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| Caravolas & Karavolas |
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| Phone: 781.647.0804 |
20 Hope Ave Suite 306, Waltham, MA 02453 |
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SERVICES
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We are pleased to offer the following services and technologies to our patients:
ORAL HYGIENE CARE
Maintaining
good oral hygiene is one of the most important things you can do for
your teeth and gums. Healthy teeth not only enable you to
look and feel good, they make it possible to eat and speak
properly. Good oral health is important to your overall
well-being. Daily preventive care, including proper brushing and
flossing, will help stop problems before they develop.
In
between regular visits to the dentist, there are simple steps that each
of us can take to greatly decrease the risk of developing tooth decay,
gum disease and other dental problems. These include:
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Brush thoroughly twice a day and floss daily
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Eat a balanced diet and limit snacks between meals
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Use dental products which contain fluoride, including toothpaste
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Rinse with a flouride mouth rinse if advised to do so
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Make sure children under 12 drink fluoridated water or take a fluoride supplement if they live in a non-fluoridated area
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Visit your dentist regularly for professional cleanings and oral exams
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Replace your toothbrush every 3-4 months
The following are indications of good oral hygiene:
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Your teeth are clean and free of debris
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Gums are pink and do not hurt or bleed when you brush or floss
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Bad breath is not a constant problem
DENTAL CLEANING
A
dental cleaning is a professional cleaning you receive from a dentist
or dental hygienist. Most dental cleanings take
approximately 45 minutes. Cleanings should be
performed every six months to prevent excessive plaque buildup.
Plaque left untreated can lead to unhealthy gums and tooth
decay. During your routine cleaning we will remove excess
plaque and polish your teeth.
SEALANTS
Sealants
are used to fill narrow grooves in a tooth that cannot be
adequately cleaned by brushing. In some cases, the tooth
structure has fine grooves or pits which accumulate plaque, not because
the person doesn't brush, but because they're too narrow to allow even
one bristle into them. To avoid cavities developing over
time, the dentist will brush on a coating that seals the grooves and pits, making it possible to brush off all the plaque and keep your teeth healthy. Back to top
BONDING Bonding
involves adhering composite resin material that is matched to the color
of the tooth, to the front of the tooth. This is performed to
repair damage caused by decay, to alter the alignment of the
tooth, close gaps between the teeth, or for other cosmetic
purposes.
First
the surface of the tooth is roughened in order to accept the bonding.
A gel is applied so the resin will adhere to the surface of
the tooth. The composite is then placed on the tooth and the
bonding agent hardens with intense light. The last step is shaping and
polishing to give a lustrous finish. Back to top
FILLINGS
A
filling is a way to restore a tooth damaged by decay back to its normal
function and shape. If you have a tooth that requires a
filling, the dentist will first remove the decayed tooth material,
clean the affected area, and then fill the cleaned out cavity with a
filling material. A filling helps prevent further decay by
closing off any cracks or spaces where bacteria can enter.
There
are a variety of filling materials available including gold, silver,
plastic and porcelain. The dentist will work with you to determine
which material is best, depending on the extent of repair, where in the
filling is needed, and cost. Each filling material is briefly
explained below:
· Gold
fillings are custom made in a laboratory and then cemented into
place. While gold fillings are often the most expensive
choice, many consider it the best filling material. Gold
inlays are well-tolerated by gum tissues and may last more than 20
years.
· Amalgam
(silver) fillings are a more inexpensive choice and are tolerant to
wear. However, due to their dark color they are more
noticeable than porcelain or composite restorations and are not
recommended for fillings in very visible areas such as front teeth.
· Composite
(plastic) resins are custom made to the exact color of your natural
teeth, creating a more natural appearance. While white fillings may be
less noticeable than other materials, they usually only last between 3
and 10 years and may not be ideal for large fillings as they
may chip or wear over time. They can also become stained from
coffee, tea or tobacco.
· Porcelain
fillings are called inlays or onlays and are custom created in a lab
and then bonded to the tooth. They can be matched to the
color of the tooth, resist staining, and are about the same cost as
gold fillings. A porcelain restoration generally covers most
of the tooth, making the filling nearly undetectable.
If
decay or a fracture has damaged a large portion of the tooth, a crown
(or "cap") may be recommended. Decay that has reached the
nerve may be treated through root canal therapy or through a procedure
called pulp capping. Back to top |
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CROWNS AND BRIDGES
Crowns and
bridges are used to restore and enhance teeth that are damaged or to
take the place of missing teeth. A crown (also referred to as a cap) is
used to entirely cover a damaged tooth. A crown not only
strengthens a tooth, but it can dramatically improve a
tooth’s appearance, shape and alignment.
Crowns may be used to:
- Replace a large filling when there is little tooth structure remaining
- Protect a weak tooth from fracturing
- Restore a fractured tooth
- Attach a bridge
- Cover a dental implant
- Cover a discolored or poorly shaped tooth
- Cover a tooth that has had root canal treatment
A
bridge is an ideal method to fill the space created by missing teeth. A
bridge is one or more artificial teeth cemented into place using the
teeth on either side for support. This is an option for filling the
space created by a missing tooth. Bridge work is as much an
art as it is an exact science since it replaces a missing tooth both
functionally and cosmetically. The materials used may be gold alloys,
porcelain bonded to metal alloy, or all ceramic material made to match
your natural tooth color. The choice of material depends on
requirements for strength, wear, and aesthetics.
It
is important that a missing tooth be replaced as soon as
possible. If not treated, the teeth surrounding the gap begin
to shift inward. Since teeth use their neighbors for support, if one is
missing they begin to "fall” and shift into the open spaces.
This may worsen the bite because of the changes in
pressure and can eventually result in problems with the jaw such as TMJ.
Bridges
and crowns are made by first taking an impression of your
mouth. The impression is sent to a dental lab where your
crown or bridge will be custom made to fit your mouth and match your
natural tooth color. A temporary crown or bridge will be
placed into your mouth until your permanent crown or bridge is ready
and cemented into place.
Bridges and crowns are very durable and can last a lifetime with extra care and good oral hygiene. Back to top
TOOTH EXTRACTIONS Good oral hygiene should always be practiced since the loss of a single tooth can have major impact upon your oral
health and appearance. Although dentists will use every
measure to prevent tooth loss, there are still sometimes necessary
occasions when a tooth may need to be extracted. A tooth may
need to be extracted for the following reasons:
- Severe decay
- Advanced periodontal disease
- Infection or abcess
- Orthodontic correction
- Malpositioned teeth
- Fractured teeth or roots
- Impacted teeth
After
careful examination and treatment, the dentist may advise to have a
tooth extracted. Before a tooth is removed, the dentist will
take an x-ray in order to understand the shape and position of the
tooth and surrounding bone. Based on the degree of
difficulty, we may refer you to a specialized oral surgeon.
For
a simple extraction, we will first apply a local anesthetic to prevent
pain and discomfort. The tooth will be loosened with a tool called an
elevator and then removed with dental forceps. Once the procedure is
complete, the area may be closed with one or two stitches. We
will then provide you with care instructions to alleviate discomfort
and ensure proper healing.
DENTAL IMPLANTS A
dental implant is an ideal tooth restoration for people who are missing
one or more teeth as a result of injury, periodontal disease, or any
other reason. A dental implant is a metal post that a
periodontist or oral surgeon surgically positions into the
jaw. Once in place and bone surrounding the implant has had
time to heal, a replacement tooth is attached to the post.
While implants are typically more expensive than other methods of tooth
replacement, they provide superior benefits. Implants are
stronger than natural teeth and generally last 10-20 years.
They are also a more favorable approach than bridgework since they do
not depend on neighboring teeth for support.
To
receive implants, you need to have healthy gums and adequate bone to
support the implant. You must also be committed to excellent
oral hygiene and regular dental visits as these are critical to the
long-term success of dental implants.
DENTURES
A denture
is a removable replacement for missing teeth and surrounding
tissues. There are two types of dentures available, including
partial and complete dentures. Partial dentures are used when
some natural teeth remain, while complete dentures are used to
completely replace all teeth. Dentures are made to resemble
your natural teeth so there should be no noticeable change to your
appearance. In fact, dentures may even improve your smile!
This
restoration method is used to restore your smile and mouth function if
all your teeth have been lost. The dentures are custom
created to resemble natural teeth and are positioned to take the place
of natural teeth. Complete dentures are removable and may
require adjustments in order to create a proper fit with the gums and
mouth.
A
removable partial denture is a device used when one or more natural
teeth still remain in the upper or lower jaw. They usually
consist of replacement teeth attached go a gum-colored plastic base
which is held in place in the mouth. A fixed partial denture
acts the same as a removable denture, but it is cemented into place
using adjacent teeth for support.
New
dentures may feel awkward or loose for the first few weeks until the
muscles of your cheek and tongue learn to keep them in place and you
are comfortable eating and speaking. Although this may require some
practice you will adjust and enjoy the benefits a full mouth of teeth
can provide.
Back to top
NIGHTGUARDS AND MOUTHGUARDS
Custom
designed mouthguards and nightguards are made of flexible plastic and
molded to fit the shape of your teeth. Mouthguards are recommended to
protect the jaw and teeth during physical activity and sports such as
boxing, football, basketball, or other activities where your mouth
may be hit. Guards also protect the soft tissues of
your tongue, lips and cheek lining. Nightguards are
recommended for patients who clench or grind their teeth at night as a
way to protect their teeth and bite.
If
you have decided a guard is right for you, we will take an
impression of your teeth which will then be sent to a lab to make a
custom fit guard. In most cases you can choose from a variety
of colors and styles. On average, guards last between 3 and 10 years.
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WHITENING
Tooth
whitening is a popular procedure to make teeth whiter and brighter, and
therefore more attractive. Bleaching can be used to whiten stained and
discolored teeth, or simply to enhance a dull smile. Either
way, tooth whitening is a safe and relatively painless procedure ideal
for most patients. Our office offers two methods of whitening: in-office whitening and tray whitening.
In-office
whitening is an ideal for anyone wanting immediate results.
The entire process takes place in our office in about an hour, making
it the perfect choice for busy individuals. In this process,
a protective gel is applied to your gums to protect the soft
tissue. A special light-activated gel is then applied to your
teeth and a special light or laser is used to enhance the action of the
agent - making your teeth whiter and brighter. As a final
step, we take impressions of your teeth to create custom trays for at
home touch-ups, and give you instructions for keeping your smile
bright. The result is dramatically whiter teeth that will last for
years.
Tray
whitening is a less expensive whitening treatment you can use while in
the comfort of your own home. We will first take an
impression of your mouth to create customized clear whitening
trays for you to wear. Within a few days your trays will be
ready to be picked up and we will show you how to apply the special
bleaching material to the trays. The whitening gel trays
should be worn 30-60 minutes up to twice a day. At the end of
this period, you will see maximum whitening results that are nothing
short of dazzling. Occasional treatment can be used at your
convenience to maintain your new smile.
Back to top
ORTHODONTICS Orthodontics
is the art of using appliances to straighten and align teeth.
Most commonly it involves the use of braces to move teeth into proper
positing. In this method, brackets are bonded to the teeth and arch
wires are threaded through the brackets. The arch wires act as a
track, guiding each tooth to its proper position. There are
several types of orthodontic braces available to patients, including
traditional metal braces, ceramic "tooth colored" braces, as well as
clear plastic braces.
Damon Bracket -- The
Damon bracket uses a “sliding-door” technology
called “self-litigation.” This new
technology allows a wire to slide back and forth inside the
bracket. This method requires no elastics, creates less
friction and is therefore more comfortable for the patient than
traditional braces. Damon brackets require fewer adjustments
and a shorter treatment period.
Ceramic “Tooth Colored” Brackets -- Ceramic
braces are translucent brackets that blend in with your natural tooth
color. They are used with patients who are concerned about
the appearance of their smile as they are less metallic looking than
traditional braces. Ceramic braces are designed to resist
staining and discoloration over long periods of time.
Clear Braces -- Clear
Braces utilize brackets made of monocrystalline sapphire, which make
the braces nearly see-through except for the thin arch wire.
Next to the Invisalign system (below), clear braces are the closest
thing to invisible braces.
Metal Braces -- Metal
Braces are the most economical and traditionally used braces.
Metal braces are also ideal for those with more extensive realignment
needed.
ORTHODONTIC RETAINERS Orthodontic
Retainers are appliances made from plastic and stainless steel to
custom fit your mouth. They act as a guide
to hold your teeth into place after braces are removed. The
retainer holds your teeth in place so your surrounding gums and bone
can adjust around them – allowing you to maintain your
realigned smile. Although the time you must wear a retainer
will vary, many orthodontists recommend retainers are worn into the
early 20s until the bone in your jaw and mouth has stopped
growing.
Back to top

VENEERSVeneers
are a dental procedure in which a covering is placed over the outside
(visible area) of the tooth. Veneers are usually only applied
to the part of the tooth that is visible when talking or
smiling. The procedure can be direct or indirect. The
direct technique usually involves placing composite resin on the
outside of the tooth using bonding. This method is usually referred to
as bonding. The
indirect technique usually involves two appointments because the
veneers will be fabricated at a dental laboratory. At the
first appointment the teeth are prepared, impressions taken, and the
teeth are given a temporary covering. In two to three weeks the veneers
are back from the laboratory, the temporaries are removed and the
veneers are bonded to the teeth. The laboratory fabricated veneers are
usually made using porcelain or pressed ceramic and are very aesthetic.
The
advantage of veneers versus crowns is that much less tooth material is
removed, and the procedure is generally less uncomfortable. Veneers are
recommended for teeth that have large fillings or little tooth
structure. Back to top
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In
order to provide nothing but the best to our patients, our office uses
state-of-the-art technologies in all our procedures. These
new technologies allow us to treat dental cases with extreme precision,
detect dental concerns at early stages, and provide stunning and
customized restorations. When you visit our office you can be confident
that you are receiving on the finest and most advanced in dental
care. We proudly offer and use the following advanced equipment:
X-RAYS AND DIGITAL X-RAYS
X-rays
are a focused beam of x-ray particles passed through bone which produce
an image on special film, showing the structure through which it
passed. This provides the familiar black and white images
doctors and dentists use to dia gnose
problems and disease. Without an x-ray of the whole tooth and
supporting bone and gum tissues, there would be no way to detect
infection or pathology that requires attention.
In
our office we use digital radiography which allows us to take x-rays
using up to 90% less radiation than conventional film x-rays.
Using this technology, we are able to take an x-ray of your mouth by
using a small sensor which records the image of your teeth and sends it
to a computer. The result is a highly detailed image of your
mouth that can easily be enhanced to better diagnose dental concerns
and determine the very best treatment for each case. Back to top
DIGITAL IMAGING SOFTWARE We
use digital imaging software in our office, which allows us to take a
digital picture of you and use our imaging system to predict how a
particular treatment or cosmetic procedure would change the appearance
of your teeth. This
software is beneficial for patients who are considering cosmetic
procedures but are not sure if they’re ready for dramatic
changes. Digital imaging also allows us to document your dental case
and procedures very well.We take digital images of your face, teeth and
smile to provide us with a permanent dental record and to provide a
visual documentation of treatment.
ELECTRONIC CLAIM PROCESSING Our
office utilizes electronic claims processing. This means that rather
than sending your dental claim through the mail, it is sent
electronically to your insurance company with the click of the button.
By filing your claim electronically, information is submitted more
efficiently and with fewer errors.This benefits our patients because
the turn around time on claims is faster and fewer claims are returned
or denied. We are happy to submit your dental claims to your insurance
company on your behalf. Back to top |
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20 Hope Ave Suite 306 • Waltham, MA 02453 tel. 781-647-0804 • Fax. 781-647-6730 |
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