Comprehensive Dentistry

Services and Procedures

The practice of dentistry encompasses an array of services and procedures, all with a common goal: to help you to preserve your natural teeth as long as possible, ensure your oral health, and keep you looking and feeling great throughout life.

There’s so much that can be done these days to improve the appearance of a person’s smile — at any age. From powerful professional whitening treatments to amazingly realistic porcelain veneers to state-of-the-art dental implants, there’s a wide range of exciting possibilities.

The first step in any smile makeover is a thorough dental examination to make sure that your cosmetic problems really are just that, and not a sign of underlying dental disease. Once your health has been established, your smile can be cosmetically enhanced in a variety of ways.

Cosmetic & General Dentistry Procedures
Modern dentistry offers a wide range of services to make sure your teeth stay healthy, function well, and look great. These procedures include:

  • Cleanings & Oral Exams, to keep your teeth and gums healthy, and catch early signs of dental disease
  • Oral Cancer Screenings, to detect a dangerous disease that can be cured if caught early
  • Tooth Decay Prevention, so you keep your natural teeth as long as possible
  • Tooth-Colored Fillings, for a completely natural, healthy look
  • Sealants, to help prevent cavities
  • Amalgam Replacements, to help prevent further decay, fractured teeth, & root canals
  • Cosmetic Bonding, to repair small chips or cracks
  • Onlays, Crowns, & Bridgework, to replace large amounts of lost tooth structure and/or missing teeth
  • Porcelain Veneers, for repairing larger chips and cracks, and reshaping teeth
  • Root Canal Treatment, to rescue diseased teeth
  • Extractions, to remove unhealthy teeth that cannot be saved
  • Removable Dentures, to help you smile again
  • Dental Implants, for the longest-lasting tooth replacement available today
  • Orthodontic Treatment, to move teeth into the right position
  • Invisalign Clear Aligners, for highly discreet orthodontic treatment
  • Teeth Whitening, to brighten a faded or discolored smile
  • TMJ Treatment, for pain in the jaw area that can interfere with biting and chewing

When to Visit the Dentist
Many people only go to the dentist when something is wrong. That truly is a shame, because they are missing out on so many preventive services that can save discomfort — and expense — down the road. Regular dental visits are essential to make sure oral health problems — from tooth decay to oral cancer — are detected and treated in a timely manner. Some individuals may need to see the dentist more often than others to stay on top of problems like plaque buildup and gum disease, but everyone should go at least once per year.

Your regular dental visits will include a thorough oral exam to check the health of your teeth and gums; an oral cancer screening to spot any suspicious signs early; and a professional cleaning to remove stubborn deposits and make your teeth look and feel great. So don’t miss out on the many benefits dentistry offers you and your family!

Dental Hygiene

A hygiene appointment is not just a cleaning. Just as an ounce of prevention is worth a pound of cure, the best oral health investment you can make is a regular appointment with one of our highly skilled, knowledgeable and dedicated dental hygienists.

These Florida State-licensed dental professionals are specially trained in preventive dental care. They are here to help you achieve and maintain good oral health. Once you have completed any dental care, from simple fillings or crowns, to implants and cosmetic dentistry, your hygienist will help you maintain the new restorations for years and years to come.

We are proud to say that each of our dental hygienists, like everyone in our practice, are dedicated to continuing education at the highest level. Agnini Family Dental encourages each hygienist to attend multiple continuing education courses every year (beyond the minimum required by law) in order to ensure that our patients continue to receive the very best care.

As an Agnini Family Dental patient, you will see the same dental hygienist at each visit. A relationship and rapport develops, and your hygienist becomes familiar with your dental history and your individual needs.

Our hygienists spend up to a full hour with each patient ensuring the most comprehensive and thorough cleaning and examination possible.

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What do our dental hygienists do during your visit?
Review and assess your overall health history, during the first visit, to determine if there are any existing medical conditions that could have an impact on your treatment

  • Assess, at each subsequent visit, your overall oral health and note any changes
  • They are specially trained and qualified to administer local anesthesia to eliminate any discomfort.
  • Look for problems, including cavities and gum disease that can be treated before they become much more serious
  • Teach, review, and reinforce the techniques of good oral hygiene, including effective brushing and flossing
  • Take digital x-rays
  • Remove hard and soft deposits (calculus and plaque – which contains bacteria) both below and above the gum line
  • Polish teeth
  • Apply cavity-preventative agents, including fluorides wherever needed
  • Apply special desensitizing liquids to sensitive teeth
  • Counsel on the link between diet and nutrition and oral health
  • Work with you to develop a personalized oral health plan

Benefits of regular visits to a hygienist for checkups and cleanings:

  • Many conditions are detected and treated before they can become unpleasant, time-consuming, costly, and potentially dangerous problems.
  • Studies show that patients who see their hygienist on a scheduled basis are more likely to have healthier bone and gums and keep their teeth significantly longer.
  • Poor oral health can affect your ability to properly chew and digest your food, leading to serious nutritional and systemic problems.
  • Poor oral health can affect your appearance and your self-esteem.
  • Poor oral health can have serious implications on your general health and well being.

We believe our dental hygienists play an essential role in our patients’ oral health and well-being. And our patients agree!

Dentures

Dentistry is all about smiles, and having a confident, healthy, beautiful smile is important even for patients wearing dentures. Our practice provides personalized denture services that meet the needs and comfort levels of our patients. All of our patients are unique and we create one-of-a-kind dentures that feel good and look natural.

What are dentures?
Dentures are natural-looking replacement teeth that are removable. They are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear. There are several types of dentures:

  • Complete Dentures: Removable replacement for an entire arch of missing teeth and the tissues connected to those teeth made of acrylic plastic. A complete denture closely resembles natural gum tissue and teeth. Complete dentures can be coupled with implants to increase retention and give a more secure fit.
  • Immediate Dentures: An immediate denture is a complete denture that is inserted immediately following the removal of any remaining natural teeth. The immediate denture acts to protect the tissues and reduce bleeding after tooth extraction. After adequate healing of the extraction sites, the immediate denture is rebased to better fit the healed tissues, or in some cases, a new complete denture will be made.
  • Partial Dentures: A partial denture is a removable replacement for patients who are only missing some of their teeth. There are several types of partial dentures to choose from. Our dentists will make you aware of your options and help you decide which will work best for you.
  • Implant Dentures: Implants have been a wonderful adjunct to traditional denture treatment. As few as 2 implants can greatly increase the retention of a denture, thereby dramatically improving eating and functioning. Our dentists will discuss implants with you, and how they can be incorporated into your denture treatment.

How do I know if dentures are the right choice for me?
Dentures are not for everyone. If you’re interested in learning more about dentures and want to know if they are the right choice for you, please schedule an appointment. Our team will be happy to answer any questions you might have, and can determine the best course of treatment for your ongoing dental health.

Reasons for dentures:

  • Complete Denture – Loss of all teeth in an arch.
  • Partial Denture – Loss of several teeth in an arch.
  • Enhancing smile and facial tissues.
  • Improving chewing, speech, and digestion

What does getting dentures involve?
The process of getting dentures requires several appointments, usually over several weeks or months.  Highly accurate impressions (molds) and measurements are taken and used to create your custom denture.  Several “try-in” appointments will be necessary to ensure proper shape, color, and fit.  At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.

You will be given care instructions for your new dentures.  Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.

How do I take care of my dentures?
Dentures, just like natural teeth, require daily maintenance to stay clean and keep bacteria from growing inside of your mouth. Keep your dentures clean and your smile healthy:

  • When handling your dentures, stand over a clean, folded towel or a sink full of water. This way, if you accidentally drop your dentures, they are less likely to break.
  • Your dentures are not immune from plaque and tartar build-up, so it’s important that you brush your dentures every day. To brush your dentures, use a soft-bristled brush and gently brush the surfaces of the dentures, being careful not to break or bend the plastic. Between brushings, it’s important to rinse your dentures after each meal.
  • Use a gentle cleanser to clean your dentures. Many toothpastes, household cleaners, and mouthwashes can be too hard on your dentures, so it is recommended that you use a mild hand or dish soap to get your dentures clean. Be sure to check for the American Dental Association (ADA) seal of approval to choose products that are safe for your dentures, or ask your dentist about which products may be best for you.
  • When you are not wearing your dentures, they need to be kept moist. Dentures that are not kept in a denture cleaning solution or in water can dry out, lose their shape, or even crack and break. Certain styles of dentures require certain soaking solutions, so be sure to ask your dentist which solution is best for you.
  • Even if you have a full set of dentures, it’s important to keep your gums and tongue clean. Be sure to use a soft-bristled brush to gently clean your gums and tongue every day.

If by chance your dentures do break, please contact our office and schedule an appointment as soon as possible. Many repairs can be completed in our office the same day, while you wait. Broken dentures that don’t fit properly can cause irritation to your gums and mouth. Also, remember to continue scheduling regular dental checkups at least once a year to make sure that your smile stays healthy for many years to come.

Dental Emergencies

Dental Injuries
A knocked-out permanent tooth requires quick thinking and immediate action. You’ll increase the chances that the tooth can be saved if you pick it up without touching the root, gently clean it off with water, and put it back in its socket facing the correct way. Hold it in place with gentle pressure as you rush to the dental office or emergency room. If you can’t replant it immediately, tuck it between the patient’s cheek and gum, or carry it in a container of cold milk.

For a more traumatic injury such as a tooth that has been moved or loosened, treatment needs to occur within six hours. However, if there is uncontrollable bleeding, go immediately to the ER. Fortunately, other dental injuries that happen most frequently are less severe. The most common traumatic dental injuries are chipped teeth. If a tooth is chipped, try to find any pieces that have come off, as it might be possible to reattach them. Make an appointment for an office visit as soon as possible, and bring the pieces with you.

Tooth Pain
Acute or persistent tooth pain always signals a need for an urgent visit to the dental office. The most common cause of dental pain is tooth decay, a bacterial infection that can spread through many parts of the tooth, and even into the gum tissue. Sometimes, tooth pain indicates that you may need a root canal treatment — a procedure that not only relieves the pain of an infection deep inside the tooth, but also can keep the tooth from having to be removed. Other times, pain may be caused by a loose filling or sensitive tooth. The only way to know for sure what’s causing your tooth pain is to make an appointment at the dental office right away.

Gum Emergencies
Injuries and infections involving the soft tissues of the mouth may also require emergency treatment. The tissues of the gums, tongue, or cheek lining can be damaged by accidental bites, falls, sports injuries, and scalding liquids. They may also suffer injury from foreign bodies that become lodged below the gum line, and they can develop painful and potentially serious abscesses. A periodontal (gum) abscess is a pus-filled sac caused by an infection and is usually quite painful. Abscesses require immediate attention at the dental office.

Any injury to the soft tissues of the mouth should be rinsed with dilute salt water. If there is visible debris, it should be cleared. Bleeding can usually be controlled by pressing a clean, damp material to the area for 10-15 minutes. If this does not work, go to the emergency room immediately.

A foreign body lodged beneath the gum line can sometimes be gently worked out with dental floss or a toothpick. But if this can’t be accomplished easily, make a dental appointment so the area does not become damaged and/or infected.

Orthodontic Emergencies
Although there can be discomfort associated with orthodontic treatment, there are only a few true orthodontic emergencies. They include trauma or injury to the teeth, face or mouth. Infection or swelling of the gums, mouth or face, and severe, unmanageable discomfort or pain in these areas can also be orthodontic emergencies. In any of these situations, seek immediate care from the dental office or emergency room — whichever is your best option. For loose, broken or irritating pieces of orthodontic hardware, please call our office for advice.

Root Canals

What is a root canal?
A root canal is one of the most common dental procedures performed, well over 14 million every year. This simple treatment can save your natural teeth and prevent the need of dental implants or bridges.

At the center of your tooth is pulp. Pulp is a collection of blood vessels that helps to build the surrounding tooth. Infection of the pulp can be caused by trauma to the tooth, deep decay, cracks and chips, or repeated dental procedures. Symptoms of the infection can be identified as visible injury, swelling, sensitivity to temperature, or pain in the tooth and gums.

How is a root canal performed?
If you experience any of these symptoms, your dentist will most likely recommend non-surgical treatment to eliminate the diseased pulp. This injured pulp is removed and the root canal system is thoroughly cleaned and sealed. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required. Success for this type of treatment occurs in about 90% of cases. If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment. We use local anesthesia to eliminate discomfort. In addition, we can provide nitrous oxide analgesia if indicated. You will be able to drive home after your treatment, and you should be comfortable returning to your normal routine.

What happens after treatment?
When your root canal therapy has been completed, your tooth can be restored within a few weeks of completion at our office. Your dentist will decide what type of restoration is necessary to protect your tooth. It is rare for endodontic patients to experience complications after routine endodontic treatment. If a problem does occur, however, we are available to respond. To prevent further decay, continue to practice good dental hygiene.

Composite (Tooth Colored) Fillings

composites In the world of modern, high tech dentistry, there are several materials that can be used to restore a tooth including: composites, porcelains, and gold. These materials are used because of their strength, longevity, and aesthetics.  At Agnini Family Dental, we do not place silver/amalgam fillings because they are subject to failure. Over time the amalgam may separate from the tooth allowing saliva and bacteria to get underneath the filling and cause decay. Keep in mind that the stronger materials last longer and, while the initial investment is somewhat more than silver amalgam, you will have the peace of mind that your tooth is restored with great durability and pleasing aesthetics.

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.

As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.  They are however very durable, and will last many years, giving you a long lasting, beautiful smile.

Reasons for composite fillings:

  • Chipped teeth
  • Closing space between two teeth
  • Cracked or broken teeth
  • Decayed teeth
  • Worn teeth

How are composite fillings placed?

Composite fillings are usually placed in one appointment.  While the tooth is numb, your doctor will remove decay as necessary.  The space will then be thoroughly cleaned and carefully prepared before the new filling is placed.  If the decay is near the nerve of the tooth, a special medication will be applied for added protection.  The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this should subside shortly after your tooth acclimates to the new filling.

You will be given care instructions at the conclusion of your treatment.  Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.