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Island Dental
5011 Geary Blvd Ste A
San Francisco, CA 94118
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Dentist in San Francisco - Coral Posert, DDS - Cosmetic Dentistry
Whether your dental needs are a complete exam and professional cleaning, a full-mouth restoration, or anything in between, we promise to provide you with exceptional care as we enhance the natural beauty of your smile. Below are just some of the many procedures and services we regularly provide to our patients - with a gentle touch, and stunning results. Your smile is our first priority, and we'll give you something to smile about. If you have any questions, concerns, or would like to request an appointment, please contact us today. We look forward to providing you with the personal care you deserve
Cleaning & Prevention
A preventive program is a cooperative effort by you the patient
Your San Francisco dentist, and the dental staff to preserve the natural dentition and supporting structures by preventing the onset, progress, and recurrence of dental diseases and conditions
Preventing dental disease starts at home with good oral hygiene and a balanced diet.
It is continued in the dental office by the efforts of your dentist and dental hygienist to promote, restore, and maintain your oral health
Prevention also includes regular dental exams, cleanings, and x-rays.
Sealants and fluoride are also great preventive treatments that help protect the teeth
Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, beautiful smile.
Dental Exam
A comprehensive dental exam will be performed by your dentist at your initial dental visit. At regular check-up exams, your dentist and hygienist will perform the following:
Examination of diagnostic X-rays (radiographs)
Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions
Oral cancer screening
Check the face, neck, lips, tongue, throat, tissues, and gums for any signs of oral cancer
Gum disease evaluation
Check the gums and bone around the teeth for any signs of periodontal disease
Examination of tooth decay
All tooth surfaces will be checked for decay with special dental instruments
Examination of existing restorations
Check current fillings, crowns, etc
Professional Dental Cleaning
Professional dental cleanings (dental prophylaxis) are usually performed by Registered Dental Hygienists. Your cleaning appointment will include a dental exam and the following:
Removal of calculus (tartar)
Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments
Removal of plaque
Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!
Teeth polishing
Remove stain and plaque that is not otherwise removed during tooth brushing and scaling
Digital Dental X-Rays
Dental radiographs (X-rays) are essential, preventative, diagnostic tools that provide valuable information not visible during a regular dental exam. Dentists and dental hygienists use this information to safely and accurately detect hidden dental abnormalities and complete an accurate treatment plan. Without X-rays, problem areas may go undetected
Dental X-Rays May Reveal
Detecting and treating dental problems at an early stage can save you time, money, unnecessary discomfort, and your teeth!
Abscesses or cysts.
Bone loss.
Cancerous and non-cancerous tumors.
Decay between the teeth.
Developmental abnormalities.
Poor tooth and root positions.
Problems inside a tooth or below the gum line.
Are Dental X-Rays Safe?
Island Dental uses Digital X-Ray technology.
The digital X-Ray does not use traditional X-Ray film but rather an electronic sensor that creates and stores a digital image of the teeth onto a computer. The digital image is available instantly, thus helping the dentist and dental hygienist detect problems or issues quicker and easier. Digital x-rays also reduce a majority of radiation (80-90%) compared traditional dental x-rays
X-Rays are important because, done regularly, they are used as a preventative and diagnostic tool.
They offer valuable information that is otherwise not visible during general oral dental exams. Dr. Coral Posert uses the information gained by Digital X-Rays to accurately and safely detect beneath-the-surface abnormalities and supplement a treatment plan. X-Rays help prevent hidden problems or complications from getting worse by treating them as early as possible
How Often Should Dental X-Rays Be Taken?
The need for dental X-rays depends on each patient's individual dental health needs.
Your San Francisco dentist and dental hygienist will recommend necessary x-rays based on the review of your medical and dental history, dental exam, signs and symptoms, age consideration, and risk for disease
A full mouth series of dental X-rays is recommended for new patients.
A full series is usually good for three to five years. Bite-wing X-rays (X-rays of top and bottom teeth biting together) are taken at recall (check-up) visits and are recommended once or twice a year to detect new dental problems
Home Care
A beautiful, healthy smile that lasts a lifetime is our ultimate goal when treating patients. Your personal home care plays an important role in achieving that goal. Your personal home care starts by eating balanced meals, reducing the number of snacks you eat, and correctly using the various dental aids that help control the plaque and bacteria that cause dental disease
Tooth Brushing
Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste. Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time
Place the brush at a 45 degree angle to the gums and gently brush using a small, circular motion, ensuring that you always feel the bristles on the gums.
Brush the outer, inner, and biting surfaces of each tooth.
Use the tip of the brush to clean the inside of the front teeth.
Brush your tongue to remove bacteria and freshen your breath.
Flossing
Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone
Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
Curve the floss into a "C" shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.
Floss holders are recommended if you have difficulty using conventional floss.
Rinsing
It is important to rinse your mouth with water after brushing and after meals if you are unable to brush.
If you are using an over-the-counter product for rinsing, it's a good idea to consult with your dentist or dental hygienist on its appropriateness for you
Use other dental aids as recommended by your dentist or dental hygienist in San Francisco
Interdental brushes, rubber tip stimulators, tongue cleaners, irrigation devices, fluoride, medicated rinses, etc., can all play a role in good dental home care
How To Properly Brush & Floss
Brushing and flossing are of paramount importance to oral hygiene. Though bi-annual professional teeth cleaning removes plaque, tartar, and debris, excellent home-care methods are equally valuable. Proper brushing and flossing can enhance the health of the mouth, make the smile sparkle, and prevent serious diseases. Reasons why proper brushing and flossing are essential:
Prevention of tooth decay
Tooth decay is one of the leading causes of tooth loss, and its treatment often requires complex dental procedures. Tooth decay occurs when the acids found in plaque erode the natural enamel found on the teeth. This phenomenon can easily be prevented by using proper home hygiene methods
Prevention of periodontal disease
Periodontal disease is a serious, progressive condition which can cause tooth loss, gum recession, and jawbone recession. Periodontal disease is caused by the toxins found in plaque and can lead to serious health problems in other parts of the body. Removing plaque and calculus (tartar) from the surface of the tooth using a toothbrush and from the interdental areas using dental floss, is an excellent way to stave off periodontal problems
Prevention of halitosis
Bad breath or halitosis is usually caused by old food particles on or between the teeth. These food particles can be removed with regular brushing and flossing, leaving the mouth healthier, and breath smelling fresher
Prevention of staining
Staining, or yellowing, of teeth can be caused by a wide variety of factors such as smoking, coffee, and tea. The more regularly these staining agents are removed from the teeth using brushing and flossing techniques, the less likely it is that the stains will become permanent
The Proper Way to Brush
The teeth should be brushed at least twice a day, ideally in the morning and before bed. The perfect toothbrush is small in size with soft, rounded-end bristles, and is no more than three months old. The head of the brush needs to be small enough to access all areas of the mouth, and the bristles should be soft enough so as not to cause undue damage to the gum tissue. The American Dental Association (ADA) has given electric toothbrushes their seal of approval, stating that those with rotating or oscillating heads are more effective than other toothbrushes. Here is a basic guide to proper brushing:
Place the toothbrush at a 45-degree angle where the gums and teeth meet.
Use small circular motions to gently brush the gumline and teeth.
Do not scrub or apply too much pressure to the teeth, as this can damage the gums and tooth enamel.
Brush every surface of every tooth, cheek-side, tongue-side, and chewing surfaces. Place special emphasis on the surfaces of the back teeth.
Use back and forth strokes to brush the chewing surfaces.
Brush the tongue to remove fungi, food, and debris.
The Proper Way to Floss
Flossing is a great way to remove plaque from the interdental regions (between the teeth). Flossing is an especially important tool for preventing periodontal disease and limiting the depth of the gum pockets. The interdental regions are difficult to reach with a toothbrush and should be cleansed with dental floss on a daily basis. The flavor and type of floss are unimportant; choose floss that will be easy and pleasant to use. Here is a basic guide to proper flossing:
Cut a piece of floss to around 18 inches long.
Wrap one end of the floss around the middle finger of the left hand and the other end around the middle finger of the right hand until the hands are 2-3 inches apart.
Work the floss gently between the teeth toward the gum line.
Curve the floss in a U-shape around each individual tooth and carefully slide it beneath the gum line.
Carefully move the floss up and down several times to remove interdental plaque and debris.
Do not pop the floss in and out between the teeth as this will inflame and cut the gums.
If you have any questions about the correct way to brush or floss, please contact our office.
Cosmetic Dentistry
In the past decade there has been a dramatic interest in cosmetic dentistry in San Francisco. We all realize that having a healthy, bright, beautiful smile enhances our appearance and allows us to smile with confidence. Thanks to the advances in modern cosmetic dentistry, we are able to improve our teeth and smiles with quick, painless and surprisingly affordable treatments. Cosmetic dental treatments can:
Change the size, shape, and alignment of certain teeth.
Fill in unattractive spaces between teeth.
Improve or correct bites.
Lighten or brighten the color of teeth.
Repair decayed, broken, cracked, or chipped teeth.
Replace missing teeth.
Replace old, unattractive dental treatments.
Invisalign (Invisible Braces)
The Problem With Traditional Braces
Especially as an adult, metal braces can be a very frustrating dental procedure. Traditional braces consist of metal and wires tightened to force your teeth into shape. As you can figure, this is quite the painful process. The metal gets in the way of many day-to-day activities such as eating and teeth brushing, and at times the metal can poke and jab the tongue and gums resulting in long-lasting discomfort
What is Invisalign?
Invisalign is the perfect alternative to traditional braces. Invisalign, as the name implies, is a practically invisible pair of braces that fit over the teeth. After conducting a series of X-Rays and pictures of your teeth, your dentist will create a 3-D image of your teeth. With this very detailed image, your dentist will map out a treatment plan using Invisalign
How Does Invisalign Work? Do They Hurt?
You will receive a new Invisalign replacement every 2 weeks from your Cosmetic Dentist in San Francisco, CA. As your teeth and jaw gradually begin to straighten and repair the replacement will fit the improved shape of your mouth. No more painful tightening of metal wires! Patients of Invisalign report that minor discomfort occurs during the first 2-3 days of using a new Invisalign tray, and then as your teeth set the pain disappears. The whole concept behind Invisalign is a very smooth and comfortable transition from crooked teeth to straight teeth
Will They Get In The Way?
Unlike traditional braces, Invisalign can be easily removed from your mouth. Before you brush, floss or eat, you'll remove the Invisalign and then replace them after. They were designed in such a way to not get in the way with your daily activities
How Long Do I Wear Them?
It is highly recommended you wear your new Invisalign braces 20-22 hours per day, only removing them for flossing, brushing and eating. Standard treatment plans range from 12-24 months
Why Not Traditional Braces?
As mentioned before, traditional braces get in the way of daily activities. Brushing and flossing require a lot of additional effort. There are many food restrictions with metal braces. The list of foods you can't eat while wearing braces is long and extensive, and that list alone would heavily discourage anyone considering metal braces. Many people wearing metal braces have experienced a loss of confidence. They felt that the braces inhibited their ability to smile, and many avoided opening their mouth in public so that others wouldn't have to see their braces. We feel this is a very major disadvantage. Our dental practice is big on confidence. We want to you love your smile! However, there are certain uncommon cases where traditional braces would be highly recommended over Invisalign. This will be discussed by your dentist after a series of check-ups and X-Rays
I'm Interested in Invisalign. Now What?
Call us at 415-221-4441 or contact us using our web form. We look forward hearing from you and helping you get that dream smile you've always wanted!
Composite Fillings
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
There are many types of filling materials available, each with their own advantages and disadvantages.
You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. 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 more visible areas of the mouth
As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.
They are very durable and will last many years, giving you a long lasting, beautiful smile
We provide some of the highest quality composite fillings in San Francisco.
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 dentist will remove decay as needed. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was 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 will 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
Porcelain Crowns
A porcelain crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size.
A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations. Ask your San Francisco Cosmetic Dentist if Porcelain Crowns are right for you
Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth.
They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile
Reasons for Crowns
Broken or fractured teeth.
Cosmetic enhancement.
Decayed teeth.
Fractured fillings.
Large fillings.
Tooth has a root canal.
What Does Getting a Crown Involve?
A porcelain crown procedure usually requires two appointments.
Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.
Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.
Porcelain Fixed Bridges
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges.
You and your cosmetic dentist will discuss the best options for your particular case. The "traditional bridge" is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth
Dental bridges are highly durable and will last many years; however, they may need replacement or need to be re-cemented due to normal wear.
Reasons for a Fixed Bridge
Fill space of missing teeth.
Maintain facial shape.
Prevent remaining teeth from drifting out of position.
Restore chewing and speaking ability.
Restore your smile.
Upgrade from a removable partial denture to a permanent dental appliance.
What Does Getting a Fixed Bridge Involve?
Getting a bridge usually requires two or more visits.
While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit.
Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time
You will receive care instructions at the conclusion of your treatment.
Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge
Porcelain Veneers
Veneers are very thin pieces of durable, tooth shaped porcelain that are custom made (for shape and color) by a professional dental laboratory.
They are bonded onto the front of teeth to create a beautiful and attractive smile
Veneers can completely reshape your teeth and smile.
They can often be alternatives to crowns and the ideal solution in treating many dental conditions
As with most dental restoration, veneers are not permanent and may someday need replacement.
They are very durable and will last many years, giving you a beautiful long lasting smile
Reasons for Porcelain Veneers
Cosmetically, to create a uniform, white, beautiful smile.
Crooked teeth.
Misshapen teeth.
Severely discolored or stained teeth.
Teeth that are too small or large.
Unwanted or uneven spaces.
Worn or chipped teeth.
What Does Getting Porcelain Veneers Involve?
Getting veneers usually requires two visits to complete the process, with little or no anesthesia required during the procedure.
The teeth are prepared by lightly buffing and shaping the surface to allow for the thickness of the veneer. A mold or impression of the teeth is taken and a shade (color) will then be chosen by you and the dentist
On the second visit the teeth will be cleansed with special liquids to achieve a durable bond.
Bonding cement is then placed between the tooth and veneer and a special light beam is used to harden and set the bond
You will receive care instructions for veneers. Proper brushing, flossing and regular dental visits will aid in the life of your new veneers.
Teeth Whitening
Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile. Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home teeth whitening system that will whiten teeth dramatically. Since teeth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth. Teeth whitening is not permanent. A touch-up may be needed every several years, and more often if you smoke, drink coffee, tea, or wine
In-Office Teeth Whitening
Island Dental offers in-office teeth bleaching. It just takes one hour to achieve a noticeable increase in whiteness. Getting your teeth whitened in our office is superior to only using one of our take-home whitening kits because you'll receive very personalized care to bring out the most whiteness and brightness in areas that need it the most. Coral Posert and her trained staff have experience using Zoom Teeth Whitening to treat many shades of discoloration
Take Home Teeth Whitening
While we highly recommend our in-office whitening, a take-home whitening kit is a perfect supplement to your teeth whitening regimen. Use our take-home kit to maintain the highest whiteness throughout the year, in between routine teeth cleaning and dental check-ups!
See How Your Teeth Look Bleached
Zoom! offers a free app for your iPhone, iPad, or Android. Its simple easy-to-use, touch based interface will allow you to see your teeth many shades whiter.
This is very useful to determine your current teeth shade and how many treatments you'll need to achieve your desired result
Your smile is the way you greet the world.
Why not put your best self forward with the confidence of a more beautiful smile? When it comes to whitening, your dentist is your best resource. Only dental professionals have access to the professional-strength whitening of Philips Zoom
Philips Zoom is the #1 patient-requested professional whitening treatment.
In fact, over 10 million patients have already used Zoom to achieve brighter, healthier smiles
Our patients love this fast, effective and affordable system. Schedule a Zoom consultation for your smile today!
Reasons for Teeth Whitening
Fluorosis (excessive fluoridation during tooth development).
Normal wear of outer tooth layer.
Stained teeth due to medications (tetracycline, etc.).
Yellow, brown stained teeth.
What Does Teeth Whitening Involve?
This type of teeth whitening usually requires two visits.
At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear, plastic, trays
At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary.
The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching
You will receive care instructions for your teeth and trays, and be encouraged to visit your dentist regularly to help maintain a beautiful, healthy, white smile.
Periodontal Disease
The word periodontal means "around the tooth".
Periodontal disease attacks the gums and the bone that support the teeth. Plaque is a sticky film of food debris, bacteria, and saliva. If plaque is not removed, it turns into calculus (tartar). When plaque and calculus are not removed, they begin to destroy the gums and bone. Periodontal disease is characterized by red, swollen, and bleeding gums
Four out of five people have periodontal disease and don't know it!
Most people are not aware of it because the disease is usually painless in the early stages
Not only is it the number one reason for tooth loss
Research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy. Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions. Smoking also increases the risk of periodontal disease. Talk with your dentist in San Francisco to learn of more risks and symptoms associated with Periodontal Disease
Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.
Signs and Symptoms of Periodontal Disease
Bleeding gums
Gums should never bleed, even when you brush vigorously or use dental floss
Loose teeth
Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone)
New spacing between teeth
Caused by bone loss
Persistent bad breath
Caused by bacteria in the mouth
Pus around the teeth and gums
Sign that there is an infection present
Receding gums
Loss of gum around a tooth
Red and puffy gums
Gums should never be red or swollen
Tenderness or Discomfort
Plaque, calculus, and bacteria irritate the gums and teeth
What is Periodontal (Gum) Disease?
The term "periodontal" means "around the tooth."
Periodontal disease (also known as periodontitis and gum disease) is a common inflammatory condition that affects the supporting and surrounding soft tissues of the tooth, eventually affecting the jawbone itself in the disease's most advanced stages
Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.
A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues. Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat. Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone. If left untreated by care from a San Francisco periodontist, it can cause shifting teeth, loose teeth, and eventually tooth loss
Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.
Types of Periodontal Disease
When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.
When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue. There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue. Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease
Here Are Some of the Most Common Types of Periodontal Disease
Chronic periodontitis
Inflammation within supporting tissues cause deep pockets and gum recession. It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding. This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression
Aggressive periodontitis
This form of gum disease occurs in an otherwise clinically healthy individual. It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation
Necrotizing periodontitis
This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition. Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues
Periodontitis caused by systemic disease
This form of gum disease often begins at an early age. Medical condition such as respiratory disease, diabetes and heart disease are common cofactors. Treatment for Periodontal Disease - There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone. A complete periodontal exam of the mouth will be done before any treatment is performed or recommended
Here Are Some of the More Common Treatments for Periodontal Disease
Please contact our office if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants
Scaling and root planing
In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed. The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection. A prescription mouthwash may be incorporated into daily cleaning routines
Tissue regeneration
When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures. A membrane may be inserted into the affected areas to assist in the regeneration process
Pocket elimination surgery
Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums. Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria
Dental implants
When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone. Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone
Diagnosis
Periodontal disease is diagnosed by your San Francisco dentist or dental hygienist during a periodontal examination.
This type of exam should always be part of your regular dental check-up
A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.
The depth of a healthy sulcus measures three millimeters or less and does not bleed. The periodontal probe helps indicate if pockets are deeper than three millimeters. As periodontal disease progresses, the pockets usually get deeper
Diagnosis - Category
Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:
Gingivitis
Gingivitis is the first stage of periodontal disease. Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed
Periodontitis
Plaque hardens into calculus (tartar). As calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria and pus. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present
Advanced Periodontitis
The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed. Unless treated, the affected teeth will become very loose and may be lost. Generalized moderate to severe bone loss may be present
Treatment
Periodontal treatment methods depend upon the type and severity of the disease.
Your Island Dental hygienist will evaluate for periodontal disease and recommend the appropriate treatment
Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled
with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!
If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended.
You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings
If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended.
It is usually done one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing
If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean.
Your dentist may also recommend that you see a periodontist (specialist of the gums and supporting bone)
Laser Dental Cleaning
In some cases, Dr. Coral Posert may recommend the use of a laser in conjunction
with scaling and root planing to remove diseased tissue in the gum pocket, eliminate bacteria and stimulate healing cells. This helps to remove diseased gum tissue and more effectively remove the bacterial biofilm on the root surfaces that cause tissue breakdown
Everyone is asking about lasers these days.
Lasers are used for a variety of dental procedures and can be used to remove diseased gum tissue after the deep cleaning of teeth. Your hygienist uses a laser to make the gums heal faster and more completely following Scaling and Root Planing ("deep cleaning") procedures
Maintenance
It only takes twenty four hours for plaque that is not removed from your teeth to turn into calculus (tartar)!
Daily home cleaning helps control plaque and tartar formation, but those hard to reach areas will always need special attention
Once your periodontal treatment has been completed
your dentist and dental hygienist will recommend that you have regular maintenance cleanings (periodontal cleanings), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult for you to remove on a daily basis will be removed from above and below the gum line
Addition
Good oral hygiene practices and periodontal cleanings are essential in maintaining dental health and keeping periodontal disease under control! In addition to your periodontal cleaning and evaluation, your appointment will usually include:
Examination of diagnostic x-rays (radiographs)
Essential for detection of decay, tumors, cysts, and bone loss.X-rays also help determine tooth and root positions
Examination of existing restorations
Check current fillings, crowns, etc
Examination of tooth decay
Check all tooth surfaces for decay
Oral cancer screening
Check the face, neck, lips, tongue, throat, cheek tissues, and gums for any signs of oral cancer
Oral hygiene recommendations
Review and recommend oral hygiene aids as needed. (Electric toothbrushes, special periodontal brushes, fluorides, rinses, etc.)
Teeth polishing
Remove stain and plaque that is not otherwise removed during tooth brushing and scaling
Restorations
Remember to give your teeth the attention they need today!
It's great news that the incidence of tooth decay has significantly diminished over the years due to the use of fluorides and an increase in patient awareness.
However, teeth are still susceptible to decay, infection, and breakage and sometimes need to be restored back to health. Through improved techniques and modern technology, we are now able to offer more options for restoring a tooth back to its normal shape, appearance and function
Should your teeth ever require a restorative treatment
You can rest assured knowing that your San Francisco Cosmetic Dentist will always discuss with you the available options, and recommend what we believe to be the most comfortable and least invasive treatment. Providing you with excellent care is our number one priority when creating your beautiful smile
Reasons for Restorative Dentistry
Enhance your smile.
Fill in unattractive spaces between teeth.
Improve or correct an improper bite.
Prevent the loss of a tooth.
Relieve dental pain.
Repair damaged and decayed teeth.
Replace missing teeth.
Replace old, unattractive dental treatments.
Restore normal eating and chewing.
Composite Fillings
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
There are many types of filling materials available, each with their own advantages and disadvantages.
You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today. 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 more visible areas of the mouth
As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.
They are very durable and will last many years, giving you a long lasting, beautiful smile
We provide some of the highest quality composite fillings in San Francisco.
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 dentist will remove decay as needed. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. If the decay was 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 will 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
Porcelain Crowns
A porcelain crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size.
A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations. Ask your San Francisco Cosmetic Dentist if Porcelain Crowns are right for you
Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth.
They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile
Reasons for Crowns
Broken or fractured teeth.
Cosmetic enhancement.
Decayed teeth.
Fractured fillings.
Large fillings.
Tooth has a root canal.
What Does Getting a Crown Involve?
A porcelain crown procedure usually requires two appointments.
Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.
Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.
Dentures & Partial Dentures
A denture is a removable dental appliance and a replacement for missing teeth and surrounding tissue.
They are made to closely resemble your natural teeth and may even enhance your smile
There are two types of dentures
complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting
A complete denture can be either "conventional" or "immediate."
A conventional type is made after the teeth have been removed and the gum tissue has healed (usually takes 4 to 6 weeks). During this time, the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made
Dentures are very durable appliances and will last many years but may have to be remade, repaired, or readjusted due to normal wear.
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 a period of several weeks.
Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several "try-in" appointments may 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
Porcelain Fixed Bridges
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges.
You and your cosmetic dentist will discuss the best options for your particular case. The "traditional bridge" is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth
Dental bridges are highly durable and will last many years
however, they may need replacement or need to be re-cemented due to normal wear
Reasons for a Fixed Bridge
Fill space of missing teeth.
Maintain facial shape.
Prevent remaining teeth from drifting out of position.
Restore chewing and speaking ability.
Restore your smile.
Upgrade from a removable partial denture to a permanent dental appliance.
What Does Getting a Fixed Bridge Involve?
Getting a bridge usually requires two or more visits.
While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit.
Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time
You will receive care instructions at the conclusion of your treatment.
Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge
Root Canal Therapy
Root canal therapy is needed when the nerve of a tooth is affected by decay or infection.
In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function
Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed.
Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth
Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.
Signs and Symptoms for Possible Root Canal Therapy
An abscess (or pimple) on the gums.
Sensitivity to hot and cold.
Severe toothache pain.
Sometimes no symptoms are present.
Swelling and/or tenderness.
Reasons for Root Canal Therapy
Decay has reached the tooth pulp (the living tissue inside the tooth).
Infection or abscess have developed inside the tooth or at the root tip.
Injury or trauma to the tooth.
What Does Root Canal Therapy Involve?
A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).
While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.
An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments
Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.
At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials.
A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function
After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.
You will be given care instructions after each appointment.
Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment
Anti-Snoring
The Moses® is a 3-Dimensional oral appliance to help you stop snoring.
It works as a method to prevent the tongue from entering the airway while sleeping through the use of tongue management and mandibular advancement. It is adjustable to suit the structure of the patient's mouth
The Moses is used as a more comfortable alternative to the pins, posts and gadgets that many anti-snoring devices utilize.
Dr. Moses' vision and intention with The Moses® was a anti-snoring device to naturally keep the tongue out of the airway passage. When it comes to anti-snoring, if the device is uncomfortable, distracting, bulky, and complex, the patient would not want to wear it night after night. The Moses was designed to be simple, easy to use, and non-obstructive