A. Michael Etebari, D.D.S

1395 E. Warner Rd., Suite 105C
Gilbert, AZ 85296

(480) 558-0212
(480) 558-0216 (f)
info@valvistadental.com

General Treatment

Fillings | Root Canals | Tooth Extractions | Crowns and Bridges | Implants | Orthodontics

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialties. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on conservative treatment and total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in procedures, technologies and by maintaining their scheduled dental exams.


Fillings

The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/metal fillings that contain mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

With today’s advancements in dentistry, you no longer have to be conscious or embarrassed of unsightly and unhealthy silver/metallic fillings or dark metal margins of the past. Eliminate the dark, black appearance in your teeth with new-age, state-of-the-art, tooth-colored resin or porcelain materials.

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Root Canals

Root canal therapy is a procedure that extracts diseased pulp from the central part, and canals of the tooth. After reshaping the canal system, then a special filler is placed to fill the canal spaces.

Once bacteria in a cavity which is the result of decay of the enamel and dentin of the tooth burrows into the deeper layers of the tooth and reaches the pulp chamber (includes the nerve and blood vessels) could set off pain and infection in the tooth, and if the tooth left untreated long enough, it could cause extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal therapy (endodontic procedure), helping to preserve the tooth and retain its original integrity once a crown restoration is placed on the tooth; thereby, saving the tooth.

This procedure involves:

  • The patient receives local anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is accessed to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including decay, cracks, and canals.
  • With special tools, the doctor reshapes the canals.
  • The canals of the tooth is filled again with biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients must see their general dentist quickly for a permanent restoration of the tooth

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Tooth Extractions

General Extractions

An extraction is the complete removal of a tooth. Extractions are sometimes necessary if a primary tooth is preventing the normal eruption of a permanent tooth, if the tooth has suffered extensive tooth decay or trauma that cannot be repaired, if the patient has gum disease, or if the tooth is impacted (usually the wisdom teeth). A local anesthesia is used to ensure your child is as comfortable as possible throughout the procedure.

Wisdom Teeth

Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through fully (erupt) or simply develops in the jaw and becomes impacted, problems can arise. Primarily, infection of the area in and around the wisdom tooth (if the wisdom tooth is partially erupted) and also damage to the adjacent tooth could occur.

In certain cases, the wisdom tooth that cannot come through fully could become inflamed under the gums and in the jawbone, causing an abscess/infection of the tissue.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions, with an absolute minimum of discomfort. Ask our staff for more information regarding tooth extractions.

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Crowns and Bridges

Crowns

A crown is a permanent covering that fits over an original tooth that is decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin, zirconia or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable than other materials.

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
  5. Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of two visits over a two week period. Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.

Bridges

A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

  • Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
  • Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

  • A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing teeth and hold the bridge in place.
  • The “Maryland” bridge is commonly used to replace missing front teeth and consists of filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end

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Implants

Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

  • Single Tooth Replacement
  • Anterior Replacement
  • Posterior Replacement
  • Full Upper/lower Replacement

Types of Implants

There are three main types of implants:

  • The root implant
  • The plate form implant
  • The sub-periosteal implant

The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient’s natural tooth. This implant is often as strong as the patient’s original tooth. The implant or artificial root is placed into the jawbone under local anesthesia,then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.

The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form implant is long and thin, unlike the root implant, and anchors into thin jawbones. It is inserted the same way as a root implant. In certain cases, the plate form implant is immediately fitted with the restoration without waiting for the healing process to run its course.

The sub-periosteal implant is used when the jawbone has receded to the point where it can no longer support a permanent implant.

Post Implant Care

Although, proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

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Orthodontics

Our Orthodontist provides comprehensive orthodontic options to our patients. Each patient’s orthodontic condition requires a treatment plan based on a specialized diagnosis of the case. The treatment process involves X-rays, dental impressions and photographs. Braces have one aim: to use gentle force to move teeth into proper alignment. Treatment time varies depending on age, patient compliance and the severity of the condition. Generally, the average treatment lasts for 24 months and is facilitated by ideal patient cooperation.

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