Our Services
Full-Mouth Rehabilitation
When teeth become so worn, chipped and abraded, full-mouth rehabilitation becomes necessary so that additional tooth structure is not lost. Full-mouth rehabilitation is one of the most complex and critical facets in dentistry.
Because it is the teeth that determines the position of the jaw in the fossa of the skull, imagine if all of the teeth were prepared for crowns at the same time. Determining the correct physiologic position of the jaw when there is no tooth contact for guidance, is what makes full-mouth rehabilitation complicated and exact.
Incorrect crown morphology (shape) can cause TMJ dysfunction in a patient who previously may have been asymptomatic. Full-mouth rehabilitation may be the required treatment for a patient with TMJ dysfunction to position the jaw in the correct physiologic position in the fossa.
Dr. Boling has completed hundreds of full-mouth rehabilitation cases and his technique is now taught in several dental schools at the post-graduate level. Please contact our office today for more information regarding TMJ disorders and full-mouth rehabilitation.
Porcelain Veneers / Da Vinci Veneers™
Porcelain veneers (laminates) are wafer-thin, custom made shells of ceramic material designed to cover the front surface and biting edge of the teeth. When bonded to the front of the teeth, porcelain veneers can change the color, shape and size of teeth. "Instant orthodontics"—correcting crooked, twisted and even gaps between teeth – except with veneers: the color, shape and size of the teeth can also be changed.
Porcelain veneers—a conservative procedure to create beautiful smiles.
Da Vinci Veneers™
 Surely you have seen and heard about the enormous success of the television shows: The Swan and Extreme Make Over. As such, patients have come in to our office and asked about the products and procedures seen on these TV shows.
Successful esthetic dentistry is not only dependant upon the skill of the dentist, it is also very dependant upon the laboratory technician and the quality of materials that are used to fabricate veneers and crowns. A dentist that prepares an esthetic case and does not have a high quality laboratory fabricate the prosthetics cannot deliver the highest quality esthetics to his patients.
Our laboratory is a Da Vinci Group laboratory partner and as such, can deliver the Da Vinci Veneers™ seen on The Swan and Extreme Make Over. Veneers and porcelain crowns that are fabricated with this special vibrant porcelain is only available to a Da Vinci Group laboratory partner. This porcelain is the closest esthetic match to natural enamel and it comes with a guarantee authenticity.
Procedure
At the consultation, you and Dr. Boling will discuss goals and various treatment options. Once a treatment plan is decided upon, the procedure will take two appointments. At the first appointment the teeth are prepared by removing only the amount of tooth structure that will eventually be replaced with the veneer. Impressions are then taken and provisionals (temporaries) are then fabricated and placed over the prepared teeth. You will then be scheduled to meet with our Da Vinci Group laboratory technician to review hundreds of photographs, deciding upon the shape and color that best compliments your smile and complexion.
At the second appointment, approximately two weeks later, the provisionals are removed and the veneers are gently placed upon the teeth. You will be given a mirror and allowed time to critically evaluate the results. If we have achieved your expectations, the veneers will be bonded into place. If there is anything that you want changed, we have a pre-set appointment scheduled with our laboratory technician so that the changes can be made immediately and you will receive your veneers the same day.
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Crowns and Bridges
A crown is a tooth-shaped "cap" that is placed over a tooth to restore its shaped and function. Crowns that are joined together to replace missing teeth are called bridges. The material used to fabricate crowns and bridges vary from non-precious metals to all Da Vinci Porcelain™.
Non-precious and semi-precious metals used to fabricate porcelain fused to metal crowns (PFM), contain nickel, copper and scrap metal. In most patients, nickel and copper ions inhibit hemoglobin, which is the oxygen- carrying portion of the blood, from getting to the tissue. Thus, the gum-line becomes cyanotic (without oxygen) and turns purple.
According to the American Dental Association, if a metal contains at least 50% gold it is deemed high noble. The higher the gold content, the more biocompatible. For all porcelain fused to gold crowns (PFG), Dr. Boling uses metal that contains at least 90% gold.
In most cases, all porcelain crowns are used in the front of the mouth and porcelain fused to gold crowns (PFG) are used in the back of the mouth where durability is the primary concern. However, for patients who are allergic to metals, all-porcelain crowns can be fabricated for the posterior of the mouth as well.
- Restore a broken or severely worn-down tooth
- Protect a weak tooth from breaking
- Restore a tooth that has had a root canal
- Restore a dental implant
- Replace a missing tooth
Custom Staining: If a crown does not match the adjacent tooth exactly when it is tried in the patient’s mouth, a stain can be applied directly to the crown while still in the patient’s mouth. The crown can then be removed and "refired" in a glazing oven to permanently create a color that exactly matches the adjacent tooth.
Root Canals (Endodontics)
A tooth can become infected as a result of trauma or decay. Trauma can be simple as bruxism (tooth grinding), or from previous dentistry, or the result of a fracture from a blow to the mouth. Teeth that become infected can be saved from extraction by performing a root canal on the tooth.
Basically, the procedure involves removing the nerve of the tooth and replacing it with a rubber-like material called gutta percha. Root canal treated teeth require crowns to restore missing tooth structure and to protect the tooth from fracturing.
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Bleaching (Teeth Whitening)
 How many people do not smile because they are not happy with the dark color of their teeth? Teeth bleaching, or teeth whitening, has become the most sought after cosmetic dental procedure. This procedure is one of the easiest ways a person can makeover his or her smile, making the person more confident. A bright beautiful smile can help brighten anyone’s appearance.
There are primarily two bleaching techniques. The in-office technique involves placing a rubber dam to protect the gum tissue, a bleaching gel is then applied to the teeth, and a halogen light to activate the whitening agent. The technique takes about an hour; however, we have found that the results do not last as long as when bleaching is performed using custom bleach trays. In addition, the rapid bleach technique is expensive and offices that offer it also recommend purchasing bleaching trays for the continued maintenance.
Due to this face, we prefer that our patients use custom bleach trays that can be used at home. In comparison, this method will result in the same whitening results as the rapid in-office procedure in approximately three days – achieving the same results in three days, with little or no sensitivity. Impressions are taken of the upper and lower teeth and your bleach trays can be ready for you the following day.
Composite Restorations (Non Mercury)
For those of us who have had a cavity, we are quite familiar with the term "filling." A cavity is the result of tooth decay. For years, dentists have repaired cavities with silver amalgam – a combination of metals—nickel, zinc, tin, copper, silver—that is then mixed with approximately 50% mercury. The amalgam is soft when it is initially placed in the tooth, but hardens as the mercury dissipates. Amalgam fillings are not aesthetically pleasing and the mercury in the amalgam restorations have been known to cause allergic reactions.
Composite restorations have improved dramatically in the last few years. Due to public demand for esthetic dental restorations and the fear of mercury poisoning, dental companies have competed to develop composites that are durable and do not stain. We now have dental composites that are as durable as silver amalgam, with the ability to match the color of the restoration to the remaining tooth structure.
Implants
Implants are permanent replacements to missing teeth. They can be used to replace one tooth, several teeth, or act as retainers for a bridge. They can even be utilized under dentures to increase the retention of the denture.
The Process
An implant is like a toggle bolt in a wall that allows the placement of a screw. After the implant is placed in the bone, it is covered with gum tissue and allowed to heal until the bone integrates to the implant. After approximately 4- 6 months, the implant becomes joined to the bone and is uncovered. A post, called an abutment, is then screwed in to the implant. The abutment thus provides the structure where upon a crown can be placed.
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TMJ Disorders
 The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone o the skull. This joint is immediately in front of the ear on each side of the head. The joints are flexible, allowing the jaw to move smoothly in 6 directions: anterior- posterior, lateral (left and right), vertical (open and close). When the mandible does not fit into the proper position in the fossa, temporomandibular joint dysfunction results.
Causes and Symptoms
While there is no clear cause of TMJ dysfunction, injury to the jaw, or head and neck muscles, tooth abrasion, grinding, and clenching are the most common.
The symptoms range from "popping" and simple soreness of the joint to sever myo-facial pain. Other symptoms can include tinnitus (ringing of the ears), limited ability to open the mouth wide, locking of the jaw, difficulty chewing, clicking and grating sounds in the joint when opening or closing the mouth. The pain can become so severe that patients have been known to commit suicide due to chronic facial pain.
Dr Boling has treated TMJ dysfunction for over 20 years and has been used extensively to provide expert testimony relating to this disorder. If you have any questions regarding TMJ Dysfunction, please contact our office.
Treatment
Both physicians and dentists see patients suffering from TMJ disorders. There is no standard treatment and there are numerous types of therapies and devices used to treat TMJ. The type of treatment depends upon the individual patient’s particular condition.
When the jaw is closed and the teeth are together, it is the teeth that determines the position of the jaw in the fossa of the skull. Treatment may vary from limited tooth grinding to eliminate interferences to full-mouth rehabilitation. Other treatment can include: orthodontics, splints and/ or night guards, crown and bridges to balance the bite, and anti-inflammatory medications.
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