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Family Dentistry

WDA is truly a family practice. Our patients range in age from pre-school to 105 years old. Yes, that’s right, you are never too young or too old to have good oral health. In fact, good oral hygiene has proven to help achieve and maintain better overall health and longevity of life. See below for a list of some of our services.

 

Dental Exam

The secret to a bright, healthy smile is actually no secret at all: brush, floss and get a professional dental exam at least once every six months. Professional dental exams are all about prevention – preventing existing problems from getting worse and preventing dental problems from developing in the future. Regular dental exams make it possible to identify and treat a problem in its earliest stage – which is not only good for your oral health but also good for your budget!

There's nothing to fear with a dental exam. Your teeth will be visually examined for signs of plaque, tartar and tooth decay. Your gums will also be examined for puffiness or discoloration, which are signs of gum disease. A full set of dental X-rays may also be taken during your dental exam, to enable your dentist to see below the surfaces of your teeth. Dental exams typically end with a dental cleaning, to remove surface stains and plaque or tartar buildup.

Dental Exam in Ann Arbor, MI

Digital X-Ray

Dental X-rays have come a long way. Today's dental X-rays are safer, faster, more comfortable and more informative than the X-rays of years past. Digital X-rays, one of the latest and most advanced dental technologies, produce high-quality images of your teeth that can be viewed instantly by you and your dentist on a LCD monitor. Digital X-rays reduce radiation by up to 90% and provide exceptional diagnostic information to ensure that potential problems are caught in their earliest stages. Intraoral photography is another alternative to traditional dental X-rays. With intraoral photography, problems such as cavities, fractures and discolorations in the teeth are captured through clear and sharp photographic images that are taken with a 35mm or digital camera.

Digital X-Ray in Ann Arbor, MI

Teeth Cleaning

No matter how often you brush and floss, plaque and tartar deposits can still build up on your teeth. A professional teeth cleaning is the single most effective way to remove these deposits and prevent them from causing more serious problems in the future. While a traditional teeth cleaning involves manually scraping away these deposits with special dental tools, advances in dental technologies now give you more options for teeth cleanings.

A laser teeth cleaning, also known as an ultrasonic cleaning, is a popular alternative to traditional teeth cleanings. With a laser teeth cleaning, an ultrasonic scaler (rather than a manual probe) is used to remove deposits, kill harmful microbes and eliminate bacteria around the teeth and gums through high-frequency sound waves. Many patients find laser teeth cleanings more comfortable than traditional teeth cleanings because they are quicker, quieter and pain-free.

A deep cleaning may be recommended if excessive plaque and tartar deposits have developed below the gum line. Deep cleanings, also known as scaling and root planing, involve a two-part process: first, the stubborn deposits are removed, and then the root surfaces are smoothened. A deep cleaning helps prevent periodontal disease and restores gum tissues to a healthy state.

Red, swollen gums are a red flag for one thing: gum disease. If you have the symptoms, you're not alone. More than 80% of adults have some form of gum disease. Fortunately, there are many effective and pain-free gum disease treatments. For gingivitis, the mildest form of gum disease, treatment typically involves a thorough dental cleaning, followed by daily brushing and flossing. Advanced gum disease, also known as periodontal disease, requires scaling and root planing to remove stubborn deposits below the gum line. Laser gum surgery, a new alternative to scaling and root planing, uses beams of high-speed light to remove plaque and tartar buildup. If non-surgical methods of gum disease treatment are ineffective, a gingivectomy, or periodontal surgery, may be necessary.

Oral Cancer Screening - Oral ID

 

OralID Ypsilanti MI

Our office strives to bring its patients state-of-the-art technology to provide you with the latest advancements in oral health. We have recently introduced the OralID™ screening device into our office. The OralID examination will allow us to visualize any oral mucosal abnormalities including cancer and dysplasia (pre-cancer) before they can bedetected with the  naked eye. The procedure is quick, painless and no rinses or dyes are used.

Oral cancer affects nearly 35,000 Americans every year. Similar to other cancers, early detection of Oral Cancer is critical. Studies have shown that early detection of oral cancer with technologies like the OralID™ dramatically improves the survivability of the disease. If oral cancer is detected in its later stages, which typically occurs during a conventional oral cancer exam, the chances of survival are dramatically reduced.

Who is at Risk?

• Age - 17+ years

• Tobacco Use

• Alcohol Use

• HPV infection

If you have any questions about risk factors, please feel free to talk to our hygiene staff. We recommend all of our patients be screened with the OralID™ to reduce the mortality of late stage detection.   

Dental Fillings

If you've been told you need a dental filling, you're not alone: 92% of Americans have had at least one cavity. Dental fillings are the tried-and-true treatment for treating cavities – and they come in a variety of options to suit every need. Dental fillings can be made of silver amalgam, composite, porcelain and even gold. Composite fillings or white fillings are quickly becoming the preferred dental filling due to their natural appearance, and durability.  White fillings are strong, stain-resistant, require less removal of tooth structure and do not contain mercury like amalgam fillings.

Dental Crowns

A dental crown may not make you feel like royalty, but it is one of the premiere treatments for teeth which have extensive decay or damage.   Dental crowns are made of ceramic, porcelain-fused-to-gold, or solid gold.   Crowns are made and placed during a multi-step process. The first step is removal of tooth decay and taking a dental impression. A temporary crown is then placed to protect the tooth while the impression is sent to an offsite laboratory to create the final restoration.  Dental crowns are also used to hold a dental bridge in place, cover misshapen or severely discolored tooth, or cover a tooth after a root canal procedure.  With good oral hygiene your beautiful new dental crown can last up to 30 years. 

Dental Bridges

Dental bridges have been used for centuries to replace missing teeth. Today, dental bridges are still considered one of the most durable, conservative and cost-effective options for bridging the gap between a missing tooth and surrounding teeth. Comprised of two anchoring teeth and a replacement tooth, dental bridges help prevent surrounding teeth from drifting out of position, improve chewing and speaking, and help keep your natural face shape in tact.

There are three types of dental bridges: 1) traditional dental bridges, 2) cantilever dental bridges, and 3) Maryland bridges. Traditional bridges have either dental crowns or dental implants on either side of the missing tooth, plus a replacement tooth, which is held in place by a post-like structure called a dental abutment. Cantilever dental bridges are used in cases where there are surrounding teeth only on one side of the missing tooth. Maryland bridges are made of a specialized resin that is cemented to a metal framework and cemented to the enamel of surrounding teeth.

Dental bridges typically take 2-3 weeks to complete and are less invasive than other options, such as dental implants. With good oral hygiene and regular dental visits, dental bridges can last up to 30 years.

TMJ Treatment

TMJ treatment in Ann Arbor, MIIf you've been living with persistent jaw pain, ear pain and headaches, you could have TMJ – temporomandibular jaw disorder. TMJ can often be traced back to an improper bite, misaligned jaw joints, or an injury to the jaw or face. TMJ treatment from a dentist can relieve the discomfort. Although TMJ treatment varies from patient to patient, it typically involves one or several procedures, including the use of an orthotic splint, enamel reshaping, dental crowns, dental braces or night guards. The goal of TMJ treatment is to stabilize your bite so that your teeth, jaw muscles and jaw joints work properly together without strain – and without pain!

Click here to learn more about BOTOX® Treatment for TMJ

Dentures

Using dentures to replace missing teeth is not only great for your oral health; it's a great way to look and feel younger! Today, there are a variety of natural-looking and comfortable dentures for patients who need to replace missing teeth. Made of a gum-colored plastic resin or acrylic base and either resin or porcelain replacement teeth, dentures are custom designed to fit your mouth. If you have several teeth or all teeth missing on the upper or lower jaw, full dentures may be your best option. Partial dentures, which can be either fixed or removable, are great for patients who have several missing teeth scattered along the upper or lower jaw.

Just as with your natural teeth, dentures require daily maintenance. With regular wear and tear, your dentures can last 5-7 years. During that time, you may need periodic denture relines to accommodate changes in the contours of your mouth. Regular denture relines involve resurfacing the base to ensure that your dentures fit and function perfectly. If you break your dentures, it's critical to bring them to your dentist for professional denture repair. Home denture repair kits can cause more damage and be even more costly to fix.

Endodontics

Root canals get a bad rap. But don't believe the rumors; the dreaded root canal isn't dreadful at all! Root canals are needed when either decay or an injury infects the inner tooth (the pulp). In the earliest stages of infection, you may not feel any pain at all. But when it progresses, you could have a toothache and swelling, or a dental abscess might form. Root canals remove the infection and prevent it from spreading. Thanks to modern rotaries, root canals are faster, more comfortable and, in many cases, more thorough than conventional root canals.

Pulp capping is an alternative to root canals that is used when the infection has yet to penetrate the pulp. Pulp capping is also used to prevent a large dental filling from getting too close to the nerve.
 

Root Canal in Ann Arbor, MI

Oral Surgery

Oral surgery is an umbrella term for surgical treatments such as dental implants, wisdom teeth extractions and bone grafting. Dental implants, an excellent solution for missing teeth, are surgically placed tooth roots that hold dental crowns in place. A wisdom tooth extraction may be recommended if there isn't enough room in your mouth to accommodate wisdom teeth and they become impacted, partially erupted or infected. Bone grafting transfers bone from one part of the jaw to another, usually to accommodate a dental implant. While a general dentist can perform some oral surgery procedures, an oral surgeon is required for others.

Oral Conscious Sedation Dentistry

Conscious sedation is a moderate level of sedation that causes drowsiness and is taken in pill form. IV deep sedation is typically administered intravenously and works very quickly.

Pediatric Dentistry

Catering to the dental needs of kids requires a special touch. Dr. Donoho and his team are specially trained to treat the oral health needs of children. This involves in-depth knowledge about children's behavior, as well as their growth and development. Washtenaw Dental Associates dental office is also designed to make kids feel comfortable and relaxed – with plenty of toys, activities and videos.  Kids love to come see us.

Pediatric Dentistry in Ann Arbor, MI

Sleep Apnea

Did you know millions of people suffer from snoring and obstructive sleep apnea? Obstructive sleep apnea not only causes fatigue and severe daytime drowsiness, but many other problems such as poor memory, clouded intellect, personality changes, irritability, decreased sex drive, morning headaches and many health problems. Obstructive sleep apnea contributes to cardiovascular disease, as well as conditions such as hypertension, stroke, heart attacks and heart disease.

During normal sleep we breathe air in through our mouth and nose into our airway. If the muscles of the tongue and palate fall back into the airway, they can constrict the airway or completely close it off. When constricted the air causes the muscles to vibrate, thus causing snoring. When the airway is completely closed off, this causes an apnea event to occur, where one stops beathing, and which causes your brain to awake you to start breathing again.

If you have been diagnosed with sleep apnea or a similar condition, we would be delighted to discuss treatment options. Contact us today!

Snore Guards

Snoring comes from the throat. It is caused when your airway becomes partially blocked. When you sleep, you relax. Your muscles and soft tissues in the back of your mouth and throat - the tongue, uvula, upper throat, and soft palate - rub together creating vibrations and noise. Obstructive sleep apnea (OSA) afflicts over 40 million Americans. Untreated, OSA can lead to heart problems, strokes and excessive daytime sleepiness. More people are killed by sleepy drivers than by drunken drivers.

In its most severe form, the relaxation of the upper airway is so complete that the lungs may not receive oxygen for up to 30 seconds. In response to this deprivation of oxygen, your body triggers an internal alarm and you partially wake. This is usually accompanied by loud gasps for air that can last 3 seconds or more, until you fall asleep and the cycle starts all over again.

Snoring is also affected by diet, health, lifestyle, age, weight, environment and other factors.

The EMA® (Elastic Mandibular Advancement) oral appliance is a customized removable appliance created for the noninvasive treatment of snoring and (OSA). The appliance is designed to both advance the mandible and open the bite to allow for less restricted airflow during sleep.

The EMA® has the benefits of being easy and comfortable to wear, effective regardless of the position that you sleep in and it will work throughout the whole night.

PlaySafe® Sports Mouthguards

More than 5 million teeth are knocked out in sporting activities each year. While this number is staggering, the American Dental Association estimates that more than 200,000 oral injuries are prevented every year thanks to the use of PlaySafe® sports mouthguards.

PlaySafe is the most prescribed mouthguard in the U.S., Europe and Australia. Customized to fit your mouth, statistics show that when worn properly, a protective mouthpiece decreases the risk of oral injury by 99 percent.

While many sporting good stores sell mouthguards, these versions are not as effective as the PlaySafe sports mouthpiece offered by your dentist. That's because store-bought mouthguards cannot be altered and require you to keep your mouth clenched for maximum protection. PlaySafe, however, is made using an exact duplication of your mouth and will stay in place with no effort. This gives you the ability to put your attention where it belongs: on the game!