Services and Technologies
Ean Kleiger D.D.S. has provided personalized dental care for thousands of families. Our patients love coming to our office to experience the warm, individualized care we provide. We pride ourselves in offering a variety of services and using cutting-edge equipment and techniques.
You oral health is the beginning point for your whole body's health and wellness. It is imperative that we stop problems before they even start!
We use state-of-the-art technologies in all of our procedures in order to provide our patients the best care possible. These new technologies allow us to detect dental concerns at early stages, treat your oral health needs with precision, and provide stunning and customized restorations.
Our premium dental software system maximizes your time and our office efficiency. When you visit our office, you can be confident you are receiving the finest and most advanced dental care available.
Click the Services below for more information on each subject.
Bonding is a conservative way to repair slightly-chipped, discolored or crooked teeth, often for cosmetic purposes. The process comprises placing a white filling on your tooth to improve its appearance. The filling "bonds" with your teeth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth.
Bonding can also be used in place of regular amalgam fillings. Many patients prefer bonded fillings, because the white color is much less noticeable than the silver of the amalgam fillings. Bonding fillings can be used on front and back teeth, depending on the location and extent of tooth decay.
Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and breaks more easily than other cosmetic treatments like porcelain veneers.
If your bonding does break or chip, please let us know. We can generally patch or repair bonding in one visit.
ORAL CANCER SCREENING
Oral cancer most commonly involves:
• The front 2/3 of the tongue
• The lining of the cheeks and lips (the buccal mucosa)
• The floor of mouth under the tongue
• The roof of the mouth (hard palate)
• The gums (gingiva)
• The small area behind the wisdom teeth (the retromolar trigone)
• The minor salivary glands
Most oral cancers look very similar under the microscope and are called "squamous cell" carcinomas. These are malignant and tend to spread rapidly.
Squamous Cell Carcinoma
Squamous epithelium is the tissue that lines the mouth, throat, tongue and tonsils. These tissue cells are irregularly shaped and very flat. Squamous epithelium also lines other body cavities and capillaries to reduce friction, as well as lining the lungs to facilitate gas exchange.
Carcinoma is any malignant cancer that arises from epithelial cells. Carcinomas invade surrounding tissues and organs and may "metastasize" or spread to lymph nodes and other sites.
Metastasis is the spread of a disease from one organ or body part to another non-adjacent organ or body part. Only malignant tumor cells and infections have the capacity to metastasize. Cancer cells can "break away", "leak", or "spill" from a primary tumor, enter lymphatic and blood vessels, circulate through the bloodstream, and settle down to grow within normal tissues elsewhere in the body.
Oral Cancer is often detected late in development, when the possibility of metastasis is much greater. Like most cancers, cancer of the lip and oral cavity is best treated when found early - when cure rates are greater than 80%.
Determination of the stage of cancer in the lip or oral cavity is important in order to plan the best course of treatment.
Stages of Oral Cancer
• Stage I. The cancer is no more than 2 centimeters and has not spread to lymph nodes in the area
• Stage II. The cancer is more than 2 centimeters but less than 4 centimeters and has not spread to lymph nodes in the area
• Stage III. Either of the following may be true - the cancer is more than 4 centimeters; the cancer is any size but has spread to only one lymph node on the same side of the neck as the cancer.
• Stage IV. Any of the following may be true - the cancer has spread to tissues around the lip or oral cavity; the lymph nodes in the area may or may not contain cancer; the cancer is any size and has spread to more than one lymph node on the same side of the neck as the cancer, to lymph nodes on one or both sides of the neck, or to any lymph node that measures more than 6 centimeters.
• Recurrent. The cancer has returned after it has been treated. It may come back in the lip and oral cavity or in another part of the body.
A bridge is an ideal method to fill the space created by missing teeth. A bridge is one or more artificial teeth that are cemented into place using the real teeth on either side for support--hence the name. Bridges are a perfect option for filling the space created by a missing tooth. A bridge replaces the missing tooth both functionally and cosmetically. Bridge work is as much an art as it is an exact science. Bridge materials include 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/or esthetics.
Crowns are used to restore and enhance teeth that are damaged, or to replace missing teeth. A crown, also called a cap, is used to entirely cover a damaged tooth. A crown not only strengthens the tooth, but it can also dramatically improve the 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
PERIO CARE WITH THE HYGIENIST
Perio care is a professional dental cleaning performed by a hygienist. The process of removing plaque and tartar from all tooth surfaces is called scaling , this treatment is provided in a variety of methods. Your hygienist may use both electric and manual scaling method to achieve the best results. She will also take probing depth of your gums to check periodontal health. Polishing completes the cleaning. Good oral health improves your overall health and is part of total health.
A denture is a removable replacement for missing teeth and surrounding tissues. There are two types of dentures available: partial dentures and complete dentures. Partial dentures are used when some natural teeth remain and complete dentures are used to replace all teeth. Dentures are made to resemble your natural teeth, so there should be no noticeable change to appearance. In fact, dentures may even improve a smile!
Complete Dentures – This restoration method is used to restore smile and mouth function if all teeth have been lost. The dentures are custom created and natural looking. They are fit in the patient's mouth to take the place of the original teeth. Complete dentures are generally removable and may require adjustments in order to create a proper fit with the gums and mouth.
Partial Dentures – A removable partial denture is used when one or more natural teeth still remain in the upper or lower jaw. Made of replacement teeth attached to a pink or gum-colored plastic base, partials help restore better functionality to the mouth. As with complete dentures, it is possible to have more permanent option cemented into place.
Good oral hygiene is a must. The loss of a single tooth can have major impact on overall oral health and appearance. Although dentists will use every measure to prevent tooth loss, there are still some occasions when a tooth needs to be extracted. A tooth may need to be extracted if the following occurs:
- Severe decay
- Advanced gum disease
- Infection or abscess
- Orthodontic correction
- Malpositioned teeth
- Fractured teeth or roots
- Impacted teeth
The dentist may suggest an extraction after careful examination and treatment—usually taking x-rays to understand the shape and position of the tooth and surrounding bone before extracting the tooth. Based on the degree of difficulty, a dentist may refer you to an oral surgeon.
A certain amount of pain and discomfort is to be expected following an extraction, but it can be minimized with pain killers and ice packs applied to the face for 15 minutes at a time. Discomfort should lessen within three days to two weeks.
If you experience prolonged or severe pain, swelling, bleeding or fever, call our office immediately.
A filling is a way to restore a tooth decayed tooth back to its normal shape and function. If you have a tooth that requires a filling, the dentist will first remove the decayed tooth material, then clean the affected area and fill the cleaned-out cavity with a filling material. This filling will help prevent further decay by closing off any cracks or spaces where bacteria might enter.
There are a variety of filling materials available including gold, silver, plastic and porcelain. We will work with you to determine which material is best for you, depending on the extent of repair, the location of the filling and the cost. Each of the filling materials is briefly explained below:
Composite (plastic) resin fillings are custom-made to the exact color of the patient's teeth, creating a more natural appearance. While these white fillings may be less noticeable than other materials, they usually only last between 3 and 10 years. They may not be ideal for larger fillings as they may chip or wear over time. They can also become stained from coffee, tea or tobacco.
Gold fillings, also called inlays or onlays depending on the amount of tooth restored, are custom-made in a laboratory and then cemented into place. While gold fillings are often the most expensive choice, many consider gold as the best filling material. Gold inlays are well-tolerated by gum tissues and may last more than 20 years.
Porcelain fillings, called inlays or onlays depending on the amount of tooth restored, are created in a lab and then bonded to the tooth. They can be matched to the color of the tooth, they resist staining, and they cost about the same as gold fillings. A porcelain restoration generally covers most of the tooth, making the filling nearly undetectable.
NON-SURGICAL PERIODONTAL THERAPY
More than half of all adults, and three quarters of adults over 35, have some form of periodontal disease.
The major cause of periodontal disease is the interaction between the bacteria found in plaque—the sticky, virtually invisible film that collects on teeth every day – and the body’s response to that bacteria. When plaque is not removed from the teeth regularly, it forms a hard, porous substance called calculus, or tartar. This forms on the roots of the teeth below the gum line; it irritates the gums even further and contributes to even more plaque collection and disease.
Only a dentist or dental hygienist can remove plaque and calculus from your teeth. While the early symptoms of periodontal disease can only be detected by a dentist, there are other indicators that start to appear as the disease progresses.
- Red, swollen or tender gums
- Gums that bleed during brushing or flossing
- Teeth that have shifted or loosened
- Puss between teeth and gums
- Persistent bad breath
- Teeth that look longer because gums have receded
- Gums that have pulled away from the teeth
- Changes in the way teeth fit together when biting
That bacteria that cause periodontal disease can transfer to your bloodstream when gums bleed, putting you at a much higher risk to develop the following health problems:
- Respiratory Disease
- Heart Disease
- Pre-Term Births
If periodontal disease is diagnosed we will have the hygienist provide non-surgical periodontal therapy.
This involves cleaning and smoothing of the root surfaces of the teeth to remove calculus and bacterial deposits below the gum line so that the gums can heal around them.
The procedure may require several appointments, depending on the extent of your periodontal disease.
Dr. Kleiger will want to have you seen by the Hygienist every three months following the perio therapy to keep these areas clean and monitor your progress for about one year.
If at that time the pocket depths haven’t improved we will refer you to the periodontist (gum specialist).
A dental implant is an ideal tooth restoration for people who are missing one or more teeth for reasons like injury or periodontal disease. To begin the implant process, a titanium dental implant is surgically positioned into the jaw. This implant will act as a new "root" for the new crown. Once it is in place it takes on average 3 months to fully integrate into the jaw.
Implant placement requires special training, as it is a surgical procedure. Our team is highly- trained in implant placement to meet your dental needs. Implants require healthy gums and adequate bone. A patient must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.
Please set up a consultation for this comprehensive procedure.
A dental implant is an ideal tooth restoration for people who are missing one or more teeth for reasons like injury or periodontal disease. After the dental implant is placed the restoration is completed with a custom abutment and implant crown. While implants are typically more expensive than other methods of tooth replacement, they provide superior benefits. A well placed and properly cared for implant can last a life time. They are also a more favorable approach than bridgework, because they do not depend on neighboring teeth for support.
Implants require healthy gums and adequate bone. A patient must also be committed to excellent oral hygiene and regular dental visits, as these are critical to the long-term success of dental implants.
Please let us know if you have any questions about the procedures involved in dental implants.
Invisalign is an attractive alternative to traditional metal braces. It is a series of clear, custom-fit removable mouth trays that apply a controlled amount of force to your teeth to slowly straighten them. The system provides the same beautiful results as traditional braces, but they are virtually invisible. Because Invisalign trays are removable, they can be taken out while eating, drinking, brushing and flossing.
The Invisalign system begins in the dentist or orthodontist's office with taking molds to design a your trays. Patients switch trays every two weeks to gradually shift the teeth. The system requires a visit to the office every six weeks so that treatment can be monitored. Once treatment is complete, a patient will likely be given a retainer to maintain the smile.
The cost of Invisalign varies according to the complexity of the case. Insurance policies generally cover Invisalign to the same extent that they cover traditional braces.
A variety of forms of dental sedation are used to help patients who suffer from dental anxiety or phobia. There are multiple levels of sedation to ease every level of anxiety, and IV sedation is the perfect option for patients who might otherwise avoid the dentist. IV sedation is commonly referred to as "sleep dentistry--" it will be as if you fell asleep, and you won't remember the procedure. A specific set of drugs are administered via IV for the duration of the procedure or procedures, and you will be carefully monitored to ensure your safety. Often reserved for oral surgery, IV sedation is also available to those with intense dental anxiety and phobia. It makes dentistry easy.
If you feel that IV sedation is the best option for you, set up a consultation today! We are happy to answer any of your questions.
Night guards are recommended for patients who clench or grind their teeth to protect your teeth and jaw joint. Night guards are a custom appliance made of hard acrylic with a soft interior. Night guards generally last 3-10 years. Custom-made oral appliances can also be used as part of treatment for conditions like sleep apnea and TMJ disorders.
NITROUS OXIDE SEDATION
Nitrous oxide sedation, also known as "laughing gas," is commonly used to make treatment more comfortable. The nitrous oxide is inhaled through a mask and produces a state of relaxation. Local anesthetic will be administered in conjunction with nitrous oxide to eliminate pain. Nitrous oxide is designed to make procedures easier for nervous patients and has been effective for many years.
Oral sedation is an excellent option for patients who suffer from dental anxiety. It is simply taken in pill or liquid form and ingested at a set time before treatment. The drug produces a calming effect to make the visit to our office a much less stressful experience. Oral sedation is simple, safe and has very few side effects.
Ask us about our sedation options.
Orthodontics is the art of using special appliances to straighten and align the teeth and bite. Braces are the most common orthodontic treatment. In this method, arch wires are threaded through brackets that are bonded to the surface of the teeth. The arch wires act as a track, and guide each tooth to its proper position. There are several types of orthodontic braces available, including the more traditional metal braces, ceramic "tooth colored" braces, as well as clear plastic braces.
Root canal treatment, also referred to as root canal therapy or endodontic therapy, is used to save an infected or damaged tooth and avoid having to remove it. A root canal becomes necessary when a neglected cavity reaches all the way to the pulp at the center of the tooth, causing the pulp to become infected. Regular cleanings and checkups detect and prevent problems early on.
Trauma can also cause deep damage to the nerve of a tooth. Once this occurs, the pulp becomes infected, and it begins to eat away at the surrounding bone (this is called an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. It can even weaken the entire immune system, making it very dangerous and painful.
Symptoms of infected pulp may include sensitivity to hot/cold or sweets, pain, swelling, pain with biting or pressure, and a bad taste in the mouth. Sometimes, however, there are no symptoms, and you are unaware of any problem until a checkup.
A root canal is performed to clean out the infected tooth pulp and disinfect the canals of the tooth. The only other treatment would be to extract the tooth. Once the infection is resolved, the canal(s) is filled to prevent any further infection. A crown and post are necessary to cover and restore a tooth after root canal therapy.
Sealants are a common preventive treatment in dentistry. Some teeth have fine grooves or pits that accumulate plaque, not because the person doesn't brush, but because the grooves are too narrow to allow even one bristle into them. When plaque accumulates, it can lead to cavities and other types of tooth decay. To apply sealants, a plastic material is brushed onto the tooth, filling these narrow grooves and preventing the cavity-causing buildup. Sealants make healthy teeth possible.
SLEEP APNEA TREATMENT
Problems with sleep can quickly and negatively impact overall well-being. High blood pressure, heart disease, stroke, brain damage, depression, erectile dysfunction, diabetes, weight gain and more—all of these can be caused by sleep apnea and snoring. Solve your sleeping struggles at the dentist's office? It's definitely possible.
Oral sleep appliance therapy can be a very effective treatment option for patients suffering from mild to moderate obstructive sleep apnea. These custom-fit appliances shift the lower jaw forward and open the bite and airway.
Following are some common symptoms of sleep breathing disorders:
- Daytime drowsiness or fatigue
- Loud, recurring snoring
- Choking or gasping for air in your sleep
- A man with neck size greater than 17 inches
- A woman with neck size greater than 16 inches
- Stop breathing while asleep
- Unexplained weight gain/trouble losing weight
- High blood pressure
- Acid reflux
- History of stroke or heart attack
- Fall asleep during the day when activity is low
- Family history of sleep apnea
If you suffer from any of these symptoms, come into our office for a consultation. We will review the severity of your condition and discuss dental sleep treatment. It is always best to have had a sleep study conducted to determine the severity of your problem. However, this may not be necessary in treatment for simple snoring.
TMJ stands for temporomandibular joint and is used to describe dysfunction or disorders related to the joint. "Temporo," refers to the temple area of the skull; "mandibular," refers to the lower jaw; and "joint" is essentially where the head and jaw meet. Problems in this joint may be caused by a trauma, misalignment of the teeth, or excess muscle tension. The two bones that meet at the jaw are buffered by cartilage and five different muscles, so TMJ can cause a variety of troubles.
Common TMJ symptoms:
- Trouble/soreness in opening and closing the mouth
- Clicking or popping of the jaw
- Pain in the jaw muscles
- Soreness in the area, sometimes extending to the face
Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, and more. There is no one solution that is right for all cases. Sometimes an occlusal splint may be necessary to prevent clenching or grinding and reposition the jaw joint. If TMJ is left untreated and reaches extremes, surgery may be required to repair the badly damaged joint.
Veneers are a cosmetic dental procedure in which a thin layer of porcelain is placed over the outside of your tooth. They are used to improve esthetics or help with tooth damage. Veneers are usually only performed on teeth that are visible when talking or smiling.
Veneers involve two appointments. The first appointment teeth are prepared, impressions are made, and you will leave with provisional veneers. Veneers are fabricated by a professional dental laboratory. You are scheduled back in about two weeks, at this appointment the provisional veneers are removed and permanent veneers are placed.
The advantage of veneers versus crowns is that much less of the tooth structure has to be removed. Veneers are not recommended for patients who have large fillings or little tooth structure.
Teeth whitening is a popular procedure to make your 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, teeth whitening is a safe and relatively painless procedure for most patients. Whitening comes in strips, trays, or in-office procedures. We offer a wide variety of options for you at our practice.
Our office offers Zoom! Whitening. It's safe, effective and fast. In about 90 minutes, your teeth will be dramatically whiter. The convenience of Zoom! makes it the perfect choice for the busy individual. The Zoom! Whitening procedure is simple. It begins with a short preparation to isolate your lips and gums. The clinician then applies the whitening solution to your teeth that is then activated by a specially designed light.
Custom Whitening Trays
Custom whitening trays are a convenient at-home whitening treatment. We make upper and lower impressions of your teeth, custom trays are then made. The results are gradual usually you will see a color change in four days to one week. Replacement tubes available for purchase at the office.
WISDOM TOOTH EXTRACTIONS
Wisdom teeth are the last molars, or "third molars" that develop on each side of the jaw. They usually emerge in the back of the mouth between the ages of 16-20.
Wisdom teeth are a valuable asset to the mouth when they are healthy and properly positioned. Often, however, they cause problems and require removal. When the jaw isn't large enough to accommodate wisdom teeth, they can become impacted. Impacted wisdom teeth may grow sideways, emerge only part way through the gum or remain trapped beneath the gum and bone.
A wisdom tooth extraction is a relatively routine procedure. The dentist will numb the area in the mouth with a local anesthesia or use IV sedation so that the patient is asleep during the procedure.
After the tooth (or teeth) is removed, the patient is given gauze and bites down softly for a recommended amount of time to limit any bleeding. Some pain and swelling may occur, but it will usually go away after a few days. Please call our office if, after following post-op instructions, you have prolonged or severe pain, swelling, bleeding or fever.
Click the Technologies below for more information on each subject.
TEXT/EMAIL REMINDERS & ONLINE APPOINTMENT CONFIRMATION
Society has made so many advances in communication in recent years—why not utilize that for appointment reminders? As dental offices go digital, reminders can go beyond the written cards or personal phone calls that are prone to human error. Systems are becoming computerized and automated, providing patients timely reminders through email and sometimes text messaging too.
Ask our staff at the front desk about the options we provide so that we can set up a reminder system that is most convenient for you.
Digital radiography uses an estimated 40-90 percent less radiation than conventional film x-rays. Digital x-rays use a digital image capture device in place of traditional film, sending an image immediately to a computer. The result is a highly-detailed image of the mouth, and its contrast and resolution can be enhanced to more easily diagnose dental problems and determine the very best treatment for each case.
You would have to take 20,000 dental x-rays to equal the radiation in one mamogram. This means more safety and better accuracy for you.
In addition, you would have to take almost 100,000 dental x-rays to reach your maximum safe yearly dose.
No matter what, we don’t ever want to take unnecessary xrays and we promise to be as conservative as possible when recommending your films. Thank you for entrusting your dental health care to our team. Be assured we will always do our very best to treat you as carefully and safely as possible. --- Dr Ean Kleiger
Many offices utilize electronic claims processing. This means that rather than being sent through the mail, a dental claim is sent electronically to an insurance company with the click of a button. We can submit information more efficiently and with fewer errors. This benefits 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. Please let us know if you have any questions about the e-claim process.
Intraoral cameras, cameras about the size of a pen, help dentists see the condition of teeth and gums more clearly. This advanced technology allows us to zoom in on small diseased areas, cracks, chips and worn metal fillings to provide a more detailed view. The full-color images are sent to a computer screen, making it easy to see and diagnose dental problems much earlier than with traditional dental technology. Patients are also able to watch the whole process because the images are displayed on screens in treatment rooms.
Paperless charting means more efficiency and more accuracy. An office that has "gone digital" records x-rays and charting with the aid of the computer and keeps all patients' dental records electronically. Additionally, it cuts back on paper use. With traditional paper charting, information can be lost in translation from doctor to hygienist to assistant. Even handwriting differences and coding make the charts look different. The computer eliminates this problem by standardizing charting methods, making it easy to understand dental charts, view up-to-date information and keep records accurately. When needed, this method also allows dental offices to more easily share information with other healthcare providers.
If you have any questions in regards to your records with us, please let us know.
PATIENT EDUCATION SOFTWARE
You deserve to be in the loop when it comes to your dental care. There are a variety of computer programs available to help patients better understand conditions, procedures and treatment options. Our office invests in patient education software because we want you to feel confident in every dental decision you make. This investment helps us clearly communicate--and it helps you learn more.
Popular programs include GURU and DentalMaster, among many others. If you have any questions about the program we use, we're happy to point you to the website. If you have any further questions about your oral health and procedures, don't hesitate to ask us.