitally designed. Once this step is done, the detailed specs are then wirelessly transmitted to a chairside 3D milling machine to fabricate your new ceramic crown while you wait!
With conventional methods of care, a dental crown can take two to three visits to fabricate and place. However, thanks to the benefits of CEREC technology, we can prepare a tooth, then design, fabricate, and place your new crown, all while you wait.
With CEREC same-day crowns, there's none of the mess of conventional dental impressions, wearing dental temporaries, or waiting for the final crown to come back from the lab. Once the prepared tooth is optically scanned and the restoration digitally designed, your new crown can be milled from the highest quality of dental ceramics that very same visit.
CEREC same-day crowns and restorations are fabricated from the highest quality of dental ceramics. Because dental porcelain reflects light in much the same way as dental enamel, your new crown will look flawless, completely natural, and blend seamlessly with your smile.
A CEREC same-day crown offers much more than a convenient approach to getting a dental crown. It is also a high quality, naturally beautiful, extremely durable, and long-lasting dental restoration! The fact is, with proper oral hygiene and routine dental care your new crown will serve your smile well for many years to come.
A beautiful, healthy smile not only contributes to a positive self-image, but it also helps to make a great first impression on everyone you meet. When you’re completely satisfied with the look of your smile, you’re likely to smile broadly and confidently more often.
If your teeth are stained, discolored, chipped, worn down, misshapen, a little gapped, or 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. The good news is these days, you don’t have to be a movie star to have a vibrant and beautiful smile. Thanks to advances in cosmetic dentistry, less-than-perfect teeth can be completely transformed to produce a naturally beautiful looking smile.
At the office of Edwin J. Coligado, DDS, we offer a comprehensive range of state-of-the-art dental services and provide the highest level of personalized care. Our goal is to help every patient enjoy the benefits of an attractive smile. Whether you’re unhappy with the look of a single tooth, all your front teeth, or have unsightly gaps in your smile due to missing teeth, we can help.
Even thousands of years ago, people were concerned about the health and appearance of their smiles. Viewing white teeth as a sign of wealth and beauty, the ancient Egyptians used small sticks to apply a mixture of ground pumice and wine vinegar to remove stains and whiten their teeth.
Today, we have the skills, technology, and materials to create smiles that are as beautiful as they are healthy. Thanks to developments in the field of cosmetic dentistry over the past 50 years, even the most challenging smiles can be transformed into ones that dazzle. At the office of Edwin J. Coligado, DDS, we offer state-of-the-art treatment along with an artistic eye and keen awareness of facial aesthetics to produce cosmetically pleasing smiles and long-lasting results of care.
You can rest assured your smile is in the best of hands with us. We value patient input and listen carefully to your interests and expectations of care. When it comes to cosmetic dentistry, there is no “one size fits all” solution. We recognize that every patient is unique and provide highly personalized treatments to enhance the look of your smile.
Cosmetic dental procedures range from treatments that are relatively quick and non-invasive procedures to more extensive ones based on a patient’s specific needs and expectations of care.
When staining, enamel defects, minor chips, small gaps, or slight misalignment are present, conservative and minimally invasive procedures such as cosmetic dental bonding, professional strength teeth whitening, and veneers can offer effective and highly satisfying ways to improve the look of your smile. Teeth with cavities, more extensive damage, or more significant cosmetic flaws, can be restored and rebuilt to achieve attractive, durable, and long-lasting results with tooth-colored fillings and natural-looking dental crowns.
At the office of Edwin J. Coligado, DDS, we use leading-edge technology, proven methods of care, and the latest generations of dental materials to give patients the smiles they’ve always wanted!
We can also help patients with missing teeth to reestablish a complete and beautiful smile with options that range from dental bridges or dentures to dental implants. Whether an individual tooth or multiple teeth are missing, our practice offers the most advanced dental implant-based solutions to help patients create an attractive smile that looks, feels, and functions like a natural one.
To repair minor defects, chips, or fractures, mask discolorations, and close small gaps between teeth; a dental bonding procedure is considered one of the most effective, economical, and quickest methods of care. A bonding procedure is typically performed with composite resins, which come in a wide array of tooth-colored shades to enhance the look of your smile blend seamlessly with the rest of your teeth. Bonded to the underlying tooth structure, composite resins are made of biologically safe and metal-free materials that offer excellent aesthetics, strength, and durability.
Today, it’s possible to restore a tooth with decay with cosmetically pleasing and metal-free filling materials composed of composite resin and filler particles that form a hard matrix when set. Strong and durable, these fillings bond to the remaining tooth structure as they rebuild it following the removal of any decayed or damaged portions. Best of all, with tooth-colored fillings, there’s no unsightly metal showing. Your smile looks naturally pleasing whether you’re opening your mouth or simply flashing a broad smile.
If your teeth are stained, discolored, or yellowed, you may benefit from a professional strength teeth whitening procedure from our office. A teeth-whitening procedure can quickly transform a dull, drab, discolored smile into one that’s whiter and more vibrant. Although over the counter teeth whitening systems purchased in stores or online have become popular, there are health concerns and limitations with these products. As a rule, the healthiest and most effective methods of teeth whitening are the ones managed and supervised by the dentist. At the office of Edwin J. Coligado, DDS, we use the leading systems in care to offer a safe, quick, and effective way to lighten and brighten your smile!
One of the most conservative yet highly effective and aesthetically pleasing ways to enhance the appearance of imperfect looking teeth is the fabrication of porcelain veneers. By placing customized, ultra-thin facings made of the highest grade of dental porcelain over the front of a single tooth or multiple ones, our office can transform the look of your smile.
Besides restoring the appearance and function of teeth with extensive dental decay, cracked fillings, prior root canals, or rebuilding teeth that are very worn down from grinding, a full coverage dental crown can also be used to improve the cosmetics of an imperfect tooth. A full coverage crown may be indicated for teeth that are misshapen, deeply stained, or otherwise significantly flawed.
A successful and satisfying cosmetic treatment plan values patient input. As part of a cosmetic smile makeover consultation, your interests and concerns are discussed while your smile is carefully analyzed to determine which procedures will provide the most pleasing results of care.
Armed with a comprehensive knowledge of dental aesthetics as well as a thorough understanding of complex requirements of an optimally functional bite, the office of Edwin J. Coligado, DDS offers the treatment required to achieve your cosmetic goals and meet your expectations of care.
As skilled providers of cosmetic dentistry, we maintain a position at the forefront of advances in technology and dental materials to deliver the highest quality of care.
While the services described above reflect many popular options in care, we can also discuss additional procedures to improve the look of your smile.
Whether you’re looking to improve one tooth or many, it’s an excellent time to consider enhancing the look of your smile! For more information on cosmetic smile makeovers and the many dental services that we provide, give the office of Edwin J. Coligado, DDS a call today.
Cosmetic dentistry offers solutions to improve the look of teeth that are stained, discolored, chipped, worn down, misshapen, a little gapped, or misaligned. It combines the art and science of dentistry to transform a less-than-perfect smile into one that looks naturally beautiful while at the same time enhancing overall facial aesthetics.
The great thing about cosmetic dentistry is that it offers multiple solutions to quickly improve the look of one’s smile. It all depends on your specific dental needs and cosmetic smile goals. While procedures such as teeth-whitening, tooth-colored fillings, and dental bonding typically provide dramatic improvements in just a single visit, others such as dental veneers only take a couple of visits.
A teeth whitening procedure as provided by our office is often the simplest, quickest, and most effective way to significantly lighten and brighten your smile.
Porcelain veneers are capable of concealing a range of imperfections, dramatically improving the look of teeth that are misshapen, have minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues. While teeth whitening procedures can effectively treat many cases of dental stains or discolorations to produce cosmetically pleasing results, darker stains, as well as specific issues involving the size, shape, and alignment of the teeth, are better addressed with porcelain veneers.
How a back tooth is repaired and restored depends on the extent of the cavity or damage it has sustained. In many cases, a tooth-colored filling is often sufficient to restore the form and function of a back tooth. However, when a significant amount of tooth structure is damaged, or the tooth has had a root canal, it’s often necessary to fabricate a full coverage crown. In this way, the remaining tooth structure is protected from further damage while full function and a natural- looking smile is restored.
Whether or not a chipped or fractured tooth requires a dental crown depends on the extent of the damage. Some minor chips can be addressed with a dental bonding procedure or a veneer. When a significant amount of tooth structure is lost, rebuilding the form and function of the involved tooth may require a full coverage crown.
While conventional dental bridges and dentures offer effective and satisfying ways to rebuild a complete and attractive smile, dental implants represent the most advanced solutions for replacing missing teeth. With dental implants, our office can replace a single tooth or multiple ones to give you a smile that feels, looks, and functions like a natural one. Dental implants behave in much the same way as the root of an actual tooth, providing stable, secure, and long-lasting results of care.
How long your teeth whitening lasts depends on your lifestyle. Eating, drinking, and smoking habits can have a big impact on maintaining your result. Our office will inform you which food, beverages, or habits can stain your newly whitened smile. As needed, we’ll also help you maintain a white and vibrant smile with a periodic, safe, and effective touch-up whitening procedure.
At the office of Edwin J. Coligado, DDS, we want every patient to enjoy the benefits of a beautiful and healthy smile. We strive to make dental care affordable and accessible. Improving the look of your smile is a worthwhile investment, and we always try to optimize any dental insurance benefits to cover your work. However, it’s essential to keep in mind that cosmetic dental procedures may not be covered by your plan. You can count on our office to explain every cosmetic option available to address your needs and the fees involved. To help you begin care without any additional stress or day, we can discuss different payment options and financing plans.
A beautiful smile begins today. For more information on our office or to schedule an appointment for a cosmetic smile makeover consultation, give us a call today.
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 Edwin J. Coligado, DDS, 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.
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:
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 Edwin J. Coligado, DDS 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!
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.
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.
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 Edwin J. Coligado, DDS, 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.
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 Edwin J. Coligado, DDS, 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.
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.
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.
Your new bridge is customized to the exact specifications of your smile. Before cementing to the underlying teeth or affixing it to the supporting implants, the shade, occlusion, and all aspects of its fit get carefully checked. In addition to being designed to blend seamlessly with your smile, it's also made to suit your bite and withstand all manner of oral function. We take great care to make sure your new restoration looks great, fits well, and that your bite feels comfortable.
Replacing missing teeth with a dental bridge is a worthwhile investment in the look, health, and function of your smile. While many dental insurances offer coverage for a dental bridge, and some toward the cost of implants, the benefits and amounts can vary significantly from plan to plan. At the office of Edwin J. Coligado, DDS, we understand the financial considerations involved in care and do all we can to help patients begin treatment without any additional stress or delay. In addition to doing our best to optimize your dental benefits, we also offer several payment and financing options. Feel free to contact our office if you have any questions on the cost of care, dental insurances, financing plans, or acceptable forms of payment.
Now that your new permanent crown or bridge is in place, it's essential to maintain good oral hygiene. With proper care, your new restorations will last for years to come. Make sure to brush and floss as instructed. We'll show you how to floss under your dental bridge to keep your new smile clean and bright. Remember to make appointments for your routine checkups and professional cleanings.
The standard answer is that with routine dental visits and good home care, a bridge can last ten to fifteen years, and in many cases, much longer.
At the office of Edwin J. Coligado, DDS, we fabricate your bridge from the highest quality dental materials to achieve the most cosmetically pleasing and lifelike results of care. It's also customized to the exact specifications of your smile and designed for optimal aesthetics, strength, and stability. Once fabricated and cemented into place, you'll feel confident sharing your smile, speaking, and eating your favorite foods.
As your trusted partner in care, we analyze every aspect of your smile to develop a treatment plan that provides aesthetically pleasing, healthy, and long-lasting results of care.
For more information on dental bridges, or any services we provide, give us a call today.
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 Edwin J. Coligado, DDS, 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.
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.
At the office of Edwin J. Coligado, DDS, 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.
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.
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.
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.
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, 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.
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.
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 Edwin J. Coligado, DDS, 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 Edwin J. Coligado, DDS 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.
At the office of Edwin J. Coligado, DDS, 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.
If the pleasure of eating a delicious bowl of ice cream or sipping a soothing cup of tea gets overshadowed by dental pain that makes you wince; it's time to contact our office. As skilled providers of care, we'll determine what's causing your discomfort and perform the treatment required to alleviate your symptoms and get you back on the road to oral health.
Cavities develop because of an infectious process that causes progressive damage to tooth structure. Despite starting as a pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay progressively compromises more and more healthy tooth structure as it works its way to the inner layers of your tooth.
Yes, you can still develop tooth decay on other surfaces of the tooth, around the margins of an old filling, or in fewer instances, recurrent decay underneath it. For this reason, it's essential to maintain excellent oral hygiene, a diet low in sugary beverages and sweets, and be sure to visit our office for routine checkups and care. While tooth decay is second only to the common cold in frequency, it's almost entirely preventable.
We value the time and comfort of our patients. If cavities are located on adjacent teeth, or in the same section of your smile, it may be possible to treat more than one tooth during your visit. However, how much is done each visit depends on several factors. We keep our patients well informed and tailor every treatment plan and visit to address their unique needs.
Addressing concerns on the presence of elemental mercury in silver fillings, the American Dental Association (ADA), The Center for Disease Control and Prevention (CDC), the FDA, and the World Health Organization have all stated that amalgam restorations do not pose a risk to health. However, individuals with allergies or sensitivities to the metals in dental amalgam are advised to pursue other restorative options.
Dental fillings are performed under local anesthesia to help ensure your comfort throughout the entire procedure. The involved tooth remains completely numb for the extent of your visit. Within one or two hours after the procedure is completed, the local anesthetic will gradually wear off, and normal sensations return.
A tooth-colored composite filling is fully hardened and set by the end of your visit. However, we may advise you to wait a couple of hours until the local anesthesia has completely worn off. This advice is to help ensure you don't accidentally bite your lip, cheek, or tongue while still numb.
The lifetime of a dental filling varies depending on the type of material used. While popular dental materials can last a decade or more with proper care, they can degrade over time, wear down, or even break. When this happens, you may experience some tooth sensitivity, a jagged edge, or a loose or dislodged piece of filling material. Whatever the case may be, it's essential to get the filling replaced before the tooth sustains further damage or other consequences arise. Beyond taking good care of your smile we can help ensure the longevity of your fillings, our office regularly checks the status of your existing fillings as part of a routine checkup exam.
Dental fillings are an essential investment that serves to preserve and protect the health of your smile. With that said, how much a filling costs depends on the number of surfaces of the tooth involved and the filling material that is used. Amalgam restorations are the most economical. While tooth-colored composite fillings have a slightly higher cost, they offer the added benefits of being metal-free and much more aesthetically pleasing. Ceramic fillings, inlays, and onlays are more expensive than the preceding options but provide outstanding, long-lasting, and natural-looking results.
Dental insurances typically cover the cost of dental fillings. While we work with you to maximize your insurance benefits, there may still be an out-of-pocket expense. At the office of Edwin J. Coligado, DDS, we strive to help you begin care without any additional financial stress or delay.
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 Edwin J. Coligado, DDS, 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.
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 Edwin J. Coligado, DDS offer an effective and satisfying solution for reestablishing a complete smile.
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.
You can rest assured that rebuilding your smile is in the best of hands at the office of Edwin J. Coligado, DDS. 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, 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.
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.
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.
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.
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.
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 Edwin J. Coligado, DDS, 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.
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 Edwin J. Coligado, DDS, 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.
At the office of Edwin J. Coligado, DDS, 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).
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.
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.
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 Edwin J. Coligado, DDS, 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.
Today, it’s easier than ever to replace missing teeth and achieve natural-looking, durable, and long-lasting results! Depending a patient’s dental needs, lifestyle, expectations of care, and budget, choices can include conventional fixed bridgework, dental implants, or removable partial and complete dentures. At the office of Edwin J. Coligado, DDS, we’ll discuss all your options in care and answer all your questions as you choose the solution that’s right for you.
With advances in dental materials and technology, today’s dentures are more comfortable and realistic-looking than ever before.
Whether you wear partial or complete dentures, it’s essential to see the dentist for routine care. Besides checking the fit and condition of your dentures and making any necessary adjustments, you’ll also receive a comprehensive exam to check on the health of any remaining teeth as well the soft and hard tissues in and around the oral cavity.
A same-day denture offers an accelerated design and fabrication process that allows a patient to go from impression taking to denture insertion in a single day.
For patients who don’t want to wait after having teeth extracted, an immediate denture can be inserted the same day your teeth are removed. Sometime later you may need the denture reline to address any changes in its fit once the extraction sites have completely healed.
While no one wants to drop or break a partial or complete denture, accidents do happen. The good news is that in some cases, your partial or complete denture is reparable. It all depends on the extent of the damage. Don’t hesitate to contact our office if you’ve broken or damaged your denture. We’re happy to help.
The simple act of taking your partial denture in and out can cause certain types of metal clasps to loosen over time. When you come in for your checkup visit or contact our office for an adjustment, we’ll assess the fit of your partial and tighten the clasps for improved stability and comfort.
While rebuilding a complete smile is a worthwhile investment, our office is sensitive to the costs involved in dental care. We customized care and will discuss which treatment options address your needs, lifestyle, and budget. How much a new denture will cost depends on the type of the prosthesis, its design, and the materials used to fabricate the supportive base, teeth, and clasps or precision attachments. Dentures that include the placement of dental implants for added retention and stability typically involve additional costs.
If you have dental insurance, your coverage may include a new or replacement set of dentures. Our staff is happy to review your coverage with you to ensure you are maximizing your insurance benefits while minimizing any out of pocket expenses.
At the office of Edwin J. Coligado, DDS, we provide an extensive range of dental services, including the latest and most effective methods to help patients with missing teeth rebuild complete and beautiful smiles. As skilled and experienced professionals, we recognize that every patient is different, and every smile is unique. We’re passionate about what we do and take great pride in providing personalized treatment plans while treating our patients as valued partners in care.
Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). However, as you age, sunlight and other factors can reduce the amount of HA in your skin. This lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. Using a dermal filler is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds. It is a simple way to restore a more youthful and vibrant appearance.
Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.
An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.
At the office of Edwin J. Coligado, DDS, 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.
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.
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.
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."
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.
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.
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.
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.
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.
If you have been given a prescription for antibiotics, be sure to take the correct dosage and full course of medication as prescribed.
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.
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.
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.
Smoking not only prevents clot formation, but it also interferes with healing. Avoid smoking and tobacco products for the first week.
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.
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.
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.
You deserve quality care that's personalized to meet your individual needs, and at the office of Edwin J. Coligado, DDS, 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.
The most common reasons for tooth loss include advanced periodontal disease, extensive tooth decay, and facial trauma. According to statistics, gum disease is responsible for close to 70% of tooth loss in adults. Although less frequent than the preceding three reasons, it should also be noted that specific diseases, drugs, smoking, and poor nutrition contribute to the risk of tooth loss.
The Centers for Disease Control and Prevention report that in the United States, an average of 12 teeth (including the wisdom teeth) are lost by the age of 50. Also, 26% of adults between 65 and 74 years of age have lost all their teeth.
Every patient and every situation is different. However, when a tooth and the surrounding tissues are numbed with a local anesthetic, you should only expect to feel a bit of pressure, but no pain as the tooth is being loosened from the surrounding tissues and extracted. For patients who are apprehensive and for some surgical extractions, our office will discuss our options in dental sedation to provide further relaxation and reduce any sense of discomfort.
While it's normal to feel some tenderness and swelling following an extraction, the degree of these sensations can vary. It mostly depends on the complexity of the extraction and the body's response to the procedure. We'll recommend or prescribe the appropriate pain medication to help ensure your comfort and give you specific instructions for maximum effectiveness and safety.
Typically, the recovery period following a simple extraction is shorter than a surgical extraction. However, a patient's overall health, habits, and the size and location of the tooth, and other variables can influence recovery and healing. To speed up the recovery and avoid any complications, patients must follow the given at-home instructions diligently. We'll carefully review what to expect following your procedure and go over your post-op instructions.
Smoking interferes with blood clot formation, which is an essential first step in the healing process. Blot clot formation not only provides a protective layer to cover the underlying exposed bone and nerve endings, but it also supports the growth of new tissue. Cigarette smoke also contains chemical toxins that can disrupt the healing process and lead to problems such as continued inflammation, infection, or dry socket.
In a very small percentage of cases, a condition known as dry socket can develop in the aftermath of a dental extraction. This painful condition can arise when the blood clot in the extraction site doesn't form properly or gets dislodged. With dry socket, you may experience throbbing pain and symptoms such as bad breath and an unpleasant taste in your mouth. As skilled providers of care, our office will provide immediate treatment to alleviate your discomfort and promote healing.
The last teeth in your mouth to develop, wisdom teeth often do not have enough room to fully erupt or may be positioned in the wrong direction. These issues can affect your dental health as well as overall wellbeing. While some individuals never develop all their wisdom teeth, and a few have sufficient space for them, there are many people with partially or fully impacted third molars. Our office will monitor the development, position, and health of your wisdom teeth and will advise you if and when extractions are indicated.
After a tooth is removed, bone-grafting material is sometimes placed in the socket to promote healing and encourage new bone development. This procedure is often performed to support the eventual and successful placement of a dental implant.
At the office of Edwin J. Coligado, DDS, we strive to make dental care affordable and accessible. Depending on the type or complexity of the extraction and other variables, the cost of the procedure can vary. Based on our diagnostic findings, our office will inform you of the healthiest choices in care, explain the fees, discuss insurance coverage, and explain your payment options.
Many dental plans offer some level of coverage for tooth extractions. We'll advise you if your plan covers the full cost of the procedure and if there is any out-of-pocket expense. Our business office will work with you to maximize your insurance benefits as much as possible while helping you minimize any out-of-pocket expenses.
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 Edwin J. Coligado, DDS can help. We provide state-of-the-art care and offer the latest solutions to help patients reestablish complete, healthy, and beautiful smiles.
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 Edwin J. Coligado, DDS to learn more about dental implants and all the state-of-the-art services we provide. At the office of Edwin J. Coligado, DDS, we take pride in creating beautiful and healthy smiles!
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 Edwin J. Coligado, DDS, 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.
Dental implants are small, biocompatible surgical posts that behave in much the same way as the roots of natural teeth. Once placed and integrated with the surrounding bone, dental implants provide unparalleled support for single crowns, bridges, and dentures. As the most advanced method for the replacement of missing teeth, they offer satisfying, long-lasting, and functional solutions for rebuilding a complete smile.
Whether you're missing one tooth, multiple ones, or missing all your teeth, you can rebuild a complete and beautiful smile with dental implants! According to statistics, roughly 3 million people have already received dental implants, with that number increasing at a staggering rate of 500,000 per year! The soaring popularity of dental implants is attributed, in large part, to the numerous benefits they offer as compared with other methods of care.
While conventional fixed bridges and dentures provide effective and satisfying solutions for the replacement of missing teeth, dental implants offer several advantages over traditional methods of care:
Dental implants come the closest to replicating the look, feel, and function of natural teeth.
With precise placement, good oral hygiene, and routine care, dental implants can last for many years.
Dental implants provide continued stimulation to the underlying bone to prevent the bone loss that occurs when teeth are missing while preserving natural facial contours.
Since implants behave like natural teeth, there is no chance that they will slip or dislodge like removable dentures when speaking or eating.
With dental implants, it is possible to speak with ease as well as eat and taste all types of food with virtually no restrictions.
Dental implants do not decay and will not develop cavities.
Unlike a fixed bridge, dental implants do not require any preparation or crowning of teeth adjacent to the edentulous area.
If you are wondering if you're a candidate for dental implants, it's easy enough to find out. At the office of Edwin J. Coligado, DDS, we're not only happy to take a look at your smile, but we'll also answer all your questions and explain your best options in care. As the most versatile solution for reestablishing a complete smile, dental implants offer a wide range of applications and can be used to replace a single tooth, multiple teeth, or all of the upper and lower teeth.
Rest assured that your care is in skilled and capable hands. You can count on our office for the best solutions for your smile. We treat every smile as unique and develop personalized treatment plans based upon your medical and dental histories, as well as your current oral health, cosmetic expectations of care, lifestyle, and budget.
It's essential to plan and meticulously execute every step in care, from initial treatment planning and the precise placement of dental implants all the way to the design, fabrication, and insertion of the final crowns, bridges, or dentures.
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. 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 your dental implant procedure, we'll discuss your dental anesthesia, options in dental sedation, and provide detailed pre-op and post-op care instructions.
Once your dental implant is placed, it can take a few months for it to fully integrate with the surrounding bone. While in some cases, a same-day temporary crown or bridge can be placed to provide an immediate and cosmetically pleasing look, permanent prostheses are typically placed when healing and osseointegration (fusion) with the surrounding bone are completed.
According to clinical studies, dental implants have a demonstrated long-term success rate of well over 95%. However, the long-term stability and success of a dental implant depend upon the presence of sufficient bone at the time of placement. In cases of periodontal disease or following the extraction of a tooth, bone volume is often lost. By placing a bone graft in the extraction site, or prior to the placement of a dental implant, we can establish sufficient bone support for a sturdy and stable dental implant.
While rebuilding a complete smile with dental implants is a worthwhile investment, our office is sensitive to the costs involved in dental care. We customize care and will discuss all treatment options that address your oral healthcare needs, cosmetic goals, and budget. Our office is dedicated to making care more accessible and will help patients navigate their dental insurance coverage and optimize their benefits. We can also discuss payment plans as well as financing treatment to make things easier for you. Feel free to contact our team with all your questions regarding methods of payment and financing options.
Even if you've lost a back tooth that no one sees, it's essential to replace it. Missing teeth do more than cause embarrassing gaps in your smile. In addition to affecting your ability to chew and speak, missing teeth can also cause gradual changes to 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 can begin to sag, creating a more haggard look over time.
In addition to representing the most advanced solution for the replacement of missing teeth, dental implants are also the most versatile. While an individual implant supports a crown to replace a single tooth, additional implants can also be placed to replace multiple teeth. Even if you're missing all your upper or lower teeth, dental implants can be used to reestablish a complete and beautiful smile.
Dental implants can help people who wear full dentures in multiple ways. For one thing, dental implants offer an alternative to full dentures. Because strategically placed dental implants can support a full arch dental bridge, you can enjoy the benefits of a fixed, non-removable, stable, and natural-looking solution for your smile.
Another way dental implants can benefit someone who wears full dentures, is by providing the denture with added stability and retention. Specialized dental implants offer an attachment point for a full denture so that you no longer need denture adhesives to prevent uncomfortable and embarrassing slippage.
Just like a new hip or new knee, dental implants are fabricated from the highest quality of medical-grade biocompatible materials. While most dental implants are made of titanium, some are fabricated from zirconia. Both titanium and zirconia are biocompatible materials, which integrate well with the hard and soft tissues in the jaw.
Dental implants behave in much the same way as the roots of natural teeth and are designed to support both individual dental crowns and bridges to rebuild a complete smile. Just how aesthetically pleasing and naturally beautiful your dental implant restorations look depends in large part on the artistry and skill of the professionals providing your care.
At the office of Edwin J. Coligado, DDS, you can feel confident sharing your new smile with the world. Every implant restoration that we fabricate is made from the most cosmetically pleasing, safe, and durable dental materials. Not only will your new teeth blend seamlessly with your smile, but the size, shape, and color will be selected for optimal facial aesthetics and harmony.
Taking care of your dental implants requires the same diligence it takes to care for a natural smile. An effective oral hygiene regimen that includes brushing twice a day and flossing combined with healthy oral habits, good nutrition, and routine dental care are the best steps you can take to maintain your new smile. Although dental implants do not get cavities, it's essential to keep in mind that you can still develop periodontal problems, compromising the success and longevity of your dental implants.
As your trusted partner in care, we remain dedicated to your ongoing oral health. We'll provide you with ample instruction in the best methods for taking care of your oral health and new smile.
Dental implants enjoy the highest success rate of any implanted medical prosthesis. However, their longevity depends on a number of factors. Enjoying the benefits of dental implants in the long term relies upon skilled placement, adequate bone volume at the time of placement, and the level of ongoing oral care. With proper care, well-planned and well-placed dental implants will serve you well for many years to come.
As skilled and experienced providers of care, our office values patient input, and a member of our team is always on hand to address all your questions and concerns. We firmly believe that achieving the best treatment outcomes depends upon successful partnerships in care. We strive to provide the best solutions for your smile while making treatment more comfortable, accessible, and affordable. We tailor care and meticulously treatment plan cases to address the unique requirements of every smile. With dental implants from our office, you can once again enjoy all your favorite foods and feel more confident in all your social and professional interactions.
If you are interested in hearing more about dental implants and whether they offer the right solution for your smile, give us a call today. We're happy to explain all your options in care.
An innovative, discreet, and effective system of care, Invisalign® treatment offers a cosmetic way to align your smile with minimal interference to daily activities using a series of clear aligners.
With aligners that are practically invisible, only you will know that you're undergoing orthodontic care! Invisalign may, in most cases, eliminate the need for unsightly, uncomfortable, unattractive bands and wires. Whether you are a teenager who needs braces to correct a malocclusion or an adult who would like to straighten out some crooked teeth, Invisalign may well be the answer for you!
Invisalign utilizes 3-D computer imaging technology to correct problematic bites or malocclusions by planning a complete sequence of custom-made clear aligners. This series of clear aligners incrementally move the teeth into place until the final desired corrections are reached.
As pioneers in the field of aligner development and technology, the folks at Align Technology, Inc. gather data from millions of treated smiles to design treatment systems that:
Custom-made to the exact specifications of your smile, Invisalign clear aligners are designed to incrementally move your teeth into their correct positions over time. Simply swap-out last week's aligner for the next one in the series and watch as your smile progressively shows signs of improvement.
And, because Invisalign clear aligners are removable for short periods of time, as opposed to traditional braces, you can still enjoy the foods you love as well as brush and floss your teeth with ease!
Whether you are a teen who needs braces or an adult who yearns to "fix" their smile, Invisalign clear aligners may be the perfect solution for you! Contact our office for more information and to schedule a consultation for care.
Your doctor will examine your teeth and show you what Invisalign treatment can do for you.
Start with a fast, precise digital scan. Then your doctor will map out a custom treatment plan just for you. You will even get a preview of your smile.
Your clear aligners are created using industry leading technology based on your customized treatment. Your aligners are created with comfort in mind.
From the first day of treatment to the last, you're never on your own — your doctor will be with you every step of your way.
*Invisalign is a registered trademark of Align Technology, Inc.
There are many options for patients who want to avoid metal braces! The most popular alternative orthodontic treatment is Invisalign®, which are clear plastic aligners designed to straighten teeth. After an examination of your teeth, your dentist will determine which option is best suited to your wants and needs.
According to the Invisalign® website, the cost for treatment is approximately the same as the cost for metal braces. A portion of this cost may be covered by your insurance. Please call Edwin J. Coligado, DDS to set up a consultation and discuss potential payment plan options.
The first step is to schedule a consultation with your doctor, so they can devise a treatment plan that is best suited to your individual dental needs. Once approved, you will receive your first set of aligners. Your doctor will then regularly monitor the movement of your teeth and new aligners will be ordered according to the progress made in your treatment plan.
Invisalign® aligners are made of clear, flexible plastic. The company received a patent for this material – SmartTrack® – to be used exclusively for Invisalign treatment purposes. These aligners are FDA approved and nearly invisible!
Your doctor will give you an estimate regarding how long your Invisalign® treatment should take, which will depend on your specific needs. The average length of time for treatment is approximately 12-18 months. However, some patients may see results far sooner. Remember to wear your aligners exactly as instructed by your doctor to obtain the best results.
Your doctor will most likely recommend that you wear retainers following your Invisalign® treatment. This is a precaution that will prevent your teeth from shifting back to their original positioning. It is important to follow your doctor's instructions exactly to ensure long-lasting results.
You must wear your aligners for up to 22 hours daily. You may remove them for eating, drinking and regular oral hygiene.
No. Unlike braces, you may eat whatever you like as long as you remove the aligners before eating. Prior to placing the aligners back on, it is important to brush your teeth and the aligners after you eat.
Like any orthodontic treatment, there is a short adjustment period. The more you speak with the aligners on, the quicker you will adjust.
There will be some pressure and minor discomfort for a day or two after each initial insertion. This is a sign that your teeth are moving sequentially into their final position.
It is recommended that you remove your aligners prior to chewing gum as the gum will stick to the aligners.
We discourage smoking with aligners as the cigarette smoke will tend to discolor them.
Brushing them with toothpaste will keep them fresh and clean.
Regular office visits are every five to six weeks. This will ensure that your Invisalign treatment is progressing as planned.
All orthodontic patients are instructed to wear their retainers at night indefinitely. Sleeping with your retainers in at night will ensure a healthy bite and maintain the new position of your teeth.
Treatment time varies depending on the severity of the misaligned teeth. Treatment time can be shorter than traditional braces, between six and 18 months.
Yes, if their teeth, including second molars, have grown in completely.
Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). However, as you age, sunlight and other factors can reduce the amount of HA in your skin. This lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth. Using a dermal filler such as Juvederm® is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds. It is a simple way to restore a more youthful and vibrant appearance.
One of the significant advances in modern dentistry has been the development of dental laser technology. Today, dental lasers are being increasingly used to treat tooth decay, periodontal disease, perform biopsies or the removal of oral lesions, to cure restorative (filling) materials, as well as to activate in-office teeth whitening systems.
Dental lasers combine laser energy with water and air to safely cut and shape target soft or hard tissues in the mouth. Laser energy precisely cuts through tooth structure by exciting the water molecules in the tooth. It operates without direct contact to the tooth without heat, vibration, or pressure thereby minimizing the discomfort of the procedure and the need for dental anesthesia. In addition dental lasers can reduce anxiety for patients fearful of dental work, minimize post-operative bleeding and swelling, and preserve healthy tooth structure during the removal of decay.
While dental lasers may be an excellent treatment option in some situations, they cannot be used for every dental procedure.
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.
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 Edwin J. Coligado, DDS, 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.
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
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 Edwin J. Coligado, DDS, 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.
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.
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.
At the office of Edwin J. Coligado, DDS, 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.
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.
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.
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.
Most people don’t realize that periodontal disease is the leading cause of tooth loss among adults. 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.
You may be surprised to learn that the human mouth is home to a wide variety of microbes. The fact is that over 700 different strains of bacteria have been detected in the oral cavity. Although some of these bacteria are beneficial, others are harmful to oral health. Without proper oral hygiene and routine dental care, these harmful bacteria can cause tooth decay and gum disease, compromising both your oral health and overall wellbeing.
In addition to inadequate oral hygiene and infrequent professional care, other factors, including smoking, genetic tendencies, and unchecked diabetes, can contribute to the escalation of periodontal disease.
Your gums and teeth have an interdependent relationship, which means healthy teeth depend on the support of healthy gums. Also, 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, respiratory problems, and adverse pregnancy outcomes such as pre-term and low birth-weight babies.
If you notice that your gums are bleeding with the slightest pressure while brushing or flossing, it’s a sign of gingivitis. Although gingivitis is the earliest stage of gum disease, it can easily be reversed with deeper cleanings as well as an improved regimen of oral hygiene at home.
In the absence of professional treatment and better home care, gingivitis progresses to the next stage, which is known as periodontitis. In this stage, the connective tissue and bone that hold the teeth in place begin to break down with an increase in pocketing between the teeth and bone, gum recession, and bone loss. Without proper treatment by your dentist, periodontitis will progress from a mild to moderate loss of supporting tissue to the destruction of the bone around the teeth.
Although gingivitis can often be reversed with improved oral hygiene and professional cleanings, as periodontal disease advances, more extensive procedures are required to halt its progression. Based on a complete assessment of your periodontal health and a review of possible contributing factors, our office will recommend the best options in care. Treatment for periodontitis may include a series of deeper cleanings known as root planing and scaling, surgical procedures to reduce pocket depth, bone or tissue grafts, laser procedures, or antimicrobial medications.
The cost of care depends on the type of procedures required to restore your periodontal health. If you have dental insurance, plans often cover treatment to prevent gum disease as well as many procedures to treat the various stages of gum disease. Our goal is to help patients restore and maintain good oral health. We do all we can to help you begin care without additional stress or delay. Our business office works with you to maximize your benefits and provide easier, more convenient payment options.
By seeing our office regularly for care and doing your best to eat a healthy diet and practice good oral hygiene, you can keep your smile in tip-top shape as well as protect your overall wellbeing.
At the office of Edwin J. Coligado, DDS, we provide a comprehensive range of services to address all your oral healthcare needs. You can rest assured that your smile is in the best of hands at our office. Our skilled and experienced team maintains a position at the forefront of advances in care and remains dedicated to providing the highest quality of skilled and compassionate treatment.
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 Edwin J. Coligado, DDS, 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.
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.
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:
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.
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.
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.
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.
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 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.
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.
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.
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.
At the office of Edwin J. Coligado, DDS, 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:
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.
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.
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.
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.
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.
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 Edwin J. Coligado, DDS, 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.
A root canal procedure is the best way to save a tooth that has been damaged by decay or injury and preserve your natural smile. The alternative is an extraction and treatment to replace the tooth. While at times a tooth is non-restorable and an extraction is the only option, when possible, it’s best to try and save your natural tooth. With proper care, a tooth with root canal therapy care can serve your smile well for many years to come.
Despite lingering myths from before the age of modern dental anesthesia and technology, having a root canal procedure today is as routine and comfortable as visiting the dentist for a filling. While the procedure is performed under local anesthesia with your tooth completely numbed, we can also discuss options in dental sedation.
Whether the symptoms of a dental infection subside after a course of antibiotics, a draining abscess provides you with some temporary pain relief, or a tooth with radiographic evidence of pathology has not yet developed symptoms, it’s essential, before an infection worsens or occurs, to have a root canal procedure performed. In this way, the tooth can be disinfected, filled, and sealed to protect your health and avoid further problems.
If you have sustained a dental injury, have a toothache, jaw pain, swelling, or are experiencing any other unusual and uncomfortable oral symptoms, contact our office immediately for care. Dental problems that have not been evaluated and treated can significantly worsen, producing more severe damage and consequences for the involved teeth, your oral health, and even your overall wellbeing. Once you get in touch with our office, our friendly and compassionate office team will get you in for care at your earliest convenience.
While some root canal procedures can be completed in one visit, others may involve 2 or 3 appointments. How long it takes depends on various factors, including active infection, the number of canals in the tooth, and the tooth’s location or anatomy.
With a success rate that exceeds 95%, root canal therapy remains the most effective procedure to save a tooth in which the inner vital tissues have been damaged. However, as with all healthcare procedures, there are a small percentage of cases where the teeth become symptomatic a second time. The good news is that many of these teeth can still be saved with root canal retreatment or a minor surgical procedure known as an apicoectomy.
The best ways to maintain a tooth with root canal therapy are to get the proper restoration required to rebuild and protect the tooth, maintain proper oral hygiene, and schedule appointments for routine dental checkups and care.
Saving a tooth with root canal therapy is a wise investment that, in the long run, is typically less costly and invasive than having the tooth extracted and replaced with a fixed bridge or implant. As far as the exact cost of care, it can vary depending on which tooth is being treated. Many dental insurance plans provide coverage for root canal therapy. At the office of Edwin J. Coligado, DDS, we do our best to optimize your dental benefits and minimize your out-of-pocket expenses. Our staff answer all your questions about the cost of care and discuss all your payment options.
At the office of Edwin J. Coligado, DDS, we use the latest technology and most effective methods of care to provide precise and gentle care. Our reputation for excellence is based upon a consistent record of achieving successful treatment outcomes while providing prompt, stress-free, and convenient treatment for every type of dental need.
Dental anxiety affects an estimated 30 to 40 million people in the United States. If you are among the many who struggle with fear or anxiety when it comes time to visit the dentist, the office of Edwin J. Coligado, DDS can help. We're dedicated to our patients' care and comfort. We offer safe, controlled sedation techniques to alleviate anxiety and make it easier and less stressful to maintain excellent oral health.
If you have dental anxiety or dental phobia, you may find yourself skipping checkups as well as avoiding getting the care you need. However, letting fear get in the way of dental treatment not only takes a toll on your oral health but can also affect your overall well-being. The good news is that sedation dentistry enables anxious patients and those who have difficulty sitting for treatment the benefits of maintaining optimal oral health. By creating a deep sense of calm and relaxation, dental sedation helps ease any fears and apprehension associated with care.
Don't let fear get in the way of maintaining a healthy, beautiful smile any longer! As skilled and compassionate providers of care, we'll explain the types of dental sedation we offer and answer all your questions throughout the course of treatment. In addition to helping you feel completely at ease, sedation typically makes a lengthy procedure feel like it's over in just a few minutes. Although you'll feel fully relaxed while sedated, you'll still be able to respond to verbal cues from our dentist. You merely won't feel bothered at all by the moment-to-moment details of treatment. We'll inform you if the type of sedation you're receiving requires someone to accompany you to the office and home following treatment.
At the office of Edwin J. Coligado, DDS, we're dedicated to providing the highest quality of skilled and compassionate care. For more information on our office and the many services we provide, give us a call today.
Sedation dentistry offers individuals with general anxiety about going to the dentist or fears about a specific dental procedure the opportunity to have a stress free and more comfortable experience. By utilizing safe and controlled sedation techniques before a dental procedure, the patient is eased into a state of complete relaxation. This step eliminates any discomfort, pain, and preoperative anxiety that may be associated with a particular dental visit. With sedation dentistry, patients typically feel more at ease post-operatively as they have little or no memory of the actual moment-to-moment dental procedure.
At the office of Edwin J. Coligado, DDS, we are committed to creating a comfortable and caring environment for our patients. While we always use a local anesthetic to thoroughly numb the treatment area so that patients do not feel any discomfort, some individuals may feel they need an additional option to reduce their anxiety and have a more relaxed experience. For these patients who are apprehensive about dental work or a particular procedure, we'll discuss safe and effective options in dental sedation.
While the reasons for choosing dental sedation can vary, some of the more common explanations include the following:
Dental phobia - Sedation dentistry offers an excellent solution for patients whose fear of seeing the dentist is so disabling that they are otherwise willing to forego care.
Anxiety about a particular procedure - Sedation dentistry offers patients who feel anxious about specific procedures a more positive and stress-free treatment experience.
Extensive dental work - When extensive dental work requires patients to sit in the chair with their mouths open for long visits, sedation dentistry can help ensure greater comfort while making time seem to pass more quickly. Sedation dentistry also offers patients who cannot make multiple trips for care the option of getting more work done over fewer visits.
Powerful gag reflex - For patients with a strong gag reflex, it can be as uncomfortable for the patient to tolerate care as it is difficult for the dentist to provide it. With sedation, the patient is comfortable, more relaxed, and can tolerate treatment without gagging.
Sensitive teeth and gums – Even if the work does not involve a particular tooth or area of the mouth, for patients with hypersensitive teeth and gums, getting dental treatment with instruments, suction, a water spray, and other stimuli can feel terribly uncomfortable. In these cases, dental sedation can help provide a much more comfortable treatment experience.
Difficulty sitting for dental work – In addition to dental anxiety, it may be difficult for some young children or patients with disabilities, special needs, cognitive impairment, or certain medical conditions to sit still for dental care. Dental sedation enables the delivery of care to provide routine treatment and alleviate dental problems to maintain optimal oral health.
At the office of Edwin J. Coligado, DDS, we provide skilled, experienced care that's tailored to the individual needs of each patient. Our dental team strives to make every visit to our office a positive and informative experience. Depending on a patient's specific needs and relevant medical history, we'll discuss the most appropriate method of dental sedation and the services our office provides.
It's essential to understand the difference between the methods of conscious sedation performed in a dental office and general anesthesia provided in a hospital setting. For most patients that choose or require dental sedation, conscious sedation will suffice.
With conscious sedation, a patient experiences greater comfort and relaxation during a dental procedure while remaining aware of verbal commands and responsive to specific stimuli. Breathing is unassisted and cardiovascular function remains stable. On the other hand, general anesthesia puts patients in a deep state of sleep where they are not responsive to stimuli. General anesthesia is reserved for patients who cannot tolerate the provision of care with any other form of sedation and is administered by an anesthesiologist in a hospital setting.
Every patient is unique. The method of conscious sedation selected depends on a patient's specific needs, relevant medical history, and the extent of required dental work.
While all types of conscious sedation allow the patient to relax and feel comfortable during a dental procedure, the level of sedation differs depending on which of the following methods is employed.
Commonly referred to as "laughing gas," nitrous oxide is used as a mild sedative to reduce anxiety and facilitate relaxation during dental procedures. It's inhaled through a small mask over the nose and administered for optimal safety in combination with oxygen. Used for the duration of a dental procedure, nitrous oxide gets turned off as work comes to an end. Once the laughing gas gets turn off, the effects wear off very quickly, and the patient returns to a state of complete awareness. Beyond addressing mild to moderate anxiety levels, inhalation sedation can help reduce gagging in patients with a strong gag reflex.
Oral sedation offers a relaxed and comfortable experience with little to no anxiety. With this method, patients are given a prescription for an oral medication before their appointment. When taken at the recommended time before their visit, this medication allows patients to feel entirely relaxed by the time their procedure begins. With oral sedation, a patient must have an escort on the day of the procedure to drive them to and from the dental office.
IV Sedation involves a sedative that is administered intravenously or directly into a vein. It is indicated when more profound sedation is required. This type of sedation starts to work very quickly and can get readily modified to regulate the patient's state of consciousness as well as continued for as long as the procedure requires.
IV Sedation requires an empty stomach. Patients receiving this type of sedation will be instructed how many hours in advance of their surgical procedure they should stop eating or drinking. In addition to this, patients receiving IV sedation will need to have an escort present for the appointment and on hand to drive them home when the visit is completed.
Sedation dentistry offers patients with general anxiety or fears about a dental procedure the opportunity to have a more comfortable and stress-free experience. By utilizing safe and controlled sedation techniques, the patient is eased into a state of complete relaxation before the procedure. This approach eliminates discomfort, pain, and preoperative anxiety and typically makes patients feel more at ease post-operatively, as they have little or no memory of the actual moment-to-moment procedure.
Local anesthesia involves an injection directly into or close to the area where a procedure is being performed. While it eliminates any sensation of pain in the targeted area, it does not affect your state of mind or level of anxiety. When a patient receives sedation, additional medications to ease anxiety and promote relaxation are employed in advance of local anesthesia. In this way, both the stress and discomfort associated with a procedure are eliminated. Sedation can be administered in various forms based upon patient needs and the dentist or dental anesthesiologist's recommendations.
Choosing the most appropriate sedation method for a procedure depends on a variety of factors such as a patient's medical history and their level of anxiety. Dental sedation can come in the form of nitrous oxide sedation, oral conscious sedation, and IV sedation. Certain patients receiving comprehensive treatment or undergoing a complicated surgical procedure may require general anesthesia in a hospital setting.
It's no secret that patients who feel at ease during dental visits are more likely to pursue the care they need. If you experience significant anxiety about trips to the dentist or a particular procedure, dental sedation offers a solution for keeping your smile in tip-top condition while experiencing a more relaxing and stress-free visit. At the office of Edwin J. Coligado, DDS, we're sensitive to our patients' needs and dedicated to ensuring their comfort. Based on your level of anxiety, your medical history, and the dental treatment that's required, we'll explain your options in dental sedation and help you select the safest method that's right for you.
Sedation dentistry offers a safe and effective way to provide the required dental care while reducing a patient's anxiety and ensuring optimal comfort. Before a type of dental sedation gets recommended, all factors, including a patient's medical history, level of anxiety, dental needs, and other relevant factors, are carefully reviewed. Every method of sedation is provided and supervised by a qualified, trained dentist or physician and administered in the appropriate setting.
Keep in mind that it's always wise to invest in your smile and prevent bigger and more costly problems down the road. While many insurance plans do not typically cover sedation dentistry, it may be approved if a patient has a disability or medical condition that makes it impossible to receive care otherwise. General anesthesia might also be covered when it's a medical necessity to have treatment.
It's always best to contact your insurance provider for clarification and an exact explanation of your dental benefits and coverage. At the office of Edwin J. Coligado, DDS, our goal is to help patients get the care they need without additional stress or delay. We're happy to answer all your financial questions and discuss all your options for getting the care you require.
At the office of Edwin J. Coligado, DDS, patient care and comfort are our top priorities. We take pride in offering a comprehensive range of advanced services while providing precise, gentle treatment and stress-free solutions for all of your dental healthcare needs. We're dedicated to providing the highest quality of skilled, compassionate care. You can feel confident that your smile is in the best of hands with us. To learn more about our office, or schedule an appointment to begin care, give us a call today.
Every year millions of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.
One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.
There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.
Improving the appearance of your smile can make a difference in your confidence and overall quality of life. At the office of Edwin J. Coligado, DDS, 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.
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.
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.
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.
Whitening products typically fall into one of two of the following categories:
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.
At the office of Edwin J. Coligado, DDS, 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.
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.
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.
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.
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.
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 Edwin J. Coligado, DDS, 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.
While an overwhelming selection of over-the-counter teeth whitening products is readily available for purchase at stores or online, it's imperative to keep in mind that the healthiest and most effective methods of care are those professionally supervised by your dentist. With a teeth whitening procedure provided by our office, we can safely, comfortably, and effectively transform your smile by up to several shades in a short amount of time.
Teeth whitening offers a simple and non-invasive to whiten and brighten your smile. Whitening products contain various strengths of biologically safe hydrogen peroxide or carbamide peroxide that act as bleaching agents on stained or discolored dental enamel. By breaking the stains into smaller pieces, these bleaching agents make the color less concentrated and your teeth brighter.
Every patient is different, and despite the fact that many people experience no sensitivity or pain with a professional teeth whitening, there are some that do. Although considered a minimally invasive cosmetic procedure, some temporary discomfort during and following the procedure may ensue. It helps to stick to room temperature beverages for a few days following a teeth whitening. You can also take over-the-counter pain medication as you would for a headache. If you have a history of sensitive teeth, we may select a gentler formulation of whitening products or an alternative procedure.
It's essential to keep in mind that every patient has unique needs and specific requirements of care. In general, individuals with yellow tones to their teeth respond best to teeth whitening. Brown and grayish tinted teeth bleach respond less well and may require significantly longer dentist-supervised tooth whitening regimens or alternative cosmetic treatments. Finally, teeth whitening may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.
For darkly stained teeth, a whitening procedure may not provide the cosmetic results desired. In these cases, we'll talk about alternative options such as porcelain veneers or full-coverage crowns.
Teeth whitening only works on natural teeth. The fact that whiteners do not affect the color of existing dental fillings, veneers, bonding, crowns, or bridges on the front teeth remains an important consideration when choosing the best cosmetic option in care.
As a rule, the healthiest and most effective methods of teeth whitening are the ones managed and supervised by your dentist. You can count on our office to provide the most effective, safest, and satisfying professional-strength options to whiten, brighten, and lighten your smile! Stay away from over-the-counter products, which may be overly abrasive or put the health of your teeth and the surrounding soft tissues at risk. While these products may work when healthy teeth and gums are present, they're often ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work are the case.
How long your teeth whitening lasts depends on your lifestyle. Your eating, drinking, and smoking habits can have a significant impact on maintaining your result. Of course, the best way to ensure that your smile stays healthy and beautiful is a good daily oral healthcare regimen, along with regular dental checkups and cleanings.
It's essential to keep in mind that as a cosmetic dental procedure, a teeth whitening may not be covered by your insurance plan. We understand the financial considerations involved in care and do our best to help you get the treatment you need without any additional stress or day. We offer several payment options and financing plans to make things easier.
At the office of Edwin J. Coligado, DDS, we want every patient to enjoy the benefits of a smile that is as beautiful as it is healthy. In addition to offering a comprehensive range of advanced services to keep your smile in tip-top health, we also provide leading-edge cosmetic solutions to transform less-than-perfect-looking teeth into ones that dazzle.
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.
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 Edwin J. Coligado, DDS, 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.
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.
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 Edwin J. Coligado, DDS, 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.
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.
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.
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.
Determining if a veneer is suitable or a full-coverage crown is required depends on the extent of the tooth's defects and the remaining amount of healthy tooth structure. For teeth with imperfections that cannot be remedied with a teeth whitening procedure, dental veneers often provide the desired cosmetic improvements. However, a significantly undersized, misshapen, chipped, or darkly stained tooth usually requires a full coverage crown.
Porcelain veneers are fabricated from the highest grade of dental ceramics, which reflect light in much the same way as the enamel of natural teeth. In addition to this feature, dental porcelain is resistant to stains and discolorations, keeping your smile white and vibrant for years to come.
Porcelain veneers are ultra-thin customized facings that become strong and durable once bonded to the underlying teeth. With proper hygiene and routine dental care, veneers provide a cosmetic solution that not only looks and feels completely natural but is also long lasting.
However, just as harmful oral habits can affect your natural teeth, they can also cause damage to your veneers. To prevent chipping, cracking, or dislodging a veneer, avoid nail biting, chewing on hard candies, ice, pens, or pencils, and opening bottles or other objects with your teeth. Also, remember to protect your smile on the playing field by wearing a properly fitted sports mouthguard.
Tooth grinding or bruxism is another important consideration in care. If you clench or grind your teeth, you may need to wear a night guard to help protect your new smile or discuss other options with our office.
As versatile as they are beautiful, dental veneers can be applied to a single tooth in need of cosmetic improvement or multiple front teeth to dramatically improve the look of your smile. Whatever the case may be, dental veneers provide highly satisfying results to create a smile; you'll feel confident sharing with the world.
Among the many benefits offered by dental veneers is their ability to mask a range of imperfections at once. In addition to covering stains or discolorations on the front surface of a tooth, the size and shape of a veneer can also be customize to improve the tooth's contours and dimensions. At the same time veneers create a whiter and more vibrant smile; they can also lengthen or widen a tooth, close minor gaps, and address other minor alignment issues.
The two most common types of veneers are porcelain veneers, also known as porcelain laminates, and composite veneers. Although porcelain veneers are the most commonly offered option in care, composite veneers fabricated directly on the tooth can also achieve excellent results. You may have also heard the term no-prep veneer. It refers to a type of porcelain veneer that requires little to no preparation of the underlying dental enamel. At your consultation visit, we'll discuss your best options in care.
Once they're in place, your veneers are also easy to care for and maintain. Simply by brushing, flossing, and visiting our office for periodic checkups, you can successfully protect and preserve your new and beautiful smile.
Although certain procedures that are considered cosmetic may not be covered by dental insurance, veneers remain a worthwhile investment in your smile. Based on the unique considerations of each case, we develop treatment plans that consider specific dental needs, cosmetic goals, and budget. Our experienced and friendly office staff can address all your insurance questions and review various payment and financing options.
At the office of Edwin J. Coligado, DDS, we value patient input and pay close attention to your treatment goals, concerns, and expectations in care. When it comes to cosmetic dentistry, we recognize that every smile is unique and never take a “one size fits all” approach to care. We utilize the most advanced diagnostic technology and treatment methods to assess your smile and to design your porcelain veneers for a precise fit and optimal aesthetics.
As experienced providers of care, we provide highly personalized treatment, combining state-of-the-art technology with an artistic touch to produce long-lasting and aesthetically pleasing results of care.