What is CEREC®?

Chairside Economical Restorations of Esthetic Ceramic or CEREC® for short is a new state-of-the-art method of reconstructing tooth restorations. CEREC® uses computer-assisted design (CAD) and computer-aided manufacturing (CAM) to offer single-day restorations for patients. This new technology has revolutionized ceramic restorations such as crowns and veneers for patients so that there is no longer a wait between preparing the restoration and finally receiving the finished product. With CEREC®, the technology is used while you are sitting in the dental chair, which is both economical for you and your dentist. The restorations created are metal-free and tooth colored to restore your tooth to its natural beauty, strength and function. With CEREC®’s CAD-CAM technology, these ceramic restorations can all be done in one single visit to the dentist.

The CEREC® Process

CEREC® uses CAD-CAM technology to design and mill custom restorations during one visit to the dentist. So how does this process work?

  • Exam and Preparation

Before you get started, your dentist will determine if CEREC® is right for you. Depending on how much healthy tooth structure you have remaining, it may be a simple filling or you may need a crown. After reviewing your options, the dentist will begin the process by administering anesthetic and preparing your tooth for restoration by removing decay and weakened tooth tissue.

  • Optical Impression

In order to make the desired restoration, a 3-dimensional image of the tooth that needs to be restored must be created from a digital camera scan of the tooth. This three-dimensional image will be used to create the restoration without the need to take a messy impression. This means no horrible tasting impression material for you to gag on. The computer and CEREC® 3D software then converts the digital image into a three-dimensional virtual model of the prepared tooth.

  • Milling Unit

This device is used to used to create the custom restoration needed for the tooth. Based on the original color of your tooth, the dentist is able to select the correct colored ceramic block and in a few minutes, the milling device is able to create the restoration needed.

  • Placing the Restoration

After the restoration is made, it is ready to be tried on to ensure that you get proper fit and bite. When it is ready, the restoration is polished and bonded into place by your dentist. Therefore, no temporary restoration is needed and no return trip is necessary, saving you time and money.

Advantages to Using CEREC®

CEREC® has revolutionized the restorative process. It was created with the patient in mind in order to make a visit to the dentist as pain-free as possible. Some of the benefits to using CEREC® are:

  • Most procedures can be done in one visit – less costly and less time-consuming
  • Less painful injections due to single-visit
  • No need to take messy impressions
  • No need to have a temporary restoration for in-between visits
  • Ability to save as much natural tooth structure as possible
  • Longer lasting restorations – may last over 10 years
  • Restores teeth to natural beauty, function and strength
  • Metal-free restorations

What is a porcelain dental crown?

A porcelain dental crown is a tooth shaped cap that is used to help replaced teeth that cannot be restored using the traditional filling. They are generally suggested for patients who have had severely decayed or damaged teeth. Porcelain dental crowns match the color of teeth to give a natural appearance. There are many other types of crowns such as gold or silver, but porcelain crowns are most popular because they give the most natural look.

How are porcelain crowns placed?

When you and your dentist decide that getting a crown is the right option for you, the dentist will shape the tooth in a shape that enables him or her to place a crown. Depending on the damage of the tooth and how much tooth structure is present, the dentist will either shape the tooth or build up the tooth in order to support the crown. Several impressions will be taken so that a dental laboratory can custom make a cap for your tooth. While you wait for the dental laboratory to create your crown, your dentist will create a temporary crown for you that will be replaced when your final crown is finished. When the crown is finished by the dental laboratory, the dentist will try on the crown to ensure that the fit and bite are correct. The porcelain crown is then cemented to your tooth to give you a beautiful and natural appearance.

With care, porcelain dental crowns can be very durable and have the ability to last a long time. Your dentist will give you special instructions on how you can keep your crown clean with brushing and flossing so that you can help your crown last for years.

Although receiving a crown can take two visits to complete, if your dentist uses CAD-CAM technology such as CEREC®, they may be able to offer you a crown in one visit. Consult with your dentist to see if this is an option for you.

What are dentures and partial dentures?

Dentures and partial dentures are removable dental appliances that are used to replace teeth that are missing. Full dentures offer artificial teeth to those that have lost all of their teeth on either the upper or lower arch of their mouth. Obtaining a denture will restore function and appearance to those who have lost all of their teeth. Dentures allow many patients to eat, speak and improve the appearance of their mouth. Partial dentures are recommended for those who have not lost all of their teeth and have some teeth remaining. The partial denture will consist of artificial teeth that will replace missing teeth and metal clasps that clip on to remaining teeth to help hold it in place.

The process of obtaining dentures and partial dentures

When you and your dentist have decided what option is best for you, your dentist can help you get started. If complete dentures is the option for you, the dentures are created once your teeth have been removed and your gums have healed. Due to this reason, this process can take several months. During the healing process, a set of immediate dentures may be given to you so you do not have to be without teeth. In both complete denture and partial denture treatments, several impressions will be taken so that dental laboratories can get a sense of the shape of your mouth so they can create custom dentures for you. Several appointments will be made for you to come back to your dentist to try on the dentures in order to ensure that your dentures are made to fit you properly. During your final appointment, you will receive your final finished denture so you can get your beautiful smile back.

After receiving your final dentures, your dentist will provide you with special instructions on how to maintain proper hygiene and also how to clean your dentures.

A visit to the dentist’s office isn’t just about checking for cavities anymore – there have been incredible advancements in the field of dentistry, and we have responded by expanding our range of custom dental care services to suit your needs.

We are always at the forefront of the latest research in dentistry and use the most up-to-date methods and technology to help our patients’ achieve their desired smiles. At Rancho Bernardo Dental Arts, we frequently perform a wide variety of general dental procedures, so you can rest assured that yours will be performed by a skilled and experienced medical professional. With an arsenal of state-of-the-art equipment and an expert multidisciplinary staff dedicated to your dental health, we are in a unique position to offer best-in-class dental care.

Our commitment is to providing the highest quality of dental care for our patients, and we want to do the same for you. For more information or to schedule an appointment, please contact us today.

What are Porcelain Inlays and Onlays?

Porcelain Inlays and Onlays are restorative fillings that are made using different materials such as porcelain, gold or composite. Porcelain is often the most popular because it mimics natural tooth color. The porcelain is custom created to fit into the prepared tooth cavity and cemented in. Porcelain on its own can be very brittle, but when porcelain is bonded to tooth structure, it becomes very strong and durable.

Due to the durability of porcelain inlays and onlays, they may be recommended for patients who have more severe decay that cannot be repaired by a traditional filling. Generally, teeth that are broken, have severe decay or have fractured fillings are recommended to receive a porcelain inlay or onlay.

What is the difference between inlays and onlays?

Inlays and onlays are both made at dental laboratories. Therefore, the process generally takes two visits to complete. Porcelain inlays are used in place on traditional silver or composite fillings. They are placed into the prepared tooth where a filling would be placed. Onlays are also known as “partial crowns” and they are caps that help protect the chewing surface of the tooth that has been damaged. Both inlays and onlays last for a very long time and provide patients with beautiful results, but they may eventually need to be replaced.

We all know that good oral hygiene keeps your teeth looking clean and shiny, but did you know that it’s also essential to your overall health? It’s true, poor oral hygiene can lead to a variety of dental and medical problems such as gum disease, infection, heart disease, stroke, and even diabetes.

That’s why dentists recommend that teeth be cleaned professionally twice a year. Teeth cleaning is the removal of dental plaque and tartar in order to prevent cavities, gingivitis and gum disease. The average dental cleaning is a routine procedure that is rarely painful and takes 30 to 45 minutes.

At Rancho Bernardo Dental Arts, we specialize in and frequently perform a variety of dental cleaning procedures, from scaling to whitening, so you can rest assured that yours will be performed by a skilled and experienced medical professional.

We are dedicated to providing the highest standard of quality in all dental procedures to ensure our clients’ complete satisfaction. Using state-of-the-art dental technology, we have improved thousands of smiles, and we want to do the same for you. To schedule an appointment or a consultation, please contact us today.

Taking dental x-rays or radiographs is essential for diagnosing dental disease and concerns. These radiographs show teeth, bones and soft tissue to help dentists determine if there are caries or hidden dental problems such as bone loss that cannot be seen when looking into a mouth. Taking dental x-rays can also help catch dental disease early to prevent pain and expensive dental treatment.

Dental x-rays use very small amounts of radiation and exposure to this small amount of radiation is safe. When a patient receives a full mouth series of x-rays, this is equivalent to radiation exposure in everyday life.

What are composite fillings?

Mouth fillings are the most popular method of restoring teeth. There are many types of materials that can be used for fillings such as amalgam and gold. Composites fillings are a popular choice because they match the color of teeth and look natural. Composites are not only used to restore decayed teeth, but they may also be used for crack or broken teeth, stained teeth, and teeth that have been worn down.

How are fillings placed?

Fillings are very common and can be done in one visit to the dentist. Once anesthesia is applied, the dentist will begin removing decay from the tooth using a dental drill and clean out the decay area. When all the decay is removed, the dentist will prepare and shape the area so that the filling material, such as composite, can be placed. Once the filling has been placed, the filling will be shaped and the tooth will be polished so it can look as natural as possible.

After first receiving a filling, many patients become temporarily sensitive to hot and cold foods. When the tooth becomes used to having the filling, the sensitivity will subside.

Also see our Smile Gallery

Innovations in dental technology have made a trip to the dentist’s office an entirely new experience for millions of Americans – thanks to a relatively new field called cosmetic dentistry.

The main goal of traditional dentistry is to keep your teeth healthy and free of disease and decay; cosmetic dentistry takes oral hygiene to a whole new level, with a concentration on enhancing the overall look of your teeth. With cosmetic dentistry, even getting a cavity filled can be an opportunity to improve your smile.

The smile is our window to the world, and it’s the first thing that makes an impression on people we meet. So it’s no wonder that more and more people are turning to cosmetic dentistry for corrective procedures and aesthetic enhancement.

So whether you want to fix a chipped tooth or get a complete smile makeover, we can help you achieve the smile you’ve always wanted. For more information or to schedule an appointment, please contact us today.

What are dental implants?

Dental implants are recommended for those seeking a permanent solution to missing teeth. They are designed to look natural while also giving you the ability to have stable function of natural teeth. Dental implants are surgically placed into the mouth by inserting a titanium anchor into your jaw. After the anchor is placed, the bone will heal (about 6 months) around the titanium and hold it into place. When your dentist thinks you are ready, they will place your custom made artificial tooth into the anchor.

Dental implants are not recommended for everyone. In order to be eligible to receive implants, you must have enough bone structure to support the implant, free of chronic illnesses and must ensure that you will maintain proper oral hygiene to care for a new implant.


What is Invisalign?

Invisalign is another option for those who are seeking orthodontic care. For many, the primary concern for their smile is the appearance of their teeth. With Invisalign, patients can now receive orthodontic care with clear aligning trays that will improve the appearance of teeth without having to place metal braces. Metal braces can be irritating, restrict consumption of specific foods, and make brushing and flossing a hassle. Invisalign trays can be removed easily and are easily integrated into your everyday life.

How does Invisalign work?

Invisalign works through the use of removable aligners instead of using the traditional non-removable braces. Many dentists are able to provide Invisalign treatment, so there is no need to go to an orthodontist. Check with your dentist to see if they are able to provide you with this treatment.

When you and dentist decide that Invisalign is a good treatment for you, your dentist will take impressions and radiographs of your teeth so a treatment plan can be created for you. Your dentist will show you how your teeth will move and shift as your treatment comes along. Depending on the severity of your case, treatment time is variable.

When a treatment plan is created, clear tray aligners will be created to custom fit your teeth. These tray aligners are removable and can be removed when eating, brushing and flossing so that they do not interfere with your everyday life. The aligners are also made of smooth plastic so they so they do not irritate your cheeks and you do not even notice that you are wearing them. These aligner trays are replaced every two weeks with a new aligner that will help shift your teeth into the next phase of treatment.

Advantages of Using Invisalign

  • Clear and invisible – no more traditional braces
  • Removable
  • Smooth plastic – no cheek or gum irritation
  • Straightens teeth in a comparable amount of time to traditional metal braces
  • Helps with cases of gaps, overcrowding, crossbites, underbites, overbites

Tooth Whitening is a popular procedure done to brighten your smile. First, speak with your dentist to see if whitening is a good option for you. Depending on the type of discoloration that is present on your teeth, whitening may or may not be effective. Common reasons for teeth discoloration result from using tobacco, staining from food or drinks and poor oral hygiene. Tooth whitening is most effective on surface stains. Although whitening is helpful for the appearance of teeth, it is not permanent and stains may recur over time.

There are many types of whitening that can be done and the most common type is a gel-solution that can be applied directly to the surface of the teeth. This type of whitening can be done at a dental office or at home. At a dental office, the dentist will put a whitening agent on the teeth that is activated by a light or laser. For whitening at home, the dentist may recommend that you wear a whitening tray containing the whitening agent for several hours a day till you reach the shade you desire. Whitening toothpaste may also be purchased to help remove staining on the enamel.

Contact your dentist to see if tooth whitening is right for you.

Periodontics refers to the treatment and maintenance of the structure that supports your teeth – namely, the gums and bone matter.

Gingivitis is an early form of periodontitis, or gum disease. If you experience an occasional swelling of the gums, gums that bleed after brushing or flossing, itchy gums, or bright red or purple gums, chances are you have gingivitis. Gingivitis can be treated by having your teeth professionally cleaned, followed by a strict oral hygiene regimen, including anti-bacterial rinses.

Left untreated, gingivitis can escalate into periodontitis – although there are other factors that can contribute to the disease, including smoking, genetic tendencies, and unchecked diabetes. Periodontitis symptoms include those of gingivitis, as well as a metallic taste in the mouth, receding gums, enlarged spaces between the gums and teeth, severe halitosis (bad breath), and even loose teeth (from loss of bone).

To rid your mouth of periodontitis, we remove the buildup of bacterial plaque through scraping or sonic vibration. In conjunction to the cleaning, an antibiotic held in microspheres (Arrestin), may be placed between the teeth and gums, which also help to reduce bacteria and combat the disease.

For more information on periodontics or the schedule an appointment call Rancho Bernardo Dental Arts today.

What are veneers?

Veneers are thin shells that are custom made to go on front teeth. Porcelain veneers are sculpted out of porcelain by a dental laboratory in order to fix the appearance of teeth. Veneers can help correct crooked teeth, severely stained teeth, chipped teeth, teeth with gaps and etc.

The Veneer Process

Because the placement of veneers is a irreversible process, consult with a dentist to see if porcelain veneers is the right choice for you. The placement of veneers is generally a two-visit process that requires the dentist to prepare the teeth by removing some of the enamel to ensure that the veneer fits and looks natural. An impression will also be taken to determine the size and shape of the veneers. This impression is sent to a dental laboratory where they will create a custom porcelain veneer. During your second visit to the dentist, the veneer will be placed by bonding it to the existing the teeth to give you a beautiful smile.

Taking Care of Your Veneers

After receiving veneers, you must maintain great oral hygiene. Your new porcelain veneers should be treated like normal teeth and your dentist will give you special instructions on how to brush and floss your new veneers.

JAW-DROPPING PERFORMANCE.

Increases Strength

With improved airflow and less stress from clenching, UA Performance Mouthwear has been proven to increase strength by an average of 17% with the UA Performance Mouthpiece and 12% with the UA Performance Mouthguard.

Increases Endurance

UA Performance Mouthwear enlarges airway openings, resulting in 25% less lactic acid build-up after 30 minutes of intense exercise.

Speeds Up Reaction Time

Athletes may respond faster when wearing UA Performance Mouthwear. Clinical trials show an improvement in responding to auditory cues and potential improvement in response to visual cues.

Reduces Athletic Stress

Excess cortisol causes stress, fatigue and distraction. UA Performance Mouthwear decreases cortisol production, which means you feel & play better.

Reduces Impact

When the jaw suffers an impact, energy can be transmitted to the head, which can cause concussion. UA Performance Mouthguards have been shown to reduce the G-

What is a root canal?

Root canal therapy is a treatment used to save a tooth when the tissue, blood vessels and nerves inside of a tooth have become inflamed. In order to save the tooth and remove the pain, the dentist will need to remove infected and diseased tissue to help clean out the infected area. The canal inside is then medicated to allow the surrounding area to heal.

Reasons a root canal may be performed

  • Deep decay
  • Infections at the tip of the root or inside the tooth canal
  • Cracked, broken or injured teeth

Generally, but not always, a crown will need to be placed after the root canal treatment is complete in order to protect the tooth from any further damage. Sensitivity after the procedure is generally experienced by many patients and subside when the tooth has healed. When your treatment has been completed, your dentist will provide you with special instructions on how to care for your newly treated tooth.

At Rancho Bernardo Dental Arts, we always make every attempt to treat your teeth and remedy any dental malady. Unfortunately, in some cases damage to teeth is in so advanced a stage that is may be necessary to extract the tooth in order to maintain dental health.

If a tooth is broken, cracked or extensively decayed it may be necessary to remove it. Likewise, a tooth that is associated with advanced stages of periodontal disease should be removed, as well as teeth that are poorly positioned or non-functional.

Whatever the cause, you can rest assured that Rancho Bernardo Dental Arts will carefully explore and inform you to any other options before making the decision to remove a tooth. Should tooth extraction become necessary, you are assured the nurturing care that comes with any Rancho Bernardo Dental Arts procedure. We understand that the process of having a tooth extracted can be daunting and make every attempt to keep you comfortable throughout the procedure.