Dental Technology in Santa Rosa, CA 

In recent years, laser dentistry has superseded many traditional dentistry practices, making treatments more precise and less painful.  This newer style of dentistry utilizes intense beams of light projected by a dental laser.  Dental lasers can be used to perform a wide variety of treatments, including soft tissue shaping and removal.

The FDA deemed laser dentistry to be safe for public usage in 1990.  Since then, many dentists have incorporated dental lasers into everyday procedures – reducing bleeding, anxiety and post-treatment recovery times.  The beauty of dental lasers is that they damage far less of the surrounding tissue than traditional techniques – which means less discomfort and pain.

Here are some of the other benefits associated with laser dentistry:

• Faster healing and tissue regeneration.
• Preservation of more of the natural tooth.
• Reduced bleeding during and after treatment.
• Reduced need for anesthesia.
• Reduced need for stitches and sutures.
• Reduced risk of bacterial infections after procedures.

How can laser dentistry help me?

Laser dentistry is incredibly versatile and plays an important role in a growing number of common dental procedures.  Though laser dentistry is most notably associated with cosmetic treatments, it is equally effective for preventative purposes.

Here are some of the ways that dental lasers can be used:

• Tooth preparation – Prior to laser dentistry, a drill would be required to prepare the tooth for a filling.  Lasers can now completely eliminate the need for drilling and anesthesia. Lasers also successfully kill oral bacteria around the surgical site.
• Reshaping soft tissue – Dental lasers can dissolve soft tissue to expose more of the natural tooth (crown lengthening), reshape soft tissue to make “gummy smiles” more attractive, and remove uncomfortable soft tissue folds caused by denture wear.
• Frenectomy – Lasers can improve speech and the feeding habits of babies, children and adults by untying the tongue.
• Tumor removal – When benign tumors have formed in the soft tissue areas of the mouth, a dental laser can completely remove them without causing pain.
• Whitening – Lasers can greatly expedite the tooth whitening process by increasing the activity of the particles in the peroxide bleaching solution.
• Biopsy – Lasers are sometimes used to perform a biopsy on suspicious areas of soft tissue.  This biopsy procedure can be performed instantly and with great precision.

How are laser procedures performed?

Different types of dental laser have been created to treat different conditions.  Each laser uses a different wavelength of light, which predicates its best use.  The most common types of dental laser are carbon dioxide lasers and diode lasers, which are usually employed to treat soft tissue problems.  The dentist will decide which type of laser is best to use after conducting X-rays and a thorough examination.

The laser beam is extremely bright, and special glasses will be provided to protect the eyes.  The dentist will then direct the beam at the affected area and carefully dissolve the soft tissue, harden the filling or whiten the teeth.

The procedure will take far less time than conventional methods, and cause far less anxiety and discomfort.  The only real disadvantage of laser dentistry is that it can prove to be more expensive.

Digital Radiographs

Digital radiographs (x-rays) are an important diagnostic tool for dental professionals. While traditional film radiographs provide critical insight into the oral and physical health of the patient, hi-tech digital radiographs allow dentists to view and enhance dental images on a large computer screen.

Dentists can also copy or print digital radiographs with ease. This allows for effective comparison of new results to previous images and insight on how treatments have impacted dental conditions. If the dentist refers the patient to a specialist, digital radiographs can be transmitted via computer – eliminating the need for a second set of x-rays in most cases.

Why Use Digital Radiographs?

One of the most significant advantages of utilizing digital radiographs is reduction of radiation exposure. Digital radiographs also eliminate the use of film and required chemicals for processing, making the overall procedure much less harmful to the environment.

The larger computer screen used to display digital radiographs allows dentists to view any problems or irregularities with added clarity. The potential for early detection of decay or periodontal problems and reducing complicated conditions later is vastly increased.

Here are some of the main conditions that digital radiographs can better expose:  

• Small areas of decay
• Bone recession
• Tumors
• Fractures and trauma
• Positioning of the teeth
• Developmental irregularities
• Tooth positioning
  

How Are Digital Radiographs Taken?      

The technique for capturing digital radiographs is similar to that of the traditional-style radiographs, but the digital variety uses a small electronic sensor to capture intraoral images, as opposed to film bitewings.

Generally, a full mouth series of digital x-rays includes eighteen different views of the teeth and underlying jawbone. The two standard views dentists use are: periapical and bitewing. The periapical view is used to inspect the root tips for decay, disease or damage, while the bitewing view allows for close inspection and measurement of the mandible and maxilla (upper and lower jawbones).

After exposure, the digital image is either transferred wirelessly to a computer, or the dentist takes the plate from the mouth, and scans it with a specialized reader. Processing traditional film can take up to five minutes, but a digital image takes mere seconds. Once the image is apparent on the screen, the contrast, color and brightness can be altered to produce a much clearer image.

Intraoral Cameras

Intraoral cameras are changing the face of routine dental appointments. The intraoral camera gives the patient a unique view of each tooth - enabling them to understand diagnoses and make informed treatment decisions.

The intraoral camera is connected to a computing unit at the side of the dental chair. A pen-sized wand is inserted into the mouth, and a movie of the inner mouth is created. This movie can be magnified more than 30x to allow every aspect of the teeth to be viewed in full color. The intraoral camera is an incredibly valuable tool, which brings dentistry to life.

How can the intraoral camera help?

Utilizing intraoral cameras is a completely comfortable process for patients, and provides an honest assessment of the teeth. Here are some of an intraoral camera’s main uses:

• Dental education – Education and preventive care are highly important in dentistry. The intraoral camera can expose areas where home hygiene may be deficient. Any problems can then be resolved before complicated treatments are required.
• Exposing hidden problems – Conditions like gum disease and oral cancer may display easy-to-miss symptoms in their earliest stages. The intraoral camera can more clearly highlight these issues to the dentist and the patient.
• Treatment planning – No matter how well a dentist might describe a condition, it is easier to understand the issue if it can be seen. Seeing tooth decay and problem teeth helps patients understand why certain treatments are recommended for maximum health benefit and aesthetics.
• Assessing progress – Some treatments impact the teeth slowly. The intraoral camera allows treatment to be modified along the way, if necessary, to ensure the desired results are achieved.
• Eliminating uncertainty – One of the most common patient fears is that a dentist is performing unnecessary treatments. The intraoral camera highlights problem areas, so that individuals are less likely to refuse necessary treatment.
• Referrals to specialists – On occasion, a patient may need to be referred to a specialist for complex treatment. If this specialist is able to view clear images of the teeth in advance, consultation times and costs can be reduced.

How will the intraoral camera be used?

The intraoral camera is the size and shape of a pen. It is covered with a disposable sheath, to ensure that no germs are transmitted from patient-to-patient. The slim wand is inserted into the mouth and rotated until clear pictures of every tooth can be recorded. The images are transmitted onto a television screen in movie format. The movie can be paused, and images of individual teeth can be magnified to allow the dentist to explain and explore any noticeable problems. One of the biggest advantages of the intraoral camera is it does not expose patients to radiation. The intraoral camera is one of the most useful and versatile diagnostic tools available.

Panoramic X-rays

Panoramic X-rays (also known as Panorex^® or orthopantomograms) are wraparound photographs of the face and teeth.  They offer a view that would otherwise be invisible to the naked eye.  X-rays in general, expose hidden structures, such as wisdom teeth, reveal preliminary signs of cavities, and also show fractures and bone loss.

Panoramic X-rays are extraoral and simple to perform.  Usually, dental X-rays involve the film being placed inside the mouth, but panoramic film is hidden inside a mechanism that rotates around the outside of the head.

Unlike bitewing X-rays that need to be taken every few years, panoramic X-rays are generally only taken on an as-needed basis.  A panoramic X-ray is not conducted to give a detailed view of each tooth, but rather to provide a better view of the sinus areas, nasal areas and mandibular nerve.  Panoramic X-rays are preferable to bitewing X-rays when a patient is in extreme pain, and when a sinus problem is suspected to have caused dental problems.

Panoramic X-rays are extremely versatile in dentistry, and are used to:

• Assess patients with an extreme gag reflex.
• Evaluate the progression of TMJ.
• Expose cysts and abnormalities.
• Expose impacted teeth.
• Expose jawbone fractures.
• Plan treatment (full and partial dentures, braces and implants).
• Reveal gum disease and cavities.

How are panoramic X-rays taken?

The panoramic X-ray provides the dentist with an ear-to-ear two-dimensional view of both the upper and lower jaw.  The most common uses for panoramic X-rays are to reveal the positioning of wisdom teeth and to check whether dental implants will affect the mandibular nerve (the nerve extending toward the lower lip).

The Panorex equipment consists of a rotating arm that holds the X-ray generator, and a moving film attachment that holds the pictures.  The head is positioned between these two devices.  The X-ray generator moves around the head taking pictures as orthogonally as possible.  The positioning of the head and body is what determines how sharp, clear and useful the X-rays will be to the dentist.  The pictures are magnified by as much as 30% to ensure that even the minutest detail will be noted.

Panoramic X-rays are an important diagnostic tool and are also valuable for planning future treatment.  They are safer than other types of X-rays because less radiation enters the body.

Dental Radiographs (X-Rays)

Dental radiographs, also known as dental X-rays, are important diagnostic tools in pediatric dentistry.  Dental radiographs allow the dentist to see and treat problems like childhood cavities, tooth decay, orthodontic misalignment, bone injuries, and bone diseases before they worsen.  These issues would be difficult (in some cases impossible) to see with the naked eye during a clinical examination.

The American Academy of Pediatric Dentistry (AAPD) approves the use of dental radiographs for diagnostic purposes in children and teenagers.  Although radiographs only emit tiny amounts of radiation and are safe to use on an occasional basis, the AAPD guidelines aim to protect young people from unnecessary X-ray exposure.

What are dental X-rays used for?

Dental x-rays are extremely versatile diagnostic tools.  Some of their main uses in pediatric dentistry include:

• Assessing the amount of space available for incoming teeth.
• Checking whether primary teeth are being shed in good time for adult teeth to emerge.
• Evaluating the progression of bone disease.
• Monitoring and diagnosing tooth decay.
• Planning treatment (especially orthodontic treatment).
• Revealing bone injuries, abscesses, and tumors.
• Revealing impacted wisdom teeth.

When will my child need dental X-rays?

Individual circumstances dictate how often a child needs to have dental radiographs taken.  Children at higher-than-average risk of childhood tooth decay (as determined by the pediatric dentist) may need biannual radiographs to monitor changes in the condition of the teeth.  Likewise, children who are at high risk for orthodontic problems, for example, malocclusion, may also need sets of radiographs taken more frequently for monitoring purposes.

Children at average or below average risk for tooth decay and orthodontic problems should have a set of dental X-rays taken every one to two years.  Even in cases where the pediatric dentist suspects no decay at all, it is still important to periodically monitor tooth and jaw growth – primarily to ensure there is sufficient space available for incoming permanent teeth.

If the oral region has been subject to trauma or injury, the pediatric dentist may want to X-ray the mouth immediately.  Developments in X-ray technology mean that specific areas of the mouth can be targeted and X-rayed separately, reducing the amount of unnecessary X-ray exposure.

What precautions will be taken to ensure my child’s safety?

Though dental radiographs are perfectly safe for use on children, the pediatric dentist will take several precautions to ensure the X-ray process does not unduly damage the child’s cells and bodily tissues.

First, the child will be covered in a lead apron to protect the body from unnecessary exposure.  Second, the dentist will use shields to protect the parts of the face that are not being X-rayed.  Finally, the pediatric dentist will use high-speed film to reduce radiation exposure as much as possible.