Services

Click to read more about the treatments and services offered at Thomas Pham Dentistry:

BOTOX & Juvederm

Botox

Dr. Thomas Pham practice offers Botox treatments as an adjunct cosmetic procedure. Botox is a very useful procedure to complete the aesthetics involved in reconstructing and enhancing your smile and the look that will restore your confidence.

While dermatologists and plastic surgeons were the first to use Botox treatments, its use has a definite place in specialized dental practices. More than general physicians, a dental specialist understands the physiology, skeletal structure, vascular and nervous system of your face and overall facial esthetics.  Your smile may begin with your teeth, but can also be enhanced with the use of Botox for age lines in your forehead, crow’s feet and eyelids.

Dr. Pham has received extensive training in using Botox treatments to add the finishing touch to the cosmetic dental work he has performed. It’s a very high reward low risk procedure done in our office.

We want you to be totally comfortable with your new look and if eliminating a wrinkle or age lines will add to your self-assurance, Botox may be the answer. We welcome your questions and the opportunity to show you just how effective this process can be during your next visit or call us at 623-544-4555.

 

Juvederm Dermal Filler

Juvederm is a cosmetic “filler” that is used to smooth lines mainly around the mouth. The main ingredient in Juvederm is hyaluronic acid, a protein we naturally have in our body. Its smooth in consistency and injects readily with minimal or no bruising.

No one wants an age line or crease to spoil the youthful new look your new teeth have created. Juvederm is a safe solution to treat moderate to severe facial folds, enhance lips and increase volume and contours of cheeks and jaw line. In other words, it is a perfect enhancement to your new smile.

Dr. Pham is extensively trained in the application of both Juvederm dermal filler and Botox treatments. These cosmetic procedures have been proven safe for many years and hundreds of patients have taken advantage of Dr. Pham's artistry to enhance their looks. The best part of getting Juvederm at the dentist is getting anesthetic before the procedure to make it painless and more comfortable.

We want you to be completely happy and if eliminating a wrinkle, a facial crease or age lines will add to your self-confidence, Juvederm may be a solution. We welcome your questions and the opportunity to show you just how effective this process can be during your next visit or call us at 623-544-4555.

Cosmetic Dentistry

Porcelain Veneers | See a difference in your smile

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.

What Types of Problems Do Dental Veneers Fix?

Veneers are routinely used to fix:

  • Teeth that are discolored -- either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth
  • Teeth that are worn down
  • Teeth that are chipped or broken
  • Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
  • Teeth with gaps between them (to close the space between these teeth)

 

Invisible Braces | Straighten your Teeth

Clear aligners show off your smile, so most people won’t even notice you’re wearing them. ClearCorrect is a clear aligner used to straighten teeth as an alternative to traditional braces. Aligner straightens teeth using a series of clear, custom-made, removable aligners that gradually move teeth a little bit at a time, eventually correcting the teeth and smile to elicit a new, revitalized look.

 Removable Braces

It’s easy to remove aligners and eat whatever you like. There are no wires to trap food or get in the way when you floss. If you’re a good candidate for clear aligners, your doctor will take photos and x-rays, use a scanner or impressions to capture the shape of your teeth, and submit your prescription.

Wearing Your Aligners

The doctor will check the progress periodically and deliver new sets of aligners, patient wears a series of aligners customized to apply pressure to the teeth that you want to move. You’ll wear the aligners for at least 22 hours per day, progressing through each step until your treatment is done.

Aligners can be used to treat the following orthodontic conditions:

  • Crowded teeth
  • Spacing between teeth
  • Overbites
  • Underbites
  • Crooked or turned (rotated) teeth

 

Teeth Whitening | For a Healthy & Youthful Look

Teeth Whitening is an inexpensive cosmetic procedure that can drastically enhance your appearance. Statistics reveal that Americans place a high value on their smile. According to the American Academy of Cosmetic Dentistry national survey: Most adults (99.7%) believe a smile is an important social asset. 96% of adults surveyed believe an attractive smile makes a  personal more appealing to members of the opposite sex. In addition, when respondents were asked “What would you most like to improve about your smile?” the most common response was: Whiter & Brighter Teeth.

white teethIn Office Whitening known as The Zoom! Advanced Power whitening system, it is effective at whitening teeth after three 15- minute sessions (45 minutes total treatment time). The gel and lamp combined gives our patient an average improvement of approximately eight shade changes. It includes impressions for your own custom whitening trays, for future touch ups and help maintain there beautiful white smile. All of our patients have achieved a great difference in there shade, which not only make them looking cleaner, stain free but boost there confidence and makes us proud to see such a great results at the end.

  •   Clinically proven to whiten teeth up to eight shades in 45 minutes.
  •   99% of patients experience little to no sensitivity.
  •   In a 500-person U.S. study, Zoom new WhiteSpeed registered a 96% patient satisfaction rate
Take Home Whitening involves getting impressions taken to create custom trays for personal home whitening. The take home whitening kit includes: 3 syringes of Zoom! whitening syringes and your own set of custom trays. We offer both day and night whitening in our office.

 

Digital Technology

Digital Impressions

Nobody likes to have “goop” in their mouth, and digital impressions eliminate that discomfort for the patient. Beyond that, it shortens prep time, shortens turnaround time and makes the patient more comfortable with the process.

New digital impressions enables us to be more efficient, more precise and our patients are more comfortable through fast, easy and documented-accurate digital color impressions.

Usually, it takes two weeks for a lab to complete a crown once they receive the impression from the dentist. Now with the new digital impressions the turn around is half the time even if we use a lab across the country. This new process completely cuts out many fabrication steps and allows the lab to produce the restoration more efficiently. Sending a digital scan to the lab allows the dentist and technician to communicate more directly and promptly about the case, if there are any issues with the scan, those issues can be addressed right away—rather than a few days later. With digital impressions, if the dentist is not happy with the scan it’s easy to re-take or go over an area he might have missed—unlike with traditional impressions. The dentist can look at the prepped tooth on a large screen, and that makes it possible to see things you wouldn’t see with a traditional impression. He can view the scan before he sends it to the lab and make sure margins, the bite and all other parameters are as they should be. Unlike traditional impressions, this technology enables the lab to create a crown with an accurate fit, less adjustments needed for that perfect fit.


Intraoral Camera

The Intraoral Camera is an educational tool that will enlighten patients in a way that description alone cannot accomplish. We use an intraoral camera to examine sectors of the teeth and mouth that are otherwise difficult to visualize. An Intraoral camera is shaped like a wand. A lens at the tip of the wand provides autofocus and light to create in-focus images. As the technician prepares to shoot a picture, we may dry a tooth with a dental air nozzle or gauze, chiefly to limit reflections from saliva. The results are instantly available for both patient and dentist to see and discuss. Your dentist receives needed information and you develop a better understanding of your current state of dental health.

The intraoral camera adds another layer of knowledge, by showing the condition of the outer enamel and the soft tissues of the tongue, mouth and gums. With digital technology, it is possible to represent a single tooth at forty to fifty times its actual size. This allows the dentists to look for cracks, cavities and imperfections that an x-ray cannot reveal.

 

Digital Radiograph

Dental x-rays are an essential diagnostic tool for dentists. With x-rays we see inside the tooth and beneath the gums and jawbones.where digital X-ray sensors are used instead of traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also, less radiation can be used to produce an image of similar contrast to conventional radiography.Instead of X-ray film, digital radiography uses a digital image capture device. This gives advantages of immediate image preview and availability; elimination of costly film processing steps; a wider dynamic range, which makes it more forgiving for over- and under-exposure; as well as the ability to apply special image processing techniques that enhance overall display quality of the image.

Extraction

Reasons for Pulling Teeth

Having a tooth pulled in adulthood is sometimes necessary. Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed. A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired. Other reasons include:

A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia. The goal of orthodontia is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not room in the mouth for it, your dentist may recommend pulling it.

Infection. If tooth decay or damage extends to the pulp -- the center of the tooth containing nerves and blood vessels -- bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection.

Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.

Periodontal (Gum) Disease. If periodontal disease -- an infection of the tissues and bones that surround and support the teeth -- have caused loosening of the teeth, it may be necessary to the pull the tooth or teeth.

 

What to Expect With Tooth Extraction

Dentists and oral surgeons (dentists with special training to perform surgery) perform tooth extractions. Before pulling the tooth, your dentist will give you an injection of a local anesthetic to numb the area where the tooth will be removed.

If the tooth is impacted, the dentist will cut away gum and bone tissue that cover the tooth and then, using forceps, grasp the tooth and gently rock it back and forth to loosen it from the jaw bone and ligaments that hold it in place. Sometimes, a hard-to-pull tooth must be removed in pieces.

Implants

What's a Dental Implant?

A dental implant is an artificial tooth root that takes place of a real tooth, typically a titanium post or frame that is surgically positioned into the jawbone beneath your gums. Once the implant is solid and your bone has grown to support the implant, it will be used as the base of the tooth that will be used to build a functional and aesthetically pleasing restoration on top. A dental implant is used as an alternative option for a missing tooth or teeth, which are used to support dental crowns, bridges, dentures, and more. Dental implants are very popular and a effective way to replace missing teeth, which are designed to blend in with your other teeth and feel like one of your own.

 

Restorative Dentistry

Composite Filling and Bonding

A dental restoration or dental filling is a dental restorative material used to restore the function, integrity and morphology of missing tooth structure. The structural loss typically results from caries or external trauma. It is also lost intentionally during tooth preparation to improve the aesthetics or the physical integrity of the intended restorative material.

https://en.wikipedia.org/wiki/Dental_restoration

 

 

Crown, Implant Crown, Fixed Bridge

A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace a missing tooth (or several teeth) by joining an artificial tooth permanently to adjacent teeth or dental implants.

A bridge is fabricated by reducing the teeth on either side of the missing tooth or teeth by a preparation pattern determined by the location of the teeth and by the material from which the bridge is fabricated. In other words, the abutment teeth— including portions which are otherwise perfectly healthy— are "reduced" in size using a high-speed rotary tool to accommodate the material to be used to restore the size and shape of the original teeth in a correct alignment and contact with the opposing teeth.

The materials used for the crowns and bridges include gold, porcelain fused to metal, or in the correct situation porcelain alone. The recipient of a bridge must be careful to clean well under this prosthesis.

When restoring an edentulous space with a fixed partial denture that will crown the teeth adjacent to the space and bridge the gap with a pontic, or "dummy tooth", the restoration is referred to as a bridge. Besides all of the preceding information that concerns single-unit crowns, bridges possess a few additional considerations when it comes to case selection and treatment planning, tooth preparation and restoration fabrication.

 

Removable Prosthetic

Removable partial dentures are for patients who are missing some of their teeth on a particular arch. Fixed partial dentures, also known as "crown and bridge" dentures, are made from crowns that are fitted on the remaining teeth. They act as abutments and pontics and are made from materials resembling the missing teeth. Fixed bridges are more expensive than removable appliances but are more stable.

Another option in this category is the Flexible partial, which is widely considered to be the most comfortable. The final restoration can now be made very quickly with innovations in digital technology. Flexible partials are becoming much more popular due to their aesthetic qualities. While the cost may be higher than a partial made with visible metal clasps, the results of the flexible partial are beautiful, with high levels of satisfaction. Flexible partial fabrication involves only non-invasive procedures, and serves as a virtually invisible tooth replacement option.

Complete dentures are worn by patients who are missing all of the teeth in a single arch (i.e., the maxillary (upper) or mandibular (lower) arch) or, more commonly, in both arches, upper/maxillary and lower/mandibular alike.

Immediate Denture is when the dentition is deteriorated (disease/trauma) to the point that it is not feasible nor cost effective to maintain the teeth.  The immediate complete dentures are fabricated ahead of time and delivered/fitted the day that the diseased/failed teeth are removed.  During the course of healing (9-12months), the immediate dentures are adjusted and relined with tissue-conditioning materials to improve fit, stability, and comfort.

Following tissue/bone healing (9 to 12 months), the immediate dentures (if in a satisfactory condition) are either relined with a hard laboratory reline procedure, or new dentures fabricated, or implant therapy under-taken (implant therapy can often begin sooner if this is the treatment direction chosen by the patient).

Root Canal Treatment

Root canal or endodontic treatment—treatment done to the inside of the tooth—is necessary when the pulp becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, faulty crowns, or a crack or chip in the tooth. In addition, trauma to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.

During root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection. After restoration, the tooth continues to function like any other tooth.

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.

  • Saving the natural tooth with root canal treatment has many advantages:
  • Efficient chewing
  • Normal biting force and sensation
  • Natural appearance
  • Protects other teeth from excessive wear or strain