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General Dentistry

General Dentistry | Marin Advanced Dental Care | Dentist Corte Madera, CA Dentist

Dental Exam

The secret to a bright, healthy smile is actually no secret at all: brush, floss and get a professional dental exam at least once every six months. Professional dental exams are all about prevention – preventing existing problems from getting worse and preventing dental problems from developing in the future. Regular dental exams make it possible to identify and treat a problem in its earliest stage – which is not only good for your oral health but also good for your budget!

There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.

Teeth Cleaning

Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistNo matter how often you brush and floss, plaque and tartar deposits can still build up on your teeth. A professional teeth cleaning is the single most effective way to remove these deposits and prevent them from causing more serious problems in the future. While a traditional teeth cleaning involves manually scraping away these deposits with special dental tools, advances in dental technologies now give you more options for teeth cleanings.

A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.

A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothened. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.

Oral Cancer Screening

Oral cancer affects nearly 35,000 Americans every year. The keys to surviving oral cancer are early detection and early treatment. This starts with a regular oral cancer screening – at least once every six months. An oral cancer screening takes just minutes, is pain-free and can be performed during regular dental exams. If you are male, a regular oral cancer screening is especially critical: Oral cancer is more than twice as common in men as it is in women. Other people at high risk of oral cancer include people over the age of 60, tobacco smokers and heavy drinkers.

White Fillings

Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistIf your silver fillings make you feel self conscious when you smile, or it's simply time to replace them, consider white fillings. White fillings are just as durable as they are attractive! Made of composite resin, white fillings match the natural color of your teeth and are an excellent option for small to mid-sized cavities. White fillings are strong, stain-resistant and require less removal of your tooth structure than amalgam fillings.

Crown Lengthening

Dental crown lengthening involves the removal of gum tissue, bone or both to expose more of a tooth's structure. Why would you need it? You might have broken a tooth at the gum line. Or you might just have a decayed tooth. Sometimes after Dr. Smida removes the tooth decay, there isn't enough tooth structure left above the gum line to support a dental crown (or even a large tooth filling). Without enough structure to grab on to, ill-fitting dental crowns may cause chronic inflammation and irritation. Even worse, tooth decay may get in under the dental crown, creating the need for more dental treatment. You might even lose the tooth completely. 

Although less common, crown lengthening may also be used cosmetically to treat what's called a "gummy smile." When an unusually large amount of gum tissue shows around the upper teeth, crown lengthening might help. Dr. Smida can expose more of your teeth, then sculpt your gum line to create the look you want. 

Dental Crowns

Dental Crowns | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistA dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth with extensive decay or damage. Dental crowns can also used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. In some cases, same-day crowns are possible, so be sure to inquire. With good oral hygiene and minimal wear and tear, your beautiful new dental crowns can last up to 15 years.

Dental Bridges

Dental Bridges | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistDental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.

There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.

Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.

Dentures & Partials

Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.

Dentures | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA Dentist

The process of getting dentures may take a few months and several dental visits. In some cases, however, same-day dentures are also possible. With same-day dentures, the dentures are created right in the dentist's office instead of at an offsite laboratory. Same-day dentures aren't for everyone, though. If your dentures require a lot of customization, same-day dentures may not be right for you.

Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.

Inlays & Onlays

A dental inlay is a type of restoration that typically looks like natural teeth and fixes an existing tooth that is too damaged to support a tooth filling, but not so much that it needs a dental crown. It covers the chewing surface between the cusps, while onlays restore one or more fractured cusps.

Both dental inlays and dental onlays are intended to repair the tooth's chewing surface, and in some cases, repair teeth with other restoration options: the dental filling, which fills a hole in the tooth, and the dental crown, which covers most of the tooth. 

Dental inlays and onlays are the same kind of restoration, but they cover different proportions of the tooth. A dental inlay fills the space in between the cusps, or rounded edges, at the center of the tooth's surface. The dental onlay works like an inlay but covers one or more cusps or the entire biting surface of the tooth. Because of their extensive coverage, dental onlays are sometimes referred to as "partial crowns." 

Sinus Augmentation

Information coming soon!

Gum Disease Treatment

Gum Disease  | Dentures | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA Dentist

Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planing to remove stubborn deposits below the gum line. Laser gum surgery, a new alternative to scaling and root planing, uses beams of high-speed light to remove plaque and tartar buildup. If non-surgical methods of gum disease treatment are ineffective, a gingivectomy, or periodontal surgery, may be necessary.

Bone Grafing

Dental implants are an excellent way to replace missing teeth -- but not everyone qualifies as a candidate for implant dentistry. Tooth loss from periodontal disease or other dental conditions may cause the jaw bone to weaken, and the resulting bone loss will lessen the possibility of the patient being able to support a dental implant or other dental appliance.

In such a case, a procedure called bone grafting is often used to add bone to the jaw. Bone is taken from another area in the body and transplanted to the jaw bone to increase its mass.

Once the grafted bone fuses to the jaw bone, a dental implant can be placed, with greater chances for success. Bone grafting is also used to improve bone deterioration caused by dentures, oral cancer, dental deformities or a tooth extraction. 

Root Canals

Root canals get a bad wrap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Thanks to laser root canals, this process is faster, more comfortable and, in many cases, more thorough than conventional root canals. Pulp capping is an alternative to root canals that are used when the infection has yet to penetrate the pulp. Pulp capping can also prevent a large dental filling from getting too close to the nerve.

Root Canals | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA Dentist

Oral Surgery

Oral surgery is an umbrella term for surgical treatments such as dental implants, wisdom teeth extractions and bone grafting. Dental implants, an excellent solution for missing teeth, are surgically placed tooth roots that hold dental crowns in place. A wisdom tooth extraction may be recommended if there isn't enough room in your mouth to accommodate wisdom teeth and they become impacted, partially erupted or infected. Bone grafting transfers bone from one part of the jaw to another, usually to accommodate a dental implant. While a general dentist can perform some oral surgery procedures, an oral surgeon is required for others.

Night Guards

Night Guards | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistMost people who grind their teeth at night don't even realize it. If you think you might be a night-grinder, ask yourself some questions. Does it seem that your teeth are fitting together in new and perplexing ways? Are you sure that you don't have cavities, but you still experience sensitive teeth that look like they've been filed down? Does your sleep partner complain that sleeping next to you is akin to the sound of fingernails scraping along a chalkboard?

If you answered "yes" to any of these questions, you could be suffering from bruxism. Bruxism is not an uncommon nighttime phenomena. It may be mild and sporadic or seemingly unending and frequent. And sure, during times of intense duress, some of you may even find yourself grinding away during waking hours. The big difference is that during waking hours, it's easy to correct behavior as you notice it. But spending every night grinding away in your sleep not knowing there's a problem and the results could render your teeth useless or you toothless.

The most effective solution for preventing teeth grinding is to wear a night guard for teeth. 

Oral Conscious Sedation

Ever wish you could sail through dental visits without anxiety or fear? Would you rather endure an agonizing toothache than go to the dentist? Answering “yes” to these questions could mean that you're a perfect candidate for sedation dentistry. With sedation dentistry, you can forget about fear and focus on pure relaxation.

There are different levels of sedation to accommodate every patient. Minimal sedation involves inhaling nitrous oxide (“laughing gas”). Nitrous oxide helps you relax and wears off quickly. Electronic anesthesia is an alternative form of mild sedation that uses electronic impulses to help you relax. Conscious sedation is a moderate level of sedation that causes drowsiness and is taken in pill form. IV deep sedation is typically administered intravenously and works very quickly. With IV deep sedation, most patients fall asleep but can be easily awakened. Total sedation could be the only solution for people with an intense fear or phobia of dentistry. With total sedation, or general anesthesia, you are completely unconscious and cannot be easily awakened.

Pediatric Dentistry

Children's Dentistry | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistCatering to the dental needs of kids requires a special touch. Pediatric dentists are specially trained to treat the oral health needs of children, from infancy through their teenage years. This involves in-depth knowledge about children's behavior, as well as their growth and development. Pediatric dental offices are also designed to make kids feel comfortable and relaxed – with plenty of toys, activities and a warm, inviting and fun décor.

Sealants

Decay starts early in life, so dental sealants are generally placed on your teeth at a young age.

The first set of permanent molars usually erupts by age 6. Sealing these chewing surfaces soon after will help keep them healthy and protect them from cavities. Much later, second molars erupt during the rapid growth spurts of teenagers. These molars are just as vulnerable as the first, and the typical teenager will subject them to excessive sugar. The sooner these chewing surfaces can be sealed, the better.

Although dental sealants are usually applied early in life, adults at high risk of developing decay can also benefit from receiving them. Consult with your dentist to determine if tooth sealants are right for you. 

Applying dental sealants is relatively simple for your dentist, and generally takes just a few minutes per tooth. A dental sealant procedure includes three steps:

Step 1. The teeth requiring dental sealants are cleaned.

Step 2. An acid solution is then applied to the chewing surfaces to help the dental sealant adhere to the tooth.

Step 3. The dental sealant is "painted" onto the tooth enamel to bond and harden. 

Sleep Apnea

Sleep Apnea | Dr. Smida | Marin Advanced Dental Care | San Rafael, CA DentistSnoring and obstructive sleep apnea (OSA) not only affects health and quality of life, but also severely affects a spouse or significant other’s life. Obstructive sleep apnea not only causes fatigue and severe daytime drowsiness, but many other problems such as poor memory, headaches and many other health problems. Oral appliance therapy is an alternative to CPAP. An oral appliance is a small plastic device that fits over the teeth, just like an orthodontic retainer or mouth guard. The appliance is worn in the mouth during sleep to prevent the soft tissue of the throat from collapsing and obstructing the airway. Oral appliance therapy is a quick and easy procedure that can dramatically change your quality of life and that of your spouse.