Nitrous Oxide Analgesic

girl

Nitrous Oxide or “Laughing Gas” is one of the safest forms of sedation available and can take the anxiety out of most routine dental procedures. Non-allergenic and non-irritating, most feel the onset effects within minutes and these effects are completely reversed within 5 minutes of gas termination. This complete reversal allows you to safely drive home or go to work right after your appointment! Almost anyone can have nitrous oxide treatment. We can vary the depth of sedation depending on your level of anxiety. Nitrous is a safe and effective way to help you relax!

Conscious Sedation

sedation

Everyone can benefit from Sedation and Sleep Dentistry. Over 35 million Americans have some level of anxiety when it comes to going to the dentist. But for many, it is more than being afraid. Some of our patients have had a traumatic experience in a dental chair; others come from a painful past. But regardless of your personal history, we are here to help. We understand that your fears may have kept you from a dentist, but there is no need to feel embarrassed. We are not here to judge you; we are here to help you and encourage you so that you can have the confidence a beautiful smile can bring.

We treat many people with unique reasons as to why they fear dentistry. Some being physically or mentally challenged patients requiring special medical and dental treatments. Others are children who need dental care or patients suffering from anxiety and phobias related to dentistry. Lastly, we see time-constrained executives who need all their dental care performed in a single visit. Whatever the reason you may need sedation or sleep dentistry we are here to make your visit peaceful.

Oral Sedation Dentistry protocols have been used safely for over 30 years with millions of dental procedures. Before starting any treatments, Dr. Krause will review your medical history and explain how Sedation Dentistry can work for you. Dr. Krause wants you to feel good about going forward towards a healthy, new smile.

Most patients feel no discomfort whatsoever during their treatment and feel surprisingly good afterwards. You’ll receive just enough sedation so that you’ll be completely unaware of the treatment, as you would if you were asleep. At the end of the treatment, you’ll have little or no memory of your dental visit. You will feel just fine. For your safety, we do require that you have a family member or friend drive you home. We’ll review your insurance coverage and, if necessary, make financial arrangements to insure you get the dental care you need. Before starting any treatment, we review your medical history, and we monitor you very closely while you’re under sedation.

We are one of only a handful of dental practices in the United States that routinely performs full-mouth rehabilitation using the full array of Sedation and Sleep Dentistry. We understand your fears, anxieties and medical needs.

Our treatment includes
• Injections you cannot see or feel
• Oral medications

Candidates for this procedure are patients who have high fear of visiting the dentist, had traumatic dental experiences, difficulty getting numb, a bad gag reflex, very sensitive teeth, limited time to complete their dental care, complex dental problems or if you are a person who hates needles and shots, hates noises, smells and tastes associated with dental care or are afraid and embarrassed about their teeth.

Imagine not being afraid to go to the dentist. Imagine being able to accomplish all your dental care in as little as one appointment. This is what Sedation Dentistry can do for you. You’ll be able to smile with confidence and chew your food without pain. If you’ve been putting off years of dental work, Sedation Dentistry can change your life.

Bonding / White Filling

bonding

A large number of people had amalgam fillings (silver) or gold filling restorations in the past. Some amalgam fillings contained mercury. Metal fillings were effective, but very conspicuous and tended to blacken in color over time. Another disadvantage of metal fillings is that they tend to cause cracks and break the natural teeth over time.

Tooth-colored fillings (white fillings) or composite resin dental fillings were created as an alternative to traditional metal dental fillings.

Composite tooth colored fillings are made of a resin filled with microscopic porcelain particles. The strength of current composites is similar to the strength of silver mercury fillings. The advantage of a composite filling is that it is bonded to the tooth. This prevents that natural tooth from breaking and cracking. Research has shown that a well-sealed composite filling can restore the strength of a decayed tooth almost to the level of an unfilled tooth.

A well-sealed composite filling can last as long as a silver mercury filling. A composite restoration can take twice as long to place as a silver mercury filling, so they are usually more costly in the short run. However, they may also prevent a tooth from fracturing, which saves time and money in the long run.

Dental Veneers

Dental Veneers

Dental Veneers are thin shells that are custom crafted and bonded to the surface of the teeth. Although they can be fabricated from different materials, Dr. Krause, most often uses porcelain because of its durability and realistic appearance.

Veneers require minimal tooth preparation, relative to other cosmetic dental procedures, veneers can achieve outstanding improvements in color, alignment, size discrepancies, and general appearance.

Dental Implants

Dental Implants

Whether replacing a single tooth or several teeth, implants may provide a more natural appearance and feel. Unlike conventional bridgework, implants can provide tooth replacement without the need to cut down adjacent teeth. The dental preparation of healthy teeth can undermine their integrity and lead to further problems later on. In addition to preservation of the adjacent teeth, the implant also prevents the loss of bone in the area of the missing tooth. Immediately following the loss of a tooth the bone begins to melt away. Replacing the tooth with a implant restores function to the bone and prevents the resorption of the bone.

How the implant works
To replace a tooth with an implant, Dr. Krause places the implant in the bone in the position of the missing tooth root. This subsequently acts as an anchor to which a new crown is attached after the implant has undergone an integration period. The final restoration is placed by Dr. Krause four to six months after the placement of initial dental implants.

Root Canal (Endodontics)

Root Canal, or endodontics, is the process of removing the nerves from the roots of a tooth. A root canal is often necessary to save an infected tooth. If an infected tooth is left alone for a long period of time, an abscess can form. An abscess will show up on an x-ray as a dark spot below the apex of the root. This is actually bone loss in the jaw. It is very important to catch this problem before it deteriorates too far.

Why do I need a root canal?
There are a number of reasons why one of your teeth may need a root canal. These include but are not limited to, a very deep cavity that extends into the nerve, a trauma to the tooth that exposes the nerve, or a crack in the tooth that extends into the nerve of the tooth.
rootcanal
Signs/Symptoms

Moderate to severe lingering toothache pain when drinking hot or cold liquids or foods.
Moderate to severe pain when biting on a tooth
Sensitivity to tapping or pressure on the tooth
Toothache that wakes you up in the middle of the night
A pimple on your gum that may release pus or blood
Radiating pain from one area of the mouth to another
Process
The first step of the procedure is to anesthetize the effected area. The next step is to open an access point through the top, or biting surface of the tooth. The doctor will then determine a working length of each canal. Each canal is then cleaned and shaped in preparation for the filling material. Once each canal is prepared, it is filled with an inert material called gutta percha. The canals are then sealed. The tooth is now ready for a restoration, which is usually a crown. This entire procedure is often completed in two visits.

Dental Bridge

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and Dr. Krause will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Reasons for a fixed bridge

Fill space of 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.

bridge
What does getting a fixed bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. The esthetics of the bridge will be checked by you and Dr. Krause. Once acceptable, the final bridge will be cemented.
You will receive care instructions at the conclusion of your treatment. Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Crowns

Crowns

A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth. They are highly durable and will last many years. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

Broken or fractured teeth
Cosmetic enhancement
Decayed teeth
Fractured fillings
Large fillings
Tooth has a root canal
What does getting a crown involve?
A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, Dr. Krause will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

Gum Disease Treatment

perio-2
Periodontal treatment methods depend upon the type and severity of the disease. Dr Krause and our dental hygienist, Denise, will evaluate for periodontal disease and recommend the appropriate treatment.

Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth!

If the disease is caught in the early stages of gingivitis, and no damage has been done, one to two regular cleanings will be recommended. You will also be given instructions on improving your daily oral hygiene habits and having regular dental cleanings.

If the disease has progressed to more advanced stages, a special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. It is usually done one quadrant of the mouth at a time while the area is numb. In this procedure, tartar, plaque, and toxins are removed from above and below the gum line (scaling) and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric tooth brush may be recommended to help control infection and healing.

If the pockets do not heal after scaling and root planning, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Dr. Krause may also recommend that you see a Periodontist (specialist of the gums and supporting bone).

Dentures & Partial Dentures

perio-1

A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.

There are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.

A Complete denture may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.

Reasons for dentures:

Complete Denture – Loss of all teeth in an arch.
Partial Denture – Loss of several teeth in an arch.
Enhancing smile and facial tissues.
Improving chewing, speech, and digestion.
What does getting dentures involve?
The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.

You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.
Implant dentures

Disadvantages
In the past, people missing all of their teeth had no option but dentures. This prosthesis has numerous disadvantages, such as:

Dentures are uncomfortable and often painful
Dentures do not look natural, especially when eating
As the bone continues to melt away, the dentures become loose, and can fall out when laughing, sneezing, or coughing without the use of adhesives
People without their teeth and supporting bone visibly age much faster
Wearing dentures usually undermines a person’s self confidence (they have missing body parts and do not feel complete or natural)
People with dentures cannot eat certain foods, such as steak, corn on the cob and apples
People with dentures generally have bad breath
These problems can be solved with implant supported replacement teeth, which are stable (securely fastened to the implants) and maintain the integrity of the facial structures by preserving the bone.
Advantages
Some of the many advantages of implant supported replacement teeth include the following:

They are more comfortable and stable than traditional dentures
They virtually stop the bone resorption process (deterioration)
Integrity of the facial structures is maintained
Appearance is improved
It is not necessary to cover the roof of the mouth, so food can be tasted
Relines and repairs are infrequent compared to traditional dentures
Natural biting and chewing capacity is restored

Implant Dentures

implant-denture

In the past, people missing all of their teeth had no option but dentures.

This prosthesis has numerous disadvantages, such as:

Dentures are uncomfortable and often painful.
Dentures do not look natural, especially when eating.
As the bone continues to melt away, the dentures become loose, and can fall out when laughing, sneezing, or coughing without the use of adhesives.
People without their teeth and supporting bone visibly age much faster.
Wearing dentures usually undermines a person’s self confidence (they have missing body parts and do not feel complete or natural).
People with dentures cannot eat certain foods, such as steak, corn on the cob and apples.
People with dentures generally have bad breath.
These problems can be solved with implant supported replacement teeth, which are stable (securely fastened to the implants) and maintain the integrity of the facial structures by preserving the bone.

Some of the many advantages of implant supported replacement teeth include the following:

They are more comfortable and stable than traditional dentures.
They virtually stop the bone resorption process (deterioration).
Integrity of the facial structures is maintained.
Appearance is improved It is not necessary to cover the roof of the mouth, so food can be tasted.
Relines and repairs are infrequent compared to traditional dentures.
Natural biting and chewing capacity is restored

Porclain inlay/onlays

Porclain Inlay

To repair damage to the tooth’s biting surface, rather than using a simple filling, or a crown, Dr. Krause will often use an inlay, or an onlay. 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. 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 a more extensive reconstruction that covers 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

Cosmetic Dentistry

cosmetic

Cosmetic Dentistry is the science of a beautiful smile. Dr. Krause is concerned about not only your overall dental health but also the aesthetics of your smile. The many extra hours of training and study he has done help him to express the passion and skill he has developed to help you design the smile of your dreams.

Cosmetic dentistry will help those who are unsatisfied with their smile, which studies show is about 50% of all Americans. A beautiful smile has everything to do with how we feel about ourselves and how others perceive us. Some feel so self-concious about the defects in their smile that is has kept them from pursuing career opportunities or personal relationships.

Because of the tremendous advancements made in Cosmetic dentistry, it is now easier and more affordable for anyone to have the beautiful smile they want. Procedures such as teeth whitening and porcelain veneers can instantly change your smile into one that is more youthful and dazzling. Other procedures such as implants, bonding, fillings and crowns can be quickly and almost painlessly done.
If you are considering making changes to your smile, consult with Dr. Krause. Cosmetic dentistry is all about your self-perception and helping you become the person you want to be.

Teeth-Whitening

Porclain Inlay

When a tooth is extremely damaged due to decay or fracture, it may be necessary to remove and replace the tooth. Additionally, an extra tooth that is blocking other teeth from coming in or that is causing overcrowding can be extracted to make room for the other teeth. Wisdom teeth also often need to be extracted because there is not enough room in the mouth for them to come in.

Dr. Krause will likely initially try to repair any teeth which are damaged, but when the damage is too great to be fixed with a crown or filling, a tooth extraction may be needed in order to resolve the situation. By conducting the removal properly, you will be able to experience a removal with little or no pain after the procedure and a faster healing time with a reduced risk of infection.

Tooth Removal (extraction)

extract

When a tooth is extremely damaged due to decay or fracture, it may be necessary to remove and replace the tooth. Additionally, an extra tooth that is blocking other teeth from coming in or that is causing overcrowding can be extracted to make room for the other teeth. Wisdom teeth also often need to be extracted because there is not enough room in the mouth for them to come in.

Dr. Krause will likely initially try to repair any teeth which are damaged, but when the damage is too great to be fixed with a crown or filling, a tooth extraction may be needed in order to resolve the situation. By conducting the removal properly, you will be able to experience a removal with little or no pain after the procedure and a faster healing time with a reduced risk of infection.

Call Us

941-923-3802

Address

7208 Beneva Road South, Sarasota, FL 34238

Please Contact Me, I would Like to Know More