1000 W Nifong Blvd, Building 6, Suite 130 | Columbia, MO 65203
Columbia Phone: 573-874-1990
info@columbiadentistryforchildren.com

931 Wildwood Dr, Suite 104 | Jefferson City, MO 65109
Jefferson City Phone: 573-634-1990
jeffcitykidsdds@gmail.com

Common Procedures

Regular Exams and Cleanings | Bonding | Extractions
Fillings | Sealants


exams and cleanings

Regular Exams and Cleanings

Regular exams are an important part of maintaining your oral health. During your regular exam, we will:

  • Check for any problems that you may not see or feel
  • Look for cavities or any other signs of tooth decay
  • Inspect your teeth and gums for gingivitis and signs of periodontal disease
  • Provide a thorough teeth cleaning

Each regular exam includes a detailed teeth cleaning, in which Drs. Coyle, Stine and Scott will clean, polish, and rinse your teeth to remove any tartar and plaque that has built up on the tooth's surface.

Visiting our office every six months gives you the chance to talk with Drs. Coyle, Stine and Scott and receive answers for any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.

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bonding

Bonding

Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling "bonds" with your teeth, and because it comes in a variety of tooth-colored shades it closely matches the appearance of your natural teeth.

Tooth bonding can also be used for teeth fillings instead of amalgam fillings. Many patients prefer bonding fillings because the white color is much less noticeable than the silver amalgam fillings. Bonding fillings can be used on front and back teeth depending on the location and extent of tooth decay.

Bonding is less expensive than other cosmetic treatments and usually can be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments such as porcelain veneers. If it does break or chip, tell Drs. Coyle, Stine and Scott. The bonding can generally be easily patched or repaired in one visit.

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extractions

Extractions

There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth and jaw at risk of decay. Drs. Coyle, Stine and Scott may recommend removal. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

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fillings

Fillings

Traditional dental restoratives (fillings) include gold, porcelain, and composite/amalgam. The strength and durability of traditional dental materials continue to make them useful for situations where restored teeth must withstand extreme forces that result from chewing, such as in the back of the mouth.

Newer dental fillings include resin reinforce glass ionomers and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins and glass ionomers, are usually used on the front teeth where a natural appearance is important. They can be used on the back teeth as well depending on the location and extent of the tooth decay. Composite resins are usually more costly than the older silver amalgam fillings.

What's Right for Me?

Several factors influence the performance, durability, longevity and expense of dental restorations:

  • The components used in the filling material
  • The amount of tooth structure remaining
  • Where and how the filling is placed
  • The chewing load that the tooth will have to bear
  • The length and number of visits needed to prepare and adjust the restored tooth

The ultimate decision about what to use is best determined in consultation with your doctor. Before your treatment begins, discuss the options with Drs. Coyle, Stine and Scott. To help you prepare for this discussion it is helpful to understand the two basic types of dental fillings: direct and indirect.

  • Direct fillings are fillings placed immediately into a prepared cavity in a single visit. They include dental amalgam, glass ionomers, resin ionomers, and composite (resin) fillings. Drs. Coyle, Stine and Scott prepare the tooth, place the filling, and adjust it during one appointment.

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sealants

Sealants

Sometimes brushing is not enough. Everyone has hard-to-reach spots in their mouth and brushing doesn't always fully clean those difficult places. When that happens, you are at risk of tooth decay. Using sealants on your teeth gives you an extra line of defense against tooth decay.

Dental sealant is a plastic resin that bonds to the deep grooves in your tooth's chewing surface. When sealing a tooth, the grooves of your teeth are filled and the tooth surface becomes smoother — and less likely to harbor plaque. With sealants, tooth brushing becomes easier and more effective against tooth decay.

Sealants are usually applied to children's teeth as a preventive measure during the years of most likely tooth decay. However, adults' teeth can also be sealed. It is more common to seal "permanent" teeth rather than "baby" teeth, but every person has unique needs. Drs. Coyle, Stine and Scott will recommend sealants on a case-by-case basis.

Sealants generally last from three to five years. However, it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact so if your sealant comes off you must let your dentist know.

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