Broadway Dentist: (617) 389-3636 Winchester Family Dental: (781) 570-2212
609 Broadway
Everett, MA 02149
(617) 389-3636
831 Main Street
Winchester, MA 01890
(781) 570-2212

Services

Initial Oral Examination

Your first visit to our office is very important in establishing your oral health baseline. We will perform a complete oral examination which includes an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) and a thorough examination of your teeth, their supporting structures and of the oral anatomy.

The Preventive Program

Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where proper oral hygiene is maintained. Our dental hygiene program is designed to help prevent new cavities, preserve teeth that have been restored and manage periodontal disease. At the initial visit with our hygienist, oral hygiene instructions are reviewed and are reinforced at subsequent recall visits. Sealants placed on permanent teeth of kids and adults that have deep grooves and are prone to cavities

Gum Treatment

Periodontal treatment methods depend upon the type and severity of the disease. Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth. If the disease is caught in the early stages of gingivitis, and no permanent damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings. If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths.

Crowns & Caps

The terms dental crowns and caps are synonymous. Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth. Crowns are also used to attach bridges, cover implants, or to prevent a cracked tooth from becoming worse. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance. Crowns are fabricated in a laboratory and are made either of porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.

Bridges & Dentures

A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite. A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support. There are two basic types of bridges. A fixed bridge which remains in your mouth at all times and is supported by your natural teeth. Removable bridges (partials and full dentures) are removed from the mouth several times a day for cleaning and rest on the gum where the missing teeth are being replaced.

Dental Implant Restoration

If a tooth is extracted or missing for some other reason, it is now possible to replace it using dental implants. An implant is like a new tooth made of metal and porcelain that looks just like your natural tooth. It's composed of two main parts: One part is the titanium implant body that takes the place of the missing root, and the second part is the tooth-colored crown that is cemented on top of the implant. In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth so that you have a more natural-looking smile.

Pediatric Dental Care

We take pride in creating and maintaining beautiful and healthy smiles for our younger patients in an environment that is lighthearted and fun. We focus on establishing oral health habits that last a lifetime, with education and prevention as our primary tools.

Invisalign®

Benefits of Invisible Braces Our dentists are able to treat a wider range of complex alignment cases thanks to recent advances in dental technology, including improvements to the Invisalign® system. Among other benefits, Invisalign® aligners are:

  • Removable, allowing you to brush, floss, and eat a variety of foods with ease
  • Virtually invisible
  • Comfortable to wear at all times of the day
  • Customized to fit only your smile
  • Plastic, not metal
  • Easy to clean
  • Cost effective

*Invisalign is a registered trademark of Align Technology, Inc.

Extractions

When tooth removal is necessary, we do simple and complex (surgical) extractions with local anesthesia and if needed, we offer oral sedation or nitrous oxide.

Veneers

Often an alternative to crowns, veneers are very thin pieces of specially-shaped porcelain or ceramic that are bonded to the front of your teeth. They are the cure for teeth that are severely discolored, chipped, have small holes or pits, misshapen or crooked, or for the correction of unwanted or uneven spaces. Unlike crowns, veneers won't require the dentist to remove much of the tooth itself. Veneers are created from an impression taken in our dental office. Your custom veneer is then bonded directly onto your tooth. Porcelain veneers won't stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers are often the best treatment options to correct specific cosmetic issues.

Root Canals

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. This simple treatment can save your natural teeth and prevent the need of dental implants or bridges. Symptoms of the infection are generally acute dental pain or sensitivity to hot, cold or percussion. If you experience any of these symptoms, your dentist will most likely recommend root canal therapy to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required. Success for this type of treatment occurs in about 90% of cases.

Teeth Whitening

Our state-of-the-art bleaching system will make your teeth whiter and brighter. You can also choose our easy at-home applications with outstanding results achieved in just days.

Cosmetic Dentistry

Thanks to advances in modern dentistry, teeth that have been affected by a range of imperfections or that have sustained damage from trauma or dental decay, can be restored to produce a naturally beautiful looking and functional smile. The cosmetic dental solutions available today can effectively improve and enhance the appearance of teeth that are stained, discolored, misshapen, chipped, fractured, gapped, crowded or broken down as the result of dental decay.

Cosmetic dental procedures can range from treatments that are relatively quick and non-invasive to more comprehensive plans of care to restore incomplete smiles that have been affected by severely damaged, lost, or missing teeth.

Digital Radiography

Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.

An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.

Emergency Treatment

Dental emergencies can come about in any number of ways. Your discomfort may be due to an injury to the oral facial area, the acute flare up of a longstanding problem, or the result of the sudden onset of seemingly inexplicable pain. Whatever the case may be, urgent dental care is needed to provide you with relief and to avoid any further consequences to your oral health or function, as well as your overall well being.

There are many reasons to seek emergency dental care, including severe toothaches, chipped or fractured teeth, a dental abscess, impacted teeth, loose or broken fillings, lost or dislodged crowns, broken dentures and more. While the pain of a toothache is one of the more common reasons that patients come to our dental office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one’s smile.

Whether your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, contact our office immediately for care. We will make every effort to see you as promptly as possible.

Implant Dentistry

Losing a tooth due to injury, dental decay, or gum disease can happen. However, in order to avoid causing problems for the adjacent teeth and your overall dental health, it is important to replace the tooth that has been lost. This can be done a number of ways including fixed bridges, removable partial or full dentures as well as a more recent procedure known as dental implants.

One of the most significant dental innovations in recent times, an implant is a small surgical fixture made of biocompatible metal or ceramic materials that is placed into the jawbone and functions in the same manner as the root of a tooth. In the same way that natural root supports the natural crown of your tooth, an implant once it fully integrates with the surrounding bone, provides a stable and durable foundation for a replacement tooth. Implants often support a crown for an individual tooth, but can also be used as abutment teeth for a dental bridge, or strategically placed to help stabilize a denture.

Out of all of the restorative choices available today an implant comes the closest to replicating the look, feel and function of a natural tooth. Furthermore, it is the only method of tooth replacement that does not require the involvement or preparation of the adjacent teeth. A dental implant also stimulates bone remodeling to prevent shrinkage in areas where teeth are missing and helps to restore facial contours in areas where significant bone loss has occurred.

Night Guards

Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night causing an individual to wake up with any number of symptoms including jaw pain, headaches, and sore teeth that may feel loose. Although, stress and anxiety are the most common causes of bruxism there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.

To alleviate the symptoms of bruxism, wearing a night guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing a night guard prevents a number of damaging events including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.

In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom night guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.

Oral Cancer Screening

Oral cancer accounts for 2.9% of all diagnosed cases of cancer in the United States. According to the American Cancer Society it is estimated that 51,000 people across the country will develop oral cancer this year and that 10,000 fatalities are expected from the disease.

Oral cancer can occur anywhere in the orofacial complex but is most often found on the tongue, the tonsils and oropharynx, the gums, floor of the mouth, lips, cheek lining or the hard palate. While the disease can affect anyone, men are twice as likely to develop oral cancer as women. Those particularly at risk for oral cancer are men over the age of 50 who are heavy smokers and frequently drink alcohol. Additional risk factors may include UV exposure from the sun or sunlamps, GERD (gastro-intestinal reflux disease, prior head and neck radiation treatment, exposure to certain chemicals and poor diet. While the death rate from oral cancer has been decreasing in the past several decades thanks to early detection and advanced methods of treatment improving the outcomes of care, there has been a recent rise in the incidence of oropharyngeal cancer due to increased transmission of the sexually transmitted human papillomavirus (HPV).

What are some of the signs and symptoms of oral cancer?

As part of a comprehensive exam, the dentist will perform a screening for oral cancer. To start, the dentist will review the patient’s medical and dental histories and ask if there have been any changes to his or her oral health or overall health. The dentist will then carefully check in and around the oral cavity as well as the head and neck area for any of the following signs or symptoms that may indicate the presence of a problem:

  • Mouth ulcers or sores that do not heal
  • Lumps
  • Red or white patches
  • Persistent swelling of unknown origin
  • Pain when swallowing, a painful tongue or a continuing ear or neck ache
  • A constant feeling that something is stuck in the throat
  • Tenderness or numbness in the mouth or lips
  • Loose teeth
  • Jaw pain or stiffness

If a suspicious lesion, tissue abnormality or unusual symptoms are present, the dentist will refer the patient for a more comprehensive assessment. Early detection of oral cancer offers the most favorable outcomes of care.

Orthodontics

A healthy, functional and attractive smile requires teeth that are straight and jaws that are well aligned. The goal of orthodontic treatment is to correct the cosmetic and functional problems associated with teeth that are either overcrowded, have spaces between them, or that have shifted over time due to extractions, habits, or abnormal bite patterns. Orthodontics can also address skeletal discrepancies between the upper and lower jaws.

Orthodontic treatment can range from the minor movement of a few teeth to the alignment of an entire bite. It may also be used in some cases to align teeth both before and after the surgical correction of severe jaw discrepancies.

Orthodontics utilizes the principles of physics to slowly move teeth into their proper positions. This is performed by using a selection of corrective appliances, including braces, clear aligners, and retainers. Designed to apply incremental and controlled forces to move the teeth in the desired direction, these appliances are adjusted on a regular basis throughout the course of care. Once a malocclusion is corrected and the teeth are completely aligned, retainers are often placed to help ensure that the result remains stable.

Orthodontic treatment time depends on the patient’s age, the severity of the malocclusion and the unique needs of each particular case. Some corrections can be accomplished in a few months while others can take a few years. However, for many malocclusions the average length of orthodontic treatment time is 24 months.

Sports Mouthguards

Every year millions of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.

One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.

There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.

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