SmilesInc Dental Services
Initial Oral Examination
Your first visit at 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 the oral anatomy.
The Preventive Program
Both natural teeth and teeth with restorations survive best in an oral environment that is clean and where the intake of harmful foods is controlled. 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.
Oral & Maxillofacial Surgery
Oral and maxillofacial surgery is that specialty which involves the diagnosis, surgical and medical treatment of diseases, injuries, deformities, and defects of the mouth, jaws and facial region.
Periodontal Treatment and Surgery
The periodontist examines the gums, checks to see if there is any gum line recession, assesses how the teeth fit together when biting, and checks the teeth to see if any are loose. The periodontist will also take a small measuring instrument called a probe and place it between the teeth and gums to determine the depth of those spaces, known as periodontal pockets; this helps the periodontist assess the health of the gums. X-rays may also be taken to observe the health of the bone below the gum line. Treatment will be determined upon findings.
Scaling and root planing is a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins. Further active treatment might result in a gum graft. A gum graft can reduce further recession and bone loss. In some cases, it can cover exposed roots to protect them from decay. This may reduce tooth sensitivity and improve esthetics of your smile. Whether you have a gum graft to improve function or esthetics, patients often receive the benefits of both: a beautiful new smile and improved periodontal health – your keys to smiling, eating and speaking with comfort and confidence.
Invisalign is the clear, simple way to straighten your teeth without using traditional metal braces. Invisalign® aligners are custom-made to your mouth, removable and clear. Best of all, you can still eat and drink whatever you want, and you can brush and floss normally to maintain healthy gums and teeth.
Using the most advanced dental technology possible is just as important as staying up-to-date on the latest treatment techniques. Because our practice is dedicated to providing you with the safest and most convenient treatment options available, we utilize advanced digital X-ray technology in our office. Digital X-rays provide several advanced imaging options designed to save time, provide clearer dental photos, and expose patients to 90% less radiation than with traditional X-ray technology.
Traditional dental restoratives, or fillings, include porcelain and composite. The strength and durability of traditional dental materials make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.
Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.
Crowns & Caps
The terms 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, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. 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 and 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 is a cemented 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.
If a tooth is extracted or missing for some other reason, it is now possible to replace it using dental implants. An implant is 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.
Gaps, chips, stains, or misshapen teeth can now be treated with wonderful results and very conservatively using porcelain veneers. Veneers are natural in appearance, and are a perfect alternative for patients wanting to make minor adjustments to the look and feel of their smile. Veneers are thin, custom-made shells made from tooth-colored materials (such as porcelain) designed to cover the front side of your teeth.
Our at-home bleaching system will make your teeth whiter in easy applications with outstanding results achieved in just days.
When tooth removal is necessary, we can perform extractions. This is usually done in office, more complex cases requiring general anesthesia cases will be scheduled at King Edward Memorial Hospital. If you choose, we can also replace the missing teeth with dental implants.
Dr. David Samuels is a periodontist from Boston, MA, who comes to Bermuda every month to perform a variety of procedures, including cosmetic and TMJ treatment using XEOMIN® , and dermal fillers with Restylane®.