We will prescribe the type and frequency of cleaning or periodontal therapy you need based on your needs. To treat the areas above and below the gum line we offer three basic types of procedures:
Prophy: Patients diagnosed with a healthy mouth condition receive a prophylaxis or healthy mouth cleaning — the kind that most insurance companies cover. This procedure removes plaque on the teeth and at the gum line.
Full Mouth Debridement: A dental debridement is a procedure used to remove extensive plaque and tartar buildup – something that often happens when you haven’t had regular teeth cleanings in a while. Because of these thick deposits, it’s difficult for your dentist to gauge accurately whether tooth decay, gum disease or other problems are present and to what degree. A regular dental cleaning is great for removing minimal deposits but not aggressive enough to remove years and years of buildup.
Scaling & Root Planing (SRP): Patients diagnosed with active periodontal disease cannot benefit from a routine mouth cleaning because they require treatment above and below the gum line. These patients will have SRP, a non-surgical treatment that removes build-up, smooths out exposed root surfaces and usually includes the application of laser therapy or localized antibiotics. SRP often takes several visits to complete and ongoing periodontal maintenance is prescribed at regular intervals afterward.
A beautiful smile begins with a strong foundation of healthy gums. Early detection and treatment of periodontal disease can help most people to preserve their teeth for a lifetime. Dr. Milanez offers a comprehensive periodontal disease prevention and treatment program to protect your investment in enhancements such as crowns, bridges, partials, veneers and professional whitening.
Home Care Products
To help you maintain healthy teeth, gums and a bright, smile, Dr. Milanez offers a variety of professional home care products that can help you maintain good oral health in between office visits, including is a variety of toothbrushes, toothpastes, fluorides, teeth whitening and other oral health products.
A beautiful smile says a lot about a person wearing it. If you have major or minor imperfections that you’d like to correct, Dr. Milanez can help. We offer a variety of services to help improve the appearance of your smile. Some are simple and can be completed in a day; others may require several visits.
The quickest way to enhance the appearance of your smile and remove stains caused by food, beverages or medications is professional whitening. We offer in-office options that can whiten teeth up to 8 shades in 30 minutes. We also offer in-home options that whiten in either a three-day or two-week time frame, depending on the product selected. Getting a beautiful, white smile is less costly than you may think. We have a product to suit every budget.
Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth, while also providing strength and resilience comparable to natural tooth enamel. It is often the material of choice fro those looking to make slight position alterations, or to change tooth shape, size, and/or color.
Cosmetic bonding can correct chipped, broken, misshapen, discolored or gapped teeth. Dr. Milanez can apply a dental composite material that looks like enamel onto the surface of a tooth and sculpt it into shape before hardening it with a high-intensity light to bond it to your natural tooth. The result is a restoration that blends invisibly with the surrounding tooth structure to create a more attractive smile.
Phillips Zoom Whitening®
Your smile is the way you greet the world. While you have many options for whitening you teeth. your dental professional is your best resource for whitening treatments. Only dental professionals have access to the most effective, professional-strength whitening solutions and can ensure your treatment is safe.
We offer various treatment options as well as diagnostic, preventive, cosmetic and restorative services. Dr. Milanez will discuss the treatment options that are best suited to you.
Oral Cancer Screening
An important part of the comprehensive oral evaluation is the advanced oral cancer screening exam. Approximately 70% of the time, abnormal areas are not visible until they have reached an advanced stage. When found in the early stages, oral cancer treatment is quicker, and simpler and more than 90% successful.
A root canal is a common dental procedure that is performed when the tooth’s soft core or dental pulp is cleaned out, and the remaining space disinfected and filled. If a crack, abscess or disease has damaged the pulp, a root canal is performed.
A root canal requires one or more office visits and can be performed by a dentist or endodontist. An endodontist is a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the dental pulp or nerve of the tooth. The choice of which type of dentist to visit depends on the difficulty of the root canal procedure needed and the general dentist’s experience. Dr. Milanez will discuss who is best suited to perform the work in your particular case.
An extraction or tooth removal is required if a tooth is damaged beyond repair. Infection or severe tooth decay, crowding of teeth, periodontal disease and preparation for orthodontic treatment (braces) are other common reasons why an extraction may be required.
Dr. Milanez may recommend extracting impacted teeth that are only partially erupted. Bacteria can enter around a partially erupted tooth and cause infection, which can extend into the surrounding bone and become serious. Impacted teeth continue trying to break through the gum tissue even if there is not enough room to accommodate them. Removing a tooth that is impacted can often prevent infection, damage to adjacent teeth and bone, and prevent pain.
When a tooth is extracted or lost due to periodontal disease, the body no longer has use for the bone ridge around the socket and it begins to reabsorb or dissolve. This is similar to the atrophy that occurs when muscles go unused. We lose 40-60% of bone structure within the first couple years of an extraction or tooth loss.
Shrinking bone can make a smile unattractive and hinder a dentist’s ability to restore the lost tooth or teeth with properly fitting dentures or a dental implant.
Bone grafting helps restore the health and strength of the bone that supports teeth.
The dentist temporarily opens up the gums, filling the voids — including tooth sockets — with grafting material, then sutures the gums back in position
Over the course of 3-9 months, the body works to repair the grafted site and grows new soft tissue and bone that strengthens the area. Dental implants, crowns, bridges and dentures can be placed on the newly enhanced foundation if needed.
Crowns, Bridges & Implants
Dr. Milanez offers a number of options to restore teeth that have been damaged or lost. We offer a number of surgical and non-surgical options including crowns, bridges and dental implants. Dr. Milanez will advise you about the options that best meet your needs.
A crown is a type of dental restoration that covers an existing tooth and improves the appearance of your smile while strengthening your teeth. A crown can restore a tooth, cover badly shaped or discolored teeth, attach bridges, protect fractured teeth, attach to dental implants and improve the way your bite fits together.
A bridge is a dental restoration that consists of one or more prosthetic teeth that bridge the gap created by missing teeth. When teeth are lost and not replaced, the remaining teeth will shift to fill the empty space and can cause more problems. If you are missing one or more teeth, you are more susceptible to periodontal (gum) disease, bone loss, speech impediments, tooth decay and collapsed bites. A bridge can help prevent teeth from drifting in and out of position, prevent the loss of teeth, restore your smile, maintain the shape of your jaw line and alleviate stress on your bite.
Dentures & Partials
If you’ve lost some or all of your teeth, Dr. Milanez has options for you. It is important to replace missing teeth in order to maintain a healthy smile. If missing teeth are not replaced, remaining nearby teeth can shift and affect your bite as well as your ability to eat and speak clearly.
Without support from teeth, facial muscles can sag and make you look older. A denture or removable partial denture (partial) is often prescribed when a patient is missing multiple teeth and the surrounding teeth are healthy enough to support one.
A partial typically consists of prosthetic replacement teeth attached to gum-colored bases. Various methods and materials are available to attach them to your natural teeth. Partials are custom made in a dental laboratory to fit your mouth and match your gums, oral tissue and remaining teeth.
Crooked, crowded teeth are prime targets for tooth decay, gum disease and other health concerns. Poor jaw alignment often results in chipped, cracked and worn teeth, and may cause teeth to loosen. When left untreated, malocclusions, commonly referred to as a “bad bite,” may contribute to chronic headaches, face and neck pain.
Invisalign® clear aligners are a virtually invisible solution, so you can smile confidently both during treatment and after. Using a series of clear, removable aligners, Invisalign treatment gradually moves your teeth toward the smile you’ve always wanted. And, almost no one will know you’re wearing them unless you tell them.
Veneers can perfect your smile by masking stains, hiding chips, correcting misalignment, and creating uniformity. Veneers, which are made of thin, customized material designed to slide over the teeth, look incredibly natural, are long lasting, and are relatively easy to apply.