Invisalign, Services, Justin M. Geller, DDS, JMG Dentistry, Novi Road, Novi, MI 48377

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You and Dr. Geller may determine that you need a tooth extraction for many reasons. Some teeth may be fractured and unable to be saved; others may have a large cavity that cannot be repaired while some may have advanced stages of periodontal disease. Other reasons for removal may include teeth requiring removal for orthodontic (braces) treatment and teeth that have migrated out of their natural position. Removing teeth can lead to shifting of other teeth, esthetic concerns and, overall, may have a major impact on your dental health. Dr. Geller will discuss your treatment options should you require an extraction.

Implant

An implant is an excellent way to replace a missing tooth and keep a natural looking smile. A dental implant is a small titanium cylinder that is inserted to replace a missing root, allowing an implant crown to be placed.

Our crowns are custom crafted in a Michigan dental laboratory to precisely fit your tooth. A crown is placed to strengthen a damaged tooth by covering and protecting it. Several reasons for having a crown placed are decay, a broken tooth too advanced for a filling, a large filling that has worn out, a crack next to an existing filling, or on a tooth that has had a root canal to prevent it from breaking.

Porcelain crowns are a covering that encase the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.

Crown

A bridge is a non-removable appliance that may be placed after a tooth has been lost. By placing a bridge to replace a missing tooth, we can prevent a chain reaction of problems that can affect your entire mouth. When a tooth is lost, teeth begin to shift causing your bite to change over time. This cannot only change the appearance of your smile, but can lead to potential damage to your jaw joint, the TMJ.

There are several types of bridges. To determine which bridge is best suited to your situation, you and Dr. Geller will discuss the options. Three main types of bridges are routinely chosen for the situation which involves a missing tooth or teeth:
1. Porcelain Bonded to Metal Bridge- "Traditional Bridge"
2. All-Porcelain (also know as All-Ceramic) Bridge
3. Full Gold Bridge
The “traditional bridge” is the most common type and is usually made of porcelain bonded to metal. All-Porcelain fixed bridges are most popular because they resemble your natural teeth. Full Gold bridges have been around for longest period of time but are cosmetically not the favorite choice amongst patients.

Bridge

When teeth are lost they need to be replaced. A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made with natural looking teeth may even enhance your smile.

There are two types of dentures - complete and partial dentures. When all of the teeth are missing complete dentures are made, 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.

Dentures and Partial Dentures

Complete Denture
by Dr. Justin Geller

Partial Denture

3-Unit Bridge

All-Porcelain Crowns

A composite (tooth colored or white) filling is used to repair a tooth that is affected by a cavity. The cavity or affected portion of the tooth will be removed and then filled with a composite filling. Composite fillings are most appropriate for small areas of decay, and can be closely matched to the color of existing teeth. These fillings are placed in one appointment. The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to a normal shape and function.

White (Tooth Colored) Filling

Veneers

Porcelain veneers are very thin pieces of tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory. They are bonded onto the front of teeth to create a beautiful and attractive smile. Veneers can completely reshape your teeth and smile! Porcelain veneers can correct for chipped or worn teeth, severely discolored or stained teeth, teeth that are too small or large, or unwanted spaces. Veneers can create a uniform, white, beautiful smile.

At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury or swelling of the tooth, sensitivity to temperature or pain in the tooth and gums.

Root Canal

Extraction

Root Canal

It is common to experience sensitivity to hot and cold when composite fillings are first placed, however this should subside with time. 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.

Before

After

Click Above to see More
Photos by Dr. Justin Geller

Getting veneers usually requires two visits to complete the process. The teeth are prepared by shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist. On the second visit, the teeth will be cleaned with special liquids to achieve a durable bond. Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond.

As with most dental restorations, veneers are not permanent and may someday need replacement. They are very durable and will last many years, giving you a beautiful long lasting smile.

Click Above to see More Veneers by Dr. Justin Geller

Before

After

White Fillings By Dr. Justin Geller

Veneers by Dr. Justin Geller

After a tooth is lost, a dental implant can prevent a chain reaction of problems that would affect the entire mouth. Dental implants are a conservative approach to restoring your smile and do not require treatment on the adjacent teeth, as some other tooth replacement procedures do. Equally important, an implant will stop the ongoing appearance of aging in the face that bone loss causes with lost teeth.

Implant

Click Above to see More Implants by Dr. Justin Geller

Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile. Porcelain crowns can repair broken or fractured teeth, aid in the cosmetic appearance of a tooth, repair decayed teeth, repair fractured fillings, and protect a tooth that has had a root canal.

A crown procedure usually requires two appointments. Your first appointment will include preparing the tooth by removing the cavity and shaping the surface to properly fit the crown. An impression will be taken and a custom temporary crown will be placed on your tooth. At your second appointment, your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

Reasons for a fixed bridge:

Enhancing or restoring your smile by filling the space of missing teeth
Prevent remaining teeth from drifting out of their normal position.
Restore chewing and speaking ability.
Upgrade from a removable partial denture to a permanent dental appliance.

A bridge procedure requires two appointments. Your first appointment will include preparing the teeth by removing the cavity and shaping the surface to properly fit the bridge. An impression will be taken and a custom temporary bridge will be placed on your tooth. At your second appointment, your temporary bridge will be removed, the tooth will be cleaned, and your new bridge will be carefully placed to ensure the spacing and bite are accurate. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Dental bridges are extremely durable and will last many years, however bridges may need replacement or need to be re-cemented due to normal wear.
Reasons for a fixed bridge:

Enhancing or restoring your smile by filling the space of missing teeth
Prevent remaining teeth from drifting out of their normal position.
Restore chewing and speaking ability.
Upgrade from a removable partial denture to a permanent dental appliance.

Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear. They are an affordable solution to missing teeth.
Reasons for dentures:

Complete Denture - Loss of all teeth in either your upper or lower jaw or both.
Partial Denture - Loss of several teeth in either your upper or lower jaw or both.
Enhancing smile and facial tissues.
Improving chewing, speech, and digestion.

If you experience any of these symptoms, Dr. Geller will most likely recommend non-surgical treatment to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required. Success for this type of treatment occurs in about 90% of cases.

If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment. We use local anesthesia to eliminate discomfort. In addition, we will provide nitrous oxide analgesia, if indicated. You will be able to drive home after your treatment, and you probably will be comfortable returning to your normal routine.

Contact Dr. Justin Geller To Schedule An Appointment Today