• Teeth Cleaning

    There are two kinds of dental cleanings. The first and the more common one is called prophylactic cleaning or preventive cleaning. This cleaning is done every six months to maintain good oral health. The second type of cleaning is known as therapeutic cleaning or deep cleaning or scaling and root planing. This kind of cleaning is necessary when there are areas of chronic inflammation or infection in and around the gum tissue and the bone surrounding the tooth.

    Most young and healthy patients with great home care generally only need a “preventive” cleaning every six months. If the doctor determines that you have areas of inflammation in your gums around your teeth, you may be advised to get cleanings more frequently.

    Some patients may have areas of chronic, low –grade gum infection or inflammation, (gingivitis or periodontitis). People who have this condition may notice that their gums look redder and bleed upon brushing or flossing. They may complain of sensitive teeth and gums and perhaps bad-breath. For patients with areas of periodontitis, a more in-depth treatment and cleaning is advised. Periodontal disease, if unchecked, leads to alveolar bone loss, lost teeth and an unsightly smile.

    How long has it been since your last cleaning? Irregular dental care and cleanings can be a precursor to periodontal disease. According to American Dental Association, Periodontal disease has been linked to heart disease in several reputable studies. It seems that the studies might be suggesting that a great smile is a sign of a great heart… but you already knew that 🙂

    Periodontal disease is also linked to Diabetes. Diabetic patients tend to be more susceptible to this condition. One study also suggests that treating periodontal disease may actually have a positive impact on diabetes. Gum disease is also strongly linked to low-birth weight babies in pregnant women.

    Treating gum disease is usually not difficult. Dr. Keerti will create a plan to suit your condition. We use special scaler tips called “sensi-tips” if you are very sensitive. We also use these special tips around veneers to increase the life span of the veneers by not damaging them with regular metal tips. What’s more – your gums can even be numbed up, painlessly, using a special technique, without any shots. We can also use warm water during your cleaning, to reduce any cold-sensitivity.

  • Digital X-Rays

    Digital X-rays offer unparalleled benefits over traditional radiographs: they’re convenient, safe for the environment, provide a great opportunity for patient education, can be transferred and copied accurately, and best of all, they’re safer for our patients since they can cut down the radiation exposure by 80 to 90 %

    We’ve invested in this new way of looking into your mouth—a procedure that’s fast, comfortable, and incredibly precise. Using digital radiography, we can clearly identify all external and internal anatomical structures and accurately diagnose your dental problems. Even more amazing, we can immediately translate that information into a large, clear, accurate image, projected to a monitor that patient and doctor can study together in the operatory. You won’t even have to leave your chair. Digital radiography’s technology improves and simplifies the way we care for our patients’ teeth, resulting in better dental evaluations and treatment decisions. As the most important member of your dental team, you need to understand the condition of your mouth, as well as our recommendations for treatment. Digital radiographs help us help you.

    Traditionally, dentists used X-rays to see what the naked eye could not; X-rays were developed in a darkroom with hazardous chemicals, and then viewed on a special light box. The developed X-rays had to be stored, which required large filing systems. By far, the worst part of traditional X-rays was the radiation exposure to patients. Digital radiography has completely transformed this process.

    Patient First

    All digital radiography systems are not created equal. We at Enso, have invested in top of the line digital radiology system that gives our patients the benefit of very small and comfortable sensors that have a rounded shape for extra comfort. When you come into the office for X-rays, a tiny sensor is placed in your mouth to detect small amount of radiation – up to 90-percent less than traditional X-rays requires. This creates a detailed image of your internal oral structures that is immediately viewable on a chairside monitor, carrying with it all the conveniences of other digitized images. We can rotate and magnify it, adjust it for contrast, and filter it for decay detection. The digital images store easily and efficiently in our computer files, safe and sound. For insurance purposes, referrals, or patient education, digital X-rays can be easily, inexpensively, and accurately reproduced indefinitely.

  • Digital Pano

    Our patients at ensodentistry can benefit from our state of the art, in-house, digital panoramic radiography and digital x-ray tomography unit.

    Panoramic radiographs give a straight “forest view” of your upper and lower jaws, teeth and jaw joints as opposed to intra-oral digital radiographs that show a “tree-view” of each tooth. Our Panoramic unit is digital and therefore, the radiation exposure is minimal while giving a crisp image that is easy to interpret. Look at the example shown.

    Having access to digital tomography lets us take an anterior-posterior view (profile view, if you will) when doing implant cases or even root canals. This view is not possible to achieve without a tomography unit and vital structures and important details might be missed. Take a look at the tomograph taken in our office not too long ago, showing the implant on an upper front tooth in a “profile” view.

    The tomography unit is a great asset to have when treating TMJ patients as well. Our unit gives us crisp tomographs of the joints thus helping with the diagnosis and treatment planning. Look at the tomos taken in our office showing the jaw joints.

  • Digital Intra-oral Camera and Digital Surveyor

    Intra-Oral Camera

    People seldom have a clear idea of the actual status of their dental health. Even with lights and mirrors, a patient can’t see what the dentist can – that is, until now. The digital intra oral wand simply takes pictures of the inside of your mouth and transmits the images to a computing unit. Once we capture the images and the exam is done, we will review the images with you.Thus, you’ll become an informed partner in your dental care. The camera’s honest survey reveals the early stages of potentially serious problems, allowing us to catch small problems before they escalate. This is especially helpful with gum disease, cracks and other insidious conditions that cause damage without causing pain till its too late.

    Digital Surveyor

    We have a digital surveyor for our patients so that we may be able to let them take a live close-up look at their teeth and gums. This special device has a thin wand like digital surveyor camera that is attached to a monitor that the patients hold in their hands and watch as the dentist surveys their teeth and gums with the wand.

  • Root Canal

    Painful Pulp

    Your teeth contain several layers: the outer protective enamel, a secondary layer of sensitive dentin, and an inner pulp that contains components commonly referred to as the “nerve” of the tooth. Each pulp chamber branches off, forming canals that lead toward the tooth root tip. These infamous root canals provide a means for the tooth to absorb what it needs from the blood and get rid of toxins or other unnecessary materials via the blood stream. A large old filling,a deep cavity, traumatic injury, or tooth fracture can make the canal susceptible to bacterial infection, which can kill the pulp, stimulate increased blood flow, and create pressure within the tooth. This can cause severe tooth pain and may initiate bone degeneration, tooth loss, and even more acute pain. If you see a dentist in the earliest stages of this condition, the tooth may be saved with a root canal. Otherwise, it should be extracted and replaced with a bridge or an implant.

    Easy Does It

    Will root canal therapy hurt? Not with today’s advanced analgesics and technology. In fact, the entire process can be so comfortable that many patients doze off. Oftentimes, root canal therapy can be completed in a single appointment. We simply clean out the diseased canal, fill the canal with a biologically-inert substance, seal it from further infection, and you’re on your way. While some patients experience post-procedural soreness or slight tissue inflammation, these are controllable with over-the-counter analgesics. Follow-up care involves thorough home hygiene and regular dental visits for cleanings and check ups.

  • Fillings, Crowns, Inlays and Onlays

    We are an amalgam-free dental practice. For your restorative needs, in case if you have cavities, cracked teeth or failing old fillings, we offer a variety of highly durable and life-like esthetic options such as composite fillings, porcelain inlays and onlays and porcelain crowns. Since we hold ourselves to a very high esthetic standard in even all the routine restorative dentistry we do, please read more about these topics under cosmetic dentistry heading.

  • Laser Dentistry

    At ensodentistry, we constantly train and invest in our patients’ health by bringing them the latest in cutting edge of dentistry. Dr Keerti has received training in using lasers for dental applications. We use our laser for healing painful ulcers at the speed of light, to recontouring the gums for an esthetic gum lift! The applications of lasers are numerous. The results are always amazing since the trauma to the tissues is negligible as compared to traditional surgery. Healing times are much shorter and the esthetic results are pleasing.

  • Esthetic Fillings that are 80% Porcelain!

    We are in awe too! This is truly the stuff we, in the dental field, dreamed of years ago. The future is here. Enso is one of the few dental offices that has invested in this technology. So committed are we to this new technology that we have it fitted in each operatory in our office! So what is this new technology? Well, imagine if you need a filling on a molar. Would you want the cavity filled with something that is mostly resin composite or strong porcelain? Historically, the only way to get your teeth filled with strong porcelain was to get an inlay or an onlay. Porcelain Inlays and Onlays are a great treatment choice when the cavity is big. But, they might be too expensive and unnecessary for repairing smaller cavities. For these kinds of medium to small cavities, we have a great option available now called the SONICFILL! This technology is brought to us after years and years of research and development at Kerr and Kavo. It comprises of an air-driven handpiece that generates sonic vibrations that liquifies the hard composite that is 80% filled with porcelain fillers. The operator is thus able to tightly pack the cavity with this very strong mix and actually bond it to the tooth structure. A special “curing light” polymerizes this restoration immediately. Patients are free to chew on the filled tooth right away. No restrictions and no second visit needed!! And the best part? It costs the same as a regular composite filling!

  • Sleep Apnea And Snoring

     

    At Ensodentistry, we recognize the devastating effect sleep apnea can have on your systemic health including increasing the risk of cardiac disease by 500% and significantly increasing the risk of chronic ailments such as diabetes and high blood pressure. We screen our patients for sleep apnea and we are happy to discuss this with you to improve your quality of life.

    An individual with sleep apnea is rarely aware of the condition. Sleep apnea is recognized as a problem by others witnessing the individual during episodes or is suspected by an individual or a healthcare provider because of its effects on the body. Symptoms may be present for years without identification, during which time the sufferer may become conditioned to the daytime sleepiness and fatigue associated with significant levels of sleep disturbance.

    Sleep apnea is a sleep disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing, during sleep. Each pause in breathing, called an apnea, can last from a few seconds to minutes, and may occur 5 to 30 times or more an hour. The standard definition of any apneic event includes a minimum 10-second interval between breaths, with either a neurological arousal (a 3-second or greater shift in EEG frequency, measured at C3, C4, O1, or O2) or a blood oxygen desaturation of 3–4% or greater, or both arousal and desaturation. Clinically significant levels of sleep apnea are defined as six or more episodes per hour of any type of apnea. Sleep apnea is diagnosed after a physician ordered sleep study also known as a polysomno gram.

    There are 3 kinds of sleep Apnea but Obstructive sleep apnea (OSA) is the most common category of sleep-disordered breathing. The muscle tone of the body ordinarily relaxes during sleep, and at the level of the throat the human airway is composed of collapsible walls of soft tissue which can obstruct breathing during sleep. Mild occasional sleep apnea, such as many people experience during an upper respiratory infection, may not be important, but chronic severe obstructive sleep apnea requires treatment to prevent low blood oxygen (hypoxemia), sleep deprivation, and other complications. The most serious complication is a severe form of congestive heart failure.

    Individuals with low muscle tone and soft tissue around the airway due to obesity and structural features that give rise to a narrowed airway are at high risk for obstructive sleep apnea. The elderly are more likely to have OSA than young people. Men are more likely to suffer sleep apnea than women.

    The risk of OSA rises with increasing body weight, active smoking and age. In addition, patients with diabetes or “borderline” diabetes have up to three times the risk of having OSA. Common symptoms include loud snoring, restless sleep, and sleepiness during the daytime.

    For mild cases of sleep apnea avoiding alcohol and sleeping pills, which can relax throat muscles, losing weight and sleeping on the side are all lifestyle changes that can help.

    For moderate to severe sleep apnea, the most common treatment is the use of a continuous positive airway pressure (CPAP) device. The patient typically wears a plastic facial mask, which is connected by a flexible tube to a small bedside CPAP machine. The CPAP machine generates the required air pressure to keep the patient’s airways open during sleep.

    Recently, American academy of sleep medicine gave us dentists, who are specially trained in making sleep appliances a giant “thumbs-up” when they declared that Oral appliance therapy may be considered a first choice in mild to moderate cases of sleep Apnea. The oral appliance is a custom-made mouthpiece that shifts the lower jaw forward, opening up the airway. OAT is a relatively new treatment option for sleep apnea in the United States, but it is much more common in Canada and Europe. Its use has led to increasing recognition of the importance of upper airway anatomy in the pathophysiology of OSA. It is always a great treatment option for patients who cannot use the CPAP device.

    CPAP and OAT are generally effective only for obstructive and mixed sleep apnea which have a mechanical rather than a neurological cause.

    For patients who do not tolerate nonsurgical measures, surgical treatment to anatomically alter the airway is an option. Several levels of obstruction may be addressed, including the nasal passage, throat (pharynx), base of tongue, and facial skeleton. Surgical treatment for obstructive sleep apnea needs to be individualized in order to address all anatomical areas of obstruction. Often, correction of the nasal passages needs to be performed in addition to correction of the oropharynx passage. Septoplasty and turbinate surgery may improve the nasal airway. Tonsillectomy and uvulopalatopharyngoplasty (UPPP or UP3) is available to address pharyngeal obstruction. Base-of-tongue advancement by means of advancing the genial tubercle of the mandible may help with the lower pharynx. Where appropriate jaw surgery to reposition the mandible forward, may be the answer.

    At Ensodentistry, we recognize the devastating effect sleep apnea can have on your systemic health including increasing the risk of cardiac disease by 500% and significantly increasing the risk of chronic ailments such as diabetes and high blood pressure. We screen our patients for sleep apnea and we are happy to discuss this with you to improve your quality of life.

  • Pediatric Dentistry

    We love seeing kids in our practice! And they love seeing us! Is it the floor to ceiling open windows with wonderful scenery outside? Is it the kid friendly colors in our office? Or is it just our awesome personalities? We don’t know. But it works 🙂

    According to American Academy of Pediatric Dentistry, a child should have their first dental visit when their first tooth pops in or their first birthday, whichever comes first. This works very well in a family setting such as our practice. The little ones get used to seeing their mom or dad getting their dental checkups and that creates a non-threatening environment.

    We provide all services for little kids including regular checkups, fluoride treatments, cleanings, fillings and laughing gas. For more extensive or involved treatment plans, they may be referred to one of our trusted pediatric dental specialists.

    Make an appointment for your little guy/gal along with your own dental visit if they have never been to a dentist before.

  • Oral Cancer, Oral Medicine and General Health

    Oral Medicine and General Health

    The evidence linking your dental health to your general health is piling up by the day. If you are a diabetic or have a family history of heart disease or are pregnant, Dr Keerti will go into detail about what you can do now, dentally speaking, to optimize your health. These are just a few examples. Based on your unique medical history, we at Enso Dentistry, take the time to go into detail and make you aware of any studies linking your particular health issue to your dental health or dental needs. We translate these studies into practical and applicable solutions for you.

    Oral Cancer Screening

    More than 34,000 Americans will be diagnosed with oral or pharyngeal cancer this year. Of those 34,000 newly diagnosed individuals, only half will be alive in 5 years.
    At Enso Dentistry, we do a head and neck exam on all our patients every six months. We do basic screening for oral cancer for all patients. Advanced screening may be done if you have increased risk factors.

    Diagnosis and Prevention

    Visual exam

    There is no substitute for education and awareness on the part of the patient and the clinician. Dr Keerti has done a residency in Oral Medicine and Diagnosis ( the field that deals with clinical presentation, diagnosis and treatment of oral and facial pathologies and conditions ) from university of WA. She continues to be a faculty member in the department of Oral Medicine and keeps up with the latest . She is also a reviewer for the Journal of contemporary dentistry in the field of Oral Medicine and pathology. She believes in a complete Oral and head and neck exam at each recall /check up visit. She encourages her patients to familiarize themselves with the causes and signs and symptoms of Oral cancer.

    Vizilite

    If you or the doctor encounter a suspicious looking lesion, a completely non-invasive, painless and easy exam called a vizilite exam can be performed. This exam is usually covered by your insurance provider. First, you will be instructed to rinse with a cleansing solution Next, the overhead lighting will be dimmed. Then, your mouth is examined using ViziLite Plus, a specially designed light technology.

    Oral CDX

    Another new way to test for oral cancer before incisional biopsy is beginning to be used by dental professionals — a system called Oral CDx. Here, a dentist uses a small brush to gather cell samples of a suspicious area. The specimen is then sent to a lab for computer analysis. In a recent study of 945 patients, Oral CDx detected all cases of oral cancer correctly, even when dentists didn’t suspect the presence of cancer from the lesion. This oral brush biopsy procedure is simple, and. results in very little or no pain or bleeding, and requires no topical or local anesthetic.

    Signs and Symptoms

    You are the most important factor in an early diagnosis. You should always contact your doctor or dentist immediately if you notice the following symptoms in yourself or a loved one

    • A sore or lesion in the mouth that does not heal within two weeks.
    • A lump or thickening in the cheek.
    • A white or red patch on the gums, tongue, tonsil, or lining of the mouth.
    • A sore throat or a feeling that something is caught in the throat.
    • Difficulty chewing or swallowing.
    • Difficulty moving the jaw or tongue.
    • Numbness of the tongue or other area of the mouth.
    • Swelling of the jaw that causes dentures to fit poorly or become uncomfortable.

    These symptoms may be caused by other, less serious problems, but they also indicate the possible presence of oral cancer. Only a professional will be able to tell you definitively.