Michael J. Urban DDS | Viviana P. Urban DDS
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Our Services
 

Comprehensive Examination

We want to help you acheive the goal of keeping your teeth the rest of your life. A comprehensive examination thoroughly evaluates every aspect of your dental health. It includes:

  • Periodontal Examination - To asses for periodontal disease in the gingiva (gums) or bone that hold in your teeth..
  • Oral Cancer Examination - Examining for any abnormal growths in the soft tissues or bone of your jaws.
  • TMJ Examination - Examining the temporomandibular joint (TMJ) for harmony with the surrounding muscles and teeth.
  • Occlusal Examination - Examining for healthy function and alignment of the upper and lower teeth.
  • Dental Disease Examination - Examining teeth for disease, infection, or unhealthy defects.
  • Review patient concerns and establish what our patients would like to achieve individually.
  • Create a treatment plan  - Plan and phase care based on findings, priority, and patient's goals schedule and budget.

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 Dental Cleaning and Oral Hygiene

A dental cleaning is the removal of dental plaque and hardened build up from the teeth.  But the visit is much more than a cleaning.  The visit includes:

  • Oral Cancer Screenings - We examine your tongue, lips, gums and soft and hard structures inside your mouth to detect any signs of disease and tissue changes. Caught early, oral cancer is one of the most curable forms of cancer.
  • Systemic Health Evaluation - The health of your mouth is integrally connected with "your general health". Some diseases or medical conditions have symptoms that appear in the mouth. Diabetes, nutritional and vitamin deficiency, and hormonal irregularities are some. Gum disease has been shown to put you at higher risks of having a stroke or heart attack.
  • Cavity/Decay  Detection - Visually examine the surfaces of your teeth and take the necessary x-rays to detect decay/cavities/dental disease early.
  • Teeth Alignment/Occlusion - We evaluated tooth alignment. We also examine your occlusion.  This is the way the upper and lower teeth meet.  Poor tooth alignment and poor occlusion can increase chances of disease in the gums, the teeth, and the jaw joints.
  • Necessary X-rays/Radiographs - X-rays or radiographs not only help us detect cavities early, but also aid in the detection of bone level around each tooth to evaluate for gum disease, abnormalities, tumors, growths, abscesses, shortened roots, impacted teeth, and deposits of hardened plaque under the gum line.
  • Gum Disease/Periodontal Disease Evaluation - By measuring six areas around each tooth and evaluating  a complete set of x-rays, we can determine if you have periodontal disease and to what level. We can then tailor recommendations for treatment and decide the appropriate amount of months between hygvisits.
  • Cleaning - The hygienist cleans your teeth to remove plaque left behind above and below your gum line. Without a professional cleaning, the plaque can build-up and infect your teeth and gums.
  • Dispensing of Appropriate Antibiotic Regimens and Prescriptions Rinses - Some levels of gum disease require daily antibotics for periods up to a year, or require daily rinses with antimicrobial solutions. We will assess your particular needs.
  • Chemotherapeutic Agents - Antibiotics that are delivered locally around teeth that have gum disease and stay in place for 28 days. These antibiotics are very effective in eradicating the bacteria causing gum disease.
  • Oral Hygiene Instruction - Tailored to your particular needs, we try to educate and motivate you to appropriately care for any disease area of your mouth by providing you with educational materials and tools.
  • Dispensing of Home Care Aids - Besides your toothbrush, we will provide you with the appropriate aid to control diseased areas. This is tailored specifically to your needs, and can include the use of a proxybrush, tongue scraper, interdental stimulator, floss, etc.
  • Treatment Recommendations - The dentist will asses an appropriate cleaning interval, as well as make any necessary treatment recommendations, such as fillings.

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Halitosis Treatment

Halitosis is the medical term for “bad breath.” Depending on the cause, bad breath may strike on occasion or may be a more persistent condition. The most common cause of bad breath is bacteria. Because the mouth is moist and warm, it creates perfect conditions for the millions of bacteria that live in the mouth. In fact, approximately 80% of bad breath is caused by something in the mouth.  Periodontal (gum) disease, dental disease (decay), and excess bacterial growth on the tongue are common sources. back

 

Sealants

Dental sealants act as a barrier, protecting the teeth against decay-causing bacteria. The sealants are usually applied to the chewing surfaces of the back teeth (premolars and molars) where decay occurs most often. back

 

Esthetic Treatment

All the dentistry we provide atleast maintains or replaces the natural appearence of your smile. Some patients want to enhance their smile.  We provide many options to improve the color, shape, and position of one or all your teeth.  Treatment options can be invisalign, veneers, lumineers, metal free crowns, tooth colored fillings, and whitening. back

 

Tooth Colored Fillings

A filling can help restore a tooth damaged by decay back to its normal function and shape. If you have a tooth that requires a filling, we will first remove the decayed tooth material, clean the affected area, and then fill the cleaned out cavity with a filling material.We only use tooth colored filling material. A filling also helps prevent further decay by closing off any cracks or spaces where bacteria can enter.
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Crowns

Crown refers to the restoration of teeth using materials that are fabricated by indirect methods which are cemented into place. A crown is used to cap or completely cover a tooth.  All crowns now can be metal free and natural looking back

 

Bridges

A bridge, also known as a fixed partial denture, is a dental restoration used to replace a missing tooth or teeth.  Usually this is done by placing a crown on a tooth behind the missing tooth or teeth and another crown on a tooth in front of the missing tooth or teeth. Then there are artificial teeth attached to those two crowns replacing the missing teeth in between.  The bridge is cemented in place and cannot be removed by the patient.  A bridge can also be done the same way between two implants. back

 

Invisalign

Invisalign takes a modern approach to straightening teeth, using a custom-made series of aligners created for you and only you. These aligner trays 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 the dentist   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.

 

 

Root Canal

Root canal treatment (also referred to as root canal therapy or endodontic therapy) is made necessary when a decay has reached all the way to the pulp (regular cleanings and checkups prevent and detect problems early). Sometimes deep restorations or trauma to a tooth may cause the nerve to be damaged to the point it needs root canal therapy. Once this occurs the pulp becomes infected and can even extend through the root tip and begin to eat away at the surrounding bone. back

 

Dentures

Dentures are prosthetic devices constructed to replace missing teeth, and which are supported by surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable, however there are many different denture designs, some which rely on clipping onto teeth or dental implants. There are two main categories of dentures;- A full/complete denture (when all teeth are missing and they are all replaced by the denture - or A partial denture ( when some natural teeth are still present and only the ones missing are relplaced . back

 

Veneers

A veneer is a thin layer of restorative material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. There are two main types of material used to fabricate a veneer, composite and porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth. In contrast, a porcelain veneer may only be indirectly fabricated. back

 

Lumineers

Lumineers are porcelain veneers that offer the painless way to a permanently whiter and perfectly aligned smile. As a LUMINEERS dentist, we can apply these contact lens-thin "smile shapers" to teeth with minimal or no tooth reduction, transforming teeth into a naturally beautiful smile that looks perfect for every individual. LUMINEERS can even be placed over existing crown or bridgework without having to replace them.

 

Extractions

Good oral hygiene should always be practiced since the loss of a single tooth can have major impact upon your oral health and appearance. Although we will use every measure to prevent tooth loss, sometimes there are still necessary occasions when a tooth may need to be extracted. For example, a tooth may need to be extracted if the following occurs:

  • Severe decay
  • Advanced periodontal disease
  • Infection or abscess
  • Orthodontic correction
  • Malpositioned teeth
  • Fractured teeth or roots
  • Impacted teeth

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Whitening

Tooth whitening is a popular procedure to make teeth whiter and brighter, and therefore more attractive. Bleaching can be used to whiten stained and discolored teeth, or simply to enhance a dull smile. Either way, tooth whitening is a safe and relatively painless procedure ideal for most patients. back

 

Implant restorations

A dental implant is an artificial tooth replacement procedure that helps individuals replace teeth that have been lost or removed due to various circumstances. The implant procedure typically starts with insertion of a titanium pin, which has a “roughed up” surface, into the jawbone; titanium is used because of its unique ability to fuse to bone.  The implant becomes an artificial root creating a solid setting for the replacement of missing teeth with crowns or dentures. back

 

TMJ Treatment

TMJ stands for the initials for Temporomandibular Joint.  This is the joint between the lower jaw and the skull.  Pain in this joint or the muscles that surround it can occur if the upper teeth and lower teeth meet improperly.  If this occurs, treatment for TMJ pain should start with finding out where the teeth misalignments are.  The first level of TMJ pain relief may come with the use of medicines.  Long-term relief from TMJ pain may require treatments to align the teeth, exercises, and orthotics to promote joint/muscle/teeth harmony.  Hyper-activity of the muscles around the TMJ can occur when there is not harmony with the TMJ, muscles, and teeth.  This muscular hyper-activity has been shown to a source of bruxism, also known as clenching or grinding of teeth.

 

Night Guards-Occlusal Appliance-Orthotic 

Nightguards are an option for patients who clench or grind their teeth at night as a way to protect their teeth. Clenching or grinding of teeth commonly is caused by a TMJ disorder.  Occlusal appliances or orthotics can be used to treat TMJ disorders.  Please also see TMJ treatment. 

 

Full Mouth Dental Restoration

Some have many missing and/or severely broken down and infected teeth.  At this stage the usual option may only be a set of partial or complete removable dentures.  There are much better options to dentures.  Implants, crowns and fixed bridges can restore virtually all your teeth to a much more natural and comfortable level than dentures can.  This level of care requires careful planning and time.  The effort is worth the enjoyment and confidence you can have after completion.

 

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Digital X-Rays

In our office we use digital radiography which allows us to take x-rays using up to 90% less radiation than conventional film x-rays. Using this technology, we are able to take an x-ray of your mouth by using a small sensor which records the image of your teeth and sends it to a computer. The result is a highly detailed image of your mouth that can easily be enhanced to better diagnose dental concerns and determine the very best treatment for each case. back

 

Telecopic loupes

The dentist performs most of his dental procedures while wearing a pair of funny looking glasses called surgical telescopes. These powerful glasses have magnifiers on them, allowing the dentist to see fine details that would go unnoticed to the naked eye. back

 

Electronic Claims

Our office utilizes electronic claims processing. This means that rather than sending your dental claim through the mail, it is sent electronically to your insurance company with the click of the button. By filing your claim electronically, information is submitted more efficiently and with fewer errors. This benefits our patients because the turn around time on claims is faster and fewer claims are returned or denied. We are happy to submit your dental claims to your insurance company on your behalf. back

 

Automated Appointment Reminders

We use an automated appointment reminder system that will email you two weeks prior to your scheduled appointment time to remind you of your appointment. Please read the message carefully and find the button to confirm the appointment. If you do not respond to the message, our office staff will contact you to confirm your scheduled visit. If are not home, a message will be left on your voicemail.  We also text your cell phone a few hours before your appointment and a second text is sent about 1 hour before your appointment.  Patients can ask the dental staff to not be notified by email and cell phone texts. Failure to notify our office of a cancellation may result in a charge. back

 

Paperless charting

Our office is a completely digital (paperless) dental office. This means all X-rays and charting are made and recorded with the aid of the computer. This technology allows us to maintain your dental records electronically and cut down the unnecessary paperwork used with traditional paper charting. back

 

Gum Disease / Periodontal Disease Treatment

The gums, ligaments, and bone around the teeth form the foundation that hold the teeth. These structures are also referred to as the periodontium. When the periodontium is not healthy, it jeopardizes the teeth just as a bad foundation would threaten the stability of a house. Signs of unhealthy periodontium include: gums that are red and bleed easily, persistent bad breath, gums that are pulled away from the tooth, loose teeth, and changes in the position or bite of the teeth. With proper gum treatments, it may be possible to return gum tissue to a healthy state. The treatment usually involves a deep cleaning or root planing done under a local anesthetic, along with local antibiotic agents. It is important to have gum problems checked promptly, if gum disease left alone, it may eventually need treatment through surgery or extraction. back

 

Magnified Intra-Oral Photograpy, patient viewable

We use an intra-oral camera to photograph dental condtions and treatment.  The photographs are sent immediately to a computer monitor in front of the patient in the treatment room.  These photographs document conditions such as decay, infection, and defective teeth or restorations. Patients often comment positively and appreciate being able to see conditions before, during, and after treatment.  The patients photos are stored in our data base and can be emailed anywhere the patient asks.