Emergency Care and Extractions
All emergencies involving trauma, severe pain and swelling are given priority. Other unexpected dental problems frequently do occur without warning. You can call Dr. Fassnacht for a office visit at Burke Family Dentistry at (703) 323-3910. After hours contact information is available to callers in our recorded message.
Check-ups and Cleanings
The key to optimal dental health is prevention. The reinforcement of proper home care and with regular cleanings and check-ups is recommended twice per year for most patients. Health histories are reviewed to be certain that dental conditions or treatment does not compromise overall patient medical health. Patients are carefully examined for decay (caries), gum and bone (periodontal) health, condition of existing dental work, misaligned teeth and other abnormalities including infection and cancer screening. Digital dental x-rays are also utilized for a complete evaluation. Depending upon the extent of treatment, a complimentary consultation is offered to discuss your evaluation and treatment plans options. Dr. Fassnacht will always take time to educate his patients so they can select the best treatment option.
If you are missing a tooth or have a tooth that cannot be restored, a dental implant is the best solution. Implants are made from the bio-compatible metal, titanium. Implants act as a natural root substitute and ultimately will fuse (integrate) to healthy bone due to the remarkable compatibility that titanium has with bone. Once the implant is fused, an implant crown is permanently attached. Multiple implants are routinely used to restore several or all missing teeth for a comfortable, healthy and pleasing result. In this case, a permanently attached implant bridge is placed. For many patients, what was one time thought to be exotic has now become routine in contemporary dentistry. If it is one tooth or many that are missing you can feel and look confident with the advantages of implant dentistry.
Cosmetic dentistry is the absolute art and science. The most important characteristic we project is our smile. Beautiful, aesthetic and healthy smiles are made easy with advances in cutting-edge procedures and materials. Cracked, worn down, crooked, and discolored teeth will be all in the past with your dental makeover. An enhanced smile will allow you to comfortably enjoy meals and smile confidently in all social settings. The list of procedures that support cosmetic dental goals are numerous and are not limited to crowns, cosmetic fillings, whitening, veneers, bonding and orthodontics.
Relax and get that needed dental work done! Patients can have procedures performed at Burke Family Dentistry without anxiety and pain. Additionally, unpleasant memories of long white knuckled visits are eliminated with Sedation Dentistry. A safe oral medication is taken one hour prior to your dental visit and you arrive completely relaxed for your visit. Of course, you must have a responsible person provide transportation. The medication safely puts you in a light state of sedation (anxiolysis) so that treatment is relaxed and effortless.
Gum (Periodontal) Treatment
Gum disease leads to one of the most sited reasons for adult tooth loss. It is often painless and ultimately destructive to the supporting gums and bone called periodontal disease. It is the result of allowing dental plaque to accumulate on teeth without daily removal. Gingivitis is the early stage that is treatable with regular cleanings and proper flossing and brushing. Red swollen gums that easily bleed is an indication gingivitis. Periodontitis is the advanced and untreated version of gingivitis. This advanced condition will irreversibly damage bone support of teeth resulting in tooth loss. Bad breath, known as halitosis, is frequently associated with poor periodontal health. There are many factors that increase periodontal risk: poor brushing and flossing, missing or crooked teeth, tobacco use, old and worn out dental work, pregnancy, and medical conditions such as diabetes.
Invisalign® and Invisalign Teen®
Beautiful straight teeth without braces? Absolutely "yes" with Invisalign® and Invisalign Teen®. This is where high-tech materials and 3-D computer imaging sciences intersect in orthodontic treatment to deliver amazing beautiful smiles. A removable series of unique clear aligners are worn for two week intervals and you may need office visits every 6 weeks. You will experience shorter and fewer visits over an average 9-16 months of treatment. Conventional braces still play an important roll in modern dentistry and benefits many patients.
Broken and decayed teeth can be restored to there proper shape, color and function if the remaining tooth structure has solid integrity. Modern resin based composite materials are tooth colored and strong enough to support eating function. This material is also known as cosmetic fillings. Resin fillings have replaced the old unsightly silver fillings. Cosmetic resin fillings can be shaped and polished to the natural shape of your teeth for comfort as well as efficient flossing and brushing. Since resin fillings have no metal, they do not stain tooth natural teeth. In addition, they are not as likely as the silver fillings to have cold and hot temperature sensitivity at the time of placement.
Crowns are recommended treatment choice when the natural tooth structure is unable to support fillings. Remaining tooth structure is prepared, being careful to remove any decay and weak tooth structure to achieve an ideal shape. This new shape will facilitate the retention require to to hold the crown in place with the help of dental cement. If the tooth is significantly broken down, a build up material is used to to enhance the shape of the prepared tooth. Once the crown is prepared an impression is taken and a model of your mouth is constructed. The crown is carefully fabricated on the model by a dental laboratory technician for the correct shape, function and natural appearance. The process requires 8-10 working days to complete. A temporary crown is made to fit on the prepared tooth as the last step of your visit. There are a variety of crown material options available to dentists base on which best serves the patient. A selection is made based on the functional and aesthetic requirements that are unique to each patient.
A bridge fills the space that exists when a tooth is removed. Teeth on either side of the space are prepared as crowns (see above) and are called abutments. The missing tooth is called a pontic. It is joined to both abutments crowns as one solid unit by the dental laboratory technician. The material options are the same as for the crown. A bridge has the aesthetic appearance of individual teeth. It is designed for proper brushing and flossing and is cemented into place on the abutment teeth. The office visit protocol is quite the same as that of the crown procedure. A temporary bridge is placed at the completion of the preparation visit and may be utilized for 2-3 weeks while waiting for the fabrication of final bridge. Abutments can be implants as well as natural teeth. A great treatment solution for multiple missing teeth is stable implant-supported bridge in place of removable dentures. Also, a single implant may be the better choice as opposed to a bridge. It is very important to have a complete understanding all treatment options. Dr. Fassnacht will take the time and care to help his patients make the best educated choice during the consultation.
Non-removable dental work is generally the treatment of choice, however, removable dentures are another treatment option for missing teeth. Removable partials are used to replace one or more teeth. The remaining natural teeth in the arch are used for stability with the help of carefully positioned clasps. Acrylic overlaying a metal framework is commonly the base materials of choice. Carefully selected artificial teeth are selected for proper function and cosmetics. When all teeth are missing a full denture is utilized. Special care and planning are required to select the artificial teeth and the shape of the denture base. This appliance is designed to balance the chewing function and the soft tissue support of the face. A well constructed full denture is designed off set the effect of lost support from the natural teeth and supporting dental bone once given to the lips and cheeks. Multiple office visits are required and coordinated with a dental laboratory technician for proper fit and comfort.
Each tooth has hollow area known as the pulp chamber and root canal(s) that contain the nerves and blood vessels that enter at the tip (apex) of the root. Trauma, decay or infection can significantly harm the health of the tooth which in causes increasing inflammation. Significant pressure eventually builds up to create pain and infection that at some point will exit into bone through the apex. This event leads to an abscess in the bone at the root tip often seen on x-rays. Root Canal Therapy(RTC) is the procedure that is intended to save a tooth as opposed to extraction. This is accomplished through a opening that is made in the biting surface of the tooth so the pulp chamber and canals can be located. They are then carefully cleaned of infection and debris. Both are shaped and the canal is sealed with a special material call gutta percha. A tooth treated with RCT is usually broken down and very brittle, requiring a crown and supportive procedures to protect and strengthen it from the forces of chewing.
- Wisdom Teeth
- Digital X-rays