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There are many steps you can take for a healthier smile. Although we are skilled to treat a variety of dental needs from cavities to root canals, we prefer to use this skills as little as possible. This begins with a good oral hygiene routine and prevention of cavities and gum disease.

Steps to a Healthy Smile:

1. Make healthy food choices. Eat a balanced diet for good overall health. Limit sugary foods and drinks as they cause cavities.

2. Practice good oral hygiene. Brush your teeth twice a day for three minutes with fluoride toothpaste. Pass floss or other interdental cleaner between your teeth once day to remove food and plaque from under the gumline. Finish your routine by rinsing with mouthwash.

3. Visit your dentist regularly. Regular visits help treat problems early and gives the dentist a chance to check for cavities, gum disease, and oral cancer. A regular cleaning also helps remove plaque and stain from your teeth and prevent gum disease. It keeps your smile sparkling!

4. Avoid tobacco in any form. Cigarettes, cigars, and chewing tobacco increases your risk for gum disease, tooth loss, and oral cancer.

5. Wear a mouthguard. Mouthguards help prevent broken teeth and injuries to lips, tongue, face, or jaw. Mouthguards are useful if you clench or grind your teeth or play sports.

Radiographic Examination:

Dental x-rays provide important information about your oral health.

  • Cavities in teeth or around existing fillings
  • Signs of gum disease
  • Injuries due to accidents
  • Developmental and other abnormalities
  • Abscesses or cysts


Prophylaxis Cleaning 

Regular cleaning or prophylaxis is recommended every six months with a dentist to prevent gum disease.

Plaque is a soft, sticky deposit that constantly forms on teeth and contains bacteria that causes cavities and gum disease. Plaque that is not removed during brushing and flossing hardens and becomes calculus or tartar which makes cleaning teeth difficult. As more time passes with plaque and calculus buildup, the chances of developing gum disease increase.


When chewing surfaces of molars have deep grooves, it is recommended that sealants be placed. This protects teeth from cavities especially in young children.

Warning signs of periodontal or gum disease:

  • Gums that bleed when brushing and flossing
  • Red , swollen, or tender gums
  • Gums that have retracted
  • Pus at gum line when gums are pressed
  • Teeth that are loose or changing in position,
  • Any changes in bite

Periodontal Disease Management:


  • Scaling and root planing (deep cleaning)
  • Antibiotics or other medications
  • Additional home care beyond daily brushing and flossing
  • Gum (periodontal) surgery
Tooth decay begins in hard to clean areas. If left untreated, a small area of decay becomes larger destroying tooth structure. Once decay enters the nerve, an abscess may occur or tooth pain follows.

Tooth decay when small can be cleaned out and fillings placed. At Alivio, we primarily place tooth colored fillings known as resin.

Early childhood caries: cavities in infants and toddlers

Ways to prevent it:

  • Do not put infant to bed with bottle.
  • Encourage your child to drink from a cup by his or her first birthday
  • Never dip a pacifier in a sweetener like honey, syrup, or sugar or use a bottle filled with sweet liquid. This includes milk and fruit juices.
  • After each feeding, wipe your infant’s gums clean with a clean washcloth. Once the first tooth has appeared, brush your child’s teeth with toothbrush. If your child is under two years of age, consult with us before using toothpaste.


Crowns or caps restore severely damaged teeth. A crown is placed over your teeth and extends down to the gumline. Crowns are made with porcelain shaded as your existing teeth allowing it to blending perfectly with your smile.

With a crown we can:

  • Restore a tooth damaged by decay or trauma.
  • Protect a tooth that’s been weakened by root canal
  • Conceal a tooth that is discolored or unusually shaped
  • Improve the appearance of misaligned teeth


Bridges are a fixed option to replace missing teeth. Bridges use your existing teeth as pillars for crowns that support the crown of the missing tooth.

Root canals are necessary when you have a toothache. When a tooth hurts, it means the infection has spread to the nerve within and that needs to be treated. Once the nerve within a tooth is cleaned out and the canal is disinfected, the canal is sealed with a rubber like material called gutta percha. The tooth is then restored using filling and usually a crown to prevent further fracture of tooth. Root canal therapy is important to rid the mouth of infection but also to alleviate dental pain.

We always recommend saving all your teeth but sometimes that is just not possible as it might affect the health of your other teeth or your overall health.

Reasons for teeth extractions:

Broken teeth: If your tooth is broken to the point where it cannot be repaired with a crown or another restoration, we will need to extract it. Leaving the tooth in place will cause you a great deal of discomfort.

Severe gum disease: teeth that do not have sufficient bone structure to sustain or are loose are often extracted.

Severely decayed tooth: Most of the time, we can repair a damaged tooth. There are some cases, however, where a tooth with severe decay will need to be removed, particularly if it’s affecting your other teeth.

Failed root canal: In most cases, we will try to resolve an infection with a root canal. While this procedure is usually highly successful, there are some cases where the tooth cannot be saved.

Preparation for orthodontics: If your teeth are too tightly crowded because your jaw is small or your teeth are large, we may need to remove one or more teeth to make room for the others to have space for proper alignment.

Preparation for dentures: If you are already missing many teeth and you need dentures, we may need to extract any remaining teeth.

Dentures and partial dentures are a removable option to replace missing teeth.

Complete Denture: We will recommend a complete denture if you do not have any teeth or your remaining teeth are completely unhealthy.

Partial Denture: we will recommend a partial denture if you are missing several teeth but your remaining teeth are healthy to replace the gaps. The partial dentures comes with a metal structure and clasps that help maintain the prothesis in place with the help of your healthy teeth.

If you are looking to improve your appearance with a sparkling smile there are options for a brighter smile.

Teeth Whitening: We offer Zoom Whitening in-office. This gives a chance to monitor your progress. Professional whitening products contain ingredients to reduce sensitivity and the active ingredient in professional products is stronger so you get better results in less time.