Common Procedures

As a family practice, we focus on patient care and tending to their individual needs. Dr. Gilleland has more than 20 years of experience treating complex dental cases with state-of-the-art technology. We believe that dentistry isn’t only about improving our patients’ oral health, but their lifestyle and confidence as well.

When it comes to dental care in Port Charlotte, we understand that you have a choice. Our office has built an unmatched reputation not only in the services we provide, but in the comfortable environment we create. Whether you are in need of a simple exam and cleaning or require the restoration of function and aesthetics with cosmetic dentistry, Dr. Gilleland will exceed your expectations.

Come see why we’ve been voted a Top Dentist in Sarasota Magazine for the past five years! Schedule an appointment at our Port Charlotte dental office today!

Topics on this page

Regular Exams and Cleanings | Bonding | Bridges | Crowns | Dentures | Extractions | Fillings | Fluoride | Implant Restoration | Mouthguards | Nightguards | Sealants | Veneers | Wisdom Teeth


exams and cleanings

Regular Exams and Cleanings

Regular exams are an important part of maintaining your oral health. During your regular exam, we will:

  • Check for any problems that you may not see or feel
  • Look for cavities or any other signs of tooth decay
  • Inspect your teeth and gums for gingivitis and signs of periodontal disease
  • Perform a thorough teeth cleaning

Your regular exam will take about 45 minutes. Each regular exam includes a detailed teeth cleaning, in which we will clean, polish, and rinse your teeth to remove any tartar and plaque that have built up on the tooth's surface.

Visiting our office every six months gives you the chance to talk to the doctor about any questions you may have about your oral health. Regular exams are offered by appointment only, so please contact our practice today to schedule your next dental exam and teeth cleaning.

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Bonding

bondingBonding on the anterior of front teeth is an excellent method for repairing minor imperfections such as chips and stains. It can also be used to fill gaps between the teeth called diastema. Although no cosmetic dentistry procedure can take the place of good oral and periodontal hygiene, bonding can brighten your smile quickly and easily.

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Bridges

bridgesYou have one or more missing teeth due to decay or an accident. This loss changes the look of your smile, your bite, and puts stress on surrounding teeth to compensate for the lost tooth. One option Dr. Gilleland may suggest for replacing the lost tooth is with a bridge. The missing tooth is replaced with an artificial tooth connected between two crowns (caps) which are permanently cemented or bonded on the adjacent teeth.

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Crowns

fillingsYou are eating dinner and suddenly you are holding half of one of your teeth in your hand. Weakened by a fracture or a large filling, the tooth is now in obvious need of repair. Dr. Gilleland may suggest a crown, an artificial replacement of the upper part of the tooth, to restore the function and look of the damaged one. Crowns can be made from several different kinds of materials, and based on location, aesthetics, and cost, the right one to repair your damaged tooth can be selected.

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Dentures

denturesDentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all of the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed. Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they’re not in use, and be sure to keep your tongue and gums clean as well.

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Extractions

extractionsThere are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.

When it is determined that a tooth needs to be removed, your dentist may extract the tooth during a regular checkup or may request another visit for this procedure. The root of each tooth is encased within your jawbone in a “tooth socket,” and your tooth is held in that socket by a ligament. In order to extract a tooth, your dentist must expand the socket and separate the tooth from the ligament holding it in place. While this procedure is typically very quick, it is important to share with your doctor any concerns or preferences for sedation.

Once a tooth has been removed, neighboring teeth may shift, causing problems with chewing or with your jaw joint function. To avoid these complications, your dentist may recommend that you replace the extracted tooth.

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Fillings

crownsIt may be hard to smile, even if you want to, when your teeth are uneven, chipped or discolored. If this is your problem, porcelain veneers could be the solution. Although no cosmetic dentistry procedure can take the place of good oral and periodontal hygiene, porcelain veneers applied over your natural teeth can easily brighten your smile and your self-esteem.

More conservative than a crown, inlays and onlays are two methods of restoring normal tooth structure after decay or other damage. Inlays and onlays are known as indirect fillings because unlike a standard filling that is done in a dentist's office, both are made in a laboratory and cemented or bonded to the surface of the tooth during a second visit to the dentist. And unlike standard fillings, inlays and onlays do not weaken the tooth structure, but actually strengthen it. After the procedure the tooth can bear up to 50-75% more chewing force.

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Fluoride

flourideFluoride is effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth’s surface. A fluoride treatment in your dentist’s office takes just a few minutes. After the treatment, patients may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or your doctor’s recommendation, you may be required to have a fluoride treatment every three, six, or 12 months.

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Implant Restoration

implantsWhether missing one tooth or all their teeth, more and more people are replacing the loss with dental implants. Having a more natural feel than traditional bridges or dentures, most implant procedures involve placing metal anchors into the bone of the jaw, allowing the anchor and bone to fuse, placing an extension or abutment in the anchor, and fixing a prosthetic tooth, or crown, on the extension. After undergoing this multi-step process, many patients find they have better feeling, better looking and more stable solution to their tooth loss than more traditional dental reconstructive approaches.

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Mouthguards

mouthguardWhether you wear braces or not, protecting your smile while playing sports is essential. Mouthguards help protect your teeth and gums from injury. If you participate in any kind of full-contact sport, the American Dental Association recommends that you wear a mouthguard. Choosing the right mouthguard is essential. There are three basic types of mouthguards: the pre-made mouthguard, the “boil-and-bite” fitted mouthguard, and a custom-made mouthguard from your dentist. When you choose a mouthguard, be sure to pick one that is tear-resistant, comfortable and well-fitted for your mouth, easy to keep clean, and does not prevent you from breathing properly. Your dentist can show you how to wear a mouthguard properly and how to choose the right mouthguard to protect your smile.

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Nightguards

nightguardIf you often wake up with jaw pain, earaches, or headaches, or if you find yourself clenching or grinding your teeth, you may have a common condition called “bruxism.” Many people do not even know that they grind their teeth, as it often occurs when one is sleeping. If not corrected, bruxism can lead to broken teeth, cracked teeth, or even tooth loss.

There is an easy, non-invasive treatment for bruxism: nightguards. Nightguards are an easy way to prevent the wear and damage that teeth-grinding causes over time. Custom-made by your dentist from soft material to fit your teeth, a nightguard is inserted over your top or bottom arch and prevents contact with the opposing teeth.

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Sealants

sealantsSometimes brushing is not enough, especially when it comes to those hard-to-reach spots in your mouth. It is difficult for your toothbrush to get in-between the small cracks and grooves on your teeth. If left alone, those tiny areas can develop tooth decay. Sealants give your teeth extra protection against decay and help prevent cavities.

Dental sealants are plastic resins that bond and harden in the deep grooves on your tooth’s surface. When a tooth is sealed, the tiny grooves become smooth and are less likely to harbor plaque. With sealants, brushing your teeth becomes easier and more effective against tooth decay.

Sealants are typically applied to children’s teeth as a preventive measure against tooth decay after the permanent teeth have erupted. However, adults can also receive sealants on healthy teeth. It is more common to seal “permanent” teeth rather than “baby” teeth, but every patient has unique needs, and your dentist will recommend sealants on a case-by-case basis.

Sealants last from three to five years, but it is fairly common to see adults with sealants still intact from their childhood. A dental sealant only provides protection when it is fully intact, so if your sealants come off, let your dentist know, and schedule an appointment for your teeth to be re-sealed.

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Veneers

 

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Wisdom Teeth

wisdom teethWisdom teeth are types of molars found in the very back of your mouth. They usually appear in the late teens or early twenties, but may become impacted (fail to erupt) due to lack of room in the jaw or angle of entry. When a wisdom tooth is impacted, it may need to be removed. If it is not removed, you may develop gum tenderness, swelling, or even severe pain. Impacted wisdom teeth that are partially or fully erupted tend to be quite difficult to clean and are susceptible to tooth decay, recurring infections, and even gum disease.

Wisdom teeth are typically removed in the late teens or early twenties because there is a greater chance that the teeth's roots have not fully formed and the bone surrounding the teeth is less dense. These two factors can make extraction easier as well as shorten the recovery time.

In order to remove a wisdom tooth, your dentist first needs to numb the area around the tooth with a local anesthetic. Since the impacted tooth may still be under the gums and imbedded in your jaw bone, your dentist will need to remove a portion of the covering bone to extract the tooth. In order to minimize the amount of bone that is removed with the tooth, your dentist will often “section” your wisdom tooth so that each piece can be removed through a small opening in the bone. Once your wisdom teeth have been extracted, the healing process begins. Depending on the degree of difficulty related to the extraction, healing time varies. Your dentist will share with you what to expect and provide instructions for a comfortable, efficient healing process.

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