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Javier Portocarrero and our compassionate team provide comfortable smile repairs using a variety of restorative dentistry techniques at our Mesa, AZ dentist office! We even provide same-day appointments for dental emergencies! Just call to book your appointment with Dr. Javier Portocarrero!

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Goldman School of Dental Medicine. Your emergency dental care provider may opt to perform treatment right away, may first need to do exploratory work, or may send you home with pain management medications and schedule you in for a more routine or perhaps more comprehensive procedure in a week or so. With pain under control, you can likely get back to your daily life and come back at a later date for additional treatment. It could be a split-open lip caused by careening into someone during sports. It could be any number of dental or mouth-related damage scenarios that need to be tended to right away.

Your emergency dental care dentist will know what to do; all you have to do is find someone to give you a ride to the clinic! Whether it has fallen out completely or is still in place barely , the tooth has a significantly higher chance of being saved if you seek emergency dental help right away. Seek emergency dental care right away. Crowns are designed to be strong, durable, and permanent. Even though, occasionally a crown gets dislodged. Root canal therapy is one of the treatment options when a tooth has very deep decay, an exposed nerve or severe and irreversible tooth pain.

It involves removing the nerve within the tooth because it has an infection or is inflamed. There are many reasons why our patients discuss straightening their teeth with the use of braces or Invisalign. Orthodontics is the practice of straightening out crowding in teeth and can improve the way you chew your food, clean your teeth, bite, smile and your overall self-esteem. The number one reason why most of our patients come in to see us is for assessing the overall health of their teeth and gums.

Opiate pain killers in dentistry – a deep look at a serious topic

In addition to this, there are several other things we look out for in our check-up appointments. As your dentists, we are the first line of defence when it comes to screening for white patches and other discolourations in the mouth. When these sort of lesions present in the mouth, it could be associated with oral cancers or the signs of a poorly controlled systemic disease like diabetes.

If you only visit the dentist when you have a toothache or whenever you need treatment, then you may miss this type or screening process as we would be more concerned about relieving you of your immediate concern. We also love to address how you can maintain a good oral hygiene regimen as we believe prevention is better than cure and prevention starts with good oral care at home.

We take an individualised approach to oral hygiene when we discuss correct brushing and flossing techniques, as one size does not fit all patients. Some frequently asked questions during consultations include; how diet influences oral health, techniques for overcoming tooth sensitivity, dry mouth, bleeding gums, or bad breath to name a few of the common ailments some patients face. Aside from function we also discuss any aesthetic concerns you may have. The aim of filling teeth is to close off spaces where bacteria can enter to prevent further decay from occurring.


When you require a filling, the dentist will remove the decayed tooth, clean the affected area, and then fill the cavity with a filling material. Materials used for fillings include gold, porcelain, composite resin tooth-coloured fillings , glass ionomers and amalgam an alloy of mercury, silver, copper, tin and sometimes zinc. At your initial consultation appointments we like to discuss the treatment options for your tooth. The choice of material is based on a number of things:. The most common restoration we place are composite fillings.

Composite fillings are tooth-coloured fillings and are placed in layers within the cavity being repaired. Each layer of the composite material is hardened by exposure to a special light. After the cavity is filled, we will trim it so it does not obstruct your bite and polish it for smoothness and prevention of discolouration. The major advantages of composite materials are that they bond directly to the tooth, they are more attractive than amalgam restorations, and they can be fitted into very small cavities so less drilling is required in order to retain the filling.

The most common reasons for why we replace restorations include; new or recurring decay as seen in leaking restorations that appear with stained margins, missing restorations, cracked amalgam fillings and cracked teeth.

Sometimes a filling is not sufficient to restore the tooth to full function or aesthetics and further restorative measures need to be taken such as posts, crowns, bridges and implants. If you are concerned about your smile, chances are that there is a simple solution. First and foremost, we believe that each person comes with a unique smile. Rather, we enjoy discussing options of how to accentuate your smile.

We can repair chipped, stained, crooked or blemishes on your teeth. We offer treatments such as veneers, tooth-coloured fillings and tooth whitening to improve the colour, shape and length of your teeth. Veneers are tooth-coloured porcelain or composite shells that cover the outer surface of your front teeth to improve their appearance. Compared to a crown, veneers are much more conservative because they utilise your otherwise strong and healthy teeth. Veneers are excellent for treating discoloured, chipped, slightly misaligned teeth or gaps between the front teeth.

Pending assessment of your bite, it is a great option for those who would like to correct crowded front teeth and do not wish to go through lengthy treatment with braces. Crowns are artificial teeth made from strong materials such as porcelain or in combination with metals. Porcelain can be closely matched to the colour of existing natural teeth, and is resistant to staining. When used in combination with metals, crowns can be very strong and durable, particularly when it must endure the forces of grinding and crushing in the back molar teeth.

Crowns involve reshaping the natural tooth to allow for the artificial crown to replace the natural crown. Teeth whitening is a procedure which can lighten the colour of stained or discoloured teeth that have not otherwise responded to professional dental cleaning. We take an impression of your teeth so that a custom-made mouth tray can be made.

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This tray is used to hold the bleaching gel. The procedure can be carried out at home until you are happy with the appearance of your teeth. Patients often present with missing spaces they may want restored for functional or aesthetic reasons. Treatment options are assessed in a case-by-case scenario. It is important to replace missing teeth for reasons other than the appearance of your smile.

Opiate pain killers in dentistry | Yuma Smiles

Missing teeth can cause the adjacent teeth to move out of alignment and cause a disruption in the way you bite. It can also lead to bone loss in the jaw which can cause the adjacent teeth to become loose. Dental implants are artificial metal tooth roots that integrate into the jawbone and anchor the artificial tooth crown into the jaw.

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They are commonly used to replace missing natural teeth and closely resemble their look, feel and function. Dental implants are an alternative to dentures and bridges and do not require the cutting and reshaping of adjacent healthy teeth bridges , and are more comfortable than conventional dentures. The option to have an implant placed is dependant upon your medical and dental history, remaining bone levels and density in addition to sufficient restorative space. Bridges are another option when it comes to replacing one or more missing teeth.

They are also an option if a tooth is too badly decayed to save with a crown. A bridge is an artificial tooth that is anchored to one or two adjacent natural teeth via crowns. Its preparation is similar to that of a crown whereby the natural teeth on either side are reshaped to allow for the artificial crown to be placed. Bridges are also made from porcelain or in combination with metal. They enable you to retain your normal chewing ability, speech and general appearance but must be removed and cleaned of an evening. We offer two types of dentures; partial and full dentures.

Partial dentures are used where there are a few missing teeth. They are held in position by using a clasp to secure the denture to a nearby natural tooth. Oftentimes wisdom teeth remain in place and cause no trouble. Impacted wisdom teeth can cause a number of potential issues including infections as they begin to push through the gums, crowding by pushing the adjacent teeth out of their normal alignment, pain, a food trap site or can lead to the formation of a cyst a sac of fluid.

At times, we may recommend early removal of one or more wisdom teeth if we perceive that there is not enough room in the jaw for it to come through, if orthodontic treatment is required, or if the tooth has started to cause trouble. Furthermore, early removal of the tooth while the patient is young allows for easier removal of the tooth due to the incomplete formation of its roots and the soft bone surrounding the tooth at this age. Wisdom tooth removal can either be done in our treatment rooms either under local anaesthesia or with the assistance of IV sedation.