We understand the convenience of caring for the entire family under one roof, from ages 0-99! We are more than happy to provide dental care for everyone in your family, including children. Our hygienists are very good with kids and Dr. Ostby loves children, as he has two kids of his own. The ADA and AAPD recommend that children begin seeing a dentist by the time the first tooth erupts or by age one. Although we are very comfortable providing children’s dentistry, we are not a pediatric dental office. If Dr. Ostby feels like your child’s needs are beyond the scope of his practice, he may decide to refer you to a pediatric dentist.
There are several types of exams that we perform, including comprehensive/new patient exams, recall oral evaluations, limited/emergency exams, and *second opinion exams. Dr. Ostby devotes all of his time and energy into these appointments in order to establish a relationship with you, understand your specific needs and concerns, thoroughly assess your oral health, diagnose all of your treatment needs, create and explain a treatment plan, and answer any questions you may have.
*We offer free second opinion exams, please contact our office manager for more details.
Dental radiographs, or x-rays, are a key component to your comprehensive dental care. While some problems are obvious to the naked eye, many things cannot be diagnosed without the use of radiographs. We use digital x-rays which emit a minimal amount of radiation and are extremely safe and effective. Dr. Ostby only takes x-rays when they are needed, and he’s more than happy to explain why he needs them and show you what he’s looking for.
Cleanings - Periodontal Maintenance
Our dental hygienists are extremely knowledgable, skilled, efficient and gentle. They perform all types of cleanings from the straight forward “prophy” to the more in depth periodontal treatments like scaling and root planing. The hygienist and dentist together come up with a maintenance plan that best suites each individual, ranging from yearly cleanings to periodontal therapy every three months.
Fillings, Restorations, & Sealants
When a tooth needs to be treated, several things are taken into consideration when deciding which type of restoration will be best. The restorative materials have come a long way over the years, and research has shown that fillings are more esthetic, last longer, are stronger, and cause less post-op sensitivity. Dr. Ostby will thoroughly explain all of your options which might include preventive resin fillings or sealants, composite resin fillings (white or tooth colored fillings), core build-ups prior to crowns, sedative/therapeutic white fillings (glass ionomers- release fluoride and strengthen the tooth), and silver fillings. All of the materials we use have been thoroughly researched, have been used for years, are biocompatible, and are the gold standard for treatment.
Crowns and Bridges
A crown is a full coverage restoration that completely covers the top of the tooth, and a bridge is a connected restoration that replaces a missing tooth with a “pontic” between two crowns. People need crowns for various reasons including, but not limited to the following: when a tooth has more filling material than tooth structure remaining, when a tooth has a crack, when the tooth has broken due to trauma, when a tooth has had a root canal, or for esthetics. People opt for bridges to replace missing or extracted teeth when the adjacent teeth could benefit from crowns or when there is not enough bone available to support a single implant.
Implants are biocompatible titanium posts that are screwed into the bone in order to replace a single tooth, replace several teeth with an implant supported bridge, or to support a denture. Dr. Ostby will refer you to a periodontist or an oral surgeon for the surgical placement of the implant so that you are guaranteed to have the highest level of expertise. After the healing period he will finalize the restoration with either a crown, bridge, or over-denture.
A partial denture is a customized removable appliance that replaces one or several missing teeth, while a complete denture is a customized removable appliance that replaces an entire arch of teeth. Partial dentures are made up of an acrylic resin base with metal clasps and rests that secure it into place on and around the remaining teeth. Dentures are made up of acrylic resin and are secured into place with either highly custom-fit suction retention, or they can be implant retained. Implant retained dentures, or over-dentures, have extremely strong retention, and many patients report that they closely resemble the feel and function of real teeth.
A root canal is a treatment for the internal portion of the tooth when the tooth has nerve damage. Many people have a misconception about root canal treatment where they think it is an extremely painful procedure. However, root canal therapy is not painful itself, but it is used to treat severely inflamed, infected or damaged nerves which usually coincide with painful toothaches. The nerve of a tooth can become damaged due to a large or chronic cavity, trauma that exposes the nerve, or from a crack that allows bacteria into the nerve. A root canal may also be needed in order to add internal support for a crown or restoration when there is not enough coronal retention, and the internal supports are called pins or posts. Teeth with chronic infections may require a two-step root canal treatment, where medicine is placed inside the tooth for a period of time prior to completing the root canal. Dr. Ostby performs root canal therapy on all teeth including molars, however he may decide to refer difficult teeth to a specialist called an endodontist.
An extraction is the removal of a tooth or root, and it can be simple or surgical. During a simple extraction, the tooth is loosened from the gums and periodontal ligaments before the physical removal with forceps. During a surgical extraction, tooth structure, periodontal tissue, and/or bone may be removed prior to the complete removal of the tooth. Extractions, like root canals, tend to have a reputation for being uncomfortable. However, once anesthetized patients usually report that extractions are quite painless and patients are often surprised at how quick and simple the procedure is. Also like root canals, Dr. Ostby is extremely competent and confident with both simple and surgical extractions, however he may decide to refer more complicated cases to an oral surgeon.
We understand that toothaches, dental trauma, lost fillings, broken appliances, etc. cannot be predicted and don’t always occur within business hours. Although we are closed Saturday-Monday, established patients can always reach someone by calling our office. Either our office manager or Dr. Ostby will be available to discuss the emergency over the phone and decide if treatment needs to be done. During business hours, we can always accommodate a limited exam for dental emergencies (even for new patients), and we can usually complete any necessary treatment in 1-2 days, if not the very same day.