General Treatment

Our practice can provide a wide range of dental services. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular check-ups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease, injury and common problems that require cosmetic dentistry. Our primary goal for our patients is to achieve and maintain optimum oral health through advances in techniques, technologies and by maintaining their scheduled dental exams.


The concept of a “filling” is replacing and restoring your tooth structure that has been damaged due to decay or fracture with a material. We will replace old, broken-down amalgam/silver fillings that contain traces of mercury with white fillings (composites or porcelain) to restore your smile and teeth to a more natural look and feel.

For more information on one-day porcelain fillings or crowns, go to:


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Comparing White Fillings versus Silver Amalgam Fillings

White fillings or composites bond to the tooth; they strengthen the tooth by restoring most of its original shape. Silver amalgams, on the other hand, can weaken the teeth and make them more susceptible to breaking. Broken teeth can be very expensive to replace; white amalgam can actually save time and money in the long run.

Composites are usually preferred by most patients. This is due to the natural color, strength and overall appearance and feel. Composites are generally more comfortable.

Hot and cold sensitivity is greatly reduced with composite material compared to the silver/mercury amalgams.

Restorations with composites require less removal of tooth, less structure to place than those with amalgams and especially with new cavities. Smaller preparations are needed for a composite.

White fillings contain no traces of mercury.

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A crown is a permanent covering that fits over an original tooth that is either extensively decayed, damaged, or cracked. Crowns are made of porcelain or gold. Porcelain generally has the most natural appearance.

The treatment plan for a patient receiving a traditional crown involves:

  • Numbing the tooth to remove the decay in or around it.
  • Re-sculpturing the tooth to provide an ideal fit for the crown.
  • Making an impression or photos of your teeth in order to create a custom-made crown.
  • Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period while the permanent custom-made crown is being created.
  • Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  • After ensuring that the crown has the proper look and fit, Dr. Green or Dr. Pietsch cements it into place. This process generally consists of a minimum of 2 visits over a two to three week period.

Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crown can last many years.


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CEREC Porcelain Fillings and Crowns

Dr. Green and Dr. Pietsch are pleased to offer state-of-the-art porcelain fillings and crowns that can be done in one appointment right in our practice. Using the latest digital technology, the CEREC restoration is precisely designed, color-matched and highly durable. Please go to the following CEREC website for more information:

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A bridge is a dental device that fills a space that a tooth previously occupied. A bridge may be necessary to prevent:

Shifting of the teeth that can lead to bite problems (malocclusion) and/or jaw problems and resultant periodontal disease.

Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

The bridge consists of the filler tooth/teeth to replace the missing tooth/teeth which is attached to two crowns on either side of the space. The crowns fit over the existing teeth and hold the bridge in place.


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