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Call Us Today!
(925) 447-7814
Call Us Today!
(925) 447-7814

Treatment

Early Dental Care

Teething
Normally the first tooth erupts between ages six to 12 months. Gums are sore, tender and sometimes irritable until the age of three. Rubbing sore gums gently with a clean finger, the back of a cold spoon or a cold, wet cloth helps soothe the gums. Teething rings work well, but avoid teething biscuits—they contain sugar that is not good for baby teeth.

While your baby is teething, it is important to monitor the teeth for signs of baby bottle decay. Examine the teeth, especially on the inside or the tongue side, every two weeks for dull spots (whiter than the tooth surface) or lines. A bottle containing anything other than water and left in an infant’s mouth while sleeping can cause decay. This happens because sugar in the liquid mixes with bacteria in dental plaque, forming acids that attack the tooth enamel. Each time a child drinks liquids containing sugar, acids attack the teeth for about 20 minutes. When awake, saliva carries away the liquid. During sleep, the saliva flow significantly decreases and liquids pool around the child’s teeth for long periods, covering the teeth in acids.

Infant’s New Teeth
The primary (or “baby”) teeth play a crucial role in dental development. Without them, a child cannot chew food properly and has difficulty speaking clearly. Primary teeth are vital to development of the jaws and for guiding the permanent (secondary) teeth into place when they replace the primary teeth around age six.

Since primary teeth guide the permanent teeth into place, infants with missing primary teeth or infants who prematurely lose primary teeth may require a space maintainer, a device used to hold the natural space open. Without a maintainer, the teeth can tilt toward the empty space and cause permanent teeth to come in crooked. Missing teeth should always be mentioned to your family dentist. The way your child cares for his/her primary teeth plays a critical role in how he/she treats the permanent teeth. Children and adults are equally susceptible to plaque and gum problems—hence, the need for regular care and dental checkups.

A Child’s First Dental Visit
A child’s first dental visit should be scheduled around his/her third birthday unless a suspicious area is seen sooner. The most important part of the visit is getting to know and becoming comfortable with a doctor and his staff. A pleasant, comfortable first visit builds trust and helps put the child at ease during future dental visits. If possible, allow the child to sit in a parent’s lap in the exam room. Children should be encouraged to discuss any fears or anxiety they feel.

Why Primary Teeth Are Important
Primary teeth are important for several reasons. Foremost, good teeth allow a child to eat and maintain good nutrition. Healthy teeth allow for clear pronunciation and speech habits. The self-image that healthy teeth give a child is immeasurable. Primary teeth also guide eruption of the permanent teeth.

Good Diet and Healthy Teeth
The teeth, bones and soft tissue of the mouth require a healthy, well-balanced diet. A variety of foods from the five food groups helps minimize (and avoid) cavities and other dental problems. Most snacks that children eat cause cavities, so children should only receive healthy foods like vegetables, low-fat yogurt and cheeses, all which promote strong teeth.

Infant Tooth Eruption
A child’s teeth actually start forming before birth. As early as four months of age, the primary or “baby” teeth push through the gums—the lower central incisors are first, then the upper central incisors. The remainder of the 20 primary teeth typically erupt by age three, but the place and order varies.

Permanent teeth begin eruption around age six, starting with the first molars and lower central incisors. This process continues until around age 21. Adults have 28 secondary (permanent) teeth—32 including the third molars (wisdom teeth).

Preventing Baby Bottle Tooth Decay
Tooth decay in infants can be minimized or totally prevented by not allowing sleeping infants to breast or bottle-feed. Infants that need a bottle to comfortably fall asleep should be given a water-filled bottle or a pacifier. Our office is dedicated to fighting baby bottle tooth decay. Let us know if you notice any signs of decay or anything unusual in your child’s mouth.

General Treatment

Our practice can provide a wide range of dental services. We can typically provide every type of dental service without having to refer you to other specialtists. This flexibility saves you time and keeps your total dental care within one practice. Our emphasis is on total preventive care for our patients. Total care begins with regular hygiene visits, regular checkups and continued home oral health routines.

Our practice also provides the highest-quality services for restoring mouths that have been damaged by dental disease and 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.

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Fillings
The concept of a “filling” is replacing and restoring your tooth structure that is damaged due to decay or fracture with a material. We will replace decayed/broken areas of your teeth with either a tooth colored (composite) material or a silver (amalgam) material to restore your tooth. The use of amalgam or composite material can be discussed during your visit.

Root Canal
A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.

A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity thereby saving a tooth that in the past would have to have been pulled.

Procedure:
  • The patient undergoes local anesthesia.
  • A dental dam is used to isolate the tooth.
  • The tooth is opened to allow for removal of infected or dead dental pulp.
  • The tooth is comprehensively cleaned, including any cracks and canals.
  • With special tools, the doctor reshapes the canals.
  • The tooth is filled again with cutting edge biocompatible filling material.
  • A temporary covering is used to cover the access opening.
  • Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.
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Tooth Extractions
Your third molars are more commonly called "wisdom teeth." Usually appearing in the late teens or early twenties, third molars often lack the proper space in the jaw to erupt fully or even at all. This common condition is called impaction. When any tooth lacks the space to come through or simply develops in the wrong place of your jaw and becomes impacted, problems can arise. Primarily, damage to adjacent teeth and crowding occur.

In certain cases, the wisdom tooth that cannot come through becomes inflamed under the gums and in the jawbone, causing a sac to develop around the root of the tooth that then fills with liquid. This can cause a cyst or an abscess if it becomes infected. If either of these situations goes untreated, serious damage to the underlying bone and surrounding teeth and tissues can result.

To potentially stave off this result, an extraction of one, several or all of the wisdom teeth may be advised. If that is the case, we have the equipment and training needed to perform such extractions with an absolute minimum of discomfort. Ask our staff for more information regarding tooth extractions if you feel you may need one.

Crowns
A crown is a permanent covering that fits over an original tooth that is either decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.

The treatment plan for a patient receiving a crown involves:

  1. Numbing the tooth to remove the decay in or around it.
  2. Re-sculpturing the tooth to provide an ideal fit for the crown.
  3. Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
  4. Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
  5. Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
  6. After ensuring that the crown has the proper look and fit, the dentist cements it into place.

This process generally consists of a minimum of two to three visits over a three- to four-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 crowns can last up to 20 years.

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Bridges
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 (occlusion) and/or jaw problems and resultant periodontal disease.
  • To safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

There are three main types of bridges, namely:

  • Fixed bridge, the most popular type of bridge, consists of a filler tooth that is attached to two crowns which fit over the existing teeth and hold the bridge in place.
  • The Maryland bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
  • The Cantilever bridge is often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.

Veneers
Veneers are thin, semi-translucent “shells” typically attached to your front teeth. Veneers are customized from porcelain material and permanently bonded to your teeth. Veneers are a great alternative to otherwise painful dental procedures to improve the appearance of your smile.

Common problems for which veneers are used include:

  • Spaces between the teeth
  • Broken or chipped teeth
  • Unsightly, stained or discolored teeth
  • Permanently stained or discolored teeth
  • Crooked or misshapen teeth

Veneers are a great aesthetic solution to your smile that may even help you avoid orthodontic treatment. Subtle changes to your smile can be achieved with veneers and in most cases, veneer application is completed in only two office visits.

Please contact our office if you have any further questions on veneers.

Implants
Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:

  • Single Tooth Replacement
  • Anterior Replacement
  • Posterior Replacement
  • Full Upper Replacement

If the missing tooth space has no surrounding teeth, the dentist may decide an implant is the most appropriate treatment choice or option.

Post-Implant Care
Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.

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Invisalign

Invisalign® is the clear way to straighten teeth without braces using aligners. Aligners are removable and virtually invisible, which means you can straighten your teeth without anyone knowing and you can still eat and drink what you want. Also, you can brush and floss normally to maintain healthy gums and teeth. There are no wires, metal or brackets to cause mouth abrasions.

Many of our patients had never considered traditional braces but are now happily and comfortably improving their smiles with Invisalign.

What is Invisalign?
  • Invisible way to straighten your teeth without braces.
  • Series of clear, removable, custom-made aligners.
  • Uses no metal wires or brackets.
  • Custom-made for comfort.
How does Invisalign work?
  • Wear each set of aligners for about two weeks.
  • Remove only to eat, drink, brush and floss.
  • Your teeth will move gradually each week.
  • Visit us every four to eight weeks.
  • Total treatment time averages six to 15 months.
  • Average number of aligners is between 18 and 30.

Teeth Whitening

Everyone wants a bright, white smile. Teeth whitening services are growing in popularity and it’s one of the most requested services offered by our practice. Everyone sees the growing consumer market focused on whiter teeth. The reality is that over-the-counter, “too good to be true” solutions typically don’t work.

Unfortunately, your teeth will darken over time. We offer a variety of options to whiten your teeth to combat the changes in the color of your teeth. This discoloration can be caused by factors such as the food and beverages you consume, including coffee, tea and soda. Other known factors for discoloration may include childhood medications or illnesses, tobacco use or improper oral hygiene. Restoring your natural white smile is a priority for our dental whitening team.

We are trained professionals using industry-approved methods. Our goal is to meet the needs of every patient and every patient’s needs are different.

The method we use to whiten teeth is Opalescence Whitening. This method involves applying a gentle, carbamide peroxide gel either in our office or at home using special, custom-made trays. The gel comes in three different flavors: mint, melon or regular. Use the trays daily until desired result is achieved.

If you want to boost your self-confidence with a more pleasing smile, call us today for a whitening evaluation. We will help you choose the best whitening option for you.

Endodontics

A common misconception is that a root canal is an uncomfortable procedure. Actually, root canals are similar to having a cavity filled, producing minimal discomfort.

Common causes for the need of endodontic treatment:

  • Inflamed/infected tooth pulp
  • Severe sensitivity to hot and cold elements
  • Tooth decay
  • Chipped or broken tooth
  • Blow to the tooth
  • Swelling or tenderness near the infected tooth
  • Repeated dental procedures on a tooth

Please contact our office for an evaluation if you experience any of the symptoms above.

Call Us Today At ♦ (925) 447-7814

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Ron Freeman, DDS

203 South S Street
Livermore, CA 94550

Phone: (925) 447-7814
Fax: (925) 447-7839
Email: freemandds@aol.com
In Business Since 1984

Business Hours

Mon - Fri:  8 a.m. - 5 p.m.
Sat - Sun:  Closed
Affiliations
  • American Dental Association
  • California Dental Association
  • Alameda County Dental Society

Payment Options

Insurance: Delta Dental Premier