Filling Removal

Dr. Fernandez focuses on patient education. Evidence shows that amalgam fillings have a negative impact on overall health. Amalgam fillings weaken teeth, very often leading to cracked teeth and mercury vapor released in the mouth simply by chewing release a toxin into your body.

Due to health risks involved with amalgam, we follow the following safety protocol recommended by of the International Academy of Oral Medicine and Toxicology (IAOMT) and other prominent biological and holistic dental organizations:

  • use of a rubber dam
  • the option of pure oxygen
  • copious amounts of water with a special suction device

After the mercury is removed, we restore the tooth with safe bio-compatible materials. The mercury that is removed is isolated from our patients and staff and disposed of responsibly. In addition, we have installed a special water filter that separates the mercury so it does not go down the drain and pollute the environment.

Invisalign®

Invisalign®

  • Invisalign® is the invisible way to straighten your teeth without braces.
  • Invisalign® uses a series of clear, removable aligners to straighten your teeth without metal wires or brackets.
  • Invisalign® has been proven effective in clinical research and in orthodontic practices nationwide.

How Does Invisalign® Work?

  • You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.
  • As you replace each aligner with the next in the series, your teeth will move little by little, week by week – until they have straightened to the their final position.
  • You’ll visit us about once every 6 weeks to ensure that your treatment is progressing as planned.
  • Total treatment time averages 9 – 15 months and the average number of aligners during treatment is between 18 – 30, but both will vary from case to case.

How Are Aligners Made? You’d Be Amazed…

The aligners are made through a combination of our expertise and 3-D computer imaging technology.

Visit the Invisalign® website

Laser Gum Re-shaping

Lasers provide instant results with painless procedures and easy healing. Teeth that appear small or short can many times be “lengthened” by re-contouring the gum line using the laser. This procedure is used to create a perfect, harmonious gum line in relation to the lips and teeth. Simple, effective and safe.

Orthodontics

Orthodontics or “Braces”

Our Orthodontic consultations are always complimentary and we will diagnose your needs and discuss all details with you. During your consultation, we will also explain how the Orthodontic will correct your current issues and answer all questions you may have regarding teeth realignment. We understand this can be a life-changing experience and we are happy to ensure your complete comfort throughout the entire process.

Early Orthodontic Treatment

Dental Facial Orthopedics & Functional Appliances

Who is it for?
These appliances are generally recommended for growing children as they are designed to correct and improve the bite, the position of the upper and lower jaws relative to each other, and balance the facial profile during a stage of active growth.

What does it do?
Generally, our goal with treatment in young children is to correct the malocclusion early when we are able to actively modify and position the jaws and teeth into a more ideal relationship.  Successful early treatment creates a more balanced upper and lower jaw relationship, allows for proper function and development of the permanent teeth and decreases the severity of future orthodontic treatment if required.
The functional appliances we offer are either cemented or removable depending on the case.

How long is the treatment?
Treatment with functional appliances typically ranges from 12-18 months for limited treatment, to 18-24 months for comprehensive treatment.

Clear Braces

Our translucent ceramic brackets are a great choice for those who desire the efficiency of a bonded appliance along with a higher degree of aesthetics during their Orthodontic treatment.

Metal Braces

Our low-profile metal braces are made of high grade stainless steel and are smaller & flatter in shape than traditional metal braces & clear braces.  They are also easier to keep clean, less prone to fracture & are easier to remove at the completion of treatment.  The wire is held in place with color ties that are changed at your monthly visits.
Through the years they’ve remained the most popular choice for both Children & Adult Orthodontic treatment.

Active & Passive Retainers

Passive Retainers

Retainers are included in your limited or comprehensive Orthodontic treatment plan. They are essential in maintaining the results that we’ve worked to achieve and should be worn close to full-time for the first 3-4 months after treatment and then at nights thereafter.

Active Retainers

For very mild relapse cases, we also offer custom retainers designed for your specific needs.  For retainer-only treatment to be effective they must be worn as close to 24 hours as possible until we achieve the desired results.  These retainers usually involve an active spring or wire designed to resolve mild crowding or spacing and are activated every 4-6 weeks until the malocclusion is corrected.  The retainers are then worn full-time for 3-4 months and then worn at nights to maintain the final results.

Smile Enhancement

Periodontal smile enhancement services help make smiles last a lifetime. These cosmetic services offer a predictable way to cover unsightly, sensitive or exposed root surfaces and to prevent future gum recession, decay, or loss of teeth. If you are unhappy with the appearance of short, unsightly teeth this can be greatly improved by a combination of periodontal procedures and cosmetic dentistry by Dr. Fernandez.

Scaling and Root Planing

Scaling and Root Planing is a non-surgical “deep cleaning” treatment that has tremendous benefits in the early stages of gum disease. Special instruments remove bacteria and infection from around the teeth below the gum line.

The tooth is first scaled to remove plaque and calculus accumulation. Then the root surface is planed or smoothed thus eliminating rough areas on the root that can easily trap plaque and bacteria. Gum tissue can more firmly attach to roots that are clean and smooth, thereby preventing tooth loss, harmful bacteria accumulation, and sensitivity.

Sedation

Dr. Fernandez provides five levels of sedation:

Full sedation with an anesthesiologist
Deeper sedation – IV sedation
Moderate sedation – combination of nitrous oxide and oral sedative (a pill)
Light sedation – An oral sedative
Light sedation – Nitrous Oxide (laughing gas)
Our team of specialists will discuss which level of sedation meets your needs.

Who will benefit from sedation?
Any form of sedation can be a benefit to relieve stress or anxiety associated with a dental visit.
Oral sedation dentistry can benefit a wide range of patients, including people with:

Children with special needs
A desire to have dentistry done comfortably while fully relaxed
High dental anxiety or fear
Severe gag reflex
Time constraints
Chronic or acute jaw soreness
Physical limitations
Difficulty getting numb
Extensive treatment needs
During the entire time you are sedated you are in our dental treatment room being monitored by a hospital grade pulse oximeter unit. This unit is used to monitor and record your vital signs.

Teeth Whitening

Teeth whitening is a simple, safe, oxygenating procedure used to lighten and brighten discolored teeth. Naturally yellow or darker teeth will benefit greatly from whitening!

Whitening is most effective when teeth have become discolored due to yellowing from age, tobacco, alcohol, coffee, tea, sodas, dark fruit, medications, chemically induced stains, accidents, trauma, and decay. Whitening is not effective in whitening existing crowns or porcelain veneers.

How is it done? How long does it take?
We have two methods: in-office whitening and home whitening.

In-office whitening requires an initial visit to determine if you are a good candidate for this procedure. In office whitening is accomplished through one office visit; the whitening solution is applied to the front surfaces of the teeth and activated with a safe, effective cool blue lamp. Naturally yellow or darker teeth will benefit greatly from whitening. Most discolored teeth require only one office visit of about an hour AND typically a maintenance bleaching tray with a special bleaching solution for home.

At-home whitening requires an initial visit to determine if you are a good candidate for this procedure and for fitting of special custom made trays for your teeth. These thin, comfortable trays hold a special gel that usually whitens your teeth over a period of 7-10 days. With home whitening, you apply a mild whitening solution inside a custom-made tray that you wear for as little as 45 minutes per day. The home system can take 10-14 days for the best results.

Veneers

Porcelain veneers, also known as porcelain laminates, are thin shells of porcelain that’s custom made to fit over the front surfaces of the teeth while letting light through to create a natural appearance. The veneers have the unique ability to completely mask unattractive stains and can be a permanent solution to most cosmetic dental problems such as gaps, chips, excessively small or large teeth, “antibiotic” stained teeth, or even straighten crooked teeth. Veneers are affixed with an adhesive to the front surfaces of the teeth. Patients can have their new smile designed in as little as 2 visits. Porcelain veneers are extremely durable, and you will be able to eat almost anything.

Artistic Ability

Your cosmetic dentist’s natural artistic talent is the defining factor in determining how nice your new teeth and smile will be. When making porcelain veneers, most cosmetic dentists allow the laboratory ceramist to determine critical aesthetic proportions such as tooth shape, angle, width, arch form and length of teeth in relation to the lips. Dr. Fernandez takes responsibility for determining all of these critical aesthetic factors by creating a mock up on the patient’s own teeth directly or indirectly by sending the mold to the laboratory.

This process allows the patient to “preview” the final result. A resin copy of the prototype is then used as a temporary veneer, which further allows the patient to evaluate the aesthetics of the new smile at home, and live with it on a trial basis. Finally, the lab receives a model of the prototype and then faithfully reproduces the defined aesthetic proportions for the new veneers, thereby eliminating any guesswork on their part.

Dentures

Dentures or “False Teeth”

More commonly known as false teeth, dentures are fitted in place of natural teeth. A full set is used to replace all your teeth. A part set is used to replace one or more missing teeth. Dentures are custom-made using impressions (mouldings) from your gums. They’re usually made from metal or plastic.

They’re removable so you can clean them, although part dentures can be brushed at the same time as your other teeth. A full set needs to be removed and soaked in a cleaning solution.

Dentures are important if you lose your natural teeth as losing your teeth makes it difficult to chew your food, which will adversely affect your diet and may cause your facial muscles to sag.

Root Canal

Root Canal Therapy is necessary when the nerve of a tooth becomes infected or abscessed due to decay, a crack, or trauma. The infected nerve is removed and replaced with a filling substance called gutta percha. Because the tooth is now in a brittle state, the tooth then needs a crown.

What is an Abscessed Tooth?
An abscessed tooth is an infected tooth. When tooth decay is ignored for too long, it can advance deep into a tooth and cause inflammation and destruction of the pulp (the “core” of the tooth). Once the pulp is infected, it often becomes swollen, painful, and unresponsive to simple pain control measures.

Is an abscessed tooth dangerous?
An abscessed tooth should be treated immediately. It is a very serious infection and if left untreated, the bacteria causing the infection of the pulp can spread to the surrounding tissue and even bone. At this point, the bone surrounding the tooth will start to dissolve and serious systemic infection and immune system compromise can take place.

What are the signs and/or symptoms?

  • Exaggerated sensitivity to hot foods or liquid
  • Red, swollen gums
  • Pain that wakes you up from a sound sleep
  • A bad taste in your mouth
  • Swelling in your face
  • Throbbing pain, especially when chewing
  • Fever
  • Spontaneous pain
  • A pimple-like bump on the gum near the tooth

How do you treat an abscessed tooth?
Treatment depends on the severity of the abscess. Infection usually responds well to antibiotics. The antibiotics, however, cannot cure the abscess, but rather serve to quiet the infection and allow the patient time to choose the appropriate treatment. The tooth will then need either root canal therapy or in severe cases an extraction.

Cleaning & Polish

Tooth Extractions

Many people have to have a tooth removed at some time in their lives.  This can be for a number of reasons.

Some people have overcrowded mouths, and have some teeth removed as part of their orthodontic (teeth straightening) treatment.

Sometimes teeth become too badly decayed or damaged to be repaired, and need to be extracted.  Gum disease can, in its later stages, cause teeth to become so loose that they have to be taken out.  And some people have to have their wisdom teeth removed, usually because they are growing in the wrong direction and are causing problems.