A dental bridge is one of the traditional dental methods for replacing missing teeth. It is a fixed (non-removable) appliance that consists of two crowns that go over two anchoring teeth and are attached on either side of the artificial teeth, filling the gap created by one or more missing teeth. They are highly durable and will last many years with proper home care; however, they may need to be replaced or re-cemented over time.

Reasons for fixed bridges:

• Fill the space left by missing teeth
• Maintain facial shape
• Prevent remaining teeth from drifting out of position
• Restore chewing and speaking ability
• Restore your smile
• Upgrade from a removable partial denture to a permanent dental appliance

We make simple repairs and enhancements to teeth with the application of composite material through a process known as composite or dental bonding. Dr. Malpeso helps patients achieve dramatic change with this fast, simple and effective treatment. Following an examination of damaged teeth, we review the damage or shape and help patients decide the best course of action for repair. This may include applying composite bonding material. Dental bonding has been proven to be a durable, long-lasting restoration option for chipped, cracked, and misshapen teeth. 

A crown is a restorative cap which covers a tooth or attaches to a dental implant. The crown is typically bonded to the tooth with a dental cement, it may also be attached to a dental implant with a screw. Crowns restore the appearance and function of decayed, cracked, or broken teeth. Application is quick and simple and results are long lasting. 

In cases of severe tooth decay or gum disease, we often recommend extraction and use dentures or partial dentures to repair function. Advances in dentistry have allowed for the improved fabrication of dentures, making them more comfortable with a more natural appearance. Depending on the extent of damage, we extract one or more teeth, and either fit the whole mouth or use partial dentures to fill any gaps, anchoring the partials to adjacent natural teeth with metal attachments. 

Complete dentures are customized according to jaw size, which will be measured after all necessary extraction is completed and will fit the patient’s mouth perfectly. Partials maintain tooth alignment by preventing remaining teeth from shifting. They can also help prevent the loss of more teeth due to decay or gum disease.

When people lose permanent teeth due to accident, injury, disease, or extraction, dental implants can be a secure, functional replacement option. Implants are an excellent option because they do not rely on neighboring teeth for support and can maintain the integrity of the overall dental structure. Since implant technology permanently anchors the denture, their stability and permanence restore your ability to speak and eat normally, offer support to facial musculature, and eliminate the inconvenience and discomfort of ill-fitting prostheses.

A dental implant most often takes the form of a small, screw-shaped titanium post that replaces the root-part of a missing tooth. The surgical procedure used to place an implant is quite minor and routine, requiring only local anesthesia in most cases. After a healing period, the implant is topped with a custom-made crown to match your existing natural teeth.

We always make it a priority to restore, save and repair natural teeth but sometimes tooth extraction is unavoidable. Tooth extraction is the process of removing a single tooth or multiple teeth. 

There are several reasons why a tooth extraction is necessary, including: 

• tooth decay
• gum disease 
• or overcrowded teeth. 

For simple extractions: teeth are externally visible and we can easily extract the tooth with the help of an anesthetic. 

For more complex cases: the tooth is not accessible and hidden in the gum line and surgical extraction is required.

Dr Malpeso performs extractions seamlessly and always makes sure his patients are as comfortable as possible. Our team is always readily available to guide you through the entire process. 

Inlays and onlays are porcelain restorations that replace tooth structure lost due to tooth decay, attrition, or trauma. If a filling cannot adequately restore a tooth, but an entire dental crown would be excessive, an inlay or onlay may be the best solution.  

Dr. Malpeso's inlays and onlays are custom-crafted for each patient in his onsite lab, with careful consideration of bite patterns, and the shape and shade of the tooth. The most important reason for fabrication of an inlay or onlay instead of a full crown is that the inlay/onlay allows for the preservation of remaining tooth structure thereby increasing the longevity of one's teeth. The procedure is also less invasive.