Services

 
General Dentistry

General dentistry provides dental care for patients of all ages; from the most basic procedures, fluoride treatments / dental hygiene recalls to implant reconstruction. We are able to care for you and your family’s total oral health needs. After an initial examination, I will diagnosis your specific needs and develop a treatment plan. If you need a specialized dental procedure performed we will work in conjunction with specialists to get the care you need. Services that we provide include the following:

 

· Crowns and bridges

· Cosmetic procedures

· Dental implants

· Dentures

· Periodontal (gum) disease treatment

· Home care instruction

· Mouth guards (athletic)

· Nutrition counseling / Carie Free rinse system

· Oral surgery

· Orthodontics / braces

· Partial dentures

· Restorative care

· Root canal therapy

· Sealants

· Dental check-up (cleaning)

· Tobacco cessation

· TMD/TMJ therapy

- Night Guards (for bruxing)

 

 

 

 

Cosmetic Dentistry

Cosmetic dental work is usually done entirely with materials that closely mimic the coloring of the natural tooth structure. The materials used are porcelain for crowns, composite (white) material for fillings, and Zirconia® for dental laminates (veneers). Unlike silver fillings (amalgams) composite material is entirely free of mercury. Bleaching can be used to whiten ones natural teeth. Surgical procedures with a laser can remove or contour existing gum tissue creating a more aesthetic appearance. Straightening of teeth with minor orthodontics may also be done to give an improvement in general appearance. Procedures offered through cosmetic dentistry are as follows:

 

  • Whitening or "tooth bleaching", which employs use of a buffered peroxide to whiten.

  • Tooth reshaping by removal of enamel to improve the appearance of the tooth. It may correct a small chip, or alter the length, shape or position of a tooth as shown below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  • Dental bridges are used to replace missing teeth by connecting existing teeth with a bridge and filling in areas left by the missing teeth. Bridges require a commitment to serious oral hygiene but may last up to ten years or more.

  • Veneers are ultra-thin, custom-made porcelain laminates that are bonded directly to the teeth. They are an option for closing gaps or improving discolored teeth that do not respond well to whitening procedures.

  • A cosmetic dental procedure that raises and sculpts the gum line is a gingivectomy. The procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or more symmetrical teeth.

Therapeutic BOTOX®

We are adding an exciting new service in our office for dentally therapeutic BOTOX® and Dermal fillers.  BOTOX® has been used in Europe for 20+ years and received FDA approval in 2009.  BOTOX® is mostly known for "smoothing wrinkles", by relaxing the muscles which contact and cause the over-lying skin to wrinkle. But, it is much more than a wrinkle relaxer. Its ability to relax muscles makes it an adjunct treatment for migraines (80% of which are caused by muscle tension), TMJ pain, bruxing (grinding) and clenching of teeth and relaxing the gummy smile.  Its effects can last for up to six months.  Dermal fillers or Juvederm is another option for addressing facial features and was approved by the FDA in 2006.  The material absorbs up to 100 times its weight in water providing benefits that promote the development of new collagen and lessens the breakdown of existing collagen.  This treatment may eliminate triangular voids between teeth where gums have retreated and may correct downturned corners of the mouth. Benefits include the prevention of possible fungal infection at the mouth corners and the lessening of denture or smoker lines around the mouth.

We will set up an appointment for a free consultation to discuss your concerns whether they are esthetic or therapeutic in nature.

 

We use only FDA approved ALLERGAN® products.

For more information on BOTOX® see facial esthetics.org .

Implant Dentistry

A dental implant is a metal root form implanted into the bone of the jaw. The term "dental implant" refers to that portion of the structure in the bone. After implantation, the implant is left to Osseo integrate (become one with the bone) which may take on the order of four to six months. Once the implant becomes stable, it can be used to replace one or more missing teeth by supporting a crown, a bridge of teeth, or an implant over-denture. The dental implant allows one to regain the use of a lost tooth by being able to use the new implant as if it was one’s own natural tooth.

 

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172 Main Street
Saugerties, NY 12477
Drkoehn@smiles.com

Tel: 845-246-0321

 

Fax: 845-246-3774

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