We Provide a Broad Spectrum of Dental Services to help you live with a Great Smile!
Check them out below and Contact Us for more information
Preventative Dental Care
We help your teeth stay clean and healthy so that you don't need corrective care later on.
Cerec - Same day crowns
CEREC uses CAD/CAM technology which incorporates a camera, computer, and milling machine into one instrument. The instrument uses a specialty camera that takes a precise 3-D picture of the tooth or space to be restored. The optical impression is transferred and displayed on a color computer screen where the accredited dentist or trained staff virtually design the restoration. Then, the CAM takes over and automatically creates the restoration. The last step is when the newly created restoration is bonded to the surface of the old tooth. This entire process is completed in a single dental appointment.
invisalign
You start with a consultation, Dr Keener & Bernadette Duran RDH will examine your teeth and show you what Invisalign treatment can do for you.
Then you get your personalized treatment plan, it will start with a fast, precise digital scan (usually no goopy putty required). Then we will map out a custom treatment plan just for you. You'll even get to preview your new smile.
Once your digital plan is finalized, your custom aligners are made using Invisalign’s state-of-the-art printing process. Your aligners are custom made for you in the largest, most mass customization process in the world.2
When you pick up your first aligners, Dr. Keener & Bernadette will:
Ensure your aligners fit well
Answer your questions
Let you know what to expect
When your treatment is finished you’ll find yourself with a beautiful smile. Please call our office for details.
Bridges
Dental bridges literally bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap. These two or more anchoring teeth are called abutment teeth, and a false tooth/teeth in between.
Implants
A dental implant is a surgical component that interfaces with the bone of the jaw or skull to support a dental prosthesis such as a crown, bridge, denture, facial prosthesis or to act as an orthodontic anchor.
Think of dental implants as artificial tooth roots, similar in shape to screws. When dental implants are placed in your jawbone they bond with your natural bone. They become a sturdy base for supporting one or more artificial teeth, called crowns.
A connector, known as an abutment is placed on top of the dental implant to hold and support your crowns. The crowns are custom-made to match your natural teeth and fit your mouth.
Modern dental implants have been used successfully for over 30 years. They are the strongest devices available to support replacement teeth and even better, they allow these new teeth to feel, look and function naturally.
Wisdom Teeth Extractions
Wisdom teeth, or third molars, are the last permanent teeth to erupt in the mouth. These teeth usually appear between the ages of 17 and 25. Some people never develop wisdom teeth. For others, wisdom teeth erupt normally just as their other molars did and cause no problems.
Many people develop impacted wisdom teeth — teeth that don't have enough room to erupt into the mouth or develop normally. Impacted wisdom teeth may erupt only partially or not at all. Dr. Keener recommends wisdom teeth be extracted if they are causing problems or will cause problems in the future.
Nitrous Oxide (N20)
Nitrous oxide has been used in dentistry and surgery, as an anaesthetic and analgesic, since 1844. We use a small machine, that delivers N2O/O2 mixture for the patient to inhale. The patient is kept conscious throughout the procedure, and retains adequate mental faculties to respond to questions and instructions from the dentist.
Nitrous Oxide has helped many of our anxious patients experience calm, comfortable cleanings and dental procedures. It is one of the safest medications in the world, and is not metabolized in the body; what you breathe in is exactly what comes back out. It does not get processed through the kidneys, liver, or other organs like other medications. N2O is an odorless gas which is mixed with Oxygen and inhaled through the nose. It is also known as “laughing gas.” You will experience a sense of calm, a relaxed, heavy feeling in the limbs, a decreased perception of pain or discomfort, a suppressed gag reflex, and a general feeling of well-being.
Nitrous is a great solution for anxious or phobic patients who need a little help for quick procedures and routine cleanings which would not warrant full conscious sedation. It is not recommended for patients who cannot breathe well through their nose, patients with COPD or other breathing conditions, or pregnant patients. N2O is generally tolerated well by most people, but claustrophobic patients may find the nasal hood uncomfortable.
Pediatric
Dentists promote the dental health of children as well as serve as educational resources for parents. It is recommended by the American Academy of Pediatric Dentistry (AAPD) and the American Academy of Pediatrics (AAP) that a dental visit should occur within six months after the presence of the first tooth or by a child's first birthday. The AAPD has said that it is important to establish a comprehensive and accessible ongoing relationship between the dentist and patient – referring to this as the patient's "dental home." This is because early oral examination aids in the detection of the early stages of tooth decay. Early detection is essential to maintain oral health, instill healthy habits, and treat as needed and as simply as possible. Additionally, parents are given a program of preventative home care (brushing/flossing/fluorides), a tooth decay risk assessment, information on finger, thumb, and pacifier habits, advice on preventing injuries to the mouth and teeth of your child/children.
Dentures
A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available -- complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.
Complete Dentures
Complete dentures can be either "conventional" or "immediate." Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth 12 weeks after the teeth have been removed.
Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.
Partial Dentures
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position.
Are There Alternatives to Dentures?
Yes, dental implants can be used to support cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Please see our description on Implants and if you have questions please call our office.
Root Canals
Patients typically need a root canal when there is inflammation or infection in the roots of a tooth. During root canal treatment, Dr Keener carefully removes the pulp inside the tooth, cleans, disinfects and shaped the root canals, and places a filling to seal the space. After a root canal is treated, a crown with post is recommended to preserve the tooth. Majority of teeth do not have adequate, natural tooth structure present after a root canal is complete, a crown with post helps stabilize the tooth.
Sealants
Brushing and flossing are the best ways to help prevent cavities, but it’s not always easy to clean every nook and cranny of your teeth-especially those back teeth you use to chew (called molars). Molars are rough, uneven and a favorite place for leftover food and cavity-causing bacteria to hide.
Still, there’s another safety net to help keep those teeth clean. It’s called a sealant, and it is a thin, protective coating (made from plastic or other dental materials) that adheres to the chewing surface of your back teeth. They’re no substitute for brushing and flossing, but they can keep cavities from forming and may even stop early stages of decay from becoming a full-blown cavity.
Restorations
Composite resins, or tooth-colored fillings, provide good durability and resistance to a fracture in small-to-mid-size fillings that need to withstand moderate pressure from the constant stress of chewing. They can be used on either front or back teeth. They are a good choice for people who prefer that their fillings look more natural.
Composites cost more than amalgam and occasionally are not covered by some insurance plans. Also, no dental filling lasts forever. Some studies show that composite fillings can be less durable and need to be replaced more often than amalgam fillings.
It generally takes longer to place a composite filling than it does for a metal filling. That’s because composite fillings require the tooth to be kept clean and dry while the cavity is being filled. Tooth-colored fillings are now used more often than amalgam or gold fillings. The standard procedure in this office is composite fillings. On occasional circumstances call for amalgam fillings, where composite wouldn’t work as well.
One disadvantage of amalgam is that these types of fillings are not natural looking, especially when the filling is near the front of the mouth. Where it may show when you laugh or speak. Also, to prepare the tooth, the dentist may need to remove more tooth structure to place an amalgam filling that for the other types of fillings.
Teeth Whitening
The best natural ways to keep your teeth white are everyday healthy habits, including:
Brushing your teeth twice a day for two minutes; use a whitening toothpaste with the ADA Seal of Acceptance; flossing at least once a day; limiting foods that stain your teeth, like coffee, tea and red wine; not smoking or using tobacco; regular visits to your dentist for checkups and cleanings.
BUT: If you want custom bleach trays, here’s how we can do it:
We take impressions of your teeth here in our office. Within a few days we’ll have your bleaching trays and bleach kit ready for you to begin having a whiter, brighter smile. If you want to know more about our whitening products or services, Dr. Keener or one of our staff members will be happy to answer any questions.
Whitening may not work on all teeth, and if you are a candidate, some methods, whether at-home or in the dental office, may be better for your teeth than others.
Night guards
A night guard is a device placed in the mouth on top of the teeth to help with grinding and clenching. Grinding implies the moving of the jaw back and forth, while clenching is biting down with pressure for an extended period of time. The guard acts as a protective layer between your top and bottom teeth. We make night guards of all varieties to protect your teeth, just ask Dr. Keener or one of our friendly staff members.
