GOLDEN OAK DENTAL GROUP
Mitra E. Simanian D.D.S
Implant and Cosmetic Dentist
Mitra E. Simanian D.D.S
Implant and Cosmetic Dentist
Examinations - Your dental health will be monitored by our doctors and staff with thorough, comprehensive examinations. You will receive periodic x-rays as needed, visual examination, gum (periodontal) evaluation and an oral cancer screening. In addition, your jaw joints (TMJ), bite (occlusion) and any of your concerns will be checked.
Routine Cleanings - You'll be treated with gentle care by our hygienists when receiving your periodic teeth cleanings. The health of your gums and teeth will be monitored and any problems addressed and treated. A healthy, beautiful smile will be yours with assistance from our staff.
A filling repairs and restores the surface of a tooth that has been damaged by decay, fracture, or wear. A dental filling strengthens the tooth. If tooth decay is not repaired at its early stages, it will worsen and additional or alternative dental treatments may be necessary.
With proper care and routine oral hygiene, a filling has a lifespan of 5-12 years, depending upon the type of filling material used.
Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances.
Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist - a specialist of the gums and supporting bone. The teeth attached to implants are very natural looking and often enhance or restore a patient's smile!
Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.
Reasons for dental implants:
• Replace one or more missing teeth without affecting adjacent teeth.
• Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
• Restore a patient's confident smile.
• Restore chewing, speech, and digestion.
• Restore or enhance facial tissues.
• Support a bridge or denture, making them more secure and comfortable.
What does getting dental implants involve?
The process of getting implants requires a number of visits over several months.
X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months. Depending on the type of implant, a second surgery may be required in order to place the "post" that will hold the artificial tooth in place. With other implants the post and anchor are already attached and placed at the same time.
After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step may take one to two months to complete. After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.
You will receive care instructions when your treatment is completed. Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.
A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
Although there are several types of crowns, porcelain (tooth colored crown) are the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.
Reasons for crowns:
• Broken or fractured teeth.
• Cosmetic enhancement.
• Decayed teeth.
• Fractured fillings.
• Large fillings.
• Tooth has a root canal.
What does getting a crown involve?
A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.
INQUIRE ABOUT SAME-DAY CROWNS!
Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile.
Veneers can completely reshape your teeth and smile. They can often be alternatives to crowns and the ideal solution in treating many dental conditions.
As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile.
Reasons for porcelain veneers:
• Cosmetically, to create a uniform, white, beautiful smile.
• Crooked teeth.
• Misshapen teeth.
• Severely discolored or stained teeth.
• Teeth that are too small or large.
• Unwanted or uneven spaces.
• Worn or chipped teeth.
What does getting porcelain veneers involve?
Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure. The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist.
On the second visit the teeth will be cleansed with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.
You will receive care instructions for veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.
An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. It is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.
Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Inlays are an ideal alternative to conventional silver and composite fillings. Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.
As with most dental restorations, inlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile.
Reasons for inlay restorations:
• Broken or fractured teeth.
• Cosmetic enhancement.
• Decayed teeth.
• Fractured fillings.
• Large fillings.
What does getting an inlay involve?
An inlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.
While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration. A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.
At your second appointment your new inlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.
You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.
An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. An onlay is sometimes also referred to as a partial crown. It is made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.
Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.
As with most dental restorations, onlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile.
Reasons for onlay restorations:
• Broken or fractured teeth.
• Cosmetic enhancement.
• Decayed teeth.
• Fractured fillings.
• Large fillings.
What does getting an onlay involve?
An onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.
While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration. A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory.
At your second appointment, your new onlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.
You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.
A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.
There are two types of dentures - complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.
A Complete denture may be either "conventional" or "immediate." A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.
Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.
Reasons for dentures:
• Complete Denture - Loss of all teeth in an arch.
• Partial Denture - Loss of several teeth in an arch.
• Enhancing smile and facial tissues.
• Improving chewing, speech, and digestion.
What does getting dentures involve?
The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several "try-in" appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.
It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.
You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The "traditional bridge" is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years; however, they may need replacement or need to be re-cemented due to normal wear.
Reasons for a fixed bridge:
• Fill space of missing teeth.
• Maintain facial shape.
• Prevent remaining teeth from drifting out of position.
• Restore chewing and speaking ability.
• Restore your smile.
• Upgrade from a removable partial denture to a permanent dental appliance.
What does getting a fixed bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.
You will receive care instructions at the conclusion of the procedure. Proper brushing, flossing, and regular dental visits will aid in the life of your new, permanent bridge.
A pearly-white smile is beautiful to look at and can greatly improve self-confidence. Many people are opting for the Zoom!® Chairside Whitening System (Zoom!®) for fast, safe and effective teeth whitening. Zoom!® combines the newest advances in dental technology with proven chemical formulas. This ensures that the bleaching experience is painless, and the results are satisfying.
There are many reasons why teeth become stained or discolored, including tobacco use, and drinking dark liquids such as red wine, coffee, tea and cola. However, the natural aging process and prescription medication use can also cause yellowing and graying.
There are literally hundreds of whitening treatments available in the marketplace, including take-home strips, bleaching toothpastes and take-home whitening gels. Many take-home gels are ineffective and may not elicit the desired results.
Zoom!® has many advantages over these other treatments, including:
• All teeth treated simultaneously.
• Faster treatment times.
• Longer lasting results.
• Reduced sensitivity.
• Removal of stains on crowns, veneers and other restorations.
• Safe procedure and treatment.
• Treatments are performed by an experienced professional.
It is important to seek advice from the dentist prior to beginning a bleaching regime. Women who are pregnant or lactating should not seek bleaching treatment.
How does Zoom!® whiten the teeth?
Zoom!® is a bleaching process that lightens the dentin and enamel of the teeth. Zoom!® contains a hydrogen peroxide component (25%), which is the active ingredient in the gel. When hydrogen peroxide is applied to the teeth, the peroxide component breaks down into tiny oxygen bubbles. It is these bubbles that eliminate yellowing and staining.
A mercury metal halide light is used to activate the gel and expedite the whitening process. This specialized light contains a unique infrared filter that works to reduce the amount of heat (and therefore sensitivity) on the surface of the teeth during the procedure. The internal structure of the teeth remains completely healthy and intact during and after the treatment.
As with any whitening system, the post-treatment results can vary according to the degree of staining and the condition of the teeth. A consultation with the dentist prior to treatment will provide information as to what kind of results Zoom!® can provide in specific instances. Zoom!® is only applied to healthy teeth and gums. If tooth decay or gum disease is an issue, these need to be controlled before the bleaching treatment is performed.
How is the Zoom!® treatment performed?
Prior to treatment, there will be a consultation where the dentist will outline the exact procedure. On treatment day, a deep cleaning (prophylaxis) will be performed to rid the teeth of any debris and plaque. Then, special eyewear will be provided to protect the eyes from the halide light, and splashguards to protect the clothing from the bleaching agent.
Here is a brief overview of the Zoom!® procedure:
(1)Cheek retractors will be placed to expose the entire surface of the teeth.
(2)The gums will be painted or covered to reduce sensitivity.
(3)The dentist will apply the whitening gel to the teeth.
(4)The halide light will then be applied to activate the gel. This specialized ' Zoom!® light can be positioned to work on all the teeth simultaneously.
(5)After 15 minutes, gel will be removed from the teeth and the mouth will be rinsed.
(6)More gel will be applied for another 15 minutes.
(7)Again, the gel will be removed and the mouth will be thoroughly cleansed.
(8)The final treatment of gel will be applied for 15 minutes.
(9)The gel will be removed for the final time.
What happens after treatment?
The same external factors that caused the discoloration in the first place can quickly work their way back onto the teeth. For this reason, the dentist recommends flossing once a day, thorough cleaning with anti-sensitivity toothpaste twice a day, and occasional retreatment with Zoom!® Weekender. These post-treatment measures will ensure that the smile stays at its whitest for a long time.
One of the primary concerns people often have about dental braces is the aesthetic impact of the metalwork on their smile. Especially for adults, the prospect of wearing unattractive metal braces for long periods of time can be very discouraging. Invisalign® offers an almost invisible aligning system that straightens teeth fast and contains no metal.
Invisalign® treatment consists of a series of custom-made aligning trays. The dentist changes the trays every several weeks to fit the new tooth configuration. In addition to the reduced visual impact, Invisalign® aligning trays can be temporarily removed for important occasions - meaning that treatment duration is patient-controlled. A great number of people report complete satisfaction with both the Invisalign® treatment and the stunning results.
What kind of bite problems can Invisalign® correct?
Invisalign® corrects the same dental problems as traditional metal braces; the only difference is that Invisalign® trays are almost invisible to the naked eye, and can be removed at will.
Here are some problems that are commonly corrected with Invisalign®:
• Overcrowding - This occurs when there is too little space for the teeth to align normally in the mouth. Overcrowding can cause tooth decay and increase the likelihood of gum disease.
• Large gaps between teeth - This can sometimes occur because teeth are missing or because the jaw continues to grow abnormally. Crossbite - This common dental problem occurs when one or multiple upper teeth bite inside the lower teeth. As a consequence, uneven wear can lead to bone erosion and gum disease.
• Overbite- This problem occurs when the upper teeth project further than, or completely cover, the lower teeth. Eventually, jaw pain and TMJ may occur.
• Underbite - This is the inverse of the overbite; the lower teeth project further than, or completely cover, the upper teeth. Eventually, jaw pain and TMJ can occur.
What advantages does Invisalign® offer over traditional braces and veneers?
Traditional dental braces, Invisalign® aligning trays and dental veneers are three different ways to perfect the alignment of the teeth. There are many different considerations to make when considering which treatment will be best, and each of these options works better in certain situations.
Invisalign® differs from traditional braces in that the aligning trays are fully removable. This means that more discipline and commitment is required from the patient. This is not usually a problem since the trays are comfortable and nearly invisible. Almost identical results can be obtained by using either treatment.
Invisalign® is preferable to veneers in many cases because unlike veneers, Invisalign® actually straightens the teeth. Veneers are thin covers that the dentist permanently affixes to the teeth. Teeth must be etched beforehand, meaning that to remove dental veneers, an alternative covering must be constructed. In addition to being somewhat expensive, veneers can break and often last for less than 20 years.
What does Invisalign® treatment involve?
First, the dentist needs to devise an initial treatment plan before creating the special aligning trays. Three-dimensional digital images are taken of the entire jaw. These images allow the dentist to move specific teeth on the screen, view the jaw from different angles, and also foresee what the face might look like in years to come. In essence, this technology can show how Invisalign® trays will change the facial aesthetics.
Once planning is complete, a unique set of aligners is made. The total amount of aligners required varies with each individual case, but 20-29 sets per arch is typical.
What are some considerations when wearing Invisalign® trays?
Life with Invisalign® aligning trays may take several weeks to get used to. The trays should be worn constantly, except when eating and drinking. It is important to remove the trays when consuming food or drink because food can become trapped between the tray and the teeth, causing tooth decay.
Usually, new trays are necessary every two weeks and progress between appointments can be seen with the naked eye. There is no doubt that Invisalign® aligning trays have revolutionized orthodontics. Invisalign® is renowned for being both comfortable and effective.
Routine dental checkups are vital to good oral hygiene and are the best way to detect problems at their earliest stages. Early detection and treatment saves unnecessary discomfort, time and money.
The Academy of General Dentistry recommends checkups twice a year. Oral hygiene needs change with age and the condition of your teeth and gums. Your dentist may recommend a checkup schedule that is more or less frequent than twice a year.
A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists are also experts in the treatment of oral inflammation. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures.
Periodontists often treat more problematic periodontal cases, such as those with severe gum disease or a complex medical history. Periodontists offer a wide range of treatments, such as scaling and root planing (in which the infected surface of the root is cleaned) or root surface debridement (in which damaged tissue is removed). They can also treat patients with severe gum problems using a range of surgical procedures. In addition, periodontists are specially trained in the placement and repair of dental implants.
During the first visit, the periodontist usually reviews the patient's complete medical and dental histories. It is extremely important for the periodontist to know if any medications are being taken or if the patient is being treated for any condition that can affect periodontal care, such as heart disease, diabetes, or pregnancy.
The periodontist examines the gums, checks to see if there is any gum line recession, assesses how the teeth fit together when biting, and checks the teeth to see if any are loose. The periodontist will also take a small measuring instrument called a probe and place it between the teeth and gums to determine the depth of those spaces, known as periodontal pockets; this helps the periodontist assess the health of the gums. X-rays may also be taken to observe the health of the bone below the gum line.
WHO SHOULD SEE A PERIODONTIST?
Some patients' periodontal needs can be managed by the general dentist. However, as more and more patients are exhibiting signs of periodontal disease, coupled with research that suggests a relationship between periodontal disease and other chronic diseases of aging, periodontal treatment may necessitate a greater understanding and increased level of expertise by a trained specialist. Patients who present with moderate or severe levels of periodontal disease, or patients with more complex cases, will be best managed by a partnership between the dentist and periodontist.
Endodontists are dental specialists with an additional two or more years of specialized training beyond dental school. The average endodontist completes 25 root canal treatments a week, while general dentists do about two root canals a week.
Because they limit their practice solely to endodontic treatment, endodontists are efficient and precise. This equates to positive experiences and faster healing.
Pediatric dentists are specially trained to handle problems particular to children, such as dental developmental difficulties and root canals on adult teeth that have not fully formed. However, most children are treated by general dentists. A general dentist often has a relationship with the entire family and therefore has a great deal of family history knowledge, which may apply to your child.
We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.