Single Visit Crowns in our Practice

Single-Visit Crowns are here with CEREC! 

We are pleased to offer you the convenience and benefit of having your crowns made in the office at the same visit they are prepared. Prior to now, when one of our patients needed a crown to restore a tooth that had cracked or was broken down due to large fillings and/or decay, that procedure required two separate visits: one to prepare the tooth, make an impression with the “goop” that sets up in your mouth, and place a temporary crown, and the second appointment to remove the temporary crown and fit the new permanent crown on the tooth. With our new CEREC technology we can now do this all in one visit. 

After preparing the tooth we use a 3D camera to create a highly detailed optical impression. Using state-of-the-art CAD (computer aided design) software we can design every precise detail of the crown with even greater accuracy than before because we are eliminating chances for distortion and error that can happen with the “goop” impressions. The software allows us to customize the shape of the restoration to fit your specific clinical and aesthetic needs. 

While you wait, exact design specifications are sent to our on-site milling machine to create your permanent restoration. We are able to mill a Lithium Disilicate crown, which is stronger than any other porcelain or porcelain-to-metal crown now available. Once the crown is milled, we can apply custom shading as needed and “sinter” it in our special oven to give it more strength and individual character. Your new crown is then bonded to your tooth and the tooth is restored back to its natural form, function and beauty. Instead of leaving the office with a temporary crown that can come loose or easily break, you will leave the office with the permanent crown! 
             Dr. Ramirez and I both love that the crowns we are able to make right here have a more precise fit than before and we have more control over the aesthetics we achieve. What we used to dream about when I started to practice Dentistry is now a reality
 - Dr. Pamela Dassenko

Modern Root Canal Therapy

..... I’d rather have a root canal!” (drum) pa dum pum- clash!

A common punchline for dental related jokes, right?
Everyone seems to relate root canals to one of the most dreadful events one can undergo, but is it?
What is root canal treatment?
Root canal treatment involves numbing the tooth in question, the removal of inflamed or damaged tissue from inside a tooth then cleaning, filling and sealing the remaining space. This treatment may help you save a tooth from extraction (removal.)
First, the why’s:
Root canal treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, a crack or chip in the tooth, or trauma to the tooth. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.
And the how’s:
At the time of the appointment, the anesthesia is administered to keep you comfortable and a barrier is used to isolate the tooth. A small hole is drilled through the top of the tooth to gain access to the nerve chamber. Small instruments are used to clean and shape the canals of the tooth. Once the canals are shaped and cleaned and free of infection, a filling material is cemented into the canals to close the space and seal the roots. A new restoration (crown or filling) is now ready to be placed to maintain a good seal for the crown of the tooth.
The procedure may be completed in one or more appointments depending of the complexity of the case, i.e. the number of canals present (the more canals, the more time needed), the curvature of the canals (the more curvature present, the slower the pace must be in order to maintain the integrity of the root.)
Will it hurt?
Many root canal procedures are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics, most patients report that they are comfortable during the procedure. For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications. Your tooth may continue to feel slightly different from your other teeth for some time after the root canal treatment is completed.
Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth is not periodontally stable, or the tooth cannot be restored. However in cases where root canal treatment is a viable option, it is an easy way to save your natural tooth in a reasonable amount of time, with very little discomfort in most cases.
So perhaps a better punch-line next time would be:
“...I’d gladly have a root canal!”
-E. Carrie Ramirez, D.D.S.
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