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General Dentistry

A healthy smile starts and ends with the basics. Our general dentistry services diagnose, treat, and manage your overall oral health care needs.

Click one of the links below to learn more about each of our services.

Digital X-Rays

Dr. David, Bolton, MA Dentist, Digital Dental X-RaysFor the best treatment, it’s crucial to always use the most advanced dental technology available. Our goal is to give you the safest and most convenient treatment options available, so we use advanced digital X-ray technology in our office.

The advanced imaging of digital X-rays saves time, provides clearer dental photos, and exposes patients to less radiation than traditional X-ray technology.

ICAT 3D Conebeam Technology

We use this technology for implants, TMD/TMJ treatment, sleep apnea and orthopedic orthodontics.

Our practice is focused on making your dental experience as comfortable as possible. At your next appointment, please feel free to ask any questions and we’ll be happy to answer.

OraVerse

Now It’s Possible: Reversing Numbness with OraVerse

Dr. David, OraVerse Injections, Bolton, MA DentistNow you can get on with your day after routine dental procedures, thanks to a new product that reverses the effects of local anesthesia. This new measure of comfort is for patients who dislike the lingering numbness that can last for three to five hours after leaving our office.

To deliver superior care, we’re always finding better ways to ensure your comfort and improve your dental experience. OraVerse is the first and only product proven safe and effective in accelerating a return to normal sensation and function after a local anesthetic containing a vasoconstrictor has been used. So now in about half the time, you’ll be talking, smiling and drinking just like normal.1 And OraVerse can benefit nearly any patient, but is not recommended for children under six years of age or weighing less than 15 kg (33 lbs).

We want you to have the most comfortable experience possible. It’s a commitment that begins when you walk in the door and extends long after you leave. So if you’re among the many patients who dislike lingering numbness and its limitations, let’s discuss whether OraVerse is the right choice for you during your next dental visit.

Important Safety InformationDr. David, OraVerse Injections, Bolton, MA Dentist

Tachycardia, bradycardia, and cardiac arrhythmias may occur with the use of phentolamine or other alpha-adrenergic blocking agents. Although such effects are uncommon with OraVerse (phentolamine mesylate), clinicians should be alert to the signs and symptoms of these events, particularly in patients with a history of cardiovascular disease. Following parenteral use of phentolamine at doses between 5 to 15 times higher than the recommended dose of OraVerse, myocardial infarction, and cerebrovascular spasm and occlusion have been reported, usually in association with marked hypotensive episodes producing shock-like states.

*Median time to recovery of normal sensation was reduced by 85 minutes (55%) in the mandible and by 83 minutes (62%) in the maxilla compared to control. Median time to recovery of normal function was reduced by 60 minutes (50%) in the mandible and by 45 minutes (43%) in the maxilla.

Root Canals

Dental Health and Root Canals

In the past, if you had a tooth with a diseased nerve, you would probably lose that tooth. Today, root canal treatments can save that tooth in one to three office visits.

Why are root canals necessary?

Dr. David, Bolton, MA Dentist, Root Canals

When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. Infected tissue causes pain and swelling. If left untreated, an abscess may form and the tooth might need to be removed as a last resort. The effects can injure your jawbones and negatively affect your overall health.

What is the purpose of a root canal?

A root canal removes the infected nerve tissue.

A tooth’s nerve is not vitally important to a tooth’s health and function after the tooth has emerged through the gums. The nerve only allows you to feel hot or cold sensations. The presence or absence of a nerve will not affect day-to-day use of your tooth.

How do I know I need a root canal?

Teeth that require root canal therapy are not always painful. Other signs could include severe toothache, pain upon chewing or application of pressure, prolonged sensitivity or pain in response to hot and cold temperatures, a dark discoloration of the tooth, or swelling and tenderness in the nearby gums. If you experience any of these symptoms, contact your doctor.

What happens during a root canal?

During treatment, your general dentist or endodontist (a dentist who specializes in problems with the nerves of the teeth) removes the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If your tooth had extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breakage.

What happens after a root canal?

As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.

Dental Fillings

Dr. David, Bolton, MA Dentist, FillingsDental restorative fillings include composite and porcelain restorations made with our CEREC machine.

Newer dental fillings include ceramic and plastic compounds, often called composite resins. These compounds have the advantage that they mimic the appearance of natural teeth. They’re usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.

What’s right for me?

Several factors influence the performance, durability, longevity and expense of dental restorations, including:

  • The components used in the filling material
  • The amount of tooth structure remaining
  • Where and how the filling is placed
  • How crucial the tooth is in chewing
  • The length and number of visits needed to prepare and adjust the restored tooth

Before your treatment begins, Dr. David will discuss with you all of your options and help you choose the best filling for your case. Before you talk to Dr. David, here are the two basic types of dental fillings — direct and indirect.

  • Direct fillings are fillings placed into a prepared cavity in a single visit. Fillings include glass ionomers, resin ionomers, and composite (resin). The dentist prepares the tooth, places the filling, and adjusts it in one appointment.
  • Indirect fillings can be done in one visit with CEREC. No need for two visits anymore. Indirect restorations are crowns, inlays, onlays, veneers and bridges. Even implant restorations.

Laser Dentistry

Dr. David, Bolton, MA Dentist, Laser DentistryUsing laser dentistry, our dentists are able to deliver a precise treatment that is more comfortable, quicker, and provides more stunning results.

Benefits of Laser Therapy

  • Many laser treatments do not require anesthesia, and the recovery time is much quicker than with traditional treatment methods.
  • Treatments are more comfortable.
  • There is less potential chance of bacterial infection because laser treatments are so precise.

Two Types of Laser Dentistry

There are two different types of laser dentistry: hard tissue and soft tissue. Hard tissue includes treatments such as cavity detection, dental fillings, and tooth sensitivity improvements. Soft tissue treatments include gum reshaping, gum surgery, and muscle attachment improvements.

Other procedures include removing benign oral tumors, regenerating nerves, overcoming sleep apnea, whitening teeth, and treating TMD.

MPHI 5 MLS Laser Therapy

We use MLS therapy/MPHI 5 for people that present with TMD/TMJ disorders. MLS therapy acts in the inflammatory process and on the pain symptom associated with it. It acts in a very short time both on edema and contracture/pain. This provides fast relief to the patient, while the suffering tissue metabolism is restored.

 

Active again

Thanks to MLS Laser Therapy Devices, the patient can quickly overcome the acute phase of pain with long-lasting results, finding a better quality of life, and in a short time returning to normal activities of every day life such as work, sports, and social life. In fact, the MLS Laser Therapy not only can help you overcome the painful symptoms typical of the musculoskeletal diseases, but also represents a valuable tool for rehabilitation, as it effectively promotes the recovery of the functions that were compromised by surgery or fractures.

Indications and Advantages

  • FAST TREATMENT TIMES, from 3 to 10 minutes
  • REDUCED NUMBER OF APPLICATIONS: In many patients the benefits are evident in first application, and scientific studies have shown that between the fourth and fifth application the pain subsides by at least 50%, with
    recovery of joint functions.
  • SIMULTANEOUS ACTION on the triad pain-inflammation-oedema

The MLS Laser Therapy is based on a global approach: the treatment is extended to the whole muscle groups relative to the pathology, and after is localized on the trigger points. It is indicated for the treatment of pain and muscle spasms, joint stiffness, and arthritis pain. It promotes an increase of blood circulation and muscle relaxation, especially dedicated to sprains, strains, traumas, tendonitis, plantar fasciitis, cervical brachialgia, craniofacial pain, shoulder pain, bursitis, back pain, arthritis, osteoarthritis, joint pain, oedema, hematoma, wounds, and ulcers.

To learn more about laser dentistry and how you may benefit from a laser treatment, please feel free to contact us or schedule an appointment.

Gum Disease

Gum disease, also known as periodontal disease, is an infection of the gums surrounding your teeth. Gum disease is one of the top reasons for tooth loss in adults, and because it is virtually pain-free, many patients don’t know they have it. During each regular checkup, your dentist will monitor your gums for signs of recession to detect gum disease.

Dr. David, Gum Disease Treatment, Bolton, MA dentist

What causes gum disease?

Gum disease is caused by a buildup of plaque (a sticky form of bacteria that forms on the teeth) that isn’t removed by flossing, brushing, or regular dental cleanings. Over time plaque will continue to build up and create toxins that can damage the gums. Plaque forms just below the gum line and creates small pockets that separate the gums from the teeth.

Periodontal disease has two stages:

  • Gingivitis — This is the early stage of gum disease, when the gums become red and swollen, and bleed easily. At this stage, the disease is treatable and can usually be eliminated by daily brushing and flossing.
  • Periodontitis — If left untreated, gingivitis will advance into periodontitis, and the gums and bone that support the teeth will become seriously and irreversibly damaged. Gums infected with periodontitis can cause teeth to become loose, fall out, or be removed by a dentist.

Risk factors for developing periodontal disease, include:

  • Smoking or using chewing tobacco
  • Diabetes
  • Certain types of medication such as steroids, anti-epilepsy drugs, cancer therapy drugs, calcium channel blockers, and oral contraceptives
  • Bridges that no longer fit properly
  • Crooked teeth
  • Old fillings

    Dr. David, Gum Disease Treatment, Bolton, MA dentist

  • Pregnancy

Noticeable symptoms can include:

  • Gums that bleed easily
  • Red, swollen, tender gums
  • Gums that have pulled away from the teeth
  • Persistent bad breath or bad taste
  • Pus between your teeth and gums
  • Permanent teeth that are loose or separating
  • Any change in the way your teeth fit together when you bite
  • Any change in the fit of partial dentures

Treating Gum Disease

Treatments for gum disease can vary depending on the severity of each individual case. Typical treatments include:

  • Non-surgical treatments such as at-home periodontal trays, and scaling and root planing (deep cleaning)
  • Periodontal surgery and laser gum surgery
  • Dental implants

Preventing Gum Disease

Regular dental checkups and periodontal examinations are important for maintaining your health and the health of your smile. You don’t have to lose teeth to periodontal disease, and by practicing good oral hygiene at home, you can significantly reduce your chances of ever getting gum disease. Remember to brush regularly, clean between your teeth, eat a balanced diet, and schedule regular dental visits to help keep your smile healthy.

Preventative Care

Dr. David, Bolton, MA Dentist, Preventative CarePreventive dental care is important throughout your life, no matter your age. By practicing good oral hygiene at home and scheduling regular checkups with your dentist, you can help keep your smile bright and healthy for many years to come. Here are a few simple ways that you can prevent the build-up of plaque and cavities:

  • Brush your teeth at least twice a day with a soft-bristled toothbrush.
  • Use toothpaste to remove food particles and plaque from the tooth surfaces.
  • Be sure to brush the top surface of your tongue; this will remove any extra plaque-causing food particles, and help keep your breath fresh!
  • Floss at least once a day. Decay-causing bacteria can linger between teeth and under the gum line where toothbrush bristles can’t reach.
  • You can also use a mouthwash to help kill bacteria and freshen your breath.
  • Eat a balanced diet, and try to avoid high concentrations of sugar. Nutritious foods such as raw vegetables, plain yogurt, cheese, or fruit can help keep your smile healthy.
  • The texture of hard fruits and vegetables can help clean your teeth naturally while you bite and chew.
  • Schedule regular checkups with your dentist every six months for a professional teeth cleaning.
  • Ask your dentist about dental sealants, protective plastic coatings that can be applied to the chewing surfaces of the back teeth where decay often starts.
  • If you play sports, be sure to ask your dentist about special protective mouthguards.

If it’s been six months since your last dental checkup, then it’s time to contact us for your next appointment!

VELscope Oral Cancer Screening

More than 480,000 new cases of oral and throat cancers are diagnosed each year, and over 35,000 of those cases are right here in the United States. Oral cancer kills one person every hour in the U.S., and without proper detection methods, a person may have oral cancer and not even know it. In almost all cases of oral cancer, early detection plays a major role in a patient’s chances of survival. By diagnosing and treating oral cancer early, a patient’s five year survival rate is 80-90% greater.

Risk factors for oral cancer include:

Dr. David, VELscope Oral Cancer Screening, Bolton, MA Dentist

  • Frequent use of tobacco products (cigarettes, cigars, pipes, chewing tobacco)
  • Excessive consumption of alcohol
  • Genetics (a family history of oral cancer or any type of cancer)
  • Excessive exposure to the sun at a young age
  •  

While men above the age of 50 are typically at the most risk for oral cancer, there has been a recent increase in the number of women with oral cancer due to a connection between oral cancer and the human papilloma virus (HPV-16).

How VELscope works

The VELscope screening system consists of a specialized white light source and viewing scope that make it easier for your doctor to look closely at the tissues inside your mouth. Normal tissues will almost glow a bright green color. Abnormal tissue shows up much darker under the special light.

An abnormal screening does not always mean that the patient has cancer. If an abnormal screening occurs, your doctor may schedule a second scan later to see if the dark spots disappear, or may choose to perform a gentle, non-invasive brush biopsy to make sure it’s not cancer.