Cleaning and Maintenance
Dental Exam:A comprehensive dental exam will be performed on your initial and regular check-ups. Comprehensive
dental exams include examinations of diagnostic x-rays, cancer screenings, gum disease evaluation, and examination of
tooth decay as well as existing restorations.
Dental Cleaning:Cleanings are performed by registered dental hygienists. Removal of plaque and tartar
will ensure minimal decay of the patients teeth as well as preventing periodontal (gum) disease. A final polishing will be
performed to remove any leftover plaque otherwise removed during the procedure.
Fluoride Treatment:Fluoride is the most effective agent used in prevention against tooth decay. Fluoride acts on
the tooth by strengthening enamel. Fluoride treatment is recommended for children twice a year (in accordance with
biannual dental cleanings).
Digital X-rays: Most modern form of X-rays. X-rays enable the dentist to view onsets of decay not seen to the naked
eye. Using an electronic sensor, the X-ray is stored and uploaded as a digital image on the computer. This technique
reduces radiation significantly compared to traditional film X-rays. Digital X-rays allow for immediate viewing as well as a
cut in the environmental impact previously onset by film X-rays.
Panoramic X-rays:Panoramic X-rays are generally taken every 5 years. The view of this specific X-ray allows for a
broad X-ray not specifically focused on an individual tooth. The panoramic X-ray eliminates the need for an inter-oral
sensor which may be excluded in cases of extreme sensitivity/pain.
Dental Associates of Rockville, LLC
Dr. David C Janton, DMD
Endodontics, Periodontic, TMJ Disorders
Endodontics (Root Canal) Therapy: Most endodontic therapy is completed in our office. Endodontics is a
specialized branch of density that deals with the complex structures found inside the teeth. Teeth with diseased nerve
damage would normally be removed, however, due to the superiority of natural healthy teeth, root canals may be
performed to enable to security of a patients natural tooth. Root canals consist of the cleaning and disinfection of the
present canal followed by the filling of material to prevent any further infection.
Nightguards and NTI Appliances: Grinding and clenching of the teeth can cause symptoms that may include
jaw stiffness, migraines, earaches, headaches, sleep disorders, and tooth damage. Treatment for these problems include
custom mouthguards and NTI devices. Guards are molded from impressions and are worn to prevent tooth damage and
irritation of the temporomandibular joint by placing a barrier between the entire upper and lower teeth. NTI devises are
appliances molded to fit over the front teeth preventing clenching of back molars which has been shown to be highly
successful in eliminating migraine headaches.
Periodontal Disease: Periodontal disease attacks the gum-line and bone that supports the teeth. Plaque is a sticky
film of food debris and bacteria that if untreated will eventually turn into calculus (tartar). The plaque and tartar build up
start to destroy the gums and bones supporting the teeth. Periodontal disease is characterized by red, swollen, and
bleeding gums. Periodontal exams are performed at regular check-ups and can be prevented by consistent and careful
maintenance of the teeth.
Composite Fillings: Composite fillings are the most common way to repair tooth cracks, fractures, and decay.
Decayed or affected regions are removed while the tooth is numb. The removed area is then cleaned and carefully
prepared for new fillings. The filling is then placed, shaped and polished. Sensitivity to hold/cold is normal after a filling is
done. Sensitivity may last a couple of days as the tooth is adjusting to the new filling. If sensitivity persists for a week,
notify your Dentist.
Bridges: A fixed dental bridge is a non-removable appliance that makes for a reliable and sturdy way to replace
missing teeth. The traditional bridge is made of porcelain fused metal but today many bridges can be metal free. The
bridge consists of two crowns that cover the abutment teeth and attach to the artificial teeth that "bridge" the gap
between the two crowns.
Dental Implants: Dental implants are used to replace missing teeth as well provide a permanent solution to partial
or complete dentures. Implants are artificial titanium roots that are surgically placed into the upper/lower jaw by an oral
surgeon or Periodontist.
Complete and Partial Dentures: Dentures are removable appliances used to replace missing teeth as well as
surrounding tissue. Complete dentures are used when all teeth are missing and need replacement. Partial dentures are
used to replace specific teeth in addition to stabilizing surrounding teeth and preventing future shifting.
Veneers: Veneers are very thin prosthetics of durable porcelain that are shaped and bonded to the front of
the tooth. Veneers can reshape the structure of your tooth and may be alternatives to orthodontics.
Crowns: A crown is a covering that encases the entire tooth surface, restoring it the its original shape and
size. A crown protects the tooth structure as well as strengthens structure that is otherwise not curable by fillings or other
restorations. The initial visit will require preparations, impressions as well as insertion of a temporary crown. This
temporary crown will be replaced with a laboratory-made permanent crown in the following visit.