Services

Metzger Family Dental PLLC offers comprehensive care for the entire family.  We offer services in most areas of dentistry including: prevention, periodontics, restoration of decay, crowns, bridges, implant restorations, dentures and partial dentures, endodontics, and cosmetic dentistry.

Prevention

Children:

We understand that seeing a dentist for the first time can be overwhelming for a young child.  At Metzger Family Dental PLLC, we make it a fun experience so that your child will actually want to have their teeth cleaned in the future.  Children should see a dentist within 6 months of their first tooth or by 1 year of age.  The dentist will check to make sure that there are no infections or abnormalities present, clean the child’s teeth, and place a fluoride varnish on the teeth.  Early fluoride application is the easiest way to prevent cavities in your child before they have a chance to form.  We recommend that children over 1 year of age see the dentist every 6 months for optimum dental care.

Tips for parents for a great experience:

  • Always stay positive
    • It is very common to have anxiety before a dental visit, but you can avoid passing that to your children by emphasizing how fun the visit will be.
  • Don’t share too much information
    • If your child needs treatment, we will explain the procedure to them in “kid-friendly” terms at their appointment.

Sealants:

Back molar teeth naturally have deep grooves and pits in the chewing surface.  These grooves are often too deep to clean with a toothbrush and are the most common location of cavities, especially in children.  Sealants are a clear coating that seals these deep pits and grooves, making teeth much easier to clean and preventing cavities from forming.  Studies show that children who have sealants placed on their permanent teeth have 80% fewer cavities than children without sealants placed.

Fluoride:

Fluoride increases the resistance of tooth structure to cavities.  Even in trace amounts, fluoride produces dramatic decreases in the rate of cavity progression.  Most people receive enough fluoride to prevent cavities from fluoridated community water, mouthrinses, and toothpastes. Some people, however, may need higher levels of fluoride to protect their teeth.  Professional fluoride application is recommended for all children beginning at 1 year of age to prevent cavities before they have a chance to form.

Healthy Mouth, Healthy Body:

Regular check-ups and x-rays are easy ways to not only protect your teeth, but also protect your health.  Recent studies have shown correlations between dental disease and heart conditions, high blood pressure, cholesterol, diabetes, and low birthweight in infants.  Taking care of your teeth can prevent decay and gum disease, but it can also help you live a longer, healthier life.  Our knowledgeable staff will customize a preventative treatment plan specifically for you and your dental needs.

Oral Cancer Detection:

Metzger Family Dental PLLC has recently invested in a  new technology that could potentially save your life.  The Sapphire Plus Lesion Detection system is a state of the art oral cancer screening light that allows the dentist to potentially discover oral lesions earlier, often before they produce any pain or symptoms.   The earlier that cancerous and pre-cancerous lesions are detected, the greater the chances of successful prevention, treatment, and recovery.  Every patient over the age of 16 will receive an oral cancer screening with the Sapphire light once a year.  We strongly believe in protecting the health of all of our patients, and we provide this screening at no additional cost.

Risk Factors for Oral Cancer:

  • More common in men than in women
  • Most common in African Americans
  • Greater risk after age 35
  • Tobacco use
  • Frequent alcohol consumption
  • Prolonged exposure to sunlight
  • Diet low in fruits and vegetables
  • The sexually transmitted infection HPV

Periodontics

Periodontal Disease:

Periodontitis or gum disease is a painless, progressive disease of the bone and tissues that support the teeth. When plaque and bacteria are not fully brushed and flossed from the teeth, it becomes hard and calcified.  This calculus or tartar contains very harmful chemicals that can destroy the bone and tissue around the teeth.  If not treated, the teeth will eventually loosen and fall out.  During your regular check-up, a hygienist will take gum measurements to determine if you have gum disease or need treatment beyond a normal cleaning.

Deep Cleaning:

The first step in treating gum disease is to remove the bacteria that are causing the disease from under the gums. This is called a deep cleaning or scaling and root planing.   The hygienist will numb the tissue and teeth so that they can be cleaned thoroughly and painlessly. In combination with good home care, a deep cleaning is often the only treatment needed to stabilize the bone and tissue.

Restoration of Decay

Cavities:

Dental Caries or tooth decay is a disease caused by bacteria naturally found in the mouth.  In the presence of sugar, this bacteria grows very quickly, producing a sticky substance called plaque.  Plaque contains many harmful substances that demineralize the tooth structure and create holes called cavities.  If caught early enough, cavities can be treated easily and painlessly with fillings.   Regular check-ups and x-rays are recommended to diagnose and treat cavities early before they can progress and cause pain or infection.

Crown and Bridge Restorations

Crowns:

Crowns are made from gold, zirconia, porcelain, or a combination of precious metal and porcelain and are designed to strengthen teeth and keep them from breaking.  Teeth that have large fillings, visible cracks, or root canal treatments will become weaker with time and use.  A crown may be recommended to prevent further damage to the tooth.  Crowns are usually prepared in 2 dental visits.

Visit 1: The tooth is shaped on all sides and on top to make room for the new crown.  Only about 1-2 mm of tooth structure is actually removed during this shaping process.  A mold will be taken of the newly shaped tooth and sent to a dental lab so that a custom crown can be made.  A temporary crown will be placed on the tooth.

Visit 2: The temporary crown is removed and the new custom crown is seated on your tooth.

Bridge:

A bridge is one option available to permanently replace a missing tooth or several missing teeth in the mouth.  A bridge is made up of crowns and fake teeth that are “bridged” together and cemented in the mouth.

Implant Restorations

An implant is a true prosthetic tooth that can be used in a single area or to replace multiple missing teeth.  Typically, the titanium root portion of the implant is placed by an oral surgeon or periodontist, and a small healing cap closes the gums.   The area is allowed to heal for 3-6 months so that the bone can fully stabilize the implant.  After the implant is fully healed, the dentist will take impressions so that the prosthetic tooth can be custom made by a dental lab.  The final piece called an abutment and the crown are attached to the implant in the final appointment.  Implants usually are slightly more expensive than bridges, but offer a tooth replacement that doesn’t affect any other teeth.  Even if the teeth next to your implant are lost due to cavities or gum disease, the implant will still function as a single tooth.

Dentures and Partial Dentures

Metzger Family Dental PLLC offers a variety of options to replace single or multiple missing teeth.  There are several types of removable partial and full denture options that can accommodate your treatment needs as well as your budget.

Endodontics

A root canal is necessary when the nerve tissue of a tooth becomes damaged.  This usually occurs from trauma or infection due to decay.  When the nerve becomes damaged or infected, the inside of the tooth needs to be cleaned, shaped, and disinfected.  The hollow tooth is then re-filled and a new permanent filling is placed in the top of the tooth.  After a root canal, the tooth is no longer living and can become very brittle.  A crown is recommended after all root canals to protect the tooth from fracture.

Signs and Symptoms that a root canal may be needed:

  • Hot or cold sensitivity
  • Pain with biting
  • Swelling in the gums or cheek
  • Spontaneous pain in the tooth
  • Throbbing pain

Cosmetic Dentistry

Metzger Family Dental PLLC believes that every procedure done is truly cosmetic dentistry.  We offer a variety of options for fillings, crowns, and prosthetic appliances so that the dentistry we provide can be almost “invisible.”  For those looking for a smile make-over, we also offer many additional cosmetic procedures that can refresh your smile and take years off of your appearance.

Whitening:

We offer two options for achieving whiter and brighter teeth.

  • In office bleaching:    For those who would like to have a bright smile in about an hour, we offer an in-office bleaching system called Lumibrite.  We will protect your gums, apply a high strength whitening gel to your teeth, and within 30 to 60 minutes, your teeth will be noticeably whiter.
  • Custom trays:  For those who would prefer to whiten their teeth at home, we offer custom bleach trays.  We will take impressions of your teeth and fabricate custom clear trays.  The trays are worn with a bleach gel for several hours a day for approximately 2 weeks.  Some people prefer to wear the trays overnight while sleeping, while others choose to wear them for only an hour or so per day.  The advantage to custom trays is that you can decide how to bleach your teeth and when you’ve achieved the shade you desire.  The custom trays can also be kept for years and refill whitening gel can be purchased for future “touch-ups”.

Whitening procedures should only be performed after a full exam, x-rays, and cleaning.  If there are any cavities or infections present, the whitening gel could make the problem worse, and potentially damage the nerve in the tooth.  Tartar build-up also causes the teeth to appear more yellow and will lessen the effect of the whitening gel.  Only natural teeth can be whitened, and tooth-colored resin fillings will not change in color.  If you have tooth-colored fillings and are interested in obtaining whiter teeth, you can whiten your teeth and have the fillings replaced to match the new whiter shade.

Veneers:

Porcelain veneers cover the front surface of the tooth with a very thin layer of porcelain. They can not only make your teeth permanently whiter, straighter, and more even, but they can also fill in spaces between your teeth and strengthen teeth that are weak.  Veneers offer that perfect “Hollywood smile” often without anesthetic, and are more affordable than you might think.  Dr. Metzger is a Lumineers-certified dentist.

Esthetic Bonding:

Tooth colored resin can be shaped by your dentist to make your teeth straighter and whiter similar to a porcelain veneer.  Esthetic bonding can be done right in the dental office usually in just one visit without anesthetic.