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Creating beautiful healthy smiles and keeping them for life

Kacher Dentistry

Creating beautiful healthy smiles and keeping them for life

Same Day Crowns

The crossover of CAD/CAM (computer aided design/computer aided modeling) into dentistry has given us the ability to create and cement a crown the same day that the tooth is numbed and prepared. This offers a tremendous convenience factor for patients by eliminating the traditional "crown seat" appoinment that requires additional time and numbing solution.

We typically schedule between 2-3 hours for a same day crown; approximately 40 minutes of time is allocated for a patient break while the doctor and assistant accomplish the lab work. After the tooth is prepared it is scanned with a laser wand to import it into the computer in 3-dimensions. Then the new crown is designed and perfected on the computer, then milled out of a high-strength all-porcelain material.

Tooth pre-operatively

Tooth pre-operatively

Scanned prepared tooth

Scanned prepared tooth

Tooth pre-operatively

Tooth pre-operatively

Final crown cemented same day

Final crown cemented same day

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All porcelain crowns on back teeth

Crowns on back teeth used to be fabricated from both metal and porcelain, and could gray at the gumline or have problems chipping over time.

The new all porcelain crowns are stronger and can be bonded to the tooth instead of just being cemented. Bonding a crown means that there is a chemical connection between the crown and the tooth that is more resistant to leakage over time. Additionally, all porcelain crowns can be penetrated by x-ray beams. Therefore they can be evaluated on routine x-rays and any problems that might occur in the future can be dealt with earlier rather than later.

All porcelain crown

An all porcelain crown

All porcelain crown underside

Underside of an all porcelain crown, showing that the crown is made of one substance all the way through

All porcelain crown on back teeth

All porcelain crowns on the two back teeth

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anesthesia

Single tooth anesthesia

In the past, if you needed a lower tooth treated the dentist would numb the entire jaw, anesthetizing the tongue, lip, and teeth.

We now use a unique method to deliver numbing juice in such a fashion as to only numb a single tooth. This results in greater patient comfort and quicker anesthesia recovery.

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Lasers

Diode lasers have become a useful adjunct during dental procedures. They have several applications including: adjunct to periodontal (gum) therapy, biopsy of soft tissue, and assisting during crown preparation.

Our hygienests have been trained in a special course so that they can use our laser during deep cleaning gum therapy. This results in significantly better healing and fewer pockets over time.

laser
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Implant crowns replacing congenitally missing teeth

Implant crowns replacing congenitally missing teeth.

Implant crowns replacing missing back teeth

Implant crowns replacing missing back teeth.

Dental Implants

When you lose several teeth (whether it's a new situation or something you have lived with for years) chances are you have never become fully accustomed to losing such a vital part of yourself. Once you learn about dental implants, you finally realize there is a way to improve your life; dental implants are your doorway to renewed self-confidence and peace of mind.

What are Dental Implants?

The implants themselves are tiny titanium posts, which are inserted into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts are then attached to the implant, which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.

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The Procedure

Implants are a team effort between a surgeon and a restorative dentist. The surgeon places the titanium implant in the jaw bone, and also does initial tooth extractions and bone grafting if necessary. Then our office makes the teeth that are attached to the implants. We will also make any temporary tooth replacements needed during the implant process.

Implant crowns to restore function and increase chewing ability.

Implant crowns to restore function and increase chewing ability.

Implant crowns replacing missing back teeth

 

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