Welcome to Dental Expressions, where Dr. Sonal Bhoot and her team are pleased to provide superior dental care to you and your family. Our goal is to build a strong relationship based on trust and respect so that you will feel confident about the quality of care that you are receiving.
We invite you to review our patient services section along with our technology section to learn more about the cutting edge dentistry that we are excited to extend to our community.
For new patients, please take a look at the new patient information, new patient forms, and patient education section with web links to learn more about our services, and dental care. Please complete the forms, available online, prior to coming to our office so that we are better informed about your goals and needs and concerns prior to your arrival.
Our office strives to provide excellent, compassionate and personable care while developing a good rapport with our patients.
We look forward to meeting you! Thanks for choosing Dental Expressions.
- Dental Hygiene
- Fluoride Treatment
- Tooth-Colored Fillings (Composites)
- Porcelain Veneers Lumineers
- Chairside Composite (Bonding) Veneers
- Teeth Whitening - Zoom 2 Whitening (in-office and/or take-home)
- Cosmetic Bonding
- All-Porcelain Crowns
- Inlays and Onlays
- Porcelain Bridges
- Complete & Partial Dentures
- Implant Supported Dentures
- Dental Implant Restorations
- Root Canal Therapy
- Anterior Teeth
- Posterior Teeth
- Molar Teeth
- Root Canal Retreatment - Retreatment is necessary when the root canal becomes reinfected. It is usually possible to perform the root canal treatment again and create an environment which will promote healing.
- Charting and Diagnostics
- Gum and Bone Disease
- Scaling and Root Planing
- Non-surgical treatment
- Crown Lengthening
Tooth Extractions - You and Dr. Bhoot may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
Invisalign - Invisalign is a new treatment that uses clear, invisible aligners to straighten teeth. It is like a contact lens for your teeth. It is offered to teens and adults that are candidates.
Dental hygiene involves the biyearly cleaning and checkup for patients with healthy dentitions. On that visit the hygienist scales and polishes the teeth also known as a prophylaxis. All changes in medical history are updated. Also films are taken. This hygiene appointment may occur more frequently for some patients based on the health of the gums.
Sealants - They are highly effective in preventing decay on the biting surfaces of your chewing teeth, sealants is a simple procedure in which a tooth-colored acrylic "coating" is painted onto the surface of the tooth. This effectively "seals" the deep grooves acting as a barrier, protecting enamel from plaque and acids.
Sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can't reach.
It is easy to apply, sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed. Children and adults can benefit from sealants in the fight against tooth decay.
Fluoride Treatment - Most children up to the age of 16 receive fluoride treatment on their regular hygiene appointment. Adults may receive this treatment as well if the caries rate is high or if they have very sensitive teeth. It is a topical treatment.
There are various reasons why a tooth may need root canal, some of which include infection, trauma, deep decay, positioning of the tooth, etc. At times, patients are given the option of endodontics vs. tooth extraction. Endodontics (root canal therapy) is a method of retaining the tooth in the dentition by removing the nerves in the tooth. Extraction involves removing the tooth entirely from the dentition.
Root Canal Therapy - Root canal therapy involves the cleaning, shaping and filling of the canal space within the root of the tooth.
Root Canal Retreatment - Retreatment is necessary when the root canal becomes reinfected. It is usually possible to perform the root canal treatment again and create an environment which will promote healing.
Gum Disease - Periodontal (gum) disease is an infection of the teeth, gums and the bone that surrounds the teeth. It is the leading cause of adult tooth loss. Stopping this condition begins with a thorough diagnosis. To identify periodontal disease, we perform a comprehensive examination including periodontal charting and x-rays. If we detect periodontal disease, we will talk with you about treatment options and proper home care to minimize bone loss and restore the health of your gums.
Our approach is conservative. We use the non-surgical method whenever possible, using the latest antibiotic therapy techniques to fight the bacteria causing advanced forms of periodontal disease.
- Charting and Diagnostics
- Scaling and Root Planing - Periodontal scaling and root planing is a conservative cleaning procedure removing contamination and infection beneath the gum. Scaling removes deposits of bacterial plaque, calculus and pus that have accumulated in the infected pocket due to periodontitis. Root planing smoothes and cleans the root of the tooth. Dr. Bhoot uses this non-surgical treatment in cases of early to moderate stages of periodontitis. It may reduce the extent for surgical treatment in the more advanced stages of gum disease.
- Non-surgical treatment - With the use of antibiotics, we provide chemotherapeutic treatment to treat your periodontal disease. We use Arestin, an antibiotic that we administer locally, directly into the infected pockets between your teeth. Usually, we will administer Arestin after scaling and root planing, a common procedure used to treat periodontal disease. We have found Arestin is an excellent treatment for chronic periodontitis, an infection of the gums that can lead to tooth loss. It significantly reduces the depth of infected pockets and helps prevent disease progression
- Crown Lengthening - is a surgical procedure that involves the gum or bone to be removed. This can occur when decay develops below the gum line due to a failing filling or crown. This can also occur when a tooth breaks off at the gum line. The goal of this procedure is to expose more tooth above the gum line. In order for any restoration to hold, adequate tooth structure needs to present to ensure a proper fitting filling or crown. This may also be necessary when a patient has a very "gummy smile" and excess gum tissue exists and the teeth appear very small.
You and Dr. Bhoot may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, in most cases, Dr. Bhoot will discuss alternatives to extractions as well replacement of the extracted tooth.
The Extraction Process
At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction please let us know right away.
Sectioning a Tooth
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.
Oral Surgery: After Care
Bleeding - Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.
Blood Clots that form in the Empty Socket - This is an important part of the healing process and you must be careful not to dislodge the clot.
Avoid rinsing or spitting for 24 hours after the extraction.
Avoid use of a straw, smoking or hot liquids.
Swelling - If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.
Pain and Medications - If you experience pain you might use non-prescription pain relief medications such as acetaminophen or ibuprofen.
Eating - For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours.
A liquid diet may be recommended for 24 hours.
Brushing and Cleaning - After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site.
Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.
Dry Socket - Dry socket is when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged and the healing is significantly delayed.
Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn't appear until three to four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.
Dr. Bhoot will apply a medicated dressing to the dry socket to sooth the pain.
Healing - After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However after 1- 2 weeks you should no longer notice any inconvenience.