Dental Services from the Team You Can Trust

Whether you require a routine cleaning, teeth whitening or dental restoration, we will help you achieve a healthy smile you can be proud to show off.

At Citracado Dental Group, our two most important goals are to give you a great dental experience, and to improve your dental health. We handle all of your dental needs, and have the resources, skills, and experience to make every smile beautiful.

Some of the services we offer include, but are not limited to:

Scaling and Root Planing ("deep cleaning")

Our hygienists are trained in the latest methods for effective treatment of periodontitis (gum disease).  This therapy involves physically removing the bacteria from the root surfaces of your teeth and smoothing them to prevent future buildup.  We also may use adjunctive therapies, such as a laser, antimicrobial rinses, or localized antibiotics for best results.  One of the most important parts of periodontal therapy is good oral hygiene at home and regular follow-up hygiene visits.  Studies show a strong link between periodontitis and systemic diseases (such as heart disease, diabetes, and stroke), so we take gum health very seriously.

Preventive Dental Hygiene

We suggest that every patient come in for a regular dental hygiene visit tailored to your individual needs. During the appointment, our dental hygienists will remove plaque and tarter buildup from your teeth leaving behind a bright and polished smile. In addition, our team will educate you on how to keep it that way between appointments.

Oral Cancer Screening

Early detection of oral cancer is vital for your health. With the rise in oral cancer rates, oral cancer screening should become a routine of your dental visits. We perform oral cancer screening for all our patients.

Cosmetic Dentistry

This term covers a broad range of services with the purpose of improving the esthetics of your teeth and your smile. A beautiful smile is an invaluable asset. We can improve your smile through teeth whitening, cosmetic bonding, veneers, metal-free crowns and bridges, and Invisalign® orthodontics.

Teeth Whitening

Soon after starting treatment at our office for teeth whitening, you will see a whiter and brighter smile. With our whitening services, the effects of coffee, smoking, tea, and other causes of tooth discoloration will slowly disappear leaving a beautiful white smile. Schedule an appointment for a consultation with us to see if you're a candidate for teeth whitening.

Sealants

Sealants are a very efficient and successful method for preventing decay on the biting surfaces of teeth. Sealants are primarily placed on permanent molars as they erupt in a child’s mouth. They are maintained throughout childhood and can last into adulthood. Sealants are flowable resins applied to the deep pits and fissures of teeth, protecting the teeth from harmful acids and plaque buildup commonly found in the mouth. The application of sealants is a simple procedure requiring only a short visit at our office.

Veneers

Veneers are thin porcelain or ceramic restoration that are applied and bonded to the front of your existing tooth structure. Porcelain veneers are an excellent choice for correcting gaps between teeth or discoloration from failing fillings or stained enamel.

When applied to the tooth, a veneer is virtually undetectable. Due to its thin nature, the veneer will allow us to be quite conservative in removing tooth structure. With proper design, veneers are beautiful, long lasting, and resistant to stain from tea, coffee and red wine.

Tooth-Colored Fillings

In the past few years, most silver restorations have been replaced with fillings the color of actual teeth, resulting in a smile that looks completely natural. Dr. Jungman and Dr. Kangas will discuss restorative options with you and recommend what is best for your individual situation.

Crowns and Bridges

Crowns are necessary when a tooth is severely damaged or has suffered advanced decay and cannot be fixed with bonded fillings. Crowns cover the remaining tooth and restore its function, strength, and esthetics. Several crown material options are available including non-metal crowns. Your dentist will discuss these on an individual basis depending on the area of the mouth that needs to be restored.

Bridges can be utilized when tooth loss occurs due to gum disease, decay, or injury. The loss of the tooth can create greater problems for your dental health is it is not corrected. The teeth next to the missing tooth (or teeth) can begin to move and result in pain, discomfort, and can look unsightly. With bridges, your dentist will close any gaps in your mouth. The bridge looks and acts just like natural teeth, is permanently cemented, and helps to maintain the position of the rest of your teeth.

Dental Implants

Dental implants are now a cornerstone of dentistry and provide the best option for replacing missing teeth in certain situations. We will provide a comprehensive evaluation if you have missing teeth and are considering dental implant therapy. We have multiple options available for replacing a single missing tooth or the entire dentition. We strive to make this option affordable for all our patients, so you can enjoy the full benefits of this technology. Many patients are able to have the entire implant procedure completed right here in our office.

Dental Implant Restoration

When it comes to the restoration of implants, our team is the one to trust to get the job done right and to maintain your beautiful smile. We work with experienced surgeons and an expert dental laboratory to create a natural look and feel for your dental implants.

Sedation Dentistry

Dental fear is one of the most common reasons for people to delay dental treatments. Though the current dental and technologies allow dentistry to be performed without pain and discomfort, the environment in a dental office may not be appealing to everyone.

Our options for sedation dentistry include:

NuCalm

NuCalm is a revolutionary technology proven to naturally relax the body without drugs. The NuCalm system is a safe and effective solution that rapidly and predictably creates a deeply relaxed state and maintains it for the entire procedure.

Nitrous Oxide

Commonly known as “laughing gas,” nitrous oxide is administered by wearing a nasal mask during the procedure. This nasal mask delivers the gas, plus oxygen, slowly and safely. Once the procedure is complete, the mask is removed and the effects subside. Nitrous oxide allows the patient to be aware of his/her surroundings and to respond to the dentist during treatment.

Oral Sedation

Oral sedation, often referred to as “conscious sedation”, has the patient take a pill 30 to 60 minutes before your appointment. You will need to have a friend or family member drive you to and from our office, because the effects of the pill do not disappear immediately. Effects usually last for several hours and will go away within 24 hours. Oral sedation is seen as a safer sedation option since the patient is not completely put “to sleep” unlike general anesthesia.

General Anesthesia

General anesthesia is a choice for patients who would like to be completely asleep during their treatment. We have an anesthesiologist that comes to our office to properly and safely administer the anesthesia. Using general anesthesia is a good option for a patient in need of multiple procedures.

Custom Sedation

With some patients the choice is clear for what type of sedation dentistry they should receive. While others, it may not be so clear. That is why our dentists will sometimes use a combination of sedation methods for those that need a variety of options. No matter your anxiety level, our dentists will carefully determine which methods are best for you.

Extractions

At Citracado Dental Group, extractions are performed when removing a tooth is the best option for restoring the health of your mouth. Our doctors may recommend an extraction when a tooth is:

  • Infected by periodontal (gum) disease
  • Significantly damaged or decayed
  • Impacted in the gums

Your dentist will do everything possible to ensure that you have a comfortable experience during your treatment. Remember to follow proper instructions after the extraction. It is also recommended to plan on having a tooth replacement, such as an implant or bridge, placed following the treatment.

Endodontic Therapy (Root Canals)

Root canal therapy is needed when a cavity has reached the pulp of a tooth causing an infection of the nerve, or when severe trauma has affected the tooth. Regular checkups with your dentist help to avoid and prevent the need for endodontic therapy, but once the pulp is infected it must be treated to avoid further damage since it cannot heal itself. Some signs that a pulp is infected include sensitivity to hot or cold foods or liquids, pain, swelling, or even a bad taste in the mouth. For some patients no symptoms are obvious and they are unaware that a problem even exists until they are seen by their dentist for an exam.

When endodontic therapy is performed, your dentist will clean out the infected pulp, and disinfect the canals within the roots of the tooth. Once the area has been disinfected, the canals of the tooth are filled with a special material to prevent further infections and help in the healing of the tooth. Sometimes a core buildup, bonded post, and crown are necessary for restoring a tooth to function.

Dentures

Complete dentures are used to replace a person’s teeth when they are all missing. Removable dentures are designed to restore the health, function, and beauty of your smile. All dentures are crafted for each individual patient and fit comfortably and snugly. When in place, dentures can:

  • Help restore your ability to eat and speak
  • Replace your missing teeth
  • Prevent facial sagging
  • Improve the appearance of your smile
  • Dentures can be attached to implants for added stability

We can create and place your custom dentures in just a few visits. Your dentures will be made to look and feel like natural teeth so that you can feel confident every time you smile. We invite you to call our office today if you are missing teeth and think dentures may be your dental solution.

Invisalign®

Invisalign® is an orthodontic system that straightens teeth without the use of traditional braces. A series of clear plastic aligners are utilized to create tooth movement. Moving teeth with removable aligners provides a comfortable invisible way to have teeth aligned and your smile restored.

Invisalign® is recommended for most orthodontic situations with mild to moderate spacing or crowding. The aligners are virtually undetectable, easy to use, and comfortable to wear.

Sleep Apnea

Sleep apnea is a serious medical condition affecting many adults. It affects the way you breathe during sleep, and can cause you to stop breathing altogether for seconds at a time. Sleep apnea can cause further health issues, including heart problems.

Signs you suffer from sleep apnea:

  • Chronic snoring
  • Choking, gasping for air while you're sleeping
  • Long pauses in breathing during sleep
  • You wake up during the night with a dry mouth or throat
  • Waking up with a headache
  • Daytime fatigue

At Citracado Dental Group, we take sleep apnea very seriously and provide any patients suffering from it with Somnodent® sleep apnea appliance. Somnodent® is an oral device that is custom-made to fit the patient's mouth. The patient will wear the device during sleep and it holds their jaw in a position that will keep the airway from being blocked. Somnodent® has proven to have a significant impact on reducing the patient's blood pressure and risk of stroke.

To learn more about Somnodent®, click here.

Second Opinion and Consultation

Dentistry today offers many ways to address individual dental care. There are usually different options to treat a specific dental problem. Dentists may have different opinions about a specific treatment option. Therefore, it is always wise to see a second or third opinion when extensive treatments are planned. If you are not sure how to handle your dental problems, we can provide an independent professional opinion. Our office staff will be happy to assist you in obtaining copies of the necessary records, so we can provide that opinion for you.

Dental Emergencies

Dental emergencies can be very frightening and often painful. Prompt treatment is generally required to alleviate pain and ensure the patient's oral and overall health. If you're dealing with a dental emergency, call us immediately at 760-489-5545, and we will schedule you in as soon as possible. Should you call during after hours, our voicemail will inform you how to get in touch with us.

CEREC

To save our patients time and ensure they receive the highest quality care, Citracado Dental is proud to offer same-day crowns and other dental restorations through CEREC (Chairside Economical Restoration of Esthetic Ceramics). This advanced technology combines 3D imaging and computer-assisted design (CAD) dentistry to help our team quickly and accurately design tooth restorations. CEREC works by taking a digital picture of your tooth, which is then converted into a 3D image that is used to create your custom-made ceramic restoration. In just one visit, we can complete a CEREC restoration that looks and feels natural.

Invisalign®

Invisalign® aligners are the alternative to traditional (metal) braces for patients of all ages. These clear aligners are utilized to straighten and move teeth over time, ultimately improving your smile.

Using advanced 3D technology, Invisalign® outlines your treatment plan, from the initial position of your teeth to your desired results. Then, a series of aligners are custom made to comfortably fit in your mouth. Each aligner is worn for 1-2 weeks and is removable, giving you the flexibility to eat and drink what you want and brush and floss as you normally would. Your Invisalign® treatment is determined by your dentist based on your individual needs.

Invisalign® is recommended for most orthodontic situations with mild to moderate spacing or crowding. The aligners are practically undetectable, making them a seamless fit with your lifestyle and daily interactions with others. Easy to use and comfortable to wear, Invisalign® is an effective way to achieve the smile you've always wanted!

Myofascial Pain (MFP) Therapy Protocol

Myofascial Pain is a condition in which muscles are chronically overworked, and are not given a chance to recover. The tightness of muscle fibers, ligaments, and fascia (layers of connective fibers) leads to pain symptoms that can radiate across the face, neck, or jaw. These areas often have distinct areas of tightness (or trigger points), and the symptoms can vary, but usually involve the following:

  • Aching or throbbing of one or both sides of the face
  • Worse at night (can awaken you), in the morning, or after chewing a meal
  • Can be worse following dental appointments (especially long ones)
  • Difficulty opening your mouth widely

These symptoms can very closely mimic tooth pain, depending on the muscles involved (which may lead to mis-diagnosis). It is believed to be the most common orofacial pain not caused by a tooth.

Physical Therapy

Similar to any sore muscle, stretches, massage, and increased blood flow to the area can help the muscle and connective tissues recover more quickly.

Moist heat
Moist, warm heat generally works best to improve blood flow to the affected area. Place a moist towel in the microwave and heat it until it is warm (but not too hot) to the touch. Reusable heat packs can work as well, when wrapped in a thin, moist towel. Alternate sides of the face for about 10 minutes each. Some patients find that a hot tub or hot bath can help relax and soothe the muscles. If these suggestions do not improve symptoms, discontinue them (there are some less common orofacial pain types that don't respond well to heat).

Massage
There are often trigger points of tight muscle fibers located in one or more areas across the face, temple, and/or neck. Locate these trigger points and massage the affected areas for about 30-seconds each, using your fingers, a roller, or a small ball (ie. tennis ball). It may be uncomfortable to rub these areas, but applying pressure will help release some of the tension and increase blood flow. In severe cases, a professional masseuse or physical therapist may provide additional aid. Ultrasound, acupuncture, acupressure, or specifically targeted stretches are some therapies they may offer.

Stretches
The exercises listed below should be performed 6 times per day for about 6-10 seconds each.

  • Finger stretches of the jaws - Using your fingers only [not using your mouth muscles], stretch your upper/lower teeth as wide open/apart as you can (without hurting yourself).
  • Neck lateral flexion - Using your hands (one side at a time), gently tilt & stretch your head to one side. Be carefully not to injure yourself. Repeat with the opposite side.

Relaxation & Posture

With MFP affecting the jaw muscles, they often don't get a chance to relax. You are often constantly talking or chewing throughout the day. In addition, there is typically a tendancy for your body to clench those muscles at night time, making the condition worse. Although you may not be consciously aware, there can be a day-time clenching habit present as well, especially when the muscles are tight or if a tooth is bothering you. Ideally, your teeth, tongue, and jaws should relax during the day in a resting posture, which should be held when not speaking or eating/drinking.

  • The tip of your tongue should be gently touching the front roof of your mouth, just inside the upper front teeth (as if you are making the "N" sound)
  • Upper and lower teeth should not be touching each other, but resting slightly apart (a few millimeters)
  • Your jaw muscles should be relaxed, not tense
  • Pay attention to your teeth/tongue posture throughout the day. Focus on maintaining this "rest" position
    • If you find yourself often in a tight/clenching (non-rest) position, you may find it helpful to set a timer for yourself. This allows you to constantly check your "resting posture" habits every few minutes or hours and modify accordingly.
  • Monitor your head & neck posture throughout the day as well. Having a forward head tilt or forward posture can indirectly lead to jaw symptoms as well. Your head should be upright and directly above your shoulders.
  • Don't rest your head, chin, or face on your hand(s)
  • Avoid chewing gum or other hard foods

Medication regimen

Non-steroidal anti-inflammatory drugs (NSAIDs) are considered to be the best starting medications to aid in the reduction of MFP symptoms. They should be taken on a set timed schedule instead of just as-needed to achieve the best results. The medications should be continued for 14 days to ensure that inflammation of the muscles have resolved, or as directed by your doctor. These are typically best taken with food to avoid abdominal discomfort.

  • Aleve (Naproxen Sodium) 220mg twice per day
    • May use 440mg (2 tablets) for a stronger effect
    • Once in the morning, once at night

-OR-

  • Advil/Motrin (Ibuprofen) 400mg four times per day
    • May use 600mg (3 tablets) for a stronger effect
    • Try to set doses every 6 hours throughout the day

In more severe cases, or when the majority of muscle activation seems to happen at night, your doctor may recommend a prescription muscle relaxant medication. This is designed to reduce the overall activity of the muscle during a time when you cannot consciously control it (such as at night). In recurrent or chronic cases, a jaw joint orthotic, splint, occlusal guard, or "night guard" is usually the best way to reduce long-term muscle activity.

If symptoms persist for more than 2 weeks, please inform your doctor again. He or she may recommend that you see a physical therapist or an orofacial pain specialist who may better be able to diagnose underlying causes and provide other therapies. There may be some other underlying conditions as well, such as Sleep Apnea, a history of trauma, emotional or psychosocial stress that may need to be addressed.


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