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Whether your dental needs are a complete exam and cleaning, a full-mouth restoration, or anything in between, we promise to provide you with exceptional care as we enhance the natural beauty of your smile. Below are just some of the many procedures and services we regularly provide to our patients.
Dental implants are a great way to replace missing teeth and can also provide a way to secure loose partials or complete dentures. Dental implants are titanium anchors that work like the roots of teeth. They are surgically placed into the upper or lower jaw bone where they heal and integrate into the supporting bone. Natural looking crowns, partial dentures, or complete dentures can be attached to these dental implants.
Reasons for dental implants:
- Replace one or more missing teeth without affecting adjacent teeth
- Resolve joint pain or bite problems caused by teeth shifting into missing tooth space
- Restore a patient’s confident smile
- Restore chewing, speech, and digestion
- Restore or enhance facial tissues
- Support a bridge or denture, making it more secure and comfortable
What does getting dental implants involve?
The process of getting implants requires a number of visits over several months. X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself for up to six months. Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place. With other implants the post and anchor are already attached and placed at the same time. After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor providing excellent stability and comfort to the patient. You will receive care instructions when your treatment is completed. Good oral hygiene and eating habits, alongside regular dental visits, will aid in the life of your new implant. If you have questions about dental implants or would like to schedule a consultation, please contact our office.
Far too many people avoid regular trips to the dentist due to fear of the dentist. Unfortunately, more than just your teeth are affected by neglecting oral health. Systemic conditions such as diabetes, heart disease, respiratory illnesses, among others have been linked to dental conditions. To help our patients that suffer from dental related fears, we offer oral conscious sedation.
This form of sedation is a medicine taken by mouth approximately one hour prior to beginning treatment. It greatly alleviates your anxiety but still allows you to maintain your consciousness during the procedure. The pill we give you takes effect quickly and the effects last several hours after the completion of your treatment. Because of this, we require you have an escort bring you to the appointment and take you home after your treatment is finished. Once the effects of the sedative medication have worn off, you will retain little to no memory of your time spent in the dental chair. For many patients, this aspect of sedation is the most appealing; patients will wake up, at home, in the comfort of their bed, with their dental treatment completed, and possessing no memory of the amount of time spent in the dental chair.
If this sounds like the right option for you, we encourage you to contact our office.
CEREC® CAD/CAM Technology
CEREC® is a computerized scanning, designing, and fabricating device used to make single visit ceramic restorations. Traditionally, if crowns, onlays, inlays or dental veneers were required to restore damaged teeth, multiple procedures and a great deal of waiting time in-between would be inevitable. CEREC® creates these ceramic restorations within minutes in the dental office. This means that many treatments can be completed in just a single visit without messy impressions or temporary restorations.
Advantages with CEREC® include:
- High-quality ceramic products
- Minimal invasiveness
- Less injections and discomfort
- Cost effectiveness
- More natural tooth is saved
- Long lasting restorations
- Biocompatible solutions
What does a CEREC® restoration procedure involve?
The first step in the procedure is preparing the tooth for the restoration. Depending on your particular case, we will take photos of your affected teeth using the CEREC® imaging device. Using CEREC® Bluecam, we will coat the teeth with a contrasting agent before taking images of your teeth. Using the photos we take, the computer generates a three-dimensional model. The 3-D model is transposed onto the computer screen, where we will view the tooth from every angle and design the final restoration. When the design is complete, it will be transmitted to the milling unit.
We will insert a block of ceramic, matching your tooth color, into the milling machine which will then create the full crown, onlay, inlay, or veneer. Once the tooth is fabricated and a perfect fit is established, the restoration will be polished and affixed to the tooth with dental cement.
If you have questions about CEREC®, please contact our office.
Having straight teeth can make chewing, biting, speaking, and good oral health easier. In addition, a straight smile boosts confidence and can help stave off a wide variety of dental ailments such as gum disease, uneven wear, and TMJ pain.
Dr. Druley is a general dentist whose education at Indiana University School of Dentistry included orthodontic classes and orthodontic patients. These classes and experience at IU piqued her interest in the field. Since dental school, she has taken several hundred hours of continuing education classes in orthodontics and TMJ/TMD treatments and offers these services in our office.
Teeth can be straightened using either orthodontic braces or customized aligning trays. Orthodontic braces are bonded to the teeth, non-removable, and used for moderate to more severe cases. Aligning trays, such as Invisalign®, are fully removable and are used where the malocclusion is less severe, and the teeth need to move a shorter distance.
Reasons for orthodontic treatment (braces) adults and children:
- Breathing or swallowing problems– Mouth breathing can lead to snoring and sleep apnea
- Crossbite– One or more upper teeth bite inside the lower teeth (towards the tongue).
- Crowding– Involving extra teeth or malpositioned teeth
- Deep Overbite– The lower front teeth bite into the upper tissue of the upper teeth
- Disfiguring of the face & mouth– Affects the development of the jaw and position of the teeth
- TMJ (jaw joint) and/or jaw pain
- Missing or extra teeth– Due to tooth decay, injuries, or inherited problems
- Overjet (protruding upper teeth)– Upper teeth that protrude beyond normal and are usually associated with a short lower jaw
- Self-image– An attractive smile can boost a person’s self-image and confidence
- Spacing between teeth– Teeth are missing or may be too small or too large
- Speech, chewing or biting problems
- Underbite (lower jaw protrusion)– Lower jaw is longer than the upper jaw
The American Association of Orthodontics recommends that children get an orthodontic evaluation no later than age 7. Though orthodontic treatment can be done at any age, timely treatment ensures maximum dental health. Issues that can be corrected by such evaluations include:
Finger or thumb sucking– These habits can cause protrusion of the upper incisor teeth, and mouth breathing.
Sometimes, early intervention can help guide teeth erupting out of position into proper alignment negating the need for further treatment. If braces are needed, they tend to work much quicker on pre-teens and teenagers since they are still experiencing jaw growth.
Orthodontic braces were historically associated with teenagers. Today, an increasing number of adults are choosing to wear braces to straighten their teeth and correct misaligned teeth. In fact, it is now estimated that almost one third of all current orthodontic patients are adults. Fortunately, orthodontic braces have been adapted and modified to make them more convenient for adults. There are now a wide range of fixed and removable orthodontic devices available, depending on the current state of your teeth.
Prior to recommending specific orthodontic treatment, Dr. Druley will recommend treatment of any pre-existing dental conditions such as gum disease, excess plaque, and tooth decay. Orthodontic braces can greatly exacerbate any or all of these conditions.
One of the primary concerns people often have about dental braces is the appearance of the metal braces on their smile. Especially for adults, the prospect of wearing unattractive metal braces for long periods of time can be very discouraging. Invisalign® offers an almost invisible aligning system that straightens teeth fast and contains no metal. Treatment consists of a series of custom-made aligning trays. Dr. Druley changes the trays every several weeks to fit the new tooth configuration. In addition to the indistinguishable look, Invisalign® aligning trays can be temporarily removed for important occasions – meaning that treatment duration is patient-controlled. A great number of people report complete satisfaction with the Invisalign® treatment and the stunning results.
Temporomandibular Joint Dysfunction Syndrome is a common condition affecting a wide variety of people and is characterized by severe headaches, jaw pain, and sometimes intermittent ringing in the ears. The vast majority of TMJ sufferers are unaware of the cause of these problems and that a dentist can effectively treat them.
Reasons for treating TMJ
TMJ sufferers report that their symptoms generally worsen during periods of prolonged or unexpected stress, and that intense outbreaks of the condition can lead to neck pain and dizziness.
The most common cause of TMJ is the misalignment of the teeth and jaw joint. Tooth grinding is also common with TMJ and usually occurs at night. The grinding will eventually erode the structure of the teeth and lead to much more severe dental problems in the future. Untreated TMJ is one of the prime underlying factors in eroded jawbones and loose teeth. It is important for anyone experiencing the symptoms of TMJ to visit the dentist for an exact diagnosis.
What does treating TMJ involve?
TMJ could be a result of several different problems such as coming together incorrectly, injury, or a problem with the jaw joint. Initially, the dentist will thoroughly examine the jaw area, the patient’s bite, take X-rays, and review the patient’s history in order to make an accurate diagnosis and recommend necessary treatment.
Once a firm diagnosis is attained, there are several ways in which relief can be provided. A specially molded bite guard can be created to stop teeth grinding during the night. A bite relationship analysis may be recommended by the dentist. The dentist can also provide advice on relaxation techniques which will lessen the effects of stress. As a last alternative, the dentist is also able to prescribe muscle relaxants.
A better option is to change the shape of the teeth and get rid of the bad bite completely, often called “realignment.” This is especially useful because it alleviates TMJ symptoms and may improve the aesthetic appearance of the teeth as well. Realignment involves adjusting the relationship between how the upper teeth come together with the lower teeth. This may require new restorations, braces, or adjusting the natural teeth as well. As with any procedure, the dentist will be happy to answer questions and discuss symptoms, options, and treatments.
Sleep Apnea and Snoring Treatment
Sleep apnea is a serious, sometimes fatal medical disorder that affects around 10% of American men over the age of 40, and 6% of American women of the same age. Sleep apnea sufferers completely stop breathing during sleep, sometimes hundreds of times in a single night. Normal breathing ceases because the airway becomes obstructed, causing a serious reduction of airflow to the lungs.
There are a number of dental devices that can be used to alleviate this condition. The goal of most of these devices is to separate the jaws and push them forward slightly. This slight repositioning opens up the airway, and allows oxygen to flow freely again. Wearers of sleep apnea dental devices report that they stop loud snoring, feel more rested in the daytime, and are much more comfortable going to sleep. Sleep apnea appliances work best on patients who are not significantly overweight. They offer a viable alternative to Continuous Positive Airway Pressure (CPAP).
Sleep apnea appliances fall into two categories: fixed and adjustable.
Here are brief descriptions of some commonly used sleep apnea dental appliances:
TAP® 3 (Thornton Adjustable Positioner)
The TAP® 3 is the smallest, most comfortable member of the TAP family. It is a two-part custom-created sleep apnea appliance that fits over the teeth in much the same way as a sports mouthguard. The TAP® 3 projects the jaw forward to prevent the tongue and soft tissues from impeding the airway. The lower jaw positioner is adjustable, which means that it can be altered to suit the comfort level of the wearer. The TAP® 3 appliance can accommodate the three main types of malocclusion, and allows the lips to fully close.
The EMA® (Elastic Mandibular Advancement) is a custom-made removable intraoral appliance created for the noninvasive treatment of snoring and sleep apnea. It is designed to both advance the lower jaw (mandible) and open the bite to enable less restricted airflow during sleep. It has many options for patient advancement, with nine strap lengths and four elastic tension settings. Non-restricted side-to-side (lateral) or front-to-back (protrusive) movements of the jaw are possible while wearing the appliance due to varying elastic bands.
The Somnomed™ Appliance is generally used to treat mild to moderate sleep apnea by moving the lower jaw forward slightly. This forward movement tightens the soft tissue and muscles of the upper airway which prevents obstruction of the airway while you sleep. The tightening created by the device also prevents the tissues of the upper airway from vibrating as air passes over them - the most common cause of loud snoring.
The SomnoMed is a custom-made device, consisting of upper and lower plates with a unique patented fin-coupling component, which allows mouth opening and closing. The device is adjustable which improves the efficacy and comfort level of treatment, as the jaw is moved only as far as is required to alleviate the condition.
Herbst Telescopic Appliance
The Herbst appliance is held in the mouth by clasps and friction grips. It is made of acrylic, and contains adjustable metal wiring. The advantage of this appliance is that the wearer is able to move vertically and laterally without dislodging the appliance. The Herbst appliance is usually used in mild and moderate cases of sleep apnea, and can also alleviate loud snoring effectively.
If you have questions or concerns about sleep apnea appliances, please contact our office.
A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.
There are two types of dentures - complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.
A Complete denture may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.
Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.
Reasons for dentures:
- Complete Denture - Loss of all teeth in an arch
- Partial Denture - Loss of several teeth in an arch
- Enhancing smile and facial tissues
- Improving chewing, speech, and digestion
What does getting dentures involve?
The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit. It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.
A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling. There are many types of filling materials available, each with their own advantages and disadvantages. You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.
As with most dental restorations, composite fillings are not permanent and may someday have to be replaced. They are very durable, and will last many years, giving you a long lasting, beautiful smile.
Reasons for composite fillings:
- Chipped teeth
- Closing space between two teeth
- Cracked or broken teeth
- Decayed teeth
- Worn teeth
How are composite fillings placed?
Composite fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove decay as necessary. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was near the nerve of the tooth, a special medication will be applied for added protection. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.
It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling. You will be given care instructions at the conclusion of your treatment. Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.
At Grabill Family Dentistry, we are working to bring health, happiness, and smiles to everyone, at an age in the family. We are doing this by looking at people and families as a whole and providing dental services that fit their needs and life's busy schedules. That is why we offer cleanings, orthodontics, dental implants, cosmetic dentistry, and most other dental services all under one roof.
- CEREC CAD/CAM single visit crowns
- Natural tooth-colored fillings
- Sleep Apnea and Snoring Therapy
- TMJ therapy
- Root canals
- Emergency Care
- Complete and Partial Denture services
- Treatment for gum disease