Procedures

Checkups

On your first visit to a dentist, our Dental Office will take a full health history. On subsequent visits, if your health status has changed, make sure to tell us. Most dental visits are just checkups. Regular checkups (every 6 months is ideal) will help your teeth stay cleaner, last longer and can prevent painful tooth problems from developing.

A Cleaning
Checkups at our dental offices always includes a complete cleaning, either from our dentist or one of our dental hygienists. Our dental hygienist will use special instruments to scrape below the gumline, removing built-up plaque and tartar that can cause gum disease, cavities, bad breath and other problems. We will polish and floss your teeth after your cleaning

A Complete Examination

We will perform a thorough examination of your gums, teeth and mouth, looking for signs of disease or other problems. Our goal is to help maintain your good oral health and to prevent problems from becoming serious, by identifying and treating them as soon as possible.

X-rays

Depending on your age, risks of disease and symptoms, we may recommend X-rays. X-rays can diagnose problems otherwise unnoticed, such as impacted teeth, damage to jawbones, abscesses, tumors or cysts and decay between the teeth. Using the latest in X-ray technology, our dental offices use machines that emit virtually no radiation — no more than you would receive from a day in the sun or a weekend watching TV. As a precaution, we will place a lead apron on your body when having an X-ray. And, if you are pregnant, let us know, as X-rays should only be taken in emergency situations.

We may take a Panoramic X-ray, or Panorex. This type of film provides a complete view of your upper and lower jaw in a single picture, and helps our dentists understand your bite and the relationship between the different teeth and your arch.

How Long Should I go Between Visits?
If your teeth and gums are in good shape, you probably won’t need to return for three to six months. If further treatment is required — say to fill a cavity, remove a wisdom tooth, or repair a broken crown — you should make an appointment before leaving the office. And don’t forget to ask us any questions you may have —this is your chance to get the answers you need.

 

Cosmetic Dentistry

Cosmetic dentistry is used to restore teeth to maximum capacity after being damaged. Dental fillings have become a form of cosmetic dentistry because a person can select fillings made of porcelain or composite materials that closely match the rest of their teeth. Previously, fillings were only composed of gold, amalgam, and other materials that left dark spots on a person’s teeth. Technological advancements have allowed people to create more natural-looking and durable dental materials than those that formerly existed. Dentists are now also striving to preserve as much of a person’s natural tooth as possible—certain types of cosmetic surgery allow them to do just that. If you wish to learn more about cosmetic surgery, please contact Select Dental. Enhance Your Smile with Veneers Veneers are thin shells of ceramic or composite resin that bond to the front of teeth. Obtaining veneers is a painless, simple procedure, and offers sensitivity-free results. If you have broken, chipped, crooked, spaced, discolored, or misshapen teeth, veneers may be ideal for you. Patients who do not want to have braces may also wish to consider veneers. When the technique is properly completed, veneers will last for many years, and retain their white color. The entire procedure is fairly quick, and a person does not have to undergo lengthy and painful surgeries to have the smile they always desired. What is a dental crown? Dental crowns are used to restore a tooth to its normal size and shape. A crown may improve a tooth’s appearance and strength when it has lost its structure. When crowns are cemented into place, they fully encase the entire visible portion of a tooth that lies at and above the gum line. Crowns may be used to restore a broken or worn down tooth, to protect a weak tooth, to cover a tooth with a large filling, to hold a dental bridge in place, or to cover a dental implant. Permanent crowns may be created using metal, ceramic, resign, or porcelain-fused-to-metal components. Ceramic and porcelain dental crowns best match the natural color of teeth, and are suitable for people who are allergic to metal. Metal crowns withstand biting and chewing for a long period of time, and often last longer than other type of metals. Porcelain-fused-to-metal crowns wear easily, but they look most like normal teeth. Resin dental crowns are less expensive than other types of crowns, but they wear over time, and fracture easier than metal, ceramic, and porcelain crowns. Our team not only has the ability to create dental crowns, but we may also fix chipped or loose crowns, and may replace a patient’s crown that has fallen off. We have years of cosmetic dentistry experience, and our dentists strive to give patients the best possible smile. Please contact our office if you wish to learn more about crowns and veneers, or want to visit one of our dentists.

 

Fillings

Inlays and Onlays are lab-made restorations that are placed on teeth when the cavity or lost tooth structure is too large to be restored by a simple filling.

The process of making an inlay is very similar to a crown. After the tooth is prepared, it is cemented or bonded to the tooth. There are different materials that inlays are made of, including gold, porcelain, and composite resins. Porcelain and composite inlays and onlays are also suitable alternatives, but their appearance makes them less popular.

Your Select Dental dentist will explain when an inlay or onlay is a viable treatment option for you.

In general, inlays and onlays can replace most back teeth fillings and are sometimes cosmetically preferred over conventional fillings. At the same time, they are more conservative than crowns. As far as cost is concerned, because the process of making an inlay or onlay is similar to a crown, its cost is also comparable. But when considering the longevity of inlays and onlays, they can end up costing less than traditional fillings.

Inlays

Dental Inlays are used to treat teeth that have decay or damage lying within their indented top surfaces. They can also be used to replace old or damaged metal fillings. Inlay placement is usually carried out over two appointments. During your first visit an impressions of your tooth will be taken, and a temporary inlay will be placed over the tooth. We will send the impression off to the lab, which will create the inlay to match your tooth’s specifications. In your second visit, the temporary inlay will be removed and the permanent one will be placed carefully over the tooth.

Onlays

Dental inlays are used to treat decay that extends to one or more of the cusps. Onlays are placed in much the same way as inlays. First, an impression of the decayed tooth is taken, and a temporary onlay is placed over the tooth. The impression is sent to a lab, where the onlay is created according to the tooth’s dimensions. When you return to our office, the temporary is removed and the permanent restoration is placed on the tooth and securely bonded using high-strength dental resins.

Whatever your dental need, Select Dental is here to help you 24 Hours a Day for your Dental Emergencies, or during regular business hours. If you are looking for a dentist in San Leandro, California, do not hesitate to call today!

Periodontal (Gum) Treatment

Healthy Tooth

By scheduling regular checkups, the early stage gum disease can be treated before it leads to a much more serious condition. If your condition is more advanced, treatment in our dental office will be required. Call today to schedule your consultation.

What is gum disease?

Gum disease is an inflammation of the gums that can progress to affect the bone that surrounds and supports your teeth. It is caused by the bacteria in plaque, a sticky, colorless film that constantly forms on your teeth. Everyone If not removed through daily flossing and brushing, plaque can build up and the bacteria infect not only your gums and teeth, but eventually the gum tissue and bone that support the teeth. This can cause teeth to become loose, fall out or have to be removed.

How do I know if I have gum disease?

Gum disease can occur at any age, but it is most common among adults. If detected in its early stages, gum disease can be reversed so see your dentist if you notice any of the following symptoms:

    • Gums that are red, puffy or swollen, or tender
    • Gums that bleed during brushing or flossing
    • Teeth that look longer because your gums have receded
    • Gums that have separated, or pulled away, from your teeth, creating a pocket
    • Changes in the way your teeth fit together when you bite
    • Pus coming from between your teeth and gums
    • Constant bad breath or a bad taste in your mouth

There are three stages of gum disease:

Gingivitis
This is the earliest stage of gum disease, an inflammation of the gums caused by plaque buildup at the gum line. If daily brushing and flossing do not remove the plaque, it produces toxins (poisons) that can irritate the gum tissue, causing gingivitis. You may notice some bleeding during brushing and flossing. At this early stage in gum disease, damage can be reversed, since the bone and connective tissue that hold the teeth in place are not yet affected.

Periodontitis
At this stage, the supporting bone and fibers that hold your teeth in place are irreversibly damaged. Your gums may begin to form a pocket below the gum line, which traps food and plaque. Proper dental treatment and improved home care can usually help prevent further damage.

Advanced Periodontitis
In this final stage of gum disease, the fibers and bone supporting your teeth are destroyed, which can cause your teeth to shift or loosen. This can affect your bite and, if aggressive treatment can’t save them, teeth may need to be removed.

How is gum disease treated?

The early stages of gum disease can often be reversed with proper brushing and flossing. Good oral health will help keep plaque from building up. A professional cleaning performed by a Select Dental hygienist is the only way to remove plaque that has built up and hardened into tartar. Your dentist or hygienist will clean or “scale” your teeth to remove the tartar above and below the gum line. If your condition is more severe, a root planing procedure may be performed. Root planing helps to smooth irregularities on the roots of the teeth, making it more difficult for plaque to deposit there.

By scheduling regular checkups, the early stage gum disease can be treated before it leads to a much more serious condition. If your condition is more advanced, treatment in our dental office will be required.

Implants

Restore Your Smile with Dental Implants

Are you missing one tooth? Several teeth? All of your teeth? Patients with missing teeth should know they have options when it comes to restoring their smiles. As a dental implant specialist, Dr. Askariprovides the most natural and effective replacement option available on the market – dental implants.

The benefits of dental implants are impossible to ignore. Dental implants have become a desirable alternative to other methods of replacing missing tooth/teeth. Replicating the natural function and appearance of your lost teeth can be difficult to accomplish. Dental implants are natural-looking replacements for missing teeth that also provide the same function as your natural tooth.

What is a dental implant?

A dental implant is a small, sturdy, titanium post that acts as the root structure would for a natural tooth. A dental implant is placed into your upper or lower jaw bone. After the bone has grown around the implant, implants can hold a crown, just like roots hold natural teeth in place. Implants can also be used to support full or partial dentures, dramatically improving denture retention and stability.

Implants are very durable and can last a lifetime. They require the same maintenance as natural teeth; this includes brushing, flossing and regular dental check-ups.

Excellent success rates and a range of available options give dentists a variety of new ways to treat and replace lost teeth.

We can evaluate your case and tell you if you are a candidate for dental implants.

Most patients with adequate bone mass can have implants, although it varies among individuals. Typically an x-ray and CT-scan are performed to determine if you have enough bone to place the implant, as well as to verify the size and kind of implant that should be placed.

Implant Procedure

Replacing a Single Tooth with a Dental Implant

If you have lost a tooth due to an accident or from periodontal disease, that one tooth can be replaced using a dental implant. A dental implant is an excellent way of replacing a single tooth without the disadvantages of a fixed bridge or removable dentures. It is the ideal treatment for a missing tooth because it does not affect your adjacent teeth. That means no grinding or crowning of your natural teeth for bridges, and no clasps for removable partial dentures.

Your teeth stimulate the surrounding bone with each bite. This preserves the integrity of the bone. When a tooth is lost, the bone is not stimulated and begins to shrink away. A dental implant keeps this bone intact and can prevent both bone loss and gum tissue shrinkage. In addition, because a dental implant replaces the root structure, the jawbone is better preserved. A dental implant is also much easier to clean as compared to a bridge. And unlike a bridge, an implant cannot be affected by cavities.

Replacing Multiple Teeth with Dental Implants

As we age, a greater effort is required in the maintenance of our appearance. While we may force ourselves to a strict diet and exercise, many times our teeth are forgotten. Teeth are prone to deterioration after many years of use. They get worn down, chipped/cracked, and eventually they can be lost due to physical injury or prolonged tooth decay and deterioration. Having many missing teeth is detrimental to the health and replacing these teeth is very important.

Just as with one missing tooth, several missing teeth can be aided with dental implants. Implant supported bridges are permanently fixed in the mouth, unlike removable appliances. Dental implants look and function like natural teeth without needing the support of neighboring teeth. Because dental implants replace the root of the natural tooth, they preserve the jawbone and prevent bone deterioration. This preservation of jawbone helps to keep both the bone and gum tissue from collapsing, which may lead to an unattractive smile. In addition, with a traditional bridge, cement can wash out from underneath the bridge, exposing the tooth, allowing the cavities to form. Dental implants do not get cavities, but brushing and flossing is extremely important to maintain for healthy gums and help in keeping plaque away from the bone and gum tissue.

Dentures will fit more securely and comfortably with an over denture implant. This will minimize any discomfort and movement (slipping) that is common with normal dentures. Many older adults are turning towards dental implant supported dentures for their greater comfort and confidence with dentures. Many people are often able to eat the foods they couldn’t with their old dentures.

We offer a free consultation to clearly outline the best treatment plan for you. This consultation is completely FREE to you. You have NOTHING to lose.

Invisalign

There are other options for straightening your teeth, but none offers the level of comfort, confidence and convenience that you’ll get with the Invisalign product. No matter your age, you’ll appreciate how this cutting-edge approach to treatment has very little interference in your life, but has a significant, positive impact on how you look and feel about yourself.

First Consultation: we take impressions of your teeth and smile.

2nd Consultation: (follow-up visit in approx. 10 days) that details your specific treatment plan. This will include an online modeling tool that allows us to preview the before-and-after look of your teeth. This is a real time animation that shows how your teeth will move over the life of the treatment.

The Clear Alternative to Braces

Why Invisalign?

Developed with OrthodontistsInvisalign is a virtually invisible solution, so you can smile confidently both during treatment and after. Using a series of clear, removable aligners, Invisalign gradually moves your teeth toward the smile you’ve always wanted. And, almost no one will know that you are wearing them unless you tell them.

Is Invisalign right for you?

Many people believe that Invisalign is only effective at treating minor orthodontic issues. But the fact is that we can treat a broad range of cases, from overly crowded teeth and under bites to jaw problems and tooth misalignment.Take a look at our “Actual Results” section. You’ll find good examples of before-and-after pictures of some real Invisalign patients. You’ll be able to see the visible improvements.Invisalign is constantly making new advancements in their products and treatment processes for even better results.

How does Invisalign work?

Invisalign takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligners are made of smooth, comfortable and virtually invisible plastic that you simply wear over your teeth. Wearing the aligners will gradually and gently shift your teeth into place, based on the exact movements your dentist or orthodontist plans out for you. There are no metal brackets to attach and no wires to tighten. You simply pop in a new set of aligners approximately every two weeks, until your treatment is complete and you achieve the confident smile that you’ve always wanted. The best part about the whole process is that most people won’t even know you’re straightening your teeth.

How much does Invisalign cost?

In most cases, Invisalign treatment is comparable to the cost of traditional braces. However, as with other medical treatments, only you doctor can determine the cost, based on your specific needs. Other factors may include your treatment goals, the difficulty of your case, how long you are in treatment your orthodontic insurance coverage, and additional factors. The cost of Invisalign treatment ranges from 3800-5800.

Laser Teeth Whitening

Your smile is one of the first things people notice when they meet you. A whiter, brighter smile is beautiful – it can help you feel better about yourself and make a memorable impression. The aging process and your can stain and darken your teeth. Many things we do on a regular basis can contribute to stained teeth, such as drinking cola, tea, coffee and red wine. Smoking can also discolor the teeth. Teeth whitening can get your smile looking its best. You should look for a whitening procedure that is:

    • Fast and convenient
    • Long lasting
    • Low sensitivity
    • Proven to be safe and effective
    • Performed by a dental professional

Common Questions

What is tooth whitening?
Tooth whitening is a bleaching process that reverses discolorations of enamel (the outside layer of the tooth structure) to create a whiter brighter appearance. No natural tooth structure is lost, and no anesthetic is required.

How do I know if tooth whitening is for me?
We’re glad to help you determine if you’re a good candidate. First, for your safety, we need to check the strength and condition of your teeth through an exam and x-rays. Then, before recommending tooth whitening for you, we need to diagnose the exact cause of your tooth discoloration. A number of factors can contribute to discoloration, including:

    • Excessive fluoride
    • Trauma (injury) to your teeth
    • Pulp (nerve) degeneration
    • Restorative materials (silver, gold)
    • Genetic and acquired illnesses
    • Use of staining substances, such as coffee, tea or tobacco
    • Aging
    • Tetracycline (antibiotics) staining

What tooth whitening options are available?
Depending upon your unique situation, we may offer one of two different types of tooth whitening systems; in-office (active) or at home use (passive) under our professional supervision. Sometimes we recommend a combination of both to give you the best results in the least amount of time. Regardless of which type of system is best for you, it’s important that you follow our professional recommendations. We want to be sure you receive the best and safest treatment available.

What happens during the in-office tooth whitening?
This procedure is done in a series of appointments (usually three to five) until the desired effect is achieved. During the visits, we take a number of steps:

    1. Apply lubricant to you gums
    2. Place a protective material (dental dam) around the necks of your teeth to shield your gums, tongue and lips
    3. Clean your teeth to remove excess lubricant.
    4. Apply conditioner to your teeth, then rinse and dry them
    5. Apply the whitening solution to the teeth, and leave it on for a period of time.
    6. Rinse and polish your teeth

What happens during passive (in-home) tooth whitening?
This procedure involves wearing a custom fitted appliance containing tooth-whitening solution. You must wear this appliance for a period of days or weeks as we prescribe for your situation. In many cases, nighttime application alone is sufficient to achieve the results you desire. When undergoing the passive tooth whitening program, you must return to the office periodically. These appointments ensure that the whitening system is working effectively and that your teeth and gums remain healthy.

Are touch-ups ever required?
To stay whiter and brighter, your teeth may require periodic touch-ups requiring that you wear your appliance with the whitening solution for a few days to a week. Please call us to discuss your needs, and we’ll be happy to advise you.

Are there any side effects from tooth whitening?
Some patients’ teeth exhibit a chalky appearance for a short time, due to a slight dehydration caused by the tooth-whitening solution. Occasionally, patients experience mild sensitivity to cold food and beverages for a day or two following the procedure.

Root Canals

Signs That You Need a Root Canal

    • Your tooth hurts when you bite down on it, touch it or push on it
    • Your tooth is sensitive to heat
    • Your tooth is sensitive to cold for more than a couple of seconds
    • There is swelling near the tooth
    • Your tooth is discolored (whether it hurts or not)
    • Your tooth is broken

If you have an infection of the pulp, you may not feel any pain at first. But if it is not treated, the infection will cause pain and swelling. In some cases, an abscess will form. At Select Dental, root canal treatments are performed with advanced techniques and materials, making them far more comfortable and the treatment time much faster. After root canal treatment is complete, we will usually place a crown on your tooth to safeguard against fracture.

Why would you need a root canal treatment?

Root canal treatment is needed for two main reasons.

    • The first is infection. An untreated cavity is a common cause of pulp infection. The decay erodes the enamel and dentin of the tooth until it reaches a root canal. This allows bacteria to infect the pulp. Antibiotics can’t get to infections inside teeth. The inflammation caused by the infection reduces the blood supply to the tooth. The reduced blood supply also keeps the pulp from healing.
    • The second reason for a root canal is damage to the pulp that can’t be fixed. Trauma or a fractured tooth can damage the pulp. So can a lot of restoration, such as several fillings placed in the same tooth over a period of time.

When the pulp is inflamed but not infected, it may heal on its own. We may want see if this will happen before doing root canal treatment. If the pulp remains inflamed, it can be painful and may lead to infection. An infection in the pulp can affect bone around the tooth. This can cause an abscess to form. The goal of root canal treatment is to save the tooth by removing infected or damaged pulp, treating infection, and filling the empty root canals with a material called gutta percha.

If root canal treatment is not done, an infected tooth may have to be extracted. It is better to keep your natural teeth if you can. If a tooth is missing, neighboring teeth can drift out of line. They also can be overstressed from chewing. Keeping your natural teeth also helps you to avoid other treatments, such as implants or bridges. Also, if you ignore an infected or injured tooth the infection can spread to other parts of your body.

Having root canal treatment on a tooth does not mean that the tooth will need to be pulled out in a few years. Once a tooth is treated, it almost always will last the rest of your life.

The Length of Root Canal Treatment

Root canal treatment can be done in one or more visits. It depends on the situation. An uncomplicated root canal treatment often can be completed in one visit. Some teeth may be more difficult to treat because of where they are in the mouth. Some teeth have more roots than other teeth. Treating a tooth with many roots takes longer. Some teeth have curved root canals that are difficult to find. If you have an infection, you will visit us several times so that we can make sure the infection is gone. Once the root canal treatment is finished, we will cover the treated tooth with a crown. The purpose of the crown is to prevent the tooth from breaking in the future.

Wisdom Teeth

Wisdom Teeth Removal

At Select Dental we offer a 24 Hour Emergency Dental Services. For the convenience of our patients who are having severe tooth pain we perform all dental procedures at our San Leandro dental office.

What are wisdom teeth?

Wisdom teeth are the last molars in your mouth on each side of the jaws. They are usually the last teeth to emerge, usually when a person is between 16 and 20. Since wisdom teeth are the last permanent teeth to come in, sometimes there is not enough room left in your mouth to accommodate them. This can lead to wisdom teeth that are impacted, teeth that are trapped beneath the gum tissue by other teeth or bone. If teeth are impacted, swelling and tenderness may occur. Wisdom teeth that only partially emerge or come in crooked or sideways can also lead to painful crowding and disease. Since teeth removed before age 20 have less developed roots and fewer complications, it is recommended that people between the ages of 16-20 have their wisdom teeth evaluated to see if they need to have them removed.

How are wisdom teeth removed?

A tooth extraction is a relatively routine procedure. Our dentists, called an oral surgeon, will recommend either “going to sleep” using general anesthesia, or numbing this area in your mouth with a local anesthesia. We preform all procedures in our office. After the tooth (or teeth) is removed, you may be asked to bite down softly on a piece of gauze for 30 to 45 minutes after you leave the office, to limit any bleeding that may occur. Some pain and swelling may occur but it will normally go away after a few days; however, give us a call if you have prolonged or severe pain, swelling, bleeding or fever. Removal of wisdom teeth due to crowding or impaction should not affect your bite or oral health in the future.

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