General Dentistry

There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and buildup.

Dental X-rays have come a long way. Todays dental X-rays are safer, faster, more comfortable and more informative than the X-rays of years past. Digital X-rays, one of the latest and most advanced dental technologies, produce high-quality images of your teeth that can be viewed instantly by you and your dentist on a LCD monitor. Digital X-rays reduce radiation by up to 90% and provide exceptional diagnostic information to ensure that potential problems are caught in their earliest stages. Intraoral photography is another alternative to traditional dental X-rays. With intraoral photography, problems such as cavities, fractures and discolorations in the teeth are captured through clear and sharp photographic images that are taken with a 35mm or digital camera.

A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.

A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothened. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.

Oral cancer affects nearly 35,000 Americans every year. The keys to surviving oral cancer are early detection and early treatment. This starts with a regular oral cancer screening – at least once every six months. An oral cancer screening takes just minutes, is pain-free and can be performed during regular dental exams. If you are male, a regular oral cancer screening is especially critical: Oral cancer is more than twice as common in men as it is in women. Other people at high risk of oral cancer include people over the age of 60, tobacco smokers and heavy drinkers.

A dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth with extensive decay or damage. Dental crowns can also used to hold a dental bridge in place, cover misshapen or severely discolored teeth, or cover a tooth after a root canal procedure. Made of either porcelain-fused-to-metal, ceramic or gold, dental crowns are placed during a multi-step process and sometimes require more than one dental visit. The first step is a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration. In some cases, same-day crowns are possible, so be sure to inquire. With good oral hygiene and minimal wear and tear, your beautiful new dental crowns can last up to 15 years.

There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.

Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.

The process of getting dentures may take a few months and several dental visits. In some cases, however, same-day dentures are also possible. With same-day dentures, the dentures are created right in the dentist's office instead of at an offsite laboratory. Same-day dentures aren't for everyone, though. If your dentures require a lot of customization, same-day dentures may not be right for you.

Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.

When it comes to “invisible” braces, Invisalign braces are the gold standard. Unlike traditional dental braces, which use brackets and wires to straighten teeth, Invisalign braces use a custom-made series of clear plastic aligners that are completely removable. The comfort and convenience of Invisalign braces are unbeatable. You can eat whatever you want; you can remove Invisalign braces whenever you need to; and you can brush and floss more effectively. Invisalign braces are effective for patients who have problems with crowding, spacing, crossbites, overbites and underbites.

Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planing to remove stubborn deposits below the gum line. Laser gum surgery, a new alternative to scaling and root planing, uses beams of high-speed light to remove plaque and tartar buildup. If non-surgical methods of gum disease treatment are ineffective, a gingivectomy, or periodontal surgery, may be necessary.

Root canals get a bad wrap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Thanks to laser root canals, this process is faster, more comfortable and, in many cases, more thorough than conventional root canals. Pulp capping is an alternative to root canals that are used when the infection has yet to penetrate the pulp. Pulp capping can also prevent a large dental filling from getting too close to the nerve.

The most common tooth extractions are usually wisdom tooth extractions, but Dr. Gallegos may also remove a tooth if it's coming in at an angle, threatening the position of other healthy teeth or contributing to overcrowding in the mouth.

In some cases, a broken tooth may also need to be extracted, as well as teeth with significant tooth decay that cannot be treated by a root canal. Patients with advanced gum disease may be considered for tooth extractions as well. While it's Dr. Gallegos goal to do everything to save your natural tooth, in the end, removing a potentially harmful tooth can spare you time, money and discomfort. 

If you've been living with persistent jaw pain, ear pain and headaches, you could have TMJ – temporomandibular jaw disorder. TMJ can often be traced back to an improper bite, misaligned jaw joints, or an injury to the jaw or face. TMJ treatment from a dentist can relieve the discomfort. Although TMJ treatment varies from patient to patient, it typically involves one or several procedures, including the use of an orthotic splint, enamel reshaping, dental crowns, dental braces or night guards. The goal of TMJ treatment is to stabilize your bite so that your teeth, jaw muscles and jaw joints work properly together without strain – and without pain!

Snoring and obstructive sleep apnea (OSA) not only affects health and quality of life, but also severely affects a spouse or significant other’s life. Obstructive sleep apnea not only causes fatigue and severe daytime drowsiness, but many other problems such as poor memory, headaches and many other health problems. Oral appliance therapy is an alternative to CPAP. An oral appliance is a small plastic device that fits over the teeth, just like an orthodontic retainer or mouth guard. The appliance is worn in the mouth during sleep to prevent the soft tissue of the throat from collapsing and obstructing the airway. Oral appliance therapy is a quick and easy procedure that can dramatically change your quality of life and that of your spouse.