Our Services

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CEREC

We are pleased to offer our patients superior technology using CAD (computer aided design) Cam equipment that fabricates highly durable ceramic restorations in one visit right here in our practice. Your teeth are restored back to its natural form, function and beauty all in a single appointment…so you can spend more time doing what is important to you.

After the doctor examines the tooth and determines the course of your treatment, he will prepare your tooth for restoration similar to traditional treatment methods. Your prepared tooth will then be coated with a safe, tasteless powder, which then allows the doctor to use a state-of-the-art digital 3D camera to create a digital impression. This digital image replaces the vinyl material impression required in traditional procedures. Next, the digital image is scanned into the computer, which allows the CAD software and the doctor to design and customize every precise detail of your restoration to exactly fit your specific clinical needs.

While you wait comfortably, your exact design is sent to the milling machine located in our sterilization area ready to create your restoration. In about fifteen minutes your all-ceramic and colored-matched restoration is ready for placement. Many of our patients stand by the milling machine to watch their restoration take shape and are in awe of the technology, while others enjoy the down time and have been known to take a snooze in the chair! Your new restoration is then fitted, polished and bonded in permanently back to its natural form, function and beauty.

In summary, why CEREC?

  1. single visit convenience
  2. no temporaries
  3. beautiful esthetics with color matched ceramic
  4. natural look and feel with enamel-like material
  5. clinically proven (millions of successful restorations worldwide)
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry
Silvestri & Comfort Family Dentistry

If you have any questions regarding this superior technology, please feel free to ask any of our knowledgeable staff and they will be more than happy to answer any of your questions.

Cosmetic

Bonding

Bonding is a procedure in which tooth-colored composite resin material is applied to tooth surfaces, sculpted into shape, bonded and hardened with a curing light, and then polished to match the surrounding teeth. Bonding is among the easiest and least expensive cosmetic procedures to improve the appearances of a chipped or fractured tooth, discolored tooth or close spaces between teeth. Bonding will give you a beautiful smile quickly, but over time, the color could be stained by coffee, tea or smoking. To prevent staining, it is important to brush your teeth often and to have them cleaned routinely by our hygienists. Also keep in mind that composite resin used in bonding is not nearly as strong as your natural teeth, so biting your fingernails or chewing on ice is going to shorten the lifetime of your bonding. Overall, bonding is the choice of treatment for patients who are looking to improve minor tooth imperfections and their smile.

Veneers

Veneers are fabricated from porcelain that are a thin, semi-translucent facing bonded to the front side of your teeth. Veneers are durable, stain-resistant, and very natural looking. Veneers on your teeth can correct nature’s mistake or even the results of an injury to help you have a beautiful and natural smile. They conceal broken, chipped, discolored, crooked and misshaped teeth with a minimal amount of preparation to the teeth. The procedure will typically require two appointments with the dentist and occasionally a quick visit to our local dental lab to have a custom shade fabricated with the lab technician to guarantee you the beautiful smile you have always wanted.

Veneers

Lumineers

LUMINEERS are a contact lens-thin porcelain technology that can provide you the beauty and strength, while preserving your natural tooth structure. That means anyone can have a beautiful smile, which can be a life-changing procedure.

In most cases, because LUMINEERS require little to no preparation, there is no anesthetic or discomfort, or removal of sensitive tooth structure. They can improve a wide variety of conditions such as unwanted spaces, discolored or stained teeth, or misshaped teeth. LUMINEERS can even bond to existing crowns and bridgework without having to replace them!

Typically, it will require two dental visits to have the smile you have always wanted.

If you have any further questions, ask our knowledgeable staff or visit www.lumineers.com to learn more about this innovative technology.

Before and After Before and After

Orthodontics / TMJ

Orthodontics is one of the specialties of dentistry that is concerned with the diagnosis and treatment of malocclusions, which may be a result of tooth irregularities and/or disproportionate jaw relationships. In many cases, it involves teeth that are crowded or crooked. In some cases, the upper and lower jaws may not meet properly. And in other cases, it could be both.

Orthodontics

Here at Silvesti Dental & Associates, we can help to correct the problem to create a beautiful and healthy smile for patients of all ages. Malocclusions often are diagnosed as early as five to six years of age, as the child’s permanent teeth erupt. By the age of seven, they have a mix of primary (baby) teeth and their permanent teeth, which is an ideal time to identify problems with erupting teeth and jaw growth. If there is concern for crowded, crooked or misaligned jaw positions, our recommendation is to have orthodontic records done to confirm the diagnosis.

Ortho records consist of taking a panoramic x-ray, a cephalometric x-ray, dental impressions and digital pictures done right in our office with one of our trained hygienists. Once the records are complete, a consultation with the doctor allows for your questions to be answered, treatment explained and a treatment plan customized for the patient.

Although treatment plans are specific to each individuals needs and depending on what conditions need correcting, children can expect to wear dental appliances for one to three years in phase one and then into braces for one to four years in phase two. For adults, treatment usually takes a little longer than a child’s due to the fact that an adult’s facial bones are no longer growing. But no matter what your age, it is never too late to improve your dental health and smile.

TMJ

TMJ

(called the temporomandibular joint) is a small joint that is located in the front of the ear where the skull and lower jaw meet. It allows for the lower jaw to move and function. TMJ disorders are not uncommon and have a variety of symptoms. Patients can often have the following symptoms:

  • Pain in or around the ear
  • Clicking or popping sounds in the joint
  • Headaches and/or neck aches
  • Limited ability to open mouth

Determining the cause of a TMJ disorder is important because it often is the cause that guides the treatment. Arthritis is one cause of TMJ symptoms. It can result from an injury or from grinding your teeth at night. Another cause is a displaced or dislocated disk that is located between the jawbone and socket. Stress may also trigger the pain in the jaw muscles when patients frequently clench or grind their teeth.

To help identify the source of the pain, we will perform a thorough exam and take a specific digital x-ray of your joints to make the diagnosis.

Treatment for TMJ can vary for each individual and may include short-term non-steroidal anti-inflammatory drugs for pain and muscle relaxation, bite plate or splint therapy, and even stress management classes.

Oral Surgery

Oral Surgery

Oral surgery is one of the specialties of dentistry that is concerned with the diagnosis and treatment of the mouth, teeth and jaw.

Here at Silvestri & Comfort Family Dentistry, we offer exceptional knowledge and care in our services that will exceed your expectations.

Among the treatments and conditions treated here at our practice are:

  • Tooth extractions: simple to surgical and baby teeth to wisdom teeth
  • Soft tissue biopsies for diagnosis
  • Tooth exposure for orthodontic treatment
  • Apicoectomy for re-infected root canal teeth
  • Placement of dental implants
  • Immediate dentures
  • Periodontal (gum) surgeries

The most common procedure done here at our practice is the extractions of wisdom teeth, otherwise known as third molars.

As you know, these are the final teeth to develop and they usually erupt in the mid to late teen years. Wisdom teeth can actually be a valuable asset to the mouth when they are healthy and properly positioned. Often times though, when the jaw isn’t large enough to accommodate wisdom teeth, they can become impacted in the jawbone and problems may develop. Therefore, the recommendation is to have them removed.

Another procedure done here at Silvestri & Comfort Family Dentistry is the placement of dental implants. With the advances in technology, they can be placed and often restored in one visit! The healing period is minimal and the results are absolutely amazing.

As with all of our services we offer here at Silvestri & Comfort Family Dentistry, if you have any questions regarding any treatment we provide, please feel free to ask any of our knowledgeable staff. We will be more than happy to explain a procedure to you.

Conscious Sedation

Conscious Sedation

Here at Silvestri & Comfort Family Dentistry we have an amazing variety of protocols available to our patients who for one reason or another have dental fears. It is important to know that a visit to the dentist can be a positive and rewarding experience for you, our patient and us, your dental staff. According to the latest statistics, nearly 30% of Americans are afraid of the dentist. They avoid dental care at all costs, even when they are in pain or distress. But it no longer has to be that way here at Silvestri & Comfort Family Dentistry.

With the use of sedative gas and/or medications, our highly trained dentist and hygienists can help make you more comfortable so it allows the doctor and staff to work more effectively, accomplishing more in less time with exceptional quality. Sedation dentistry provides a dental experience that is like no other…hours seem like minutes and recovery is a dream.

With nitrous oxide and sedation medications, they have been subjected to rigorous research and testing proving that they are safe and have been effectively used for decades. Several of the medications have amnesic properties, meaning that you remember little to nothing of your time in the chair. While other medications simply aid in creating a relaxing and calm experience. With conscious sedation, the patient will always be able to verbally and physically respond to cues and questions from the doctor or staff.

The first step to getting the extraordinary dental care you want and deserve, is to have an appointment with us to review your health history, take x-rays, and have a dental exam. As we gather information about your health, we will discuss your wants and desires.

It is also important to talk to the dentist about your fears and concerns, as it will only allow us to make this as easy as possible for you. With the variety of protocols available, we can customize your treatment to your own physiological and pharmacological needs.

While these amazing methods and medications cannot make dental fear disappear, they can give you the confidence and peace of mind to experience quality dental procedures in a whole new way. You might even surprise yourself to gain the self-confidence to get over your fears. Let us here at Silvestri & Comfort Family Dentistry help you.

Implants

Implants

Dental implant therapy has been one of the most significant advances in dentistry over the past twenty-five years. There are several different types implants and restorations available and the choice depends on a few factors. Those factors are: the amount of bone available, the patient’s general health and the preference of restoration. The option that will work best for you can be discussed in great detail with the doctor.

Placement of the mini implants is accomplished easily and quickly in a procedure performed right in our office with either local anesthesia or conscious sedation. Using a precise, controlled and minimally invasive technique, the implants are placed into the jawbone. The titanium implant acts like the root of your tooth and the head of the implant that is shaped like a ball protrudes from the gum tissue providing a solid foundation for your restoration. Because of the minimally invasive nature of this procedure, the healing period is not a lengthy period and the care and maintenance of your implants is as if they were your own natural teeth.

Implants

A specific technique for these mini implants has revolutionized dentistry for denture stabilization. What this means for denture wearers is a denture that feels secure and is being held firmly in place, which means you can eat comfortably, laugh and talk with confidence. It can truly improve the quality of your life.

IMTEC is the global leader in minimally invasive implantology. They produce high quality and comprehensive systems that meet and exceed the regulations set by the authorities and the guidelines of the FDA. This is one reason why Dr. Silvestri continues to attend more of their hands-on seminars and continues to offer more treatment options for our patients looking to improve their smiles.

Another treatment option in regards to dental implants is the placement of Zimmer dental implants. For more than two decades, Zimmer dental implants have been helping to improve the quality of life of patients with restorative needs. Dr. Silvestri has attended multiple two-three day hands on advanced training programs in order to offer our patients the most advanced treatment available today.

Single tooth replacements look, feel and perform similar to your natural tooth, which can provide many advantages over traditional treatment options such as:

  • Help preserve surrounding bone by replacing the tooth root
  • Does not compromise adjacent teeth to support a bridge
  • Requires similar oral care as a natural tooth

Multiple tooth replacement may be the solution for you if you are missing multiple teeth. With an implant-supported bridge, it will stay secure and strong along with other advantages such as:

  • Restore a more secure biting ability than a removable denture
  • Maintain your surrounding bone and soft tissue providing a natural-looking restoration
  • Improve appearance and self-esteem

Complete upper or lower tooth replacement for those who currently use a removable full denture, could also benefit with an implant-supported denture. Some advantages are:

  • Virtually eliminates slipping and movement of denture
  • Provides comfort and security in knowing the denture won’t dislodge
  • Enjoy your favorite food with ease

By working together with Zimmer Dental, Dr.Silvestri can offer you the most advanced implants and prosthetics available today. Visit our video library to learn more…to find out if Zimmer implants may be the right solution for you, please feel free to ask us for an evaluation at your next visit or contact us today to schedule a consultation.

Periodontics

Periodontics

Periodontics is one of the specialties of dentistry concerned with the prevention, diagnosis and treatment of diseases affecting the gums and supporting bone of the teeth. Here at Silvestri & Comfort Family Dentistry, we take your periodontal health very seriously.

Your gums are an important foundation for your teeth and provide stability for all of your dental work, so it is important to keep them healthy for many reasons. Periodontal disease is the most common chronic bacterial infection in adults (affecting 3 out of 4), and if not treated properly, it can spread rapidly throughout your entire foundation and threaten your overall health.

Periodontal disease attacks just below the gum line in the sulcus where they cause the attachment of the tooth and its supporting tissues to break down. As the tissues are damaged, the sulcus develops into a pocket. Naturally, the more severe the disease, the greater the depth of the pocket.

The severity of the disease is classified in two stages, gingivitis and periodontitis. Gingivitis is a milder and reversible form that only affects the gums but may lead to a more serious, destructive form if left untreated called periodontitis.

Some factors can increase the risk of developing periodontal disease. They are the following:

  • Tobacco smoking or chewing
  • Systemic diseases such as diabetes or leukemia
  • Some types of medications such as steroids, cancer therapy drugs, and oral contraceptives
  • Pregnancy
  • Genetics
  • Crooked teeth, defective fillings, or dental bridges that non longer fit properly

There are also several warning signs that can signal a problem:

  • Gums that bleed easily while brushing or flossing
  • Red, swollen, tender gums
  • Persistent bad breath or bad taste
  • Permanent teeth that are loose or separating
  • Change in the way teeth fit together when you bite

It is possible to have periodontal disease and have no warning signs. That is one of the many reasons why regular dental prophylaxis and periodontal exams are very important. Treatment methods depend upon the type of disease and how advanced the condition is. Good oral hygiene is essential to keep periodontal disease from becoming serious or recurring.

Remember… you do not have to lose teeth to periodontal disease! Brush, floss, and schedule regular dental visits for a lifetime of healthy smiles.

Restorative

Restorative

Thanks to advances in modern dental materials and techniques, dentists have many more options for our patients to create beautiful, natural-looking smiles. To know which treatment is the choice for you, below is an explanation of the most common restorations we provide here at Silvestri & Comfort Family Dentistry. The ultimate decision about what to choose is best determined by the patient after discussing your options with the doctor.

White/Composite Fillings

Made of tooth-colored composite resin material, composite fillings can restore the teeth’s natural beauty. Composite fillings can be matched very closely to your natural tooth color and are virtually indistinguishable from non-restored teeth. These fillings are excellent options for front teeth, and may even be suggested for selected areas on back teeth as well. The composite material we use has proven to be extremely durable and stain resistant with proper home care.

Air Abrasion

A drill-less technique that removes decay from the tooth surface, making some procedures less invasive and faster for the patient than conventional treatment. Typically, no anesthesia is required for this procedure. During air abrasion, a fine stream of sand-like material is released under high pressure aimed directly at the decayed portion of the tooth. The particles of sand and decay are suctioned away to then allow the placement of a composite filling. Air abrasion is best suited for removing small cavities that form early on the surfaces of teeth.

Amalgam Fillings

Amalgam fillings are safe, durable, highly resistant to wear and easy to work with which is why it still remains a valued treatment option for teeth in the back, preferably the molars.

Crowns

A crown is a restoration that covers the whole tooth in order to strengthen it as well as restore it to its natural shape and size. Crowns can be fabricated with a porcelain-fused-to-metal, all-porcelain, or gold alloy. A few reasons why a crown is placed are to support a large filling with little tooth structure remaining, to restore a fractured tooth, or to restore a tooth treated with root canal therapy. We only use materials for crowns that provide the longest lasting benefits to our patients.

CEREC

The fabrication of a highly durable ceramic dental restoration all in one office visit thanks to the superior technology of CAD cam equipment.

Bridges

A fixed bridge is used to replace missing teeth. A bridge helps to create a normal bite and to prevent the drifting and tilting of adjacent teeth. Bridges are composed of abutments and pontics. The abutments on a bridge are the crowns that are placed on the sound teeth on both sides of the space (from the missing teeth) and the pontics are the artificial teeth/crowns that are attached to the framework that fill in the space. Bridgework consists of a few appointments spaced accordingly for the doctor and dental lab to create a functional and natural looking bridge for you. Once the bridge is completed, it is cemented in for a permanent solution to replace your missing teeth.

Dental Implants

dental implants replace teeth that have been missing congenitally since birth, or have been lost due to gum disease, infection, trauma or decay. Dental implants look, feel, and function like your natural teeth because they are made of titanium metal that is highly compatible with the jawbone. As a result of the compatibility, it allows for a successful restoration to then be fabricated to create an exceptional result.

Endodontics (Root canal therapy)

A root canal is a routine procedure done here at Silvestri & Comfort Family Dentistry that treats a tooth that has become severely decayed or infected. Root canal therapy has advanced significantly in technology that enables the doctor to treat the tooth more effectively and efficiently. With the advances in technology, it allows the treatment to be completed comfortably and often in only one appointment.

Root Canal

A few reasons of how a tooth’s nerve can be damaged or infected are: deep decay, large fillings, crack in tooth or trauma to the mouth. When the nerve is damaged, it breaks down and bacteria begin to multiply in the pulp. The bacteria can then cause an infection or abscessed tooth. An abscess occurs when the infection has spread all the way past the ends of the roots of the tooth that can cause swelling to spread out to other areas of the face, neck or head, bone loss around the tooth and/or a pimple on the gums.

Some indications or symptoms that root canal therapy is needed may be the following: pain or throbbing while applying pressure, prolonged sensitivity to hot and cold, darkening of the tooth, and/or swelling and tenderness in nearby gums.

The first step in making the diagnosis is to have the doctor take an x-ray of the tooth to determine if there are signs of infection in the surrounding bone.

Root Canal

During a root canal procedure, using local anesthesia, the doctor cleans out the decay portion of the tooth and creates an access hole into the pulp chamber of the tooth, which will then allow the cleaning out process of the canals using rotary and hand held root canal files. A series of these files are instrumented in a specific and meticulous routine to clean out the debris down the full length of the canals and is periodically rinsed with sodium hypochlorite to flush away the debris.

Once the tooth is clear of debris, the canals are then dried and filled with a sealer paste and a rubber compound called gutta percha.

A final x-ray is taken for the doctor to verify the results. Once the root canal is completed, the doctor will place a temporary filling into the access hole to protect the tooth while the healing occurs.

Depending on the extent of the infection, the doctor will prescribe an antibiotic after the treatment to help with the healing of the tooth.

Approximately one month later is when the permanent restoration is ideally performed, as teeth treated with root canal therapy will need a filling or crown placed to protect it from breaking down.

Root canal treatment is a highly successful treatment. With advanced technology and the doctor’s knowledge, many teeth treated with root canal therapy could last a lifetime.

Crowns & Bridges

Here at Silvestri & Comfort Family Dentistry we take great pride in our crown and bridgework. Every detail of the procedure from the initial impression, to the temporary, and to the final insert, you can expect only the finest. The results are exceptional and you will be pleased with the look, feel and quality of your restoration.

Crown

The Crown Process

A crown is a restoration that covers the whole tooth in order to strengthen it as well as restore it to its natural shape and size. Crowns are recommended for many different reasons. A number of the reasons why are the following:

  • to support a tooth with a large filling with little tooth structure remaining
  • to restore a fractured or broken tooth
  • to restore a tooth treated with root canal therapy
  • to restore a tooth that is cracked to prevent further damage
  • to correct discolored or misaligned teeth

To prepare the tooth for a crown, it requires two appointments with the doctor. At the first visit, the tooth is reduced by approximately two millimeters so it allows for the crown to fit over it. Next, impressions of the teeth are taken to send to the lab for fabrication of the crown. A temporary crown is then custom fitted over the tooth to protect the prepped tooth and cemented with temporary cement until the crown insert appointment. Two to three weeks later is the second visit at which this time is when the temporary crown is gently removed and the permanent crown is adjusted and cemented in with permanent cement. The end result is a restoration that looks and feels amazing and we often have patients comment that they cannot even tell which tooth just had a crown!

Bridge

Bridge

A bridge is a dental restoration that is routinely used to replace missing teeth. Bridges are an excellent choice of treatment when teeth are missing because they help to create a normal bite and prevent the drifting and tilting of adjacent teeth. On a dental bridge, the pontic is the false tooth attached to the framework of the bridge that fills in the space left by the missing teeth. The abutments are the crowns placed on the adjacent and sound teeth that support the entire framework of the bridge. The end result is a single piece framework that resembles individual teeth without even knowing that one is missing.

To prepare teeth for a bridge, it is similar to having a crown done with the exception that there are more teeth involved and it requires three appointments with the doctor. At the first visit, the teeth are reduced by approximately two millimeters so it will allow the bridge to fit, impressions are then taken to send to the lab to fabricate the framework, and next a temporary bridge is custom fitted and cemented. Two weeks later is the second appointment at which this time is when the metal framework of the bridge is fitted in to make any necessary adjustments, if any. At this time is when we also verify a shade to match your smile to guarantee a natural looking bridge. We then send the metal framework back to the lab so they can add on the porcelain to create a beautiful restoration. The third and final appointment is approximately a week later. This is when the permanent bridge is adjusted and cemented in for a restoration that is functional and natural looking.

Full & Partial Dentures

Full dentures

If you have lost all of your natural teeth, whether from decay, periodontal disease or trauma, full dentures can replace your missing teeth and your smile. Replacing your missing teeth will benefit your appearance and your health. Without support from a denture, facial muscles sag, making a person look older. You will also be able to eat and speak better, things people take for granted until their natural teeth are lost.

Dentures

There are various types of full dentures. A conventional denture is made and inserted after the remaining teeth are removed and healing has occurred (which may take several months). An immediate denture is made and inserted immediately after the remaining teeth are removed.

Partial

With immediate dentures, the patient does not have to be without teeth during the healing period, but will require many adjustments and a reline of the denture after complete healing. An overdenture is a denture that snaps onto your jawbone by having implants placed in specific areas of your jaw to hold it in place.With an overdenture, there are additional expenses involved, but they can solve a number of problems that are common with dentures.

Partial dentures

A removable partial denture fills in the spaces created by missing teeth and fills out your smile. A partial denture helps you to properly chew food, a difficult task with missing teeth. In addition, a partial denture may improve your speech and prevent a sagging face by providing support for your cheeks and lips.

Preventive Services

Preventive Care

The providers and staff of Silvestri & Comfort Family Dentistry are pleased to be able to offer preventive dental services to every age group and every member of your family. Prevention and education are very important in our practice, which is why we offer a wide range of services to meet the needs of your family. Below is an explanation of the services we offer…

Regular prophylaxis (prophy/cleaning)

These important appointments allow our doctors and hygienists to monitor your oral health and clean under your gum line where the toothbrush cannot reach. They also help promote healthy gums and teeth by removing the plaque and tarter that can cause decay and gum infection, while educating you about your oral health.

Fluoride treatments

Fluoride is an important component of dental health in that fluoride helps to strengthen the enamel on your teeth, making it more difficult for cavities to begin. It is recommended to have fluoride treatments applied every six months at your prophy appointment.

Preventive Care

Sealants

Sealants are a protective resin placed on the chewing surfaces of the back teeth. The resin is bonded into the pits and grooves of the teeth acting as a barrier, protecting the enamel from plaque and acid. Ideally, sealants are placed on children’s permanent molars as they erupt before they have a chance to decay. Adults can also benefit from sealants as well provided the teeth do not show evidence of decay. As long as the sealant remains intact, the tooth surface will be protected. Applied correctly, sealants hold up well under the force of normal chewing and can last several years. During your regular prophy appointments following placement, the doctor and hygienist will check on the condition of the sealants to maximize the prevention of decay.

Oral cancer screenings

Did you know that an estimated 7,500 people will die of oral cancer in a year? Oral cancer screenings are a routine part of your dental exam. Regular exams of your entire mouth are essential in the early detection of cancerous and pre-cancerous conditions. Knowing the risk factors, the early signs and seeing your dentist for screenings can help prevent this deadly disease. We are truly committed to the prevention and early detection of oral cancer with our knowledge and technology.

Preventive Care

Periodontal exams

Periodontal (gum) disease is the leading cause of tooth loss in the United States. It is possible to have periodontal disease and have no warning signs, which is why we will examine your gum tissues to insure that gum disease is detected in its early stages when it is in reversible form.

Good oral hygiene is essential to keep periodontal disease from becoming serious or recurring. We take the health of your gum and bone tissues seriously to give you a lifetime of healthy smiles.

Caries exams

During this visual examination, we locate areas of decay on the chewing surfaces and in between the teeth. The doctors use both clinical exams and x-ray findings to determine the most conservative treatment plan for your dental needs.