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What Every Parent Should Know About Wisdom Teeth

wisdom teeth extractionParents of teens and tweens often have questions about wisdom teeth. There is a lot of information about wisdom teeth available online, but it can be confusing when you try to understand what it means for your child, specifically.

The most important thing I tell all parents about wisdom teeth is that we are already thinking about them!

Every time your child comes in for a dental check-up, we review dental x-rays to monitor the growth and position of the wisdom teeth. We assess each child’s situation individually and will let you know when we think the optimal time for removal will be, if needed.

Do you have a teen who needs routine dental care and wisdom teeth extraction? Call our Vancouver, WA dental office at 360-574-3061 to learn about wisdom teeth extraction with Dr. Carl Futenma.

Wisdom Teeth: Who Needs Them?

A curious fact about wisdom teeth (the 3rd molars) is that they are not needed for proper dentition. They are a biological holdover from when we used to chew a great deal more fibrous plants and unprocessed grains, thousands of years ago. Many people do not develop wisdom teeth, in fact, or only grow a set on the top or bottom. Most of us do, however, so we have learned that they can be problematic.

Over the past few millennia, human jaws have been getting smaller, but we still grow the same number of teeth to fit into those jaws. This means wisdom teeth can cause problems when they come in. There may not be enough room for them to erupt, so they become impacted—often painfully. Even if there is room in the jaw, they can still lead to overcrowding and undo all that effort you put into straightening the teeth with orthodontics!

Why Wisdom Teeth are Often Removed

If we think your child’s wisdom teeth are going to cause eruption problems or may upset proper alignment, we usually recommend extraction. They are not needed for proper chewing, so in many ways the procedure is a preventive measure. Your child avoids potential pain and dental problems in the future by having the wisdom teeth extracted.

Even when there is ample room in the jaw for wisdom teeth to erupt, patients often choose to have them extracted, anyway. Why? Molars are harder to keep clean to begin with, due to their deep crevices, and the third molars erupt in the farthest corner of the mouth. It can be hard to manipulate a toothbrush and flossing tools so far into the mouth, and many adults develop decay in the deep ridges of the wisdom teeth. Many people who keep their wisdom teeth when they were younger find they have to get them extracted at a later date when they begin to suffer deep decay and structural damage. This can often be more traumatic than having it done before they erupt.

When is the Best Time for Wisdom Teeth Extraction?

Most children begin developing wisdom teeth in their jaws by about age ten. We can see them on a dental x-ray, even though the child won’t notice their presence and they won’t try to erupt until much later.

The ideal time for extraction will be before the teeth have erupted, at a point when the wisdom teeth have developed roots and the surrounding bone is less dense. We typically recommend extraction occur at some point between 16 and 19 years of age, but every mouth is different. Some teens will be ready for extraction at age 15, and some may not be at the ideal stage until they are 20 years old.

This is why routine dental visits are so important. They allow us to monitor the development of the wisdom teeth over a period of several years, so we can determine and advise you of the best time for extraction.

To learn more about wisdom teeth extraction, call our Vancouver, WA dental office at 360-574-3061 to make an appointment.

Call Creative Smiles for Vancouver WA wisdom teeth extraction.

NuCalm: Drug-Free Treatment for Dental Anxiety

dental anxietyDental appointments are rarely anyone’s favorite activity. Letting another person poke around in your mouth just feels wrong; the light is too bright; it gets a bit boring lying back in the chair; and there’s always the chance you might get bad news. But we stand up straight, lift our head, and go to our appointments anyway, because we know it’s the best way to preserve the health of our teeth.

For the millions of Americans with dental anxiety, however, there’s a lot more to the story. Dental anxiety and phobias can prevent even the toughest personalities from getting the care they need. For these patients, no amount of bravery or coaching is enough, because their reaction to dental situations is not something they can control. They may experience irrational panic and dread so severe that it starts before they even get to the dental office.

Do you know someone who has avoided the dentist due to dental anxiety? Read on to learn how Vancouver, WA dental office Creative Smiles can help you have a more comfortable dental appointment, with or without medication.

Overcoming Dental Anxiety

Dental phobias may have their roots in bad memories from the past, fear of pain, fear of needles, or an instinctive response to the sounds, sights, and smells of a dental office. Ultimately it doesn’t matter what the cause is, because most patients respond favorably to a two-fold approach to combat dental anxiety.

  1. Establish a trusting relationship with the dentist and staff, so you can communicate your fears and feelings, knowing the dentist will respect your wishes.
  2. Use mildly sedating medications to induce a more relaxed state of mind.

For many patients, a dose or two of an oral sedative is enough to give patients a worry-free, non-triggered dental appointment. Mild anti-anxiety medications do not induce unconsciousness, but simply take the edge off, and allow the patient to relax. Oral sedatives can safely be used in conjunction with nitrous oxide gas, to help patients tune out their anxiety and stay calm.

Medication-Free Sedation?

Dental sedation can “work miracles” for many anxious patients—but it’s not always the answer. Some patients cannot take sedatives for medical reasons, and some people react badly to sedatives; in some cases, the medication may actually increase anxiety because they feel like they are relinquishing control. For patients who cannot take oral sedatives, we are proud to offer a medication-free option.

NuCalm is an all-natural, patented process for inducing a state of deep relaxation. It uses a combination of sensory blocking tools (earphones and eye mask), calming music, and an FDA-approved cranial electrotherapy stimulation (CES) device. This device gently stimulates your brainwaves to bring you into an alpha and theta wave state, which occur naturally when you are calm and relaxed. Ordinarily, you would experience your appointment in a beta wave state of alert wakefulness. Click here to read more about brain waves.

NuCalm has been used safely on more than 250,000 patients, and 98 percent report positive experiences. It does not interfere with your brain function, but is simply a way to “hack” yourself into a state of calmness without the use of medication. You can read more about NuCalm on their website; in addition to its application in dental situations, NuCalm is also used as a stress-relief system, and a performance enhancing tool.

If you are averse to the idea of taking drugs, or simply want to be able to drive yourself home after your appointment, ask Dr. Carl Futenma about NuCalm for your next appointment.

If you experience dental anxiety, contact our Vancouver, WA dental office at 360-574-3061 to schedule a consultation. We will meet with to discuss treatment options and help you decide if you want to try NuCalm or oral sedation to get the care you need.

Preventive Visits Keep Your Family’s Smiles Healthy

family dentistryAs the expression goes, an ounce of prevention is worth a pound of cure. Nowhere is this saying more true than in dentistry. It’s much easier to prevent cavities than to treat them–and much cheaper, too. If you fit into the category of people who only go to the family dentist when you have a toothache, get ready for a big dose of truth: there’s a better way!

We know no one looks forward to dental appointments, but the reality is that regular six-month visits to your dentist are the single most important thing you can do (beyond daily brushing and flossing) to prevent cavities and gum disease.

Do you need a family dentist in Vancouver, WA? Creative Smiles provides excellent quality dental care to keep your family’s smiles healthy and strong. Contact us at 360-574-3061 to schedule an appointment with Dr. Carl Futenma.

What Happens During a Preventive Visit?

Six-month preventive visits serve two main purposes. They give us the opportunity to (1) examine your teeth for problems, and (2) deliver a professional teeth cleaning. When signs of decay are caught early, this allows our staff to provide treatments that can actually prevent a cavity from developing. If cavities are already present, we can provide fillings to prevent the kind of deep decay that leads to complex restorations.

There are many goals to preventive visits:

  • Remove tartar from tooth enamel
  • Clean and polish teeth
  • Answer questions about oral health and hygiene
  • Examine teeth and take x-rays
  • Check for cavities and spots of demineralization
  • Apply fluoride gel and sealants to prevent cavities
  • Check gum tissue for signs of gingivitis and periodontitis (gum disease)
  • Discuss overall medical health issues that may affect your oral health
  • Oral cancer screening

As with any dental procedure, preventive visits can be performed with the assistance of sedation. If a member of your family experiences dental anxiety, ask about our sedation options when you book the appointment.

Why Prevention is So Important

Most Americans will experience some level of tooth decay in their lifetime. Even those of us who are vigilant about our daily oral hygiene can develop cavities. Why? Mouth bacteria are miniscule, and any amount of tartar build-up can lead to a cavity if not removed with dental tools. Once a cavity has started there’s nothing your body can do to heal it. Only your dentist and dental staff can halt tooth decay and keep your teeth healthy and strong.

Why You Need Professional Teeth Cleanings

You may love how white and shiny your teeth look after a dental cleaning, but appearance is the least important benefit of a dental cleaning.

When you eat and drink, small amounts of food residue stick to the teeth and invite bacteria to feast on them. As bacteria consume, they excrete acids that can demineralize tooth enamel. Bacteria and food residue form a biofilm called plaque. If not removed by brushing and flossing, plaque can harden into calculus (tartar), which is not soluble and can only be removed with dental instruments. At your dental cleanings, we remove small spots of tartar that would otherwise develop into cavities if neglected.

Practicing good oral hygiene is the best thing you can do at home to prevent cavities. But the truth is that brushing and flossing can never remove all bacteria from the mouth. All it takes is a very small spot of tartar to initiate the beginning of a cavity. Teeth often have deep ridges and crevices (especially the molars), so it can be extremely difficult to clean them thoroughly on your own.

When we find these spots of tartar and demineralization, it gives us the opportunity to treat them. Without regular dental cleanings at your family dentist, you are more likely to develop cavities that require restorations, such as fillings and root canal therapy.

Patient-Centered, Family Friendly

At Creative Smiles, you’ll find a caring, patient-focused staff who will make your experience as comfortable as possible. No oral hygiene lectures (unless you ask for them) and no shaming will take place inside our walls. Our one goal is to help you and your family have the best oral health possible, so you can keep your teeth for life.

A native of Hawaii, Dr. Carl Futenma has a friendly chair-side manner that will make every member of your family feel welcome and well cared for. From the youngest member of your family to the oldest, Dr. Futenma’s expertise and experience ensure you get the best care possible.

Visit our Vancouver, WA dental office to meet family dentist Dr. Carl Futenma. We can’t wait to meet you! Call us at 360-574-3061 for an appointment.

Dentist in Vancouver | Why Are My Teeth Sensitive?

Family Dentist in Vancouver WA

Dentist in 98665

What makes teeth sensitive?

If the idea of biting into an ice cream sandwich makes you cringe, you may be one of the millions of people who suffer from sensitive teeth. This is often caused by movement of fluid in the dentin – the soft inner tissue beneath the enamel of your tooth. This motion irritates the tooth nerve, creating a tingling sensation and sometimes pain.

Another common cause of tooth sensitivity occurs when the tiny tubes of fluid in the dentin become exposed. This can happen due to tooth wear, receding gums, or damage to the tooth. When this occurs, pain is triggered by eating or drinking foods that are hot or cold, sweet or acidic, and even through contact or exposure to air.

Whitening and orthodontic treatment may cause temporary teeth sensitivity. In most cases, this type will disappear within a week or two. In severe cases of sensitivity, the tooth nerve itself may be exposed, causing severe pain and irritation and requiring immediate treatment.

What can you do about sensitivity?

If you are suffering from sensitivity in your teeth, tell your hygienist or dentist at your next dental visit. They may need to screen for more serious underlying causes that could need treatment. They will also be able to recommend your best method of managing your discomfort.

Is sensitivity preventable?

Some forms of sensitivity are preventable. Avoid using hard-bristled toothbrushes and do not brush aggressively. This can cause higher levels of wear that lead to sensitivity. If you participate in sports, wear a mouthguard to protect your teeth from trauma. Chipped and cracked teeth often become sensitive.

Once serious underlying issues have been ruled out, you can help to manage mildly sensitive teeth with special toothpastes that are designed to decrease your sensitivity. If these do not provide sufficient relief, ask whether a prescription product may be needed.

If you experience tooth sensitivity, contact our office to schedule an appointment. We can help.


98665 Dentist | What You Should Know About Partial Dentures

Cosmetic Dentist Vancouver

Determining Which Type of Denture is Best for You  

Vancouver, WA DentistDentures can either be a replacement of all of one’s teeth known as complete dentures or a section of teeth, known as partial dentures. When arriving for your scheduled appointment here is what you can expect. X-rays to look for any issues that might affect fit. In some cases, the addition of crowns, may be needed to accommodate the new partials. Once fitted, your dentist will recommend keeping them in for one week to make any necessary adjustments. Next, how you should care for them, why it is important to note any misconceptions, and any future questions you might have will go down here in this handy guide. Always consult your dental professional should you have any questions or concerns.

Fitting of Partial Dentures

Having been fitted with your partials, you will be ready to schedule a follow up appointment you’re your dental professional to make any adjustments and address any concerns you are having during this first week period. There will be different types of products available to you the consumer for taking care of your new partials, and that it is important to know what to expect when wearing and caring for them. Some of the commonly held misconceptions are listed below and are summarized from the ADA’s recommendations.

Misconceptions and how to Care for Them Below, is a look at some differences, and what you can expect when caring for your new partials. The many different types of products available to you over the counter and caring for them will change. Below, we can see how and what will be done different.

  1. Never brush your dentures with a regular toothbrush. Always use an approved denture brush designed specifically for dentures themselves, otherwise you can damage them.
  2. Avoid any non-approved denture toothpaste not designed for dentures. They are far too abrasive and again you risk damaging them.
  3. Instead, using a mild household soap and water is perfectly acceptable and will not damage them.
  4. Your dentist will probably recommend a cleanser. Look for denture cleaners sold over the counter that are ADA acceptable and the label clearly indicates this.
  5. Finally, if at any time your dentures become damaged, either they have been chipped or are missing one or more teeth, consult your dentist immediately.

Whether you are deciding which type of dentures, either partial and full replacements, you should now have a basic understanding of what to expect with full or partial ones. Avoiding cleansers and brushes that will cause harm or damage and following the recommendation of your dental professional are crucial in making your new partials last a long time. For helpful links, see the resources below and follow the links and to schedule your appointment, please contact our office below. 


Dentist Vancouver | 6 Harmful Habits That Affect Your Teeth

Dentist in Vancouver

Dentist Vancouver, WANearly everyone has at least one habit that they wish they could break. Did you know that some of them can affect your oral health? Here are a few common habits and tips for how to break them.

  1. Nail Biting

Why it’s harmful: Your dental health may suffer from nail biting by possibly chipping your teeth or impacting your tooth. You place pressure on your jaw when you leave it in a protruding position for long periods of time. You could also tear or damage your gums.

The solution: Some patients find it helpful to wear a mouth guard to deter form nail biting. Other ways to reduce nail biting include using therapy techniques, reducing stress, or applying bitter tasting nail polish.

  1. Brushing Too Hard

Why it’s harmful: It’s best to brush your teeth for two minutes at least twice a day. Make sure to not brush too hard since this can lead to damage to the teeth and gum irritation. When you brush too hard, you risk gum recession and not cleaning your teeth efficiently.

The solution: Instead of brushing hard, use a soft toothbrush and apply a proper pressure. Let your toothbrush bristles touch your gums at a 45 degree angle and reduce the force of your brush on your gums.

  1. Grinding and Clenching

Why it’s harmful: This can chip or crack your teeth as well as cause muscle tenderness and joint pain. You may also experience a painful sensation when chewing or inability to open your mouth wide.

The solution: Stay aware of your teeth grinding and clenching and use relaxation exercises to keep from doing both. A mouthguard can also help protect you from grinding your teeth while you sleep. This will reduce any tooth pain, or muscle soreness and give you a better sleep. Our dentist can provide recommendations for how to combat teeth grinding.

  1. Chewing Ice Cubes

Why it’s harmful: Tooth enamel and ice are both crystals. When you push two crystals against each other, it can cause one to break. This may be the ice and sometimes it may be the tooth.

The solution: Try drinking beverages without ice or use a straw instead.

  1. Constant Snacking

Why it’s harmful: If your diet consists heavily of sugary foods and drinks, you are at a higher risk of forming cavities. The cavity-causing bacteria feast on leftover food and produces acid that attacks the outer shell of your teeth.

The solution: To reduce snacking, eat balanced meals so that you can feel fuller, longer. You should avoid sugary foods when snacking. If you are tempted to eat the occasional sugary snack, just make sure to drink a glass of water after to wash away the leftover food.

  1. Using Your Teeth as a Tool

Why it’s harmful: Using your teeth as a tool to hold items, open bottles, cut through thread, or other functions can put you at risk for chipped or broken teeth or jaw injuries.

The solution: Your teeth should never be used to hold or open items or to cut things when you don’t have scissors at your disposal. Look for your scissors or find someone that can give you a hand. Your mouth will thank you for it and you’ll be saving yourself from potentially costly and painful dental complications.

Schedule your next visit and talk to our doctor.

Vancouver Dentist
(360) 574-3061

Dentist Vancouver WA | 8 Great Ways to Improve Your Smile

Dentist in Vancouver

Dentist in 98665We all know the importance of making a great first impression. Whether you’re going into a job interview or about to go on your first date with someone new, you want to have the confidence that comes with a great smile. After years of wear and tear however, a lot of people end up with teeth that they’re not completely proud to show off. If you feel unhappy with the way your smile looks, don’t worry; there are plenty of options that can help.

Figuring out the best ways to improve your smile can be a daunting task, but our dental team is here to help, offering a range of services dedicated to helping you look and feel your best.

8 Ways to Improve Your Smile

  1. Teeth Whitening
  2. Dental Crowns
  3. Veneers
  4. Tooth Bonding
  5. Braces or Invisalign®
  6. Dental Implants
  7. Brushing and Flossing
  8. Regular Dental Visits

There are a myriad of ways you can improve your smile. Wether you decide to pursue a more in-depth treatment at our clinic or simply want advice on how to improve your oral health routine at home, our dentists are happy to help. Our highly trained team offers all the state of the art services necessary to help keep your mouth healthy and your smile shining bright.

It’s clear that there are a lot of treatments available for anyone looking to improve their smile. With options for any budget, there’s no reason to wait to begin your journey towards a better smile. To schedule a professional cleaning or to speak with someone about a personalized treatment plan, contact our office today!

Schedule your next visit and talk to our doctor.

Vancouver Dentist
(360) 574-3061

Vancouver Dentist | Oral Cancer Risk Factors

Dentist in Vancouver

Dentist in 98665During a comprehensive dental examination, our team will look for signs of oral cancer. Early detection is key with oral cancer. If caught early, most forms of oral cancer are treatable. Our dental team is trained and educated to identify oral cancer.

Everyone is susceptible to the disease, but some groups of people are at a higher risk level than others. Here are the top seven risk factors for oral cancer.


Are you in your mid 40s? Your risk of developing oral cancer increases with age. A noticeable increase is evident in people in their 40s and older. According to the Cancer Treatment Centers of America, the majority of diagnosed cases occur around the age of 62, but the average age is declining. The recent increase in Human Papillomavirus (HPV) related cases is causing more people to be diagnosed for oral cancers between the ages of 52 and 56. As the average age for oral cancer cases decreases, it is vital that you receive regular oral cancer screenings at any age.


Men are twice as likely to develop oral cancer compared to women. Part of this difference may be related to regular intake of alcohol and tobacco. According to the American Cancer Society, the gender difference is decreasing since more women are drinking and using tobacco today than in previous generations. There has also been a trend in recent years of younger men being diagnosed with HPV-related oral cancer. Both men and women should schedule regular oral health examinations to detect oral cancer early.


Smoking or chewing tobacco can greatly increase your risk of developing oral cancer. Tobacco can lead to cancer of the mouth or throat. Additionally, oral tobacco products cause cancers associated with the cheeks, gums, and inner surface of the lips. Development of these cancers depend on the duration and frequency of tobacco use. Non-smokers are not immune to oral cancer, so be sure to schedule an appointment with our team for an examination.


Among those that are diagnosed with oral cancer, about 70% of people are characterized as heavy drinkers. According to the Centers for Disease Control and Prevention (CDC), heavy drinking is defined as having an average of two or more drinks per day for men, and one or more drinks per day for women. People who drink heavily can be more than twice as likely to develop oral cancers than people who do not drink. Oral cancer can still occur in people who have never had an alcoholic drink. Contact our team to schedule an examination.

Human Papillomavirus (HPV)

This sexually transmitted disease is associated with at least 10,000 cases of oral cancer diagnosed each year in the United States. People who have HPV-related oral cancers tend to be younger and are unlikely to smoke or drink. Typically, those diagnosed with HPV-related oral cancers are at a much lower risk of death or reoccurrence. We suggest a proactive approach by maintaining regular visits to our dental office.


People who work outside or with prolonged exposure to sunlight have a higher risk of developing lip cancer. It is vital to use UV protection when under the sun. Many lip balms offer UV protection. If you work outdoors frequently, schedule an additional examination with our team.


Poor nutrition can increase your risk for developing oral cancer. According to the American Dental Association, reports have shown that a link exists between diets low in fruits and vegetables and a higher risk for oral cancers. However, oral cancer can develop in healthy individuals. No matter your diet, schedule a visit with our team for a comprehensive oral examination.

Oral cancer does not discriminate. While these seven factors have been tied to an increased risk of oral cancer, that does not diminish the importance of regular oral examinations for everyone regardless of their age, gender, or other factors. Regular dental examinations make it possible for our team to detect oral cancer early. Contact our dentist to schedule a comprehensive oral examination.

Schedule your next visit and talk to our doctor.

Vancouver Dentist
(360) 574-3061

Vancouver Dentist | Diabetes and Oral Health

Dentist in Vancouver

Dentist in 98665Did you know that 1 in 5 cases of total tooth loss is linked to diabetes? Diabetes affects your entire body including your mouth and teeth. Here are a few ways diabetes can impact your oral health:

Gum Disease

An early warning sign of potential gum disease is bleeding while you brush or floss. At this stage, gum disease may still be avoided by maintaining proper oral hygiene and a balanced diet. Research suggests that if your blood sugar isn’t under control, it can worsen gum disease. When gum disease becomes severe, it can break down the bone that supports your teeth and lead to tooth loss.

Dry Mouth

According to studies, people with diabetes have less saliva. Symptoms may include a dry tongue, cracked lips, and constantly feeling thirsty. Medications and higher blood sugar levels can also contribute to dry mouth. You can manage your blood sugar levels to help improve these symptoms. Drink plenty of water and eat healthy, crunchy foods to get the saliva flowing.

Change in Taste

Diabetes can alter your sense of taste and certain flavors may not feel as rich to you as they once did. Try considering this as an opportunity to explore new tastes, spices, and textures to your food. Be cautious of adding sugar to your foods, as this could negatively affect your diet. Make sure to see our dentist if you have persistent issues with taste.


Diabetes affects your immune system and can cause you to be more prone to infections in the mouth. Oral thrush is one common infection among many who have diabetes. It will look like a white layered coating on your tongue and on the inside of your cheeks. This is a reaction to the yeast thriving on high levels of sugar that can be found in your saliva. Oral thrush may leave a bad taste in your mouth, but it can be treated.

Slow Healing

Diabetes can slow down the process of healing any injuries, cuts, or sores in your mouth. Poor blood sugar control can prevent sores from healing quickly and properly. Be sure to see our dentist if something in your mouth hasn’t healed properly.

If you have diabetes and want more information on its impact on your oral health, schedule your next visit and talk to our doctor.

Vancouver Dentist
(360) 574-3061

Vancouver Dentist | I Chipped a Tooth! What Can I Do?

Dentist in Vancouver

Dentist in 98665It usually starts pretty innocently. You’re biting into your favorite hard candy and suddenly you realize that there’s one little hard piece in your mouth you can’t seem to dissolve. You check it out and fear overcomes you when you see it’s a little chipped piece of a tooth.

Enamel may be one of the hardest substances in the body but like most things in life, it has its limit. Whether you are chewing on ice or grinding your teeth at night, there’s always a chance of putting your teeth at risk. If you have chipped your tooth, there’s no need to panic. Here are a few things we can do to restore your beautiful smile:

Tooth Bonding

Tooth bonding has many structural uses, and it can be very helpful for repairing chipped teeth. Tooth bonding is a simple procedure that doesn’t require any numbing. The bonding materials and porcelain used are natural in color and can be designed to perfectly match your teeth. Your smile will look good as new, and people will have a hard time noticing you ever chipped a tooth to begin with.

Dental Crown

A dental crown is a tooth-shaped cap that helps protect your teeth, while at the same time improving its appearance. An AACD (American Academy of Cosmetic Dentistry) dentist will likely use a tooth colored crown made out of porcelain or zirconia to look identical to your teeth. Crowns will also provide the durability and strength your teeth need to withstand daily use. You may only need a partial crown if our dentist sees that the chip doesn’t affect the entire tooth.

Porcelain Veneers

Porcelain laminate veneers are made up of several thin layers of ceramic used to repair chipped teeth. They will be bonded to the teeth to replace the original enamel of the tooth with a special adhesive. Dental veneers are a fantastic way to get your tooth to look whole and healthy again.

If you have a chipped tooth and would like more information on these methods, or to schedule a consultation, contact our office today.