General Dentistry

Our emphasis is on total preventive care for our patients, and we provide a wide range of dental services. We can typically provide every type of dental treatment without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice.

Dental Examination

We will thoroughly examine your teeth and gums, specifically looking for any potential problems. Depending on the patient, X-rays may be taken. If there are any signs of decay or other problems, we will recommend treatment options and make notes of any conditions that may need future observation. Oral hygiene instructions will also be provided along with suggestions to help you care for your teeth.

Routine Teeth Cleanings

Twice a year, 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 between teeth. We will then clean your teeth and apply fluoride to help protect your teeth once you leave the office.

Fillings

"Fillings" replace damaged or decayed tooth structure with a restorative material. There are several different types of filling materials, including:

  • Silver amalgam: Silver was once the most commonly used material when it came to dental restorations, such as fillings. However, silver fillings do not have much aesthetic appeal to patients.
  • Gold fillings: Gold fillings are very durable, able to last approximately 10 to 15 years. The main drawback to gold fillings is the cost of the restoration, since gold is a precious metal.
  • White fillings: After much research, some new tooth-colored materials have been developed that are stronger, longer-lasting and more aesthetically pleasing to our patients. These new tooth-colored fillings bond directly to the tooth, strengthening it by restoring most of its original shape. The fillings can even be custom-colored to match your teeth to help give you the most natural-looking smile possible.

Sealants

The grooves and depressions that form the chewing surfaces of the back teeth are extremely difficult (if not impossible) to clean of bacteria and food. As the bacteria reacts with the food, acids form and break down the tooth enamel, causing cavities. Recent studies indicate that 88% of total cavities in American school children are caused this way.

Tooth sealants protect these susceptible areas by sealing the grooves and depressions, preventing bacteria and food particles from residing in these areas. Sealant material is a resin typically applied to the back teeth, molars and premolars and areas prone to cavities. It lasts for several years but needs to be checked during regular appointments.

Crowns

A crown is a custom-made covering that fits over an original tooth that is either 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.

The treatment plan for a patient receiving a crown usually involves:

  1. Numbing the tooth to remove the decay in or around it
  2. Re-sculpturing the tooth to provide an ideal fit for the crown
  3. Making a physical or digital impression of your teeth in order to create the custom crown
  4. Making a temporary crown out of acrylic resin and fitting it to the tooth while the custom crown is being made
  5. Removing the temporary crown and fitting the custom-made one onto the tooth
  6. Ensuring that the crown has the proper look and fit, and cementing it into place

New technologies have greatly reduced the time needed to make strong, natural-looking crowns. Once the procedure is completed, proper care should be taken to ensure the crown remains in good condition and the teeth and gums are healthy. 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 the shifting of teeth, to fix bite problems or to ensure the strength and integrity of the surrounding teeth.

Fixed bridges are the most popular, and consist of a filler tooth attached to two crowns in order to hold the bridge in place. "Maryland" bridges, commonly used to replace missing front teeth, use tooth-colored metal bands bonded to surrounding teeth. And cantilever bridges use two crowned teeth positioned next to each other on the same side of the missing tooth.

Regardless of your needs, we have a bridge solution that will work best!

Dental Implants

Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

  • Single Tooth Replacement
  • Anterior Replacement
  • Posterior Replacement
  • Full Upper Replacement

Types of Implants

There are three main types of implants:

  • The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient’s natural tooth. This implant is often as strong as the patient’s original tooth. The implant or artificial root is placed into the jawbone under local anesthesia, then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.
  • The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form implant is long and thin, unlike the root implant, and anchors into thin jawbones. It is inserted the same way as a root implant. In certain cases, the plate form implant is immediately fitted with the restoration without waiting for the healing process to run its course.
  • The subperiosteal implant is used when the jawbone has receded to the point where it can no longer support an implant.

Post Implant Care

Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

Tooth Extractions

An extraction is the complete removal of a tooth. Extractions are sometimes necessary if:

  • A primary tooth is preventing the normal eruption of a permanent tooth
  • The tooth has suffered extensive tooth decay or trauma that cannot be repaired
  • The patient has gum disease
  • The tooth is impacted – this is usually the case with the third molars, or "wisdom teeth," as they erupt years after the other teeth and often have insufficient room in the jaw

Depending on the complexity of the case, an extraction can be performed surgically or non-surgically. A mild anesthesia is used to ensure the patient is as comfortable as possible throughout the procedure.

Weinstein Dental Group and Dr. Bruce Goldin Orthodontics

  • Weinstein Dental Group and Dr Bruce Goldin Orthodontics - 375 West Ave., Brockport, NY 14420 Phone: 585-637-4330 Fax: 585-637-4858

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