(Improving Treatments in 2019)

 

#1 3D/4D Imaging Technology 



3D Dental technology enables us to give you a more accurate diagnosis, followed by treatments that are optimally comfortable, safe, and predictable.

3D/4d Dentistry is a Commitment to advanced Diagnostics & Patient Safety

While we offer a multitude of modern treatments and advanced technologies, the most significant example of our commitment to advanced diagnostics & patient safety is our investment in 3D/4D dentistry. At our office dental anatomy can be explored in all dimensions with 3D/4D imaging technology.

What is 3D Dentistry Used For?

Remember, the doctor is not just looking for dental disease that can cause problems, but also, in the case of a second opinion, Dr. Landers reviews 3D/4D images with the hope to rule out pre-diagnosed dental problems, which may or may not exist. Just another example of how we give our patients the best chance to save teeth. In short, advanced diagnostics guides you to the correct diagnosis and better treatments.

 

  • Safe Surgical Implant Placement
  • 3D Nerve Tracking
  • 3D Sinus (Air Space) location
  • 3D Guided Implant Placement
  • 3D Implant Planning (Teeth In a Day)
  • 3D Airway Evaluation (Sleep Apnea)
  • 4D Jaw Motion Tests – TMJ Jaw/Joint Analysis
  • Advanced Gum Disease Diagnosis
  • Emergency Trauma Evaluation: Teeth & Bone Fractures
  • 3D Root canals
  • 3D Root Crack Diagnosis
  • 3D Safety For Wisdom Teeth Extraction
  • Advanced Orthodontic Diagnostics

 

One of the first steps you can take towards a successful procedure is to become an educated consumer. Read more about this amazing technology

 

 

#2 Computer-Aided Second Opinion For Hidden Dental Cavities



Note Sure If You Have Cavities?

 

4- Scientific Methods For Diagnosing Decay

At our office you will be offered 4- scientific methods for diagnosing dental cavities: intra oral camera, Laser caries detection , 2 types of advanced digital x-rays systems, and computer-aided diagnostic (CAD) tool.

“In one click” A powerful computer-aided diagnostic (CAD) tool validates whether or not dental caries are present in your tooth. Logicon Caries Detector Software helps dentists visually analyze radiographs and diagnose caries on none accessible hidden tooth surfaces that are between teeth.

This electronic second opinion allows Dr Landers to easily identify dental cavities in between your teeth. More importantly, this technology helps prevent misdiagnosis and potential unneeded removal of your healthy teeth structure.

Common Example: Do You Trust The Old Dentist Or New Dentist

After years of building a relationship with a trusted hometown dentist, who never told you about any dental problems, it’s understandable you may feel uneasy at a new dental office. Especially if the new dentist is telling you there is decay or even advanced deep decay inside of your tooth or teeth. Unfortunately this is very common dilemma for new patients and moving forward they have to decide whom they can trust.

Trust The Scientific Evidence

At our office we have invested in technologies to protect our patients from undiagnosed decay. Because leaving decay to spread into the tooth nerve can cause loss of healthy tooth structure, pain, and in advanced stages a root canal. At first you may be angry and blame the dentist who delivered the bad news. Independent of your feelings or a personal relationship, be smart and do your research. Choose a caring doctor at an office that can show your scientific evidence and not just an opinion.

 

Find Out How Computer Aided Technology Can Help You Decide

Watch a Related Power Point Presentation

 

 

 

#3 Intra-Oral Dental Camera



See What the Doctors Sees

 

A Picture Is Worth A Thousand Words

See what the doctor sees. A Small miniature camera captures closeup images of your teeth. These images are viewable on a large computer screen. This technology allows you and Dr Landers to view dental problems together. In Short, it helps to build patient knowledge and trust. Pictures are saved in your file and may optionally be used to help optimize insurance reimbursement.

7-Patient Benefits of Intra Oral Dental Cameras

  1. Early Detection of Dental Problems
  2. Improves Patient Doctor Communication During Treatment Planning (Picture is worth a 1000 Words)
  3. Proof & Validation of Disease -Builds Patients Trust
  4. Images Can Be Used to Optimize Insurance Reimbursements
  5. Case Documentation for Education and Future Reference
  6. Diagnosis for Hidden Problems: Like Small Dental Cavities or Tooth Cracks
  7. Improves Treatments because Patients Confidently Choose the Best Treatments more often.

Real Life Example:

Silently and Without Your Knowledge, Bacteria Can Spread Through Tiny Pin Size Holes And Form Large Cavities inside of Your Tooth.

 

 

How to Prevent A Root Canal with Intraoral Camera Images-PPT

The intra oral images above were taken at our office, and serve as a real clinical example of how decay can unknowingly spread and advance to damage otherwise healthy tooth structure.

The patient had no pain or sensitivity, and was unaware of this small pin size hole (The tiny hole that  you  see in the first two images on the left). These small holes are difficult to impossible to see with the naked eye because saliva covers and blends obstructs the view.

Furthermore, her previous dentist did not detect the cavity, and the cavity did not show up on any dental X-rays. At our office during a new patient exam, this pin size hole was detected using an intra oral camera.

Cavities can enter into your tooth through a small pit size hole and burrow through the outer enamel and spread into the deeper soft tooth structure. Once the bacteria has penetrated through the outer hard shell of the enamel, the bacteria spreads faster and  more easily in the softer inner tooth structure called dentine. This expanding bacterial colony forms a beehive-like room AKA cavity inside of the tooth.

Since the pin size hole is difficult to see and often there is no pain, patients may not recognize the importance of timely treatment, or may not feel confident choosing treatment at all. At our office, we have invested in technologies, which provide clear evidence of dental problems. We also take the time to review images, x-rays and test results with our patients face to face. The end goal is build trust and to help our patients to feel confident with their decision to choose the best care treatments.

 

 

#4 Computer Aided Root Canal Therapy



Faster (less time with your mouth open), Safer, and More Accurate

 

Computerized Root Apex Locators Are a Must Have For All Root Canal Treatments.

This mini computer helps the dentist precisely clean out infected root canals. Because the computer digitally displays tooth root lengths, the doctor can accurately seal the roots as well. While this technology is a staple to the dental industry, it is still a technology that should be used for all root canal treatments. 

Another root canal technology which is beneficial to patients is 3D dental images. Taking a low dose HD image of a tooth will better help a dentist to find all roots and determine if there are any hidden roots. 3D dentistry additionally aids the doctor by revealing the possible presence of strange tooth root anatomy. This 3D root information is an enormous advantage for pre treatment planning and post treatment evaluation of failing root canal therapy.

 

 

#5 Patient Benefits For Cell Optic Technology



Precise-Conservative Dentistry -Avoid Root Canals & Avoid Tooth Cracks 

Accuracy Comfort Confidence

 

 

Patients are rarely educated about the significance of dental handpiece technology. Long story short, its extremely important. Tooth shaping & contouring is an essential part of everyday dentistry. And this is why our office uses the best in the world. …It’s the safest choice for our patients and most accurate.

Clinically, the fiber optic dental hand piece illuminates deep areas of your tooth structure. The improved vision not only allows Dr. Landers to more accurately remove dental decay (ie not leave decay behind), but also helps to avoid the nerve of your tooth. The end result is precise-conservative dentistry. Fiber Optic technology will afford a better chance to avoid Root canals therapy.

Smooth “brush like” strokes, controlled balance, access and vision means safe and accurate tooth shaping. Smooth Vibration-free dental handpiece means your tooth structure is not weakened by micro cracking.

 

Cell-Optic Hand Piece Technology: Gentle Silence* Read More…

 

 

 

#6 Digital impressions, Stereolithography, & 3D Printing



The Trend of Future Dentistry

Digital 3D Model of Teeth -1:1 Actual Size

 

Stereolithography & 3D Printing
Stereolithography & 3D Printing are the wave of future for modern dentistry. It still has its limits, mostly due to the complexities of dental problems, but in years to come these technologies will completely change dentistry. We have outlined two current and perfected digital technologies which are directly related to this technology.

  • 3D implant placement
  • Orthodontic tooth movement with clear tray aligners

 

5-Steps -How Clear Teeth Aligners Work (Invisalign)

  1. Models of your teeth are digitally scanned in order to create a 3D computer image file of your pre treatment tooth position.
  2. This 1:1 digital model of your teeth (actual size of your teeth) can be altered/moved in a 3D computer software.
  3. Following orthodontic principles for established rates of movements, the teeth are moved at .5mm per tray.
  4. Using stereolithography and 3D printing a new tray is made with for every .5mm movement of the digital computerized model.
  5. Each tray will move your teeth .5mm. The clear teeth aligners are to be change every two weeks. You wear a sequence of trays until the movement is complete.

 

Jackie is an actual patient who was treated with Invisalign at our office.

Her before and after images did not capture the amazing beautiful results. If you click the video below you can see Jackie’s digital computerized models. Invisalign’s name for these computerized 1:1 digital models is called Clincheck. Using stereolithography and 3D printing a new tray is made for every .5mm movement of the digital computerized model.

 

 

Below are two Invisalign trays from an actual patient treated at our office. The tray to the left is the first, and on the right is the  last tray out of  series of 23 trays. Look close it shows the before and after of how the teeth are moved. 

 

#7 Advanced Orthodontic Diagnostics



Orthodontic Diagnostics & Cephalometric Analysis

Modern orthodontic diagnostics requires an extensive knowledge of not only

occlusion but of craniofacial growth, jaw joint (TMJ), and airway. Treatment planning must also consider normal function, in addition to an individuals unique parafunction habits (subconscious daytime habits & night time grinding habits).

The study of Cephalometrics is an age-old concept advanced by hundreds of orthodontic experts, societies and associations for the purposes of nomenclature, diagnostic and therapeutic treatment planning. Cephalometric analysis can be used as a diagnostic aid for Orthodontic Treatments, Temporal Mandibular Dysfunction (TMD), & complex restorative.

The diagnostic Cephalometric analysis used by Dr Kevin Landers allows for a more neuromuscular functional occlusal, upper airway, and craniocervical evaluation of the patient presenting for orthodontic and or occlusal therapy.

 

What Does All Of This Mean To You?

Pre treatment assessment and understanding of how the final esthetic tooth position will align with your form and function means: comfortable and stable orthodontic treatment results and a happy patient.

 

 

 

 

 

 

 

 

#8 Surgical Orthodontics & Propel



Fast, Safe & Predictable Orthodontic Treatments that are 3-4 Times As Fast and

Teeth Move 2-3 Times as Far

 

Difficult Tooth Movements are More Predictable with Fast Surgical Braces

Surprisingly some of our patients look pretty good with their white porcelain braces. And its fun to watch the teeth quickly level and align. But lets face it, most adults don’t want to wear braces. Depending on your unique situation and types of teeth movements required, braces are commonly the most predictable method of moving teeth.  For this reason, surgical orthodontic treatments have become very popular. Given the choice which includes more predictable results and a better change to achieve the smile of their dreams, most do not mind wearing the braces as long as it only for a short period of time. At our office its common to remove the braces a tad early and complete the refining tooth positions with clear teeth aligners. Our lab can make clear teeth aligners in 1-2 days and in some situations on the same day. We offer and do allot of orthodontic treatments. Our new patients often start the on the same day as their first appointment at our office.

Even for extreme cases, with surgical orthodontics teeth can be moved in as little as 4-6 months. This is not to say you cant choose invisalign or other types of clear teeth aligners to move your teeth. At our office you will receive all of your options and then you can choose.

In Summary We Offer:

  • Propel Orthodontics
  • Periodontally Accelerated Osteogenic Orthodontic 
  • Fast Surgical Invisalign

Dr Landers Does Both

Dr Landers is the only dentist in Chicago who is both licensed in Wilkodontics and completes the orthodontic tooth movements himself (Clear Adult braces or invisalign). If you are interested please watch this video for more information.

 

 

 

#9 Zirconia – Bridges Metal Free “The White Metal”



“The strong esthetic white metal” Zirconia material can be milled by a computerized cutting machine (CAD CAM) into the shape of a tooth crown, onlay, dental post, bridge, and full arch implant bridge.

 

Full Arch Implant Retained Zirconia Dental Bridges (Actual Patient)

 

For your convenience we have outline or organized our before and after images of completed treatments so you can review the services we offer in a smile gallery: See More Zirconia Bridges

 

#10 Technologies for Safety, Asepsis and Prevention


Efficient Systematic Sterilization Workflow Maintained By The Industries Best Technologies.

 

Clean Water Technologies

Dental Waterline Contamination

All of our patients want clean water. Since it’s possible that dental equipment waterlines can become contaminated, we have implemented clean water technologies throughout our office. There is no better way to maintain clear water in equipment lines than to use of contained water bottles on the dental unit and for each piece of standalone equipment. We use self-contained water bottle technologies throughout our office: from implant placement to ultrasonic teeth cleanings and more.

We also follow current OSAP, ADA, and CDC recommendations to flush dental unit lines, equipment lines, and all dental handpieces before sterilization. Fresh and clean water for all procedures.

 

 

Medical Grade Sterilization

Whats is the best method of sterilization?

Pressurized steam at high temperatures is the best method for medical dental instrument sterilization. We use medical grade sterilization for all dental procedures. Our goal is a healthy safe environment for you and our team.

Dependable, Effortless And Easy To Use

User friendly means less chance for oversights. When it’s comes to sterilization its better to invest in the best technology and keep it simple for everyone.

 

 

Instrument Sterilization Pouches

Processed color change indicator

Grouped by procedure, instruments are efficiently packed together, sealed in a sterilization pouch, and sterilized. Each instrument pouch is equipped with a processed color change indicator. These indicators will turn from pink to brown/black during sterilization.

Before you arrive your instrument pouch indicators are double checked, set aside on your tray, and then opened in front of you. It’s our goal to follow a systematic protocol as a means to assure our patients of our commitment to patient safety.

 

Certified “Ultra Low Dose Facility

Patient Safety is Our First Priority and this is why we invested in the best dental imaging technologies.

 

#11 Touchless Digital Dental X-Rays



Traditional X-ray Sensors placed in your mouth may cause an Uncomfortable Pressure or Pinching, Pain, or elicit an Uncomfortable Gag reflex

The New 3D/4D touchless x-rays are created by a computerized parallel sensor technology. The results are clear, painless, and accurate 1:1 1D/2D/3D/4D low dose images. These new images are incrementally the same size as your corresponding dental anatomy. The same exact size means accurate measurements and a precise, predictable diagnostics. This has opened a window of technological advances, which now allow for optimal, advanced diagnostics, cutting-edge computerized treatments, and consequent optimal patient safety. Read More

 

#12 Superior Visualization Dental Loops



» Amazing Vision teeth = Better Diagnostics

» Improved Clinical Care = Save more tooth structure and more accurate tooth shaping 

» Your dentist eyes are not over worked and he can focus on your dentistry.

 

#13 Computerized Insurance Claim Tracking


Technologies to Maximize Your Insurance Benefits

(eVerifications / ePostings / eClaims)

Modern dental offices like ours offer practice management technologies which make your life allot easier. We have invested in these technologies to help you to maximize your insurance benefits! 

eVerifications

Stop wasting valuable time on hold with insurance companies. Confirm your patients’ insurance eligibility, benefits and claim status with eVerifications.

  •  Speed up reimbursements

    •  Improve data accuracy

    •  Enhance productivity

ePostings

Receive explanation of benefits (EOBs) electronically and post the associated payment information automatically in just a few easy steps. Pending ePostings are automatically downloaded into your CS SoftDent and CS PracticeWorks software at the same time you retrieve reports when submitting electronic claims—no extra steps required!

    •  Speed the process of posting insurance carrier payments

    •  Eliminate time spent deciphering EOBs

    •  Improve cash flow by receiving insurance payments sooner

eClaims

Enjoy a much simpler claims processing workflow with eClaims. Process claims in minutes and run detailed confirmation reports to verify that your submissions were successful. You can even submit electronic attachments* and clinical images with your claims to speed reimbursement. Best of all, your data resides in one place and is reportable—saving you valuable time.

    •  Process claims more quickly

    •  Obtain reimbursements faster

    •  Generate detailed submission confirmation reports

    •  Decipher claim information and insurance billing faster

 

Read More…

#14 Anywhere in The World Technology



 

View Your Digital Information Anywhere in The World


 

Anywhere in the World-New Networking Software Integration Technology 

Doctors and patients have the convenience of sharing an enormous amount of diagnostic information around the world. With the press of a button, these images can be shared with other dental specialists and dental service providers such as: Invisalign, orthodontic growth experts, dental labs, dental universities, hospitals, military organizations, etc. It’s hard to believe that some dental offices use digital imaging technologies that cannot integrate with other dental offices or with other dental software. What you are receiving is “Open-Architecture Software,” which integrates with most third-party software and equipment for streamline digital workflow. This protects you and Dr Landers now and in the future, so that you can receive the best treatment available from any service, lab, and current or future dental software.

 

 

View Your Digital Information Anywhere in Our Office

 

Our Office is Designed with Your Comfort In Mind

At our office patients can choose to view information in clinical areas, move to a private consultation area,  or view information as they check out at the front desk. Office Networking Technologies allow for patients to view any and all of there images, x-rays, scans, animations etc in any part of our office.

 

 

#15 Specialized Medical Macro SLR Camera


Specialized Medical Camera

 

 

With out exception, a cosmetic dentist will use a specialized medical camera.

Macro photography requires specialize lenses, flash systems, and a trained experienced Dentist or dental technician. With out exception, a cosmetic dentist will use a specialized medical camera. This specialized camera is used to create:

 

  1. Before and after pictures for patient communication.
  2. Communication between the Cosmetic dentist and the dental Lab technician
  3. A record to be review by the dentist as a measure for self-improvement.
  4. Medical documentation for legal and insurance reimbursement purposes.
  5. Records for teaching and evolution of the science of dentistry
  6. Amazing Post treatment portraits to celebrate completion of treatment and share with patients.

Note about photographic Communication with the dental lab

The lab technician is the team member who will create the tooth like restorations i.e. veneers or crowns. Digital photography is required to communicate the following information to the cosmetic technician:

  • Tooth shades of color: (Hue, value, Chroma)
  • Light behavior patterns (fluorescence, opalescence, and transparency)
  • Tooth Light reflective patterns -from macro to micro tooth anatomy

Note

Most Macro anatomy tooth shape, form, length, width should be controlled by the cosmetic dentist. Digital photography of surface anatomy and tooth texture will require macro photography as a means to communicate information to the dental lab technician.

Artistic Techniques for the Best Smile Designs

 

 

#16 Nitrous Gas Twilight Sleep/Sedation Dentistry


Our Office Is Committed To Help Our Patient’s Feel as Comfortable as Possible for All Dental Procedures!

In addition to our attention to gentle clinical care, we offer other time proven pain control technologies. For patients with dental anxiety these options will likely help to make your dental experience more pleasant. The following is a list of options available to our patients. There is an additional charge for some of the following. Please check which options, if any, you would like to combine with your treatment. Return your completed form to the front desk when you are finished.

 

Related Links

Nitrous Gas Consent 2019

Pain Control Options & Valium Consent

Pain Management Patient History E- Form

Bad Dental Experience Patient Communication E-Form

Personal Preferences For an Exceptional Experience E-Form

Read More…

 

 

 

 

Learn More About the Benefits of Nitrous Gas by Watching this Video

 

#16 Science of Comfort


While Technologies are very important, when it comes to your comfort, expressions of care alone are not enough. Please read out section on the Science of Comfort.

Read More About Our Care Habits

 

#17 Laser Gum Treatments


LASER Technologies Have Two Purposes: Health & Esthetics

LASER’s for Health


Lasers Kill 98% of Bacteria Embedded in Teeth Roots

Gum disease is an infection caused by bacteria that embeds itself into the surface of soft tooth root. Left untreated, these bacteria colonize and form a hard rock like substance called calculus. The end result is gum selling and bone loss. One of the main goals of effective gum therapy is to remove this bacteria and disinfects the roots.

LASER – Gum Treatment Steps

First the hard rock-like substance called calculus is mechanically debrided either using a hand instrument or more commonly with the use of an ultrasonic Scaler. After the gross debridement, the LASER is used to disinfect the root surface. That’s it, the patient is instructed on home care and watched at periodic recall visits as a means to prevent and manage the disease.

Laser Treatment Is A Tooth-Preserving, Regenerative, And Bone-Building Technology


 

Clean Healthy Teeth & Gums

Soft tissue LASER technology is amazing. As the LASER instrument accesses the infected gum pocket, the light will penetrate through the tooth root and selectively kill the deeply embedded bacteria without harming the tooth structure. The light frequency is precisely set to kill 98% of bacteria. Before the advent of LASER therapy, the root surface had to be mechanically scraped away in order to effectively remove the deeply embedded bacteria. Lastly, laser energy is used to warm the stem cell that contains blood in the pocket, which creates a seal of tissues against the tooth root.

 

LASER For Esthetics -Gum Contouring & Shaping


(See Actual Laser Gum Treatments Before and After Pictures)

 

Cosmetic Gum Contouring
Crooked teeth, gummy smiles, or canted gum lines are very common. Improving gum contour reveals a more esthetic and level looking healthy smile. During smile design its common to make subtle changes in the gums. If this is done with LASERS the patients will also benefit from quick healing, little to no bleeding, comfortable treatments, and improved gum health.

With LASER’s -Gums Don’t Bleed
With scalpels and other surgical instruments the gums will bleed making it difficult to see the designed smile line or gum shape around a tooth. As the laser is moved across the smile line, it forms its own Band-Aid (minimal to no bleeding). With Lasers it’s easier for the doctor see while he is shaping and contouring the gums. For this reason, LASER scalping is very precise and is often used to refine the fine details of the gum shape and contour.

FDA has approved 20 dental Laser procedures including:
Exposure Of Unerupted Teeth
Implant Recovery
Abscess Incision And Drainage
Soft Tissue Crown Lengthening
Gum Leveling & Contouring

 

Real Life LASER Treatment


These clinical images were documented at our office. the left Image is the disproportionate gum level before LASER gum treatment. The middle image was taken during the actual treatment, and the right side image is after treatment. You will notice that the tooth treated with the LASER was later treated by a Porcelain Veneer. This case is viewable in our smile gallery. 

Smile Gallery Laser Gum Treatments

Fast Healing & More Healthy After Treatments

Because 98% of the bacteria is killed from the penetrating laser light gums heal miraculously fast and are more healthy after LASER treatments.

 

 

#18. 3-D Guided Surgical Implant Placement


The Future is Here Now

Choose the Best for Accuracy And Patient Safety

 

Key words are “Low Dose.” This Modern Low Dose 3-D Scanning Technology Has Made All of This Possible.

Modern day low dose 3-D scans combined with dental implant software technologies work together to create surgical guides for precise implant placement. A well marketed example of this technology is the “Teeth in a day” concept which you may have heard about on TV. Only one surgery and teeth in one day using Nobel Biocare implants which are the most proven in the industry.

Patients are led to believe that the Teeth in A Day concept is a proprietary concept. But we have offered this service for many years.

There are many advantages and disadvantages of the teeth in one day concept. Do your research and don’t get your hope up because it may not be your best choice. At our office, after considering our patients goals and desires,  we will offer all related treatment options with recommendations for the treatments which are best suited for each specific clinical situation. Receive all of your implant treatment options and make your own decision!

We believe a picture is worth a thousand words so we have created an implant smile gallery hosting success stories of our patients who were treated with implant supported crowns, implant bridges, and full mouth implant treatments including reinforcing existing dentures by adding dental implants.

Related Links
Implant Bridges and Dentures Smile Gallery
Implant Bridges Front Teeth Smile Gallery
Implant Crowns Smile Gallery

 

 

How Does it Work?

Low Dose 3-D Scan


 

 

 

Life Size 3-D Digital Hologram is Created

Your 3-D Digital Clone


After your low dose 3-D scan at our office, your digital image information is automatically transferred to an implant planning software. When Dr Landers opens the software, your life size 3-D image of your face and jaws are visible. Think of it as a life size 3-D hologram of your jaws that can be manipulated and explored by the doctor. In short, diagnostics and surgical procedures can now be planned with out you being present and before the surgical procedure.

 

With 3-D Digital Planning

Dr. Landers Can Move Through the Images in All Three Dimensions.


In your 3-D hologram-like identical twin, Dr. Landers can move through the images in all three dimensions. Since your images are actual size, Dr Landers can choose and try-in numerous life-size digital replicas of implants and other surgical parts. After identifying and outlining nerves (red outline in images above) and other anatomical structures, its like playing a video game, the implants are placed into ideal positions with in the tooth supporting bone.

 

Surgical Implant Guide


 

After the digital planning is complete, the software creates & saves a digital file that includes a record of the implant position with its relation to your boney anatomy. The digital file is transformed via a process called stereolithography to a 3D printing technology to form an oral appliance. In turn this appliance known as a surgical guide is used during surgical implant placement as a guide and to accurately and safely place your implants. Because the implant position is known before actual treatment, your implant bridge can also be made to match the predefined implant positions and is attached on the day of your surgical procedure. In short, your implants are accurately and safely placed in the position previously chosen in the 3D dental software and loaded with an implant bridge in one day. Hence the name “Teeth in a day.”

 

Actual Patient Treated At Our Office


 

Full Upper Implant Supported Bridge

Actual Patient of Dr Landers Full Upper Implant Bridge

 

Read More…

 

 

#19 Oral Plastic Surgery & Microsurgical Gum Procedures


Micro Surgical Treatments Are Now Available

-Subsequent To The Latest Technological Advances  In Optics And Surgical Instrumentation-

 

Minimally Invasive & Natural Healing

Looking for minimally invasive procedures that do not cut off the bodies natural ability to heal. With 27 years of surgical experience, Dr Landers can offer you numerous types of dental surgeries, including a fast, comfortable, and minimally invasive procedure known as microsurgery. While these microsurgical procedures require more skill, experience, and are clinically more time consuming, the benefits are well worth it. Natural Healing is one of the biggest benefits of this minimally invasive surgery.

Receive all of your treatment options and make your own informed decision.

 

What is Minimally Invasive Surgery (MIS) For Gums?


Microsurgical gum surgery is a type of MIS for the gums. It is a state-of-the-art procedure whereby the gums are lifted without cutting a mucogingival flap or disturbing the gum papilla. MIS microsurgical care can be used to treat a variety of gum problems, and is especially well suited for cosmetic gum procedures that require a great deal of precision and accuracy. Since the instruments used during minimally invasive surgery are small, Dr Landers can create smaller incisions as compared to the traditional flat and release gum surgeries.

To View a Slide show with medical Illustrations and real clinical treatment images click the following: Microsurgical Gum Surgery Treatment Vs Traditional Gum Surgery PPT

 

7- Benefits Of Microsurgical Gum Surgery (Perio Plastic Surgery)


As a Compared to Traditional Gum Surgery

    1. Patient experience Less Pain 

 

    1. Significantly quick recovery and healing. This is a staple for a modern downtown practice because of the fast paced lives of our busy patients who don’t have much time to take off from work, or be away from busy social life, and workout routines.

 

    1. Predictable healing and consistent esthetic results– Microsurgery is inherently precise and since the gums are not cut, the blood supply and natural healing ability of the body are left intact and as a result healing is amazingly predictable and quick.

 

    1. Minimally invasive means Less Post Treatment Side Effects -Much less of a chance for gum recession or loss of interdental papilla. This is especially important because many patients present with excessively thin almost transparent gum tissue biotypes. Gums are generally are thin on the facial (cheek side) of the upper and lower anterior teeth. In addition to genetic gum type, statistically speaking 77.44% of anterior teeth have some sort of bone loss hidden under gums. One might logically conclude, with the addition of bony defects, there is increased chance for side effects, which are decrease with minimally invasive surgery.

 

    1. Less Trauma means post surgically you will look better as you leave our office.

 

    1. Reduced potential for Scarring

 

  1. Smaller incisions

While these microsurgical procedures require more skill, experience, and are clinically more time consuming, the benefits are well worth it.

 

 

#20 No Needle “Drill-Less” Fillings


Air Abrasion Technology

Works Like A Mini Sandblaster To Spray Away Decay


 

 

 

Decay is Washed Away

During air abrasion, a pressurized stream of fine particles is aimed at the stained or decayed tooth structure. In effect, the decay is washed away with a stream of aluminum oxide particles.

 

8 –Types of Air Abrasion Treatments For Teeth


 1 -Treat incipient lesions and decay at its earliest stages

 2 -Cleaning Root canal access preparation before placing bonded core or post.

 3 -Root surface lesions in order to clean and increase surface irregularity for better bonding.

 4 -In the event of de-bonded lost or loose dental restorations, Air abrasion is used to cleaning off old cement and debris from dental restorations like crowns, veneers, onlays before they are re-cemented.

 5 -Remove surface stains from teeth.

 6 -Necessary to increase bonding strength of a Zirconia restoration by micro etching the intaglio of the restoration.

 7 -Test Cavity (Excavate and evaluate): used in a questionable situation to see what course of action should be taken. Air abrasion is sometimes used or recommended as the gentle 1st option when the presence of decay suspected but questionable or for small incipient cavities of unknown depth.

 8 -Used to clean tooth pits and increase bonding strength as an extra step before dental sealants are placed.

 

 

12- Pros & Cons of Air Abrasion Verse Traditional Drill & Fill Treatments


 Air Abrasion

               Traditional Drill & Fill

 


 

#1 Can accurately remove small white fillings but Air abrasion is not the recommended treatment of choice for removing  metal or porcelain fillings.
Can be used to remove any type of old filling material.
 

 

 

#2 Little to No Heat is created. As a result the air abrasion is tolerable with little to no associated pain. Numbing is rarely required. Hence the name: “No Needle Drill-Less Fillings.” 
 
Patient Note: If Air abrasion has been recommended for a small cavity, based on what is found during treatment, it may be necessary to change recommended treatment. For Example, depending on the extent of your decay, the doctor may need to numb you and switch to the dental handpiece.
Contrary to common belief, some cavities are painless and even unnoticeable on dental x-rays. Likewise, the size and depth of an identified cavity is not known before treatment either.
Summary: The deeper the cavity becomes, the more likely the air abrasion technique may become uncomfortable increasing the need for numbing and for using a dental handpiece.
Causes Heat from the high speed carbide drill = Pain
 
 
 
 

 
 
 
 
 
 
 
 
 
 

3. Gentle fine particles remove decay with very little risk for damage to strong healthy tooth structure.
High-speed carbide drill can vibrate and commonly causes microscopic tooth cracks. On rare occasions dental drills can jump and break off larger portions of tooth structure.
 
 
 
 

 
 

4. Air abrasion is a spray technology. As the dentist holds the miniature sand blaster, this method will not convey changes in pressure when removing from hard or soft tooth structure.
Dentists develop a tactile sensitivity with dental handpieces. Generally a dentist can feel the difference between soft decayed tooth structure and the healthier denser tooth structure. 
 
 
 
 

 
 

5. Works well for small to medium cavities. As the cavity gets deeper into the tooth, it’s harder to see and with no tactile information the air abrasion can inadvertently expose the nerve. In addition to the fact that deep with decay usually the decay has traveled sideways.
Works on all size cavities. Is must better for removing large or deep cavities near to the tooth nerve. This is the recommended method when removing decay near the tooth nerve.
 
 
 
 
 

 
 

6. Best for decay that travels straight into the tooth and less effective for decay that travels sideways.
Works better when removing decay that has traveled sideways.

 
 

 

7. If it’s questionable suspected that an anatomical pit on the chewing surface of your molar tooth has hidden decay treatment may be recommended. Air abrasion technology is an excellent choice if its possible there is either no decay or very little decay. The later is true because the air abrasion will selectively remove the small amounts of decay or stain without harming the healthy tooth enamel. In the event there is no decay the tooth pit will be cleaned etched and receive a dental sealant.

Incipient decay is early decay that has not eaten its way through the outer hard enamel. As a standard of care in dentistry, patients may or may not decide to treat incipient cavities. The later is true because there is a chance fluoride can re-mineralize or harden these lesions. The end result would be no need for treatment. On the other hand,  there is also a chance that these small cavities may spread, or even unknowingly penetrate deeper through the enamel (eaten into the softer dentine tooth structure or even the tooth nerve). Choose preventative treatment or watch and see, it’s a judgment call based on clinical information.,  In summary, air abrasion is the gentle recommended 1st option when the presence of decay questionably or for small incipient cavities of questionable depth.

Not used for exploring during a *test preparation. A dental drill is not very selective. It will easily cut away both hard or soft tooth structure.

*Test preparations can be used to definitively determine the presence, absence, or extent of decay.

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Excellent for cleaning stains, cements or dental medicaments.
No good for cleaning stains, removing cements, or dental medicaments.

 
 

9. Used to clean tooth pits before dental sealants are placed.
Can not be used with dental sealants

 
 

10. Air Abrasion particles sprayed at tooth structure or porcelain will create an etched surface. An etched surface increases surface area and creates
Gross or large roughening can be achieved with diamond dental drills but removes allot of surface material.
 

 
 

11. Softer more pleasant sound like the sound of blowing air.
Commonly unpleasant Drilling Vibration Sound

 
 

12. Messy and Tastes bad like baking soda
Modern handpieces have mini ports which spray water that cools the tooth and washes away the bad taste. And its not excessively messy

 
 

 

 

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