BONDING  Dental bonding is a procedure for applying tooth colored filling material on to a tooth or teeth to improve the shape, size and/or positioning.  Typically this involves as much "art work" as it does technical effort. Fees for bonding are less than for veneers or crowns, but patients should be aware that the resin used has a limited life expectancy and will need to be replaced after a number of years in use. The bonding materials are weaker than the materials used for crowns and thus are not appropriate for areas where high stress from chewing pressure is present.  For these areas other restorations are recommended.

BRIDGES  This is an option for filling the space created by a missing tooth. It is formed to look like the missing tooth, and it takes its place in the mouth. The sides of a bridge use the two surrounding teeth for support, hence the name. A bridge replaces a missing tooth or teeth, both functionally and cosmetically. Bridge work is as much an art as it is an exact science. The materials used may be gold alloys, porcelain bonded to metal alloy, or all ceramic material. The choice of material depends on requirements for strength, wear, and/or esthetics.

It is important that a missing tooth be replaced as soon as possible for several reasons. If not treated the teeth surrounding the gap begin to shift inward, creating a whole chain reaction of bad things. Teeth use their neighbors for support, so when one is lost, they start to "fall." As this worsens the bite changes in response to the pressure. This can eventually result in problems with the entire jaw, e.g. TMJ. The surrounding teeth deteriorate and it can be just a matter of time before they too, are lost. Gum disease can become a serious problem also, with the difficulty of treatment increasing as the neglect continues.

CROWNS   Crowns are full coverage restorations that are used to cover a tooth that is likely to fracture, or is too broken down to be restored with a filling. They are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed. Keep in mind that the jaw muscles are the strongest in the human body. Teeth are subjected to tremendous pressures. Crowns enclose the weakened tooth, providing strength and protecting the tooth against breakage. A broken or fractured tooth is a far more serious matter and much more difficult to treat. Crowns may prevent this, as well as making for a nice smile. 

FILLINGS  We offer tooth-colored fillings or composite fillings to our patients.  These restorations are made of tooth-colored materials that restore the natural appearance of a decayed or previously filled tooth.  One advantage of a composite filling is that it can require less removal of tooth structure thatn the older amalgam or silver fillings do to restore the tooth.  The bonded composite fillings provide good durability and resistance to fracture in small-to-medium restorations that need to withstand moderate chewing pressure.  

IMPLANT  A dental implant is an excellent option to replace a missing tooth. In this procedure, a small titanium root is surgically implanted into the bone by the periodontist or oral surgeon of your choice. After the recommended time, the bone grows around the implant, forming a tight connection. This additionally slows or stops the bone loss that occurs when the root of a natural tooth is lost. Once the implant is firmly set in the mouth, our office will work to attach the replacement tooth onto the top of the implant. This permanent solution has the advantage over bridge-work in that it does not require reducing the adjacent teeth and the implant can be a stand-alone structure. 

SEALANTS   Unfortunately, not all teeth are sealed perfectly when they erupt. Back teeth often have groovy surfaces that retain plaque and food and this leads to cavities. To prevent these cavities we treat the chewing surfaces with a plastic sealant material in a technique similar to decoupage.  This leaves a smooth surface that is resistant to decay. Although done primarily in children, sealants can be done on adult teeth as well to protect these vulnerable areas.  Sealants offer an economical way to present decay without the need of anesthesia or the loss of tooth structure.

TMJ TREATMENTS TMJ stands for temporal-mandibular joint, or jaw joint. Problems in the joint joint can arise from misalignment of the teeth, trauma, or excess stress and muscle tension. TMJ syndrome can include symptoms such as headaches, earaches, pain or soreness in the jaw muscles, difficulty in opening or closing the mouth, or clicking or popping of the joint.  A range of therapies is available to treat TMJ depending on the primary cause.  This can include replacing missing teeth, moving teeth (orthodontics), and splint or "night guard" therapy, which includes the NTI appliance which is available to help with the frequency and intensity of migraine headaches.  For advanced cases, Dr. Chapman refers to TMJ treatment specialists.  TMJ syndrome left untreated and progressing can lead to debilitating consequences, even the need for surgery.

WHITENING  Tooth whitening or "bleaching" is a safe way to improve the appearance of one's teeth. Our office uses the tray method that brings about a more lasting result than in-office one-shot techniques. Although our technique takes two to three weeks to complete, this allows us to monitor your progress and potentially reduce the sensitivity often found in other techniques. Patients with heavier, deeper stains such as tetracycline staining, can also see an improvement in their smiles but it takes a longer period of treatment to achieve the results. The trays allow for "touching up" the whitening once or twice a year.



3405 Silverstone Drive
Plano, TX 75023


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