Online Dental Education Library

A periodontist who specializes in the diagnosis and treatment of problems that affect the gums and other supporting tissues of the teeth. If you want to keep your teeth for life — a completely reasonable goal in this day and age — you need to make sure the tissues that surround them are also healthy. Should gum problems arise, you may need periodontal therapy to restore diseased tissues to health. Learn more about Periodontal Disease & Therapy.

Treatment of Gum Disease

Treating gum disease starts with the removal of any plaque and hardened deposits (tartar or calculus) on the tooth root surfaces. This may be followed by other non-surgical treatments and/or periodontal surgery to remove diseased tissue and restore your mouth to the best possible health.

Implant Dentistry

Dental Implant Video

If you are missing one or more teeth, dental implants offer the comfort and security of a permanent replacement that looks and functions just like your natural teeth. Dental implants also help preserve the tooth-supporting bone in your jaw that deteriorates when even one tooth is lost.

Cosmetic Gum Surgery

The gum tissue that surrounds and supports your teeth plays a big role in how appealing your smile will look. Excess gum tissue, gum recession, and an uneven gum line are all problems that can often be successfully treated surgically at the dental office. Learn more about Cosmetic Gum Surgery.

Gum Grafting

If gum recession is affecting your health or your appearance, a routine surgical procedure called gum grafting may help. It involves carefully placing a small amount of new tissue in an area where little or no gum tissue currently exists — typically recommended to prevent further gum recession or to help cover tooth root surfaces that have become exposed. Learn more about Gum Grafting.

Tooth Extractions

There are times when it is in your best interest to have a tooth extracted (removed). This could be the case for a variety of reasons, including: damage or trauma to the tooth; extensive gum disease; extensive tooth decay; or overcrowding. Learn more about Tooth Extractions.

Bone Grafting

Bone grafting, a minor in-office surgical procedure, is commonly used in dentistry to correct deficiencies in bone quantity and to build support for teeth or dental implants. Learn more about Bone Grafting.

Sedation Options

We offer a wide array of sedation options for our patients.  We want you to be comfortable for every procedure and are fully Licensed to offer you Nitrous Oxide sedation ( laughing gas), Oral sedation, IV sedation and General Anesthesia. Learn more about  Anesthesia

 

Antibiotic premedication for dental treatments.Antibiotics are widely prescribed to control bacterial infections. Sometimes they are given before a medical or dental procedure, to prevent a possible infection from occurring; this practice is called “antibiotic prophylaxis.” In the recent past, physicians and dentists advised that people with certain medical conditions — including a number of heart problems and several types of bone or joint replacements — should always take antibiotics before many routine dental procedures. Today, their advice may be different.

A growing body of evidence now indicates that far fewer patients need to take this preventive step than was previously thought. As a result, the guidelines for prescribing antibiotic prophylaxis have recently changed — and they may do so again in the future. Why are the recommendations changing… and what do you need to know about taking antibiotics before coming to the dental office?

The Risk of Infection

We all know that bacteria — both helpful and harmful types — thrive in many parts of the body, including the mouth. Whenever circumstances make it possible for these microorganisms to enter the bloodstream, there's a slight risk that a bacterial infection may develop. This could occur in many dental procedures — and it could also occur during routine activities like chewing, brushing and flossing. In most cases, the risk is so small that the chance of a having bad reaction to antibiotics (while rare) is far greater than the chance of developing an infection; therefore, antibiotics aren't routinely used.

Some people, however, need to take extra precautions before having dental procedures. If you have been treated for some types of heart disease, or have had certain orthopedic procedures (including total joint replacement), we may advise taking antibiotics to protect against even a remote chance of infection. Recommendations are made on an individual basis, taking into account your medical history and a clinician's healthcare experience.

Guidelines for Antibiotic Premedication

Prophylactic antibiotics might be recommended before dental procedures if you have one or more of the following heart conditions:

  • A heart transplant
  • Artificial heart valves
  • A history of infective endocarditis
  • Some types of congenital heart problems — particularly if they haven't been completely repaired, or if their treatment involves prosthetic material

If you have undergone a joint replacement procedure, prophylactic antibiotics might be recommended if you also have one or more of the following risk factors:

  • A systemic inflammatory disease such as rheumatoid arthritis or lupus erythematosis
  • A weakened immune system resulting from HIV, cancer, radiation or chemotherapy, or another cause
  • Insulin-dependent (type I) diabetes or hemophilia
  • A history of previous infection in a prosthetic joint
  • Undernourishment or malnourishment

There are other circumstances where taking prophylactic antibiotics would be a prudent step; there are also a number of situations where these medications might have been recommended in the past, but aren't currently required in all cases. For example, the presence of a benign heart murmur, a pacemaker or defibrillator, and certain heart diseases or congenital defects don't automatically mean that antibiotic prophylaxis will be needed.

In recent years, reports of drug-resistant bacteria and harmful side effects from some medications have increased public awareness of the consequences of overusing antibiotics. Fortunately, new scientific research is helping healthcare professionals make better, evidence-based treatment decisions on antibiotic use. If you have questions about whether you should take antibiotics before dental procedure, don't hesitate to ask.

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Premedication - Dear Doctor Magazine

Premedication for Dental Treatment If you have had a total joint replacement in the past, you may be advised to take antibiotics before have dental work. That's because certain preexisting health conditions may make you more susceptible to infection during a dental procedure. Find out what the risk factors are... Read Article