Services & Care

General Dentistry
  • Composites
  • Crowns
  • Dentures
  • Extraction
  • Mouth Guards
  • Invisalign®
  • Periodontal Therapy
  • Root Canal Therapy
  • Sealants
  • Teeth Cleaning (Prophylaxis)
  • Digital Radiography (X-Rays)
  • Dental Implants
  • Mini Dental Implants
Cosmetic
  • Teeth Whitening
  • Porcelain Veneers
  • Bonding
  • Posterior Porcelain Inlay/Onlay
Select a Service from the list to the left to view a full description . . .
Composites

Composites are a plastic-like material in the resin family used to fill teeth. The traditional composite resins are made up of a large amount of inorganic filler particles bound by an organic polymer matrix or mesh. The newer generation composites have superior properties which include higher strength, hardness, elasticity, abrasion resistance and high polish ability to make the restoration appear life-like. Uses include cosmetic, filling cavities, correcting size, color and shapes of teeth. They can be used in front as well as back teeth.
Crowns

This procedure covers the tooth to strengthen a damaged tooth. The tooth may have been damaged by decay, or have a previous restoration that has fractured. Root Canal teeth are also crowned if sufficient tooth is missing or if the dentist feels that the tooth will last longer by protecting it with the crown. There are several types of crowns. Dr. McComb and patient will make the decision as to which one is best for the patient.

This involves several phases. In the first phase, Dr. McComb prepares the tooth and a temporary is fabricated and used to temporize the tooth while the crown is being processed in a dental laboratory. The second step is inserting the permanent crown. Failing to return to have the permanent crown placed can cause damage to the underlying tooth due to weakness and poor fit of the temporary crown.
Dentures

This is a removable appliance that is custom fabricated for the patient to replace missing teeth. The materials used are made of acrylic resins alone or in conjunction with various metals. A partial denture replaces some teeth where the patient has some remaining permanent teeth. A complete or full denture replaces all teeth. An immediate denture, whether complete or partial, involves placing the appliance the same day the teeth are removed.
Extraction

An extraction is the removal of a tooth or teeth that is non-restorable, non-useful, or harmful to the patient. There are do's and don’ts that should be discussed by each individual and Dr. McComb

Post extraction precautions include some of the following:

  • Pressure-bite on gauze or sponge over extraction site for at least 45 minutes after procedure.
  • No rinsing or mouthwash use for at least 24 hours post extractions.
  • Rinsing may be allowed after 24 hours depending on the patient with warm salt water (i.e. 1/2 teaspoon salt in approximately 8 ounces of water every two hours). It is best to still avoid mouth-rinses.
  • Avoid any pressure that may dissolve clot such as using straws, smoking, etc.
  • Avoid brushing the first 24 hours.
  • Avoid alcohol for a few days.
Mouth Guards

A mouth-guard is an appliance made to protect teeth and surrounding tissue from oral trauma during athletic or physical activities. The mouth-guard can be prefabricated or stock, or custom made by Dr. McComb. Custom fit mouth-guards have been shown to be more comfortable. For children, they must be changed as new teeth erupt.

It is known that mouth-guards can prevent serious injuries such as jaw fractures, neck injuries, concussions, and teeth fractures. Studies have reported that concussions can be decreased by almost 50% by wearing a mouth-guard. Any activity where there is a strong chance for contact, it is recommended that the mouth-guard be worn.
Invisalign®

Invisalign® is the invisible way to straighten teeth using a series of custom made, nearly undetectable aligners. Invisalign® has been proven effective in both clinical research and our practice. Invisalign® uses the latest in 3-D computer technology.

Dr. McComb translate the instructions to Invisalign®, and from that, produces precise customized aligners. You then wear each set of aligners for about two weeks. Week by week, millimeter by millimeter, you'll achieve the intended results -- straighter teeth.

Periodontal Therapy

Periodontal Therapy (including scaling, root planing or deep cleaning) is a procedure whereby a hygienist removes the deposits from under the gum line. Plaque and tartar is removed from the root surface. The procedure is usually performed under local anesthesia so as to make the patient more comfortable. Many times it can be performed in two to four visits depending upon the amount of deposit or inflammation present.
Root Canal Therapy

A root canal is needed when the pulp or nerve of a tooth gets affected by decay or trauma. The blood flow within the tooth rushes to the site of inflammation in order to aid the tooth, but what occurs as a result is a pressure on the nerve endings which generates the pain response. It is a slow progression whereby decay may invade the pulp space and travel through the canal and settle at the end of the root.

Other causes of nerve pain can be fractures of teeth, large fillings that are not tolerated by the pulp or constant trauma to the tooth. Treatment involves cleaning the canal space by removing the infected or affected nerve, washing the space and filling the space with an inert, rubber-like material that helps seal the space. Bio-compatible cements are used with this material to seal any smaller openings.
Sealants

Dental sealants are thin plastic coatings which are applied to the chewing surfaces of the back teeth to prevent decay. Most tooth decay in children and adolescents occur on the chewing surfaces of these back teeth or molars. This is because molars have irregular surfaces with pits and grooves which tend to trap food and bacterial debris.

Sealants flow into and coat these pits and grooves so that bacteria cannot multiply and cause decay. The teeth most likely to benefit from sealant applications are the first and second molars just after they have erupted and before decay has had a chance to occur. Generally, the first molars erupt at six years old and second molars at about twelve years old.
Teeth Cleaning (Prophylaxis)

Prophylaxis is a procedure where a dental hygienist removes plaque and tartar from the teeth. This will make the gums and teeth healthier. It is not uncommon for patients to note that teeth appear slightly more sensitive after a dental cleaning. The reason for this is that plaque and tartar coat the tooth surface and shield them from substances in the mouth. Once they are removed a transient sensitivity may occur, but soon leaves. It is important for one to brush and floss after every meal to prevent build-up of plaque and tartar.
Digital Radiography (X-Rays)

X-Rays are an important tool that provides Dr. McComb the ability to examine the roots, jaw, and facial bones of the patient. X-Rays aid Dr. McComb in determining the degree of decay, periodontal disease, abscesses or any pathology, i.e. cysts or tumors that may not show clinically through a visual examination alone. Most new patients have a full set of X-Rays taken and check-up X-Rays are taken as needed.

Digital X-Rays significantly reduce patient exposure to radiation. The digital sensor is much more comfortable in the mouth and no chemicals are used to produce the film, benefiting our environment. The images are displayed instantly and clearly on a large monitor and can be enhanced to highlight specific conditions or areas. The ease and proficiency of digital X-Ray is appreciated by Dr. McComb and our patients.
Dental Implants

Dental implants are designed to provide the foundation for Dr. McComb and Dr. Jewett to replace missing teeth to form and function. The patient has the ability to eat virtually anything. Facial contours and tooth space is also maintained by replacing missing teeth. Implants are fabricated of titanium posts which are inserted into the jaw bone where the teeth are missing.

There are many different types of implants and the determination is made on examination of Dr. McComb and Dr. Jewett. Once the implant is placed, a healing time is needed, which may take up to six months. Once the implant is ready, it acts as if it were a tooth root substitute. Dr. McComb can now perform restorative treatment.
Mini Dental Implants

The MDI System was developed in order to provide greater denture stability for those patients who cannot withstand the rigors of conventional implant surgery or do not have enough bone to allow for full-sized implants to be placed.

With the 'Mini's, you will eat comfortably, laugh and talk with confidence. Your denture will feel secure and is being held firmly in place.
Teeth Whitening

Teeth Whitening is a safe, effective way to lighten the color of teeth. A mold of the teeth is taken to fabricate bleaching trays which custom fit the patient's mouth. The patient wears these trays usually for 30-45 minutes or overnight, depending on the product strength selected. Most treatment takes two weeks; however, more time may be needed in severely stained or discolored teeth. We remind you that dentist-supervised treatments remain the recommended procedure for lightening discolored teeth.
Porcelain Veneers

Veneers are porcelain wafers that are laboratory fabricated and are bonded onto the tooth. They are highly aesthetic and life-like. They are designed to correct colors, sizes, shapes, spaces and alignments of teeth. Veneers are stronger and more durable than composites.
Bonding

Bonding is a procedure whereby Dr. McComb uses special dental adhesives between the tooth surface and another material. The tooth is first chemically treated with a special dental acid which causes microscopic porosites in the enamel. The adhesives form a bond with the bonding material. These materials come in various colors and shades.

There are also flow-able and dough-like materials. Dr. McComb choose the one that best suits the procedure. The materials at present are highly polish-able, are very strong and most last quite a long time. Some even contain fluoride which aids in preventing new cavities from forming. Bonding uses include restoring chips, filling holes, spaces or discoloration.
Posterior Porcelain Inlay/Onlay

This is a highly aesthetic, non-metallic restoration that is bonded on the prepared tooth to restore the beauty, strength and function of the tooth. The procedure is similar to that of a crown; however, due to new techniques of minimal invasiveness, Dr. McComb try to maintain as much sound tooth structure as possible.

An accurate impression is taken of the tooth, a temporary filling is placed, and a porcelain restoration is fabricated by the dental laboratory. Upon return, the tooth is chemically prepared, and the inlay/onlay is bonded onto the prepared tooth. The bite is adjusted and polished. The tooth is once again functionally restored to its almost natural form.