Menu

General Treatment

Lady and childOur practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.


Teeth Cleanings

Annually, you should schedule a routine dental cleaning. During this visit, one of our dental hygienists will remove plaque from your teeth, especially from places where your brush can’t reach, such as underneath the gum line and in-between teeth. We will then clean your teeth and apply fluoride to help protect your teeth once you leave the office.

Fluoride is a relatively recent but important advancement in dental and oral health. Studies consistently show that a moderate but consistent exposure of teeth to fluoride helps strengthen and rebuild tooth structure, and helps prevent future decay.

If you are due for your annual dental cleaning, please call our office to schedule an appointment.


Fillings

The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/metal fillings that contain traces of mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

With today’s advancements, no longer will you have to suffer the embarrassment of unsightly and unhealthy silver/mercury fillings or metal margins of the past. Eliminate the dark, black appearance in your teeth with new-age, state-of-the-art, tooth-colored resin or porcelain materials.


Crowns and Bridges

Crowns

A crown is a custom-made covering that fits over an original tooth that is decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

The treatment plan for a patient receiving a crown involves:

  • Numbing the tooth to remove the decay in or around it.
  • Re-sculpturing the tooth to provide an ideal fit for the crown.
  • Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  • Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the custom-made crown is being created.
  • Applying the custom-made crown (when received from the lab) by removing the temporary crown and fitting the custom-made one onto the tooth.
  • After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of two to three visits over a three to four week period. Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.

The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.

The cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.


Root Canals

A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.

A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.

Procedure:

  • The patient undergoes anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.

Mini-Implants

One of the many important advances in implant dentistry over the last 25 years has been the development of miniature dental implants, or mini-implants, used to stabilize dentures. Miniature dental implants can be placed in one visit, in about an hour, during a simple procedure that requires no cutting of the gums or stitches. With placement, there is little discomfort and no long-term healing, just great results!

Mini-implants are placed into your jawbone and are securely attached to the base of your denture, allowing you to eat and speak more comfortably and confidently. Thousands of patients have experienced the benefits of miniature dental implants. Today, use of this non-surgical implant technology has been expanded for replacing a single tooth as well. Contact us today to find out if you are a candidate for this affordable and revolutionary solution to loose dentures, or to replace individual missing teeth.


Teeth Whitening

Your teeth will darken over time. Changes in the color of your teeth can be caused by such factors as the food and beverages consumed (like coffee, tea and soda). Other known factors for discoloration may include childhood medications or illnesses, tobacco use or improper oral hygiene. Restoring your natural white smile is a priority for our dental whitening team. We can provide a variety of options for whitening your smile.

Tooth whitening services are growing in popularity, and it’s one of the most requested services offered by our practice. Everyone sees the growing consumer market focused on whiter teeth. The reality is that over-the-counter, “too good to be true” solutions typically don’t work.

We are trained professionals using industry-approved methods. Our goal is to meet the needs of every patient, and every patient’s needs are different. One of the methods used by our practice is a gentle hydrogen-peroxide gel-activated solution. Our process will whiten your entire smile in one visit. Call us today for a whitening evaluation.

Nothing improves your appearance more than a bright, white smile!


Veneers

Veneers are thin, semi-translucent “shells” typically attached to your front teeth. Veneers are customized from porcelain material that is bonded to your teeth. Veneers are a great alternative to otherwise painful dental procedures to improve the appearance of your smile.

Common problems that veneers are used for:

  • Spaces between the teeth
  • Broken or chipped teeth
  • Unsightly, stained or discolored teeth
  • Permanently stained or discolored teeth
  • Crooked or misshapen teeth

Veneers are a great aesthetic solution to your smile that may even help you avoid orthodontic treatment. Subtle changes to your smile can be achieved with veneers, and in most cases, veneer application is completed in only two office visits.

Please contact our office if you have any further questions on veneers.


Bonding

Bonding is a common solution for:

  • Fixing or repairing chipped or cracked teeth
  • Reducing unsightly gaps or spaces between teeth
  • Hiding discoloration or faded areas on the tooth’s surface

Often, composite boding is used to improve the appearance of your teeth and enhance your smile. As the name indicates, composite material, either a plastic or resin, is bonded to an existing tooth. Unlike veneers or crowns, composite bonding removes little, if any, of the original tooth.

Composite bonding has many advantages:

  • It is a quick process, which typically lasts less than one hour.
  • It does not reduce the tooth’s original structure and is relatively inexpensive.
  • Composite resins come in many different shades and provide better matching of shades to the natural color of your teeth.
  • Composite bonds, however, are not as durable and long-lasting as veneers and crowns and may need to be re-touched or replaced in the future.

Composite bonds stain more easily and therefore require proper care and regular cleaning. In order to ensure the longest possible duration of the bonding, composites should be brushed and flossed daily. Common staining elements include coffee, tea, tobacco, foods and candy.

Don J. Pisciotta, D.D.S.

  • Don J. Pisciotta, D.D.S. - 6408 Grovedale Dr., #100, Franconia, VA 22310 Phone: 703-313-0404

2018 © All Rights Reserved | Privacy Policy | Website Design By: West | Login