We offer a multitude of dental treatments that are designed to enhance the smile and correct chipped, cracked, discolored, and unevenly aligned or spaced teeth. From porcelain veneers to tooth colored fillings, patients can choose from a variety of cosmetic dentistry solutions to restore the health and vitality of their smile.

Composite fillings are tooth colored fillings made of a mixture of glass or quartz filler in a resin medium. These fillings are an attractive replacement to silver amalgam fillings.

Porcelain veneers are thin ceramic shells applied to the front of the teeth to conceal cracks, chips, gaps, and to create a lighter (brighter) appearance to the smile. We place both traditional veneers and Lumineers.

Learn more

Dental crowns are a cap used to repair and cover badly decayed or structurally damaged teeth. A crown can make your tooth stronger and improve its appearance. The crown is created by a lab technician or milled by a Cerec machine and then cemented after the decay is removed and the tooth is prepared.

Dental bridges are a fixed structure composed of two crowns and one or more prosthetic teeth. These are used to “bridge” the gaps where teeth are missing and re-cemented in place, like crowns.

If you're missing one or more teeth, you may notice a difference in chewing and speaking. Bridges help maintain the shape of your face, as well as alleviating the stress in your bite by replacing missing teeth.

There are three different materials available for crowns and bridges: all porcelain, porcelain fused to metal, and gold. One of these materials will be chosen by you and your dentist, based on individual needs.

Get more information

To repair damage to the tooth’s biting surface, rather than using a simple filling, or a crown, a dentist will often use an inlay, or an onlay. An inlay is similar to a filling and lies inside the cusp tips of the tooth. They are custom-made to fit the prepared cavity and are then cemented into place. An onlay is more extensive covering one or more cusps of a tooth. Onlays are indicated in situations where a substantial reconstruction is required. However, more of the tooth structure can be conserved compared to the placement of a crown. Inlays and onlays can be made from porcelain, gold, or composite or ceramic resin, although porcelain is now becoming the material of choice because of its strength and potential to match the natural color of your tooth.

In-house dental lab

There are two methods for whitening teeth – high power, light facilitated ZOOM in-office bleaching and take home bleaching. The ZOOM method is quicker, giving immediate results. It’s done in the dental office and takes about two hours. The take home method takes up to two weeks. Custom trays are made and a home kit is dispensed.

Learn more

 

This procedure involves equilibrating the contacts between opposing teeth in order to stabilize the jaw position. 

Dental implants are artificial titanium structures that are surgically placed in the jaw and are restored with one or more prosthetic teeth. They are an excellent restorative option to replace missing teeth.

Implants fuse to the jawbone and serve as a base for individual replacement teeth, bridges or a denture. Integration of the implants into your jaw also helps your replacement teeth feel more natural and secure. A thorough evaluation by your dentist will help determine whether you are a good candidate for dental implants. 

If you’ve lost all of your natural teeth, whether from periodontal disease, tooth decay or injury, complete dentures can replace your missing teeth and your smile. Replacing missing teeth will benefit your appearance and your health. Without support from the denture, facial muscles sag, making a person look older. You’ll be able to eat and speak—things that people often take for granted until their natural teeth are lost. A conventional full denture is made and placed in the patient’s mouth after the remaining teeth are removed and tissues have healed which may take several months. Removable partial dentures usually consist of replacement teeth attached to pink or gum-colored plastic bases, which are connected by metal framework.

These are partial or full dentures supported by multiple implants. They provide superior stability and comfort over conventional dentures.

When the pulp is diseased or injured, the pulp tissue dies. If you don't remove it, your tooth gets infected and you could lose it. During a root canal procedure, the pulp and related necrotic tissues are removed; the canal(s) are thoroughly cleaned and then sealed off. Once the procedure is completed, a crown is placed over the tooth to help make it stronger.

 

Prevention (good home care, routine and regular dental visits) is the best for your overall health, since gum disease has no symptoms in the earlier stages. Harmful bacteria from gum disease/infection has been linked to diseases such as diabetes, oral cancer, heart disease and stroke, pulmonary infection, and osteoporosis.

We recommend the following for good oral hygiene:

  • Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.
  • Clean between teeth daily with floss or an interdental cleaner. Decay–causing bacteria still linger between teeth where toothbrush bristles can’t reach. This helps remove plaque and food particles from between the teeth and under the gum line.
  • Additional mouth rinses and oral care products may be recommended to you by your hygienist or dentist.
  • Maintain a well-balanced, nutritional diet.
  • Schedule your professional cleanings every 6 months (or more frequently if you have gum disease) and an oral exam once a year.

Evaluation and treatment of gum disease

Routine cleaning

Scaling and root planing, deep cleaning with anesthesia, and maintenance.

Available for adults as well, when they have overly sensitive teeth.

Resin bonded covering over the most commonly susceptible areas on back teeth to help prevent future cavities.

Oral hygiene instruction and education

Oral Cancer often starts as a tiny, unnoticed white or red spot or sore anywhere in the mouth. It most often occurs in those who use tobacco in any form, and the use of alcohol combined with smoking greatly increases the risk. Oral cancer screening is a routine part of our dental examination. If a suspicious spot or sore is noticed during your exam, your dentist will monitor it and may decide to do a Brush Biopsy test. This is a valuable test that detects abnormal cells. If precancerous cells are found, the lesion can be surgically removed by your dentist or by an oral surgeon.

For more facts about oral cancer go to American Dental Association.

What causes snoring? Snoring occurs when the jaw opens and the tongue falls into the back of the throat, causing the airway to narrow and forcing air through the smaller opening. This creates sound vibrations in the throat known as snoring.

Although snoring itself is physically harmless, it could be a warning signal for a serious medical condition known as obstructive sleep apnea (OSA).

Snoring and sleep apnea may cause chronic sleepiness, strokes, heart attacks, high cholesterol, fibromyalgia, heartburn, depression, headaches, high blood pressure, and aching joints.

The Thornton Adjustable Positioner (TAP) appliance is designed to prevent the soft tissues from collapsing and obstructing the airway; therefore, it treats symptoms of sleep apnea and snoring.

If you snore, we recommend that you see your medical doctor to determine whether or not you have sleep apnea. Your doctor may refer you for a sleep study. If you do suffer from severe sleep apnea, you may need to be fitted for a CPAP machine. Surgery may also be a possibility.

 

Extractions (simple and surgical)

Alveoplasty (smoothing out uneven bone surface)

Soft tissue biopsy

Implants are small titanium cylinders surgically placed into the jawbone to support replacement teeth. Implants fuse to the bone, offering stability to be used as a base to replace one tooth, a bridge, or under a denture. Typically once an implant is placed 3 to 6 months is allowed for the implant to fully fuse to the jawbone before the final replacement option is attached to the implant. For more information visit  http://www.straumann.com/us_index/pi_index_old/pi_ch_dental_implants/pi_ch_what_dental_implants.htm or  http://www.zimmerdental.com/info_aboutImplants1.asp.

 

Jaw clenching, tooth grinding (bruxing), or an improper bite can contribute to gum and tooth pain; as well as, jaw popping, clicking, tenderness, and headaches. Tempromandibular Joint Disorder (TMD) in the medical name for a host of symptoms that arise due to the proximity of these joints to many muscles, nerves, connective tissues, and ligaments.

Usually done in multiple appointments, based on individual needs.

Splints are used to treat patients with TMJ dysfunction, i.e. patients who suffer from local (neck, shoulder, or sinus) pain, clicking in the joints, and pronounced malocclusion. Splints are also used to prevent excessive tooth wear, tooth mobility, and loss of tissue attachment.

Reestablishing vertical dimension (rebuilding occlusion)

Coordinating and managing complex cases that require referral to Austin's best head/neck specialists.

 

Orthodontic treatment is used to correct a variety of problems, such as: crowded or crooked teeth, irregularly spaced teeth, or uneven bite issues.

Limited to Comprehensive cases.

Traditional fixed orthodontics (metal or ceramic brackets).

Invisalign - Drs. Neeley, Nemeth and Hayashi are Premier Providers with Invisalign.

 

There are several sedation methods available to help create more relaxed, comfortable dental visits. You and your dentist can discuss a number of factors when deciding which drugs to use for your treatment.

The use of nitrous oxide in combination with oxygen (otherwise known as laughing gas) is readily available during any dental procedure, including cleanings.  It provides a more relaxed feeling, counteracting dental anxiety. Nitrous oxide-oxygen inhalation sedation is the quickest and most common type of sedation we offer. The gas leaves the body completely after 5 minutes of oxygenation. Therefore, patients do not have to have someone else bringing them to their appointment.

This type of sedation is the combination of laughing gas and an oral sedative pill, such as Valium, Halcion, etc. It will produce a deeper relaxation during which the patient may fall asleep. It does require heart monitoring during the procedure and for the patient to have a ride to and from our office.

The IV route of drug administration represents the most effective method of ensuring predictable and adequate sedation in virtually all patients. Effective blood levels of medications are achieved quite rapidly via intravenous injection. Most patients experience some amnesia and thus do not remember anything that happened during the procedure. This form of anesthesia also requires heart monitoring during the procedure and for someone else to drive the patient to and from our office.

For more information on sedation dentistry, please go to http://www.adsahome.org/patients.html.

 

Children’s primary teeth, sometimes called "baby teeth," are as important as the permanent adult teeth. We start seeing children around the age of three. For younger toddlers and babies, we recommend seeing a pediatric dentist.

A no cost introduction of dental surroundings and doctor to first-time young patient to help ease apprehension.  Recommended age: 3 - 3 1/2 years old.

Resin bonded covering over the most commonly susceptible areas on back teeth to help prevent future cavities.

Painless removal of carious tooth structure without the need for anesthetic or a drill.

Stress good habits now to start a solid foundation to build on.

Fortifies and strengthens the enamel of teeth to reduce decay and sensitivity.

Evaluation and management of primary, mixed and permanent dentitions, management of thumb sucking and referral to orthodontist as needed.

Accidents happen, please allow us to minimize pain and suffering of your children's dental misfortunes.

A properly fitted mouthguard can help to prevent sports related tooth and jaw injuries (for your future sport stars.)

Depending on the child’s age or maturity level, these procedures are available. Appropriate referrals may be arranged by your dentist. It is important to us that your child has a positive, non-traumatic dental experience. Therefore, certain procedures may need to be handled by a specialist under anesthesia, in order to provide a more comfortable treatment experience.