Cincinnati and West Chester Ohio Best dentist Dr. Leslie Nechvatal-Uhelski! LANU Dental is the right choice when it comes to general, cosmetic and emergency dentistry

Porcelin Crowns

Bright Clean Teeth at LANU Dental

Crowns, or caps, are used to restore broken or cracked teeth. The new metal-free crowns eliminate the ugly black line you may have seen next to the gum line on older crowns.

For decades the standard in dentistry for crown and bridge restoration materials has been the PFM (porcelain-fused-to-metal). The framework for the dental crown was produced in metal and then covered with a porcelain layer.

Now with the evolution of all ceramic materials and their higher esthetic qualities, dental patients have options. Metal free framework beneath the porcelain gives excellent aesthetic qualities to make the final restoration extremely natural looking.

Contact our Office for more information about Porcelin Crowns

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Botox Cosmetic

Botox at LANU Dental

BOTOX® Cosmetic treatment is a revolutionary approach to reversing the affects of facial wrinkles.  Crow’s feet, worry lines, and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting BOTOX® Cosmetic into the tiny facial muscles that create the wrinkles.  You can smile, frown and look surprised without those lines between your brows.

To better understand your overall health, we will evaluate your medical history prior to any injections.  In addition, a complete examination of your eyes is made in order to decide the most effective injection sites.  All issues and concerns will be discussed.  The areas that will be treated are marked and digital photographs are taken in order to determine the amount of improvement after surgery.

The BOTOX® Cosmetic Procedure

BOTOX® Cosmetic injections are normally performed without anesthesia because they are virtually painless.  Only a very small sting is felt when the injections are made.  The effects are not permanent and may need to be repeated two to three times per year to retain the effects.  Research has suggested, however, that long-term use of the injections leads to a longer duration of each treatment's effect.  Patients over the age of 65 may not experience such dramatic results.  BOTOX® Cosmetic is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

Postoperative Information

After the operation patients may experience slight bruising around the area that quickly fades.  Normal activities can be performed immediately.  Possible side effects are temporary weakness of nearby muscles or in rare cases an eyelid may droop.  BOTOX® Cosmetic is completely reversible so any side effect is only a temporary condition.  The doctor will explain all risks associated at the time of your consultation.

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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 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. 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, you 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 the procedure. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

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Dentures & Partial Dentures

A denture is a removable dental appliance 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 may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 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 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.

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Dermal Fillers

Dermal Fillers at LANU Dental

Juvederm is the one of the latest dermal fillers introduced to the U.S. market by Allergan, the company which manufactures Botox. It is a hyaluronic acid based filler similar to Restylane. However, JUVÉDERM® injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel.

Recently approved by the FDA, JUVÉDERM® injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

With JUVÉDERM®, the results are immediate with minimal downtime. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. JUVÉDERM® can be used virtually anywhere on the face, with most success in the lips, nasolabial folds (lines from the nose to the corners of the mouth), and the marionette lines (lines from the corners of the mouth downward to the jawline).

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Extractions

You and Dr. Nechvatal-Uhelski may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Nechvatal-Uhelski will discuss alternatives to extractions as well replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Extraction Home Care

Bleeding

Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket

This is an important part of the healing process and you must be careful not to dislodge the clot.

  • Avoid rinsing or spitting for 24 hours after the extraction.
  • Avoid use of a straw, smoking or hot liquids.
  • Swelling

    If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

    Pain and Medications

    If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.

    Eating

    For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

    Brushing and Cleaning

    After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

    Dry Socket

    Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.

    Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn't appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

    Dr. Nechvatal-Uhelski will apply a medicated dressing to the dry socket to sooth the pain.

    Healing

    After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.

    Contact our Office for more information about Extractions

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    Contact our Office for more information about Fillings

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    Contact our Office for more information about Inlays & Onlays

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    Contact our Office for more information about Invisalign

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    Contact our Office for more information about Laser Procedures

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    Contact our Office for more information about Oral Cancer Screening

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    Contact our Office for more information about Restorations

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    Contact our Office for more information about Root Canals

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    Contact our Office for more information about Scaling and Root Planning

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    Contact our Office for more information about Sealants

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    Contact our Office for more information about Veneers

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    Whitening

    Zoom Whitening at LANU Dental

    Coming Soon!

    Contact our Office for more information about Whitening

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