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Grand Rapids, MI 49508
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Our Services

Our goal is to provide you with the best possible dental care, create natural-looking smiles and treat or prevent broken, missing, worn, damaged or decayed teeth, and before all of these to prevent dental pain. Several factors influence the selection of the right treatment option and those vary between patients, your oral health, chewing pattern, your general medical condition, and your dental insurance are some of those factors. Our dentist will discuss with you your treatment options that are best suited to your particular case and what the best solutions are in terms of longevity, economy, and the number of visits required.

Exams & X-Rays:

Exam X-Rays

Regular dental exams are an important part of preventive health care. During a dental exam, the dentist or hygienist will clean your teeth and identify gum inflammation or bone loss. The dentist or hygienist will evaluate your risk of developing tooth decay and other oral health problems, as well as check your face, neck and mouth for abnormalities. A dental exam may also include dental X-rays or other diagnostic procedures.

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Tooth-Colored Fillings:

Known as Composite fillings, these fillings provide good durability and resistance to fracture in small-to-mid size restorations, mostly used for filling the front teeth due to their excellent match to the color of your own teeth,they can also be used for restoring back teeth in most cases. Composites are "bonded" or adhesively held in a cavity, which may allow us to make a more conservative repair to the tooth.

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Oral Cancer Screening:

Oral Cancer kills more people each year than skin and cervical cancer combined. In our office we perform oral cancer screening by visual inspection and manual palpation. If there is any reason to be suspicious about an abnormality we refer our patients to one of our highly trusted oral surgeon offices for further evaluation.

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Bite Splint Therapy:

There are different types of splint therapy for different conditions.A splint is a device used to support, protect, or immobilize teeth that have been loosened,fractured or traumatized. It is also used in the treatment of temporomandibular joint disorders and night time grinding. Through proper fitting, your dentist can help alleviate misalignment of your bite and subsequently correct TMJ problems.

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Porcelain Veneers:

porcelain vaneers

Veneers are thin custom-made shells that cover the front side of a tooth or a group of teeth. Made of tooth-colored porcelain, veneers are used to treat spaces between teeth ,repair chipped or worn, permanently stained, poorly shaped or slightly crooked teeth.Veneers can also be used to close gaps between front teeth to enhance function and to give you a nice looking smile.

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Porcelain Crowns and Bridges:

Two categories of porcelain crowns and bridges are available, the first is porcelain fused to metal(substructure) which has been around for so long and provided a very good restorative solution in many cases, it is affordable, gives you a functional restoration where ever it is needed.The second is all porcelain(metal free) which is newer,better option as there is no metal substructure under the porcelain it looks more natural and life like, it is certainly a better choice for front teeth, and it may be the only choice in some cases especially for those who are allergic to any component of the metal substructure in porcelain fused to metal crowns.

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Bonding:

Bonding is an option for patients with teeth that are chipped, broken, cracked, stained, or have spaces between them. With bonding, composite filling material is bonded to the tooth surface to repair a defect or cover on a permanently stained tooth. Bonding is usually completed in one dental appointment. Bonding can be a more economic choice for those who can not afford veneers, bonding needs to be periodically touched up or redone Unlike veneers.

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Dentures:

dentures

If you lost all of your natural teeth, because of periodontal disease, tooth decay or injury, full dentures can replace your missing teeth and restore your smile and make you able to chew again. Without denture,unsupported facial muscles sag, making a person look older,also the jaws can come a lot closer to each other putting more stress and strain on the TM J and the surrounding structures , over time this can cause irreversible damage and pain inside the tempro mandibular joint(inside your skull/behind your ears),that can also happen if you are using worn out dentures or ill fitting ones.

There are two types of complete dentures. A conventional complete denture is made and placed in the patient's mouth after all the teeth are removed and gums have healed, which may take several months, and it involves a series of fitting and measurements. An immediate complete denture is inserted in the mouth the same visit the teeth are extracted. The measurements and impressions are taken prior to the extraction visit and the dentures are made to be inserted in the same visit after extractions are done.Immediate dentures will have to be relined once or more depending on how much your gums will shrink as they heal after extraction, With immediate dentures, you do not have to go without teeth until you have healed enough, you can go home with teeth.

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Partial Dentures:

partial dentures

A removable partial denture (RPD) is used for a partially edentulous dental patient who needs to have replacement teeth for functional or esthetic reasons, and who cannot have a bridge (a fixed partial denture) for any number of reasons, such as a lack of required teeth to support a bridge or due to financial limitations.
The reason why this type of prosthesis is referred to as a removable partial denture is because patients can remove and reinsert them when required without professional help. Conversely, a "fixed" prosthesis can and should be removed only by a dental professional.

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What is sleep apnea?

Millions of Americans suffer from sleep apnea. People with this disorder take shallow breaths or literally stop breathing for short periods of time while they are sleeping. Although many people have sleep apnea, it is difficult to detect because it only occurs during sleep. Usually a sleep study is performed to diagnose the condition.

Sleep apnea and snoring treatment:

Obstructive Sleep Apnea (OSA) is the most common type of sleep apnea. This is when the airway is blocked or collapses, resulting in breathing pauses or shallow breathing. The pauses can range from seconds to minutes, and occur as many as 100 times per hour. The soft palate, velum, and tongue are structures of the mouth and throat that, during normal sleep, will relax without obstructing the airway. In people with OSA, these structures are either too large or relax too much, causing the airway to narrow or become completely blocked. The lack of air decreases blood oxygen levels, which in turn signals the brain to disrupt the person's sleep; this is why the sleeper will often gasp suddenly after a pause in breathing.

The constant disruptions in breathing and sleep frequently cause sufferers to experience extreme daytime fatigue. Sleep apnea is a serious condition, and has also been associated with the following:

  • Hypertension
  • Stroke
  • Heart Disease
  • Gastric Reflux
  • Depression
  • Impotence
  • Lack of energy
  • Weight gain or difficulty loosing weight

Snoring:

Although occasional snoring is usually harmless, chronic snoring can be a sign of sleep apnea or other medical condition. The physical blockage of air through the mouth and nose is what causes snoring, and the actual sound comes from the vibration of the throat's walls. Things that contribute to the obstruction of airflow include blocked nasal passages, poor muscle tone in the structures of the mouth and throat, and excess fat deposits around these structures.

In some cases, snoring can indicate upper airway resistance syndrome (UARS). Unlike sleep apnea, people with UARS do not stop breathing at any point or have decreased blood oxygenation. What they experience is a decreased airflow when breathing in. The airway narrows and breathing becomes more difficult, which is why the disorder is often accompanied by snoring. People with UARS share some of the same symptoms as those with OSA, yet will test negative with sleep testing. Specialized tests including measuring changes in the pressure in the esophagus are usually needed to diagnose UARS.

How are sleep apnea and snoring treated?

Depending on the severity of the condition, there are a number of methods used to treat snoring and sleep apnea. At the extreme end, treatment can involve surgically altering the structures within the mouth to get rid of the tissue that obstructs the airway during sleep. Another treatment option is the CPAP machine. Using a mask to provide a continuous flow of air, the machine essentially "forces" the structures of the throat to keep the airway open during sleep.

The least invasive treatment involves the use of oral appliances. These small plastic devices are specially selected and designed by a dentist, who works with your physician to ensure it meets your specific needs. Depending on the patient's case, the appliance targets different oral structures. For instance, some appliances move the jaw forward, some prevent the tongue from obstructing the airway, and others combine both techniques.

Advantages of oral appliances include that they are:

  • Small and easy to take with you when traveling
  • Comfortable and take just a few weeks to get used to
  • Non-invasive
  • Custom-made

After a few weeks to a few months of monitoring and adjusting the appliance, your initial treatment is complete. From that point on your dentist will periodically check to make sure your oral appliance still suits your needs, though short-term success will often predict long-lasting benefits. Call us today to find out about your options.

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Periodontal Therapy:

Periodontal (Gum) disease is an infection of the tissues that support your teeth. Your gum tissue is not attached to the teeth as high as it may seem. There is a very shallow v-shaped crevice called a sulcus between the tooth and gums. Periodontal diseases attack just below the gum line in the sulcus, where they cause the attachment of the tooth and its supporting tissues to break down. As the tissues are damaged, the sulcus develops into a pocket: generally, the more severe the disease, the greater the depth of the pocket. Your dental team can reverse the risks of periodontal disease by performing deep root planing (cleaning) of the area between the pocket and the tooth roots, causing the pocket to tighten and seal against prolonged infection. Treatment of periodontal disease has been shown to reduce the risk of cardiac disease in clinical studies by decreasing the inflammation caused by bacterial infection. Periodontal therapy can also save teeth from extraction due to decay and loosening.

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Bridges to Replace Missing Teeth:

Bridges

If you've lost a tooth or a group of teeth due to an accident or decay, there are several remedies to restore your smile and function and and replace your missing teeth. Bridges are fixed restorations that help maintain the shape of your face, as well as restore your ability to chew by replacing missing teeth. Depending on the location in your mouth,the bridge can be made from gold, alloys, porcelain or a combination of these that is bonded onto surrounding teeth for support.

Another option in some cases is a bridge supported by implants,The success and durability of a bridge depends on its foundation. So it's very important to keep your remaining teeth healthy and strong.

Dental Implants to Replace Missing Teeth:

Implants

A dental implant is a device used to replace a missing tooth or a group of teeth,it simulates a tooth root,
it is usually made of titanium,Implants are used in dentistry to support restorations to replace missing teeth.

The bone of the jaw accepts and osseointegrates with the titanium post( implant). Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone,
,however they lack the periodontal ligament, so they will feel slightly different than natural teeth during chewing.
Dental implants can be used to support a number of dental prostheses(Dental Appliances), including crowns,
implant-supported bridges or dentures.

A typical implant consists of a titanium screw (resembling a tooth root) with a roughened or smooth surface.The majority of dental implants are made out of pure titanium.
.
An Abutment is the small attachment that the dentist attaches to the implant (usually by a screw),it works as an anchor to hold the crown the dentist will make to replace the missing tooth.

Surgical planning Prior to commencement of surgery,is required to identify vital structures such as the inferior alveolar nerve or the sinus, as well as the shape and dimensions of the bone to properly orient the implants for the most predictable outcome.
X Rays are often taken prior to the surgery.Sometimes, a CT scan will also be obtained. Specialized 3D CAD/CAM computer programs may be used to plan the case.

After a variable amount of healing time to allow the bone to grow on to the surface of the implant (osseointegration), a crown or crowns can be placed on the implant. The amount of time required to place an implant will vary depending on the experience of the practitioner, the quality and quantity of the bone and the difficulty of the individual situation.

Dental implant success is related to operator skill, quality and quantity of the bone available at the site, and the patient's oral hygiene. The consensus is that implants carry a success rate of around 75%.

One of the most important factors that determine implant success is the achievement and maintenance of implant stability. Other contributing factors to the success of dental implant placement, as with most surgical procedures,include the patient's overall general health and compliance with post-surgical care.

Failure of a dental implant is often related to the failure of the implant to osseointegrate correctly with the bone.

Dental implants are not susceptible to dental caries but they can develop a condition called peri-implantitis ( inflamation of the gingiva around the implant)..
This is an inflammatory condition of the mucosa and/or bone around the implant which may result in bone loss and eventual loss of the implant. The condition is usually, but not always, associated with a chronic infection. Peri-implantitis is more likely to occur in heavy smokers, patients with diabetes, patients with poor oral hygiene and cases where the mucosa around the implant is thin.

Currently there is no universal agreement on the best treatment for peri-implantitis. The condition and its causes is still poorly understood.

Risk of failure is increased in smokers.More rarely, an implant may fail because of poor positioning at the time of surgery, or may be overloaded initially causing failure to integrate. If smoking and positioning problems exist prior to implant surgery, clinicians often advise patients that a bridge or partial denture rather than an implant may be a better solution.

Failure may also occur independently of the causes outlined above. Implants like any other object suffers from wear and tear. If the implant(s)in question are replacing commonly used teeth, then these may suffer from wear and tear and after years may crack and break up, although this is a very rare occurrence. The only way to minimize the risk of this happening is to visit your local dentist regularly.

If you have any questions about dental implants come and see Dr/Boulos to have answers.

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Teeth Whitening:

Dental bleaching, also known as teeth whitening, is a common procedure in general dentistry.As a person ages the adult teeth often become darker.Teeth can also become stained by bacterial pigments, food and tobacco. Certain antibiotic medications (like tetracycline) can also cause teeth stains.Tooth whitening is not a modern practice,ancient Romans used to whiten their teeth.

According towhitening the FDA, whitening restores natural tooth color and bleaching whitens beyond the natural color.

Power whitening uses light energy to accelerate the process in a dental office. The effects of whitening can last for several months, but may vary depending on the lifestyle of the patient. Factors that decrease whitening include smoking and the ingestion of dark colored liquids like coffee, tea and red wine.

Internal staining of dentin can discolor the teeth from inside out. If heavy staining or tetracycline damage is present on a patients' teeth, and whitening is ineffective, there are other methods to treat the problem.

According to the American Dental Association, different whitening methods include: in-office whitening,which is done by a dentist; at-home whitening, which is used at home by the patient; over-the-counter, which is applied by patients; and the non dental (not recommended), which are offered at mall kiosks, spas, salons etc,which is illegal in some states .The ADA (American Dental Association) recommends to have one's teeth checked by a dentist before undergoing any whitening method.

There are two main methods of whitening, either in the dental office or at home.Home whitening is done by the patient by applying the whitening gel to the teeth with thin plastic trays custom made by the dentist.The trays ideally should be well-fitted to retain the whitening gel, ensuring even and full tooth exposure to the gel.

Most in-office whitening procedures use a light-cured protective barrier layer that is carefully painted on the gums and papilla (the tips of the gums between teeth) to reduce the risk of chemical burns to the soft tissues. The whitening agent is either carbamide peroxide,or hydrogen peroxide .

Over the counter Low-concentration whitening is far less effective, and is generally only performed at home. Low-concentration whitening involves purchasing a thin mouth guard or strip that holds a relatively low concentration of oxidizing agent next to the teeth for as long as several hours a day for a period up to 14 days. Results can vary, depending on which product is chosen, with some people achieving whiter teeth in a few days, and others seeing very little results or no results at all. 

A typical course of whitening can produce dramatic improvements in the appearance of most stained teeth; however, some stains do not respond to whitening. Tetracycline staining may require prolonged whitening.White-spot decalcifications may also be highlighted and become more noticeable directly following a whiting process, but with further applications the other parts of the teeth usually become more white and the spots less noticeable.whitening is not recommended if teeth have decay,inflamed or infected gums.

It is also least effective when the original tooth color is grayish.whitening is most effective with yellow discolored teeth. However, whitener does not work where bonding has been used and neither is it effective on tooth-color filling. Other options to deal with such cases are the porcelain veneers,ceramic crowns, or dental bonding.

Although there is a wide range of whitening products and techniques available, the results after using them may vary from very positive results to almost non-existent results. Treatment times and recommendations are dependent on the condition of a person’s teeth at time of treatment.

If you have any questions about teeth whitening call us today to make an appointment to answer your questions.
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Emergencies:

emergencies

If you're experiencing swelling of your mouth, intense pain, broken filling, lost a crown, or cracked your denture, do not wait as if you do it can get worse! Come and see us for a thorough examination to determine both how to eliminate the pain and effectively treat the problem.

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Extractions (Simple and Surgical):

Some times extractions are the only remedy for dental pain or to get ride of a loose tooth,in our office we are very well equipped to handle almost all kinds of extractions efficiently and comfortably , we also provide you with detailed post extraction instructions to follow , if you have any questions please give us a call to discuss it.

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