Here in San Juan Dental Center, our dentists are highly trained in the practice of orthodontics, the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities. Our professionals are particularly skilled in the design, application and control of corrective appliances, such as braces, to bring teeth, lips and jaws into proper alignment and to achieve facial balance. All orthodontists are dentists, but only about 6 percent of dentists are orthodontists

Cosmetic Dentistry
Improve your smile, self-esteem, and overall appearance with cosmetic dentistry! Let us develop a personalized cosmetic dentistry plan for smile enhancement with sensitivity to your needs and budget Most cosmetic dental procedures involve a combination of services unique to your situation and desired outcome. Depending on your smile, you may need to consider veneers, bonding, bridges, implants, tooth whitening, and/or orthodontics.

Gum Disease
Periodontal (gum) diseases attack the soft tissues and bone that surround and support your teeth. There are several forms of gum disease. Gingivitis, an early reversible stage, causes the gums to become red, swollen and bleed easily. It can usually be eliminated by daily brushing and flossing.

Periodintitis, a more advanced stage, causes destruction of the soft tissues and bone that surround and support your teeth. It is the major cause of tooth loss amount adults and affects three out of four adults age 35 or older. Only your dentist can treat the more advanced damage caused by periodontitis. Because it is often painless, it may go unnoticed. That is why daily hygiene and dental checkups are important.

What Causes Gum Disease
Gum disease, simply put, is an infection of the gums. It is caused by plaque, a sticky, colorless film of bacteria that constantly forms on the teeth. These bacteria create toxins that irritate the gums, causing them to become imflamed and to bleed easily. Over a period of time, if the irritation persists, the gums pull away from the teeth, forming pockets. Plaque then forms in these pockets. Eventually the infection starts destroying the gum tissue and the underlying bone. The teeth may then become loose and fall out or need to be removed.

What Happens During An Exam?
During an exam, your dentist will check the color and firmness of your gums, make sure your teeth are not loose and make sure your teeth fit together properly when you bite. An instrument called a probe is inserted between your tooth and gum to determine if the gum has detached from the teeth. X-rays also help determine if any bone has been destroyed.

The Road To Healthy Gums Is Paved With Good Oral Hygiene You don't have to lose your teeth because of gum disease. Remember to brush and floss daily, eat a balanced diet and see

*Gums that bleed during toothbrushing
* Red, swollen or tender gums
* Gums that have pulled away from your teeth
* Persistent bad breath
* Plus between the teeth and gums
* Loose or separating teeth
* A change in the way your teeth fit together when you bite
* A change in the fit of partial dentures

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Same Day Crowns
Dr. Rey provides custom-made dental crowns made of high-quality, durable ceramic material that is similar in structure to the material of your natural teeth. Your crown will also have the same color as your other teeth, blending in seamlessly with your smile. A crown (dental cap) is a tooth-like covering placed over a carefully prepared, existing tooth. This procedure strengthens, restores and improves the appearance of your natural tooth.

Root Canal Treatment
A root canal is a dental procedure that repairs an inflamed or infected nerve. During this procedure, the nerve or pulpal tissue is cleaned out and then the pulp chamber is filled and sealed with a biocompatible material, allowing a tooth to be saved.

In the past, if you had a tooth with a diseased nerve, you'd probably lose that tooth. Today, with a special dental procedure called root canal treatment, you may save that tooth.
Inside each tooth is the pulp and the nerve. The nerve is the vestige of the tissue that originally formed the tooth. Once the tooth has been in the mouth for a time, the functioning of the nerve is no longer necessary.
When a tooth is cracked or has a deep cavity, bacteria can enter the pulp. Germs can cause an infection inside the tooth. Left without treatment, pus builds up at the root tip, in the jawbone, forming a "pus-pocket" called an abscess. An abscess can cause the pulp tissue to die. When the infected pulp is not removed, pain and swelling can result. Certain byproducts of the infection can injure your jawbones and your overall health. Without treatment, your tooth may have to be removed.

Treatment often involves from one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp. Next the pulp chamber and root canal(s) of the tooth are cleaned and sealed. Often posterior teeth that have endodontic treatment should have a cast crown placed in order to strengthen the remaining structure.

Then as long as you to continue to care for your teeth and gums with regular brushing, flossing, and checkups so that the root(s) of the restored tooth are nourished by the surrounding tissues, your restored tooth can last a lifetime.

Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving one to three visits. Best of all, it can save your tooth and your smile!

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Oral Surgery
What Are Wisdom Teeth?
Wisdom teeth, officially referred to as third molars, are usually the last teeth to develop. They are located in the very back of your mouth, next to your second (or twelve year) molars and near the entrance to your throat. Third molars are usually completely developed between the ages of 15 and 18, a time traditionally associated with the onset of maturity and the attainment of "wisdom." By the age of eighteen, the average adult has 32 teeth; 16 teeth in the upper jaw and 16 teeth in the lower jaw.

Unfortunately, the average adult mouth is only large enough to accommodate 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth.

Why Should I Have My Wisdom Teeth Removed? Wisdom teeth commonly do not have enough room to properly erupt into our mouth where they can become fully functional and cleansable teeth. This lack of space can result in a number of harmful effects on your overall dental health. When a tooth cannot erupt into proper alignment, we call it impacted, which simply means “stuck” in an improper position.
There are several types, or degrees, of impaction:

Soft Tissue Impactions – There is adequate jaw bone to allow the wisdom tooth to erupt, but not enough room to allow the gum tissue to be properly positioned and attached to the tooth. This causes tremendous problems because it is not possible to keep the area clean. Infection commonly occurs, resulting in swelling and pain.

Partial Bony Impactions – There is enough space to allow the wisdom tooth to partially erupt, but it cannot function in the chewing process. The tooth remains partially covered by bone and soft tissue. Once again, keeping the area clean is impossible and problems commonly develop.

Complete Bony Impactions – There is no space for the tooth to erupt. The tooth is completely covered by bone, or if it is partially exposed through the bone, it requires complex removal techniques.

Unusually Difficult Complete Bony Impactions – The impacted wisdom tooth is in an unusual and difficult position to remove.

If you do not have enough room in your mouth for your wisdom teeth to erupt into proper position they can cause a multitude of problems, such as:

Infection – Without enough room for total eruption, the gum tissue around the wisdom tooth can become irritated and inflamed, resulting in recurrent pain, swelling and problems with chewing and swallowing.

Damage to Adjacent Teeth – If there is inadequate room to clean around the wisdom tooth, the tooth directly in front of the wisdom tooth, the second molar, can be adversely affected resulting in gum disease (bone loss) or cavities (caries or decay).

Disease – Non-infectious diseases also can arise in association with an impacted wisdom tooth. Cysts are fluid-filled “balloons” inside the jawbone which are associated with impacted wisdom teeth and slowly expand, destroying adjacent jawbone and occasionally adjacent teeth. Although rare, certain tumors can be associated with impacted teeth. Both of these conditions can be very difficult to treat.

Crowding – Although controversial, many feel that impacted wisdom teeth directly contribute to crowding, or shifting, of your teeth. This crowding is usually most noticeable in the lower front teeth. This is most commonly seen after a patient has had braces. There are most likely a number of factors that cause our teeth to shift and impacted wisdom teeth may play a contributory role. Although wisdom tooth removal cannot be recommended solely to avoid crowding, it can be recommended in order to absolutely eliminate any possible role in future crowding and other bite changes.

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