Preventative: Examinations, x-rays, cleanings, sealants, space maintainers, detecting oral cancer Endodontics: Root canal therapy, pulpotomy, apicalectomy and retro fill Cosmetic & Restorative Dentistry: Porcelain onlays, bleaching, bonding, fillings, veneers, crowns, reshaping, and more... Periodontal: Gum treatments (root planing and scaling), soft tissue management, surgery, bone & soft tissue grafting Oral Surgery: Surgical extractions and removal of wisdom teeth, sinus lifts, bone grafts, aveloplasty Prostodontics: Dentures (full, partial, interm and immediate), removable replacement for teeth, bridge work Implants: Single and multiple implants for tooth replacement. Complete mouth replacement for endentulous patients. Implants for the placement of clip on dentures TMJ Dysfunction: Jaw pain, facial, biting problems

Services & Procedures Our dental team focuses on preventative care routines to help maintain your experience at the dental office as a positive one. We believe in educating our patients regarding dental awareness to maximize your visits with your dental care provider. Our team is dedicated to encourage our patients to continue the path of a healthy lifestyle. At the Fredericton Dental Center we treat you as an individual, remembering that dental care is unique like you. Your first visit with us is a New Patient Exam. This exam is a complete comprehensive exam providing us with the information we need in order to provide you with the best possible dental care routine for you. Your hygienist will complete an exam which evaluates your teeth and gums, your tongue and tonsils as well as additional surrounding structures including • Cancer Screen (checking for any abnormalities of soft tissue and glands) • Radiographs (x-rays) of your teeth and bone structure • Tempromandibular joint examination • Orthodontic examination • Periodontal examination • And to check any additional existing conditions Following the New Patient exam your hygienist will discuss with you any present conditions and determine the proper care required for you. Once you feel comfortable in your proposed treatment we will reserve time for you with your hygienist to begin your path to optimal dental health. Hygiene Appointments: A patient may attend hygiene appointments quarterly, semi-annually or annually; they are modeled to the patients needs. At these appointments your Dentist will scale (remove plaque), polish, give a fluoride treatment and floss your teeth to remove all plaque and tartar. Depending again on your new patient exam your Dentist might use an oral irrigation to treat infection. Your regularly scheduled hygiene visits help to prevent cavities, gingivitis, and periodontal disease. Top Periodontics: Periodontal disease is often referred to as the silent disease; in many instances there are no symptoms. Periodontal disease begins when bacteria under the gum line leads to infection causing the gums to become red, irritated and swollen. At this early stage we refer to these conditions as GINGIVITIS. Gingivitis is extremely common and the remedy is to see your hygienist regularly and continue an appropriate oral health care routine at home. As gingivitis progresses, the infection begins to damage the supporting tissues surrounding the teeth. If Periodontal disease further progresses, the infection spreads to the bone structure supporting the teeth causing gums to recede and teeth to become loose. In most cases periodontal problems can be treated by a qualified hygienist. Top Root Planing: Root Planing smoothes and cleans root surfaces from tarter buildup below the gum line. Supportive tissues can then begin to heal and give better support to the tooth. A local anesthetic will be used as this procedure goes deeper than a standard cleaning. Your hygienist may also use a technique called oral irrigation. This is a process where an antibacterial liquid is flushed below the gum line. Top Cavities and Restorations: Plaque forms in your mouth daily due to saliva and food particles left behind after your meals. Without proper brushing and flossing techniques these food partials begin to break down and adhere to the tooth surface. This plaque must be properly removed to prevent tooth decay. When plaque is left on the tooth surface it begins to harden into tarter. Only your hygienist can remove tarter from the tooth surface at your continuing care visit. Plaque is the leading cause of cavities; once a tooth has been affected it should be taken care of immediately. This will ensure that the decay does not continue to affect additional teeth causing a larger problem. When a tooth needs to be repaired or filled due to decay, the dentist will remove the decayed part of the tooth and place a plastic material. This restoration will look and feel natural. There are different materials that can be used to complete the restoration. Amalgam, which is primarily composed of silver and mercury, is still used today however not esthetically pleasing. Composite fillings are 13% resin and 87% fiberglass particles which are mixed together. Some advantages of the composite resin includes a healthier and more natural looking restoration. Top Sealants: Sealants are strictly a preventative procedure to help reduce cavities in hard to clean areas. The top surface of the tooth has small pits and grooves. These make it very easy for food to get trapped inside causing cavities. To help protect the tooth from decay your dental professional will discuss the importance of sealing the tooth. Sealants are made of a plastic substance, similar to the filling material, and are applied to the top of the tooth. The sealant fills the grooves and pits to form a flatter surface which is easier to clean. Generally, sealants are suggested for children and adolescents. Top Root Canal Therapy Root canal therapy is a way of removing dead or dying tissue from the tooth. This stops infection and prevents it from spreading further. Root Canal therapy relieves you of any symptoms and allows you to keep your natural tooth. Some common symptoms include sensitivity to hot and cold, pain while chewing, constant throbbing or a dull ache. Top Crowns: A crown is the most common way to restore a single damaged tooth to its normal size and shape. A crown may be made of gold, a mix of metals, porcelain, or porcelain fused to metal. The crown needs to be the same size as the natural tooth to provide a proper restoration. In order for the crown to be placed over the natural tooth the dentist needs to remove a thin layer of enamel. When the final preparation is complete an impression is taken and sent to a laboratory for fabrication. The dentist will have made a temporary tooth from an acrylic material which is temporarily cemented until the permanent crown is received from the lab. Crowns are commonly used on teeth which are broken, cracked or have had root canal therapy. Top Bridges: A bridge is used to replace one or more missing teeth. They are made of gold, a mix of metals, porcelain, or porcelain fused to metal. A bridge is made up of two crowns linked together by a replacement tooth. The natural teeth on either side of the missing tooth need to be shaped so that the crowns can fit over them. The natural teeth will support the replacement tooth and bare the pressure of chewing. Similar preparation to that of a crown procedure is required to properly fit a bridge. The dentist will fabricate a temporary bridge to prevent any additional movement of the teeth while the laboratory prepares the final bridge. Top Veneers: A porcelain veneer is a thin, custom-made covering that conceals the front and side surfaces of your tooth. A veneer is made of a very durable ceramic. They can correct stains, breaks and odd shapes to create a happy, healthy smile. Top Dental Implants: A titanium anchor or screw is placed into the jawbone to simulate a natural tooth root. After placing the implant a healing period of 4-6 months is required to allow the natural bone to heal and secure the implant. The second step is to place an attachment or an abutment into the implant to allow a post for the crown to sit on. After this procedure you have the closest thing to a natural tooth as possible. Implants are used to replace one or more missing teeth and can be used in conjunction with upper and lower dentures. Top Bone Grafting: Bone grafting is required when substantial bone loss has occurred. How do we lose bone? Bone loss occurs as a result of missing teeth. The lack of stimulation causes the degeneration of bone. During a bone grafting procedure the surgeon will take tiny fragments of either your own bone, synthetic bone, or bone from a bone bank to place where bone was lost. These grafts serve as a platform for the re growth of new bone. Bone grafting may be required to perform dental implant surgery. Top Orthodontics: Orthodontics are commonly known as "braces". Braces are placed on the teeth to help realign the teeth into proper functional order. Either genetics or environmental factors can influence the development of your jaw, muscles and teeth. Orthodontics can be used as a strictly cosmetic procedure or a corrective procedure for people who have malocclusions. Top Temporo Mandibular Joint Dysfunction: If you suffer from headaches, neck pain, back pain, tinnitus, or dizziness or hear your jaw popping or cracking when you chew or open your mouth, you could be suffering from temporo-mandibular joint dysfunction (TMJ, TMD, TMJD). This jaw problem is common on people with missing or misaligned teeth. It may often be treated with the simple wear of a biteplate (night guard, bite splint) at nighttime for minor cases, or may need a more elaborate and sophisticated approach to treatment of rehabilitation, with more severe cases. In order to determine the severity of the problem, a first appointment will allow us to do a primary objective exam (maximum opening, jaw cracking, pain on palpation etc), and subjective exam (your symptoms, beginning and length of time of problems etc). If the problem appears simple and a initial diagnosis can be established with a simple treatment approach, this may be completed quickly. However, if the problem turns out to be more severe, a more elaborate exam with "Bio-electronic" appliances will reveal needed information to establish the proper diagnosis. Top Whitening: There are many methods to provide you a brighter, whiter smile. There are whitening strips, toothpastes, and brush on gels. These methods are typically sold at drug stores. At our office we have two whitening systems, a take home system with clear plastic trays and an in-office whitening system known as Zoom. The take home system are clear plastic trays that are made specifically to fit your mouth. You are provided with a syringe of whitening gel. This gel is placed in the tray and worn for two to four hours. This process can take up to two weeks to get the desired birghtness. Touch-ups are required to maintain your results. The Zoom In-Office Whitening System is a tooth whitening procedure. It's safe effective and fast. In about an hour, your teeth will be dramatically whiter. Zoom Whitening is ideal for anyone looking for immediate results. Zoom Whitening treatment is simple and painless. It starts with a short preparation to isolate your lips and gums. The Zoom clinician then applies the Zoom Whitening Gel, then places the lamp about 6 inches from your mouth. This step is repeated three to four times depending on results. Teeth typically become at least six to ten shades whiter, sometimes more. A five- minute fluoride treatment completes the procedure. You'll be amazed with the results. In most cases, teeth get even whiter the first few days after the procedure. With proper care and an occasional touch-up at home, your whiter smile will sparkle for years. Top Extractions: The most common type of extraction is the removal of wisdom teeth. When the wisdom teeth begin to erupt they can place pressure on the other teeth in the mouth. This force can cause the front teeth to begin to overlap and over time continue to cause damage. Most people do not have enough room in their mouth for wisdom teeth. When a tooth is severely decayed, and a root canal is not an option, the affected tooth will have to be extracted. After the tooth has been extracted it is extremely important to consider replacing it. This missing tooth can cause the other teeth to shift and lean to help compensate for the missing tooth. Eventually over time some problems associated with the missing tooth include trouble eating, pain in the jaw, bone loss, receding gums, more broken teeth and changes in appearance. Top Soft Tissue Graft: Soft tissue is added to reinforce thin gums or to fill in places where gums have receded. Grafted tissue, most often taken from the roof of your mouth, is stitched in place over the affected area. Top Gingivectomy: This procedure removes an overgrowth of tissue. This helps to reduce infection and bacteria. The removal of inflamed tissue helps to prevent further damage to gum tissue. Top