62 West Main Street (formerly The Dutton House) ~ Hillsborough, NH, 03244
Phone: 603-464-4100 Fax: 603-464-2036
Office Hours: Monday through Friday 8:00am-5:00pm
Dr. Thomas Bara, DMD - Dr. Roland Bryan, DMD
Dental cleanings are the gentle removal of plaque, calculus and stains from the tooth structures. They are intended to removal irritants from the teeth. Regular cleanings help keep gums healthy and teeth cavity-free. A dental cleaning includes removal of tartar and plaque and having the teeth polished to remove stains and further buildups of plaque that are not removed when regular tooth brushing is performed.
Fluoride is a mineral that is found naturally in water and many foods. Fluoride builds up teeth’s strength against the acids that cause cavities and tooth decay. The ADA (American Dental Association) encourages fluoride treatment, stating that professional fluoride treatments are beneficial and are best utilized as part of a comprehensive preventive program in the home.
An oral hygiene evaluation is the patient assessment that may include gathering of information through interview, observation, examination, and use of specific tests and X-rays that allows the dentist to diagnose existing conditions.
Dental sealants are a safe resin material applied to the surfaces of teeth (commonly permanent molars) to prevent cavities. Sealants fill in the crevices of a tooth and “seal” off the tooth from cavity causing agents like food and plaque. The teeth are prepared for the sealant application and the sealant is painted directly on the chewing surface of the teeth and then hardens. Sealants are applied in one visit.
Oral cancer affects thousands of Americans yearly. We use the latest technology to detect changes in oral tissue consistencies and/or lesions. A special light is shined into the mouth to detect unhealthy tissue. Healthy tissue looks lighter under the light while spots of bad tissue appear dark. With early detection, cancer may be caught before it has time to spread, potentially saving lives
An oral evaluation is recommended every six (6) months to prevent cavities and other dental problems. During an oral evaluation a thorough examination is done to check the hard and soft tissues of the mouth.
An X-ray is an image or picture produced on a radiation sensitive film, phosphorous plate, emulsion or digital sensor by exposure to ionizing radiation. Dental X-rays are a valuable diagnostic tool used to identify decay, extra teeth, bone defects, tumors, cysts and check the progress of previous procedures. Latest technology now allow for digital X-rays, which reduce radiation exposure more than 50 percent, and produce instant, high-quality images that can be viewed immediately by the dentist and the patient.
Digital radiography uses small intraoral sensors, instead of x-ray film, to instantly capture dental images on computers. Much less radiation is required which greatly decreases patient exposure. The digital images are magnified allowing us to better demonstrate diagnosis and treatment options.
After cavities are cleaned, a composite filling is used to fill the cavity that bacteria leave behind when they infect the tooth. Composite fillings are safe and shaded to match the color of the tooth.
A dental crown is an artificial replacement that restores missing tooth structure by surrounding the remaining coronal tooth structure after the decay is removed from the tooth. Crowns are necessary when the tooth is broken down to the point where a filling won’t be effective. In order to effectively place a crown, tooth structure may be taken away to help create an esthetically pleasing fit.
A bridge replaces missing teeth without the use of a denture or dental implant. A false tooth is held in place by being attached to a neighboring tooth. In order to fabricate a bridge, crowns are made for the teeth on either side of the space as a support and a false tooth is placed in between the crowns.
Porcelain veneers are thin pieces of porcelain used to recreate the natural look of teeth. To place a veneer, a very small amount of the original tooth enamel must be removed. Afterwards, an adhesive layer is placed between the slightly prepped tooth and the veneer. The veneer is then secured with a curing light.
Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of a biocompatible metal called titanium, which are placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the permanent attachment of the replacement
An extraction is the process of removing a tooth or tooth parts. To perform an extraction, the area is anesthetized to minimize discomfort and the tooth is then rocked back and forth until it is removed from its socket. A tooth that cannot be saved with restorative materials may need to be removed. Stitches may be necessary after the removal of a tooth.
A denture is a removable replacement for missing teeth. There are two types of dentures, complete (full) and partial dentures.
Complete (Full) Dentures are made after all the teeth in the upper and/or lower jaw have been removed and the gum tissue has healed. The denture includes an acrylic base that is custom made in the dental laboratory and are made to look like natural gums, which sits over the gums or can be anchored to dental implants.
Removable Partial Dentures are made only when a few teeth need to be replaced on either upper or lower arch. The removable partial denture either attaches to crowns on either side of the denture or to a metal framework that is attached to the teeth on both sides of the partial denture. Partial dentures can be removable or they can be anchored in place by attaching them to dental implants. Removable partial dentures can be supported in place by attaching them to dental implants when wearing them during the day.
Cosmetic bonding is the process of filling or restoring teeth with a tooth-colored material in order to maintain its natural appearance. In order to bond a tooth, tooth colored material is added to the tooth to build it up.
Dental implants are used to replace missing teeth and roots. Implants are small titanium posts that are surgically placed into the jawbone where the teeth are missing. The bone bonds with the titanium, acting as a tooth root substitute. Posts are attached to the implant allowing for dental prosthetic attachments.
Dental implants are the replacement of tooth roots in the mouth. Implants provide a strong foundation for fixed or removable replacement teeth. Dental implants are small anchors made of biocompatible metal called titanium, which are placed in the jawbone. The anchors begin to fuse with the bone over a few months. After the fusing process, known as osseointegration, abutment posts are inserted into the anchors to allow for the permanent attachment of the replacement teeth. To fabricate the replacement teeth, an impression is taken and a model of the bite is created. The replacement teeth are based on this model. Replacement teeth can either be crowns or dentures.
Computer Aided Design (CAD) and Computer Aided Milling (CAM) offers advanced treatment options with less waiting time for a restoration. Depending on the procedure(s) being performed, your dental restoration(s) may be able to be placed on the same day or next day instead of the usual wait of one to two weeks or more. Using a special scanner the office can take a digital impression without using traditional trays, improving patient comfort. The restoration(s) is then designed using advanced computer 3D technology that can analyze the interaction of the new restoration with your other teeth. A new crown is milled out of a solid piece of tooth colored material providing excellent durability. Advancements in materials and technology have provided many options for great restorations that can both look great, provide superior strength compared to other restorations, and reduce the need for multiple visits to the office.
Endodontic treatment is an opportunity to retain a tooth that would otherwise require extraction. Soft tissue located within teeth may become infected causing pain and swelling. Root canal treatment removes this infected tissue and replaces it with a biocompatible material. Modern techniques allow us to perform root canal treatments comfortably and successfully.
A small percentage of patients do not heal after root canal treatment. Also, some root canals may become re-infected over time. Fortunately, these root canals may be retreated by re-cleaning and refilling the root canal system. Root canal retreatment is usually the successful alternative to root surgery or extraction.
Root surgery directly removes persistent inflammation and infection at the root tips of previously root canal treated teeth. The endodontist lifts the gum tissue near the tooth to treat this area. This procedure is done comfortably under local anesthesia in 1-1.5 hours, requiring only a few self-dissolving stitches. Typically, teeth with no other option but extraction can be saved with root surgery.
Local anesthesia, commonly referred to as “Novocaine”, is used by dentists to temporarily numb areas of the oral cavity. Advanced techniques and new solutions allow us to consistently provide comfortable treatment. Our improved ability to numb patients helps us dispel the old reputation of root canals each and every day.
Operating microscopes illuminate and magnify the inside of teeth and surgical sites allowing endodontists to provide efficient, precise treatment. For example, the extent of a fracture in a tooth may be assessed with an operating microscope to better inform the patient if the tooth is worth saving. Also, the ability to look deep within the tooth allows us to clean areas that may otherwise be left untreated. The operating microscope has advanced the specialty of endodontics allowing most treatment to be performed in one appointment.
An apicoectomy is a root tip surgery. This procedure removes a tooth’s root tip to prevent further infection of the root. To perform an apicoectomy, a small incision is made in the gum and bone over the tooth’s root. After the root tip is accessed, it is cleaned and sealed with a small filling. The gum is then stitched back into place with stitches.
Dental laser surgery uses a beam of intense light to correct dental problems. The energy produced by the laser cuts or vaporizes the tissue it is concentrated on. Laser surgery often means less discomfort, an easier and quicker recovery time and fewer shorter appointments. Lasers have several uses for dental surgery. Some common types of dental laser surgery include but are not limited to: dental cavities, root canals, gum surgery, dental abscess, biopsy, and treatment of lesions.
Oral and maxillofacial pathology refers to the diseases of the mouth and the jaw. Treatment options vary based on the patient’s specific needs.
A sinus lift is a surgery that adds bone to your upper jaw in the premolar and molar areas of your mouth. To add bone, an incision is made where the premolar and molar teeth were previously. Once the bone is exposed, a small circular shape is made in the bone to access the sinus. Once the sinus is accessed, the sinus membrane is gently pushed up and away from the upper jaw. Once this is done, bone graft material is filled into the space where the sinus was previously. Once the bone is in place, the incision is closed and the healing process begins.
Bone grafting is the replacement or enhancement of bone around teeth. When a tooth is lost, the surrounding bone collapses. Bone grafting is performed to reverse bone loss or enhance bone. The bone can be taken from parts of the body or from synthetic material. Bone grafting allows for proper support of dental implants or prostheses.
At Bara Dental, we strive to help you in achieving your optimum dental health. When you meet with our dentist they will devise a treatment plan based on order of importance to maintain your overall dental health. Following your appointment with the dentist you will have the opportunity to discuss scheduling and financing with our treatment coordinator. We will work with you to utilize your insurance benefits to the fullest. We also offer Care Credit with interest free payment options from 6 to 24 months (depending on your treatment) as a payment option. Leaving the office feeling all of your questions have been answered both clinically and financially is our goal.
We are accepting new patients. Please follow the link and take the steps to become a new patient here at Bara Dental. Our wonderful front-desk staff will guide you through the basics and we look forward to seeing you soon.
Make 2019 the year you and your family get on the path to good dental health. Every one of our patients are unique and we design an easy plan for each. Wanting the best for you and your family is always our goal at Bara Dental.