
Our goal is to provide you with the highest standard
of care in a compassionate and safe environment.
In order to do this, we use proven state-of-the-art techniques, procedures, instruments,
medications and sterilization.
In this ever changing world one of the most important
ingredients is trust. We go to great lengths to always be honest,
dependable and professional. The following is a brief description
of our procedures.
We know that preventing the spread of infectious
diseases such as AIDS, herpes, hepatitis and even the cold virus
is critical and take sterilization very seriously. For this reason
we use extensive sterilization procedures, going well beyond those
recommended by the American Dental Association and Centers for
Disease Control.
We use barrier techniques such as disposable masks
and gloves and change them for every patient. Every piece of equipment
is wiped-down with antibacterial solution prior to every dental
procedure. Sterile water delivery systems are utilized. We use
autoclave sterilization for all instruments prior to dental examination
and treatment. You can be assured that our staff has been specifically
trained on sterilization procedures and their importance.
While no dental procedure is 100% comfortable, we
go to great lengths to minimize any discomfort you might feel.
Many of our patients make statements like, "This wasn't even
painful? How did you do that?"
Patient comfort is one of the most important aspects
of care. Different patients have different needs for pain and anxiety
control medication. Depending upon the procedure and your wishes,
there are many medications we can prescribe.
Injections of dental anesthesia can become more painful
if not precisely done or if the injection is done at too rapid
a rate. We give topical pre-anesthesia before injections and take
extra care to be slow and precise.
For those patients that would feel more comfortable with conscious
sedation, we offer conscious IV sedation and nitrous oxide analgesia.
Conscious IV sedation is provided by a hospital trained licensed
anesthesiologist . Either one of these techniques will make you
feel relaxed and at ease. Although you will be awake, you will
not be aware of your surroundings. Conscious sedation can allow
you to remain calm during dental procedures, with very minimal
recollection of your visit. We are happy to let you know that both
Dr. Bierly and Dr. Peterson have extensive training and are licensed
to provide either one of these options.
We strive to stay on the leading edge of periodontal
techniques and equipment. In order to do this, we take a great
deal of continuing education. We also utilize advanced equipment
in our office. This includes Panoramic Radiography to
be able to more precisely diagnose and treat periodontal disease.
It also allows us to more accurately place dental implants.
Periodontal disease is a bacterial infection that
gets under the gums and into the bone around your teeth. This infection
must be removed and the area given a chance to heal. There are
two generally accepted treatments for this depending upon the severity
of your infection.
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The upper level of infection in the pockets
around your teeth can be removed using specialized instruments.
This procedure is called, “Scaling and Root Planing”, “Phase
One Treatment” or “Initial Therapy”.
It is done under local anesthesia and is quite different
from the routine dental cleaning or “deep cleaning” that
is traditionally done in the general dentist's office.
If your infection has spread into the bone
which supports your teeth, and is beyond the level that
can be reached in “Upper Level Infection Removal”,
then a surgical procedure must be done to pull back the
gums and remove the lower level of infection. |
Other Procedures
Dental implants have their own section which describes
their benefits and procedures. Click here to
view the page on dental implants.
When getting a new crown, the general dentist must
prepare your tooth to receive it. Sometimes there is not enough
tooth structure above the gumline to accept a new crown. Crown
lengthening provides more tooth for your crown. This ensures a
more stable crown with less gum irritation afterwards.
Procedure: The periodontist gives
you a local anesthetic and gently recontours excess gum and bone
tissue to expose more of your natural teeth
Often, after a lost tooth or tooth extraction, a depression can
develop in the site where the tooth was. This can look unsightly
under a Bridge or around a dental implant.
Procedure: To prevent this from occurring, the
periodontist can administer a local anesthetic and gently extract
the tooth. At the time of extraction he can place just enough bone
grafting material in the socket to prevent a jawbone depression
from occurring.
Your jawbone is what supports your teeth and gums.
Unfortunately, periodontal disease dissolves parts of your jawbone.
This causes bone loss and eventual loss of teeth. The first step
is to remove the periodontal disease and stop the bone loss. Then,
in many cases, various bone grafting techniques can be used to
grow back some of the jawbone that was lost.
Procedure: The periodontist gives
you a local anesthetic and gently opens the area filling in the
missing section with bone grafting material.
Some localized, topical antibiotics can enhance your periodontal
treatment. In certain isolated circumstances, placement of antibiotic
medicine can also reduce infection. This antibiotic therapy is
always done in conjunction with scaling and deep cleanings. This
procedure is more often used for patients that have had previous
periodontal repair therapy.
Procedure : Topical Antibiotics, in various
forms, are precisely placed in isolated areas to improve healing
after the localized area is scaled and deep cleaned. Afterwards
the results are closely monitored during follow-up maintenance
visits.
Each procedure is done with your comfort and safety
in mind. We work closely with your general dentist to ensure you
get the best possible result in accordance with your general dentist's
wishes. Please feel free to ask questions before, during, or after
any of these procedures.
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