Dr. Robert V. Espejo, Jr.DR. Vincent Mojica Dr. Jennifer A. Espejo, DDSDr. Priti Advanti
Complete Oral ExaminationRoutine CleaningDeep CleaningFillingsRoot Canal TherapyPost Core Build-UpCrown RestorationsPartial & Full DenturesExtractionsGeneral Pediatrics DentistryCosmetic DentistryBondingVeneers WhiteningPatient Education
Request AppointmentAddress-Phone-Maps

Our Services

We offer all treatments of General Dentistry that the members of your family need.

Below is a list of the services we can provide:

Complete Oral Examination
Dental Station - Parktown Dental Care

The purpose of this exam is to address any concerns or questions our patients may have. A visual and radiographic inspection of the mouth is conducted to determine each patient’s overall oral health. We are proud to provide our patients with digital x-rays, which emit less radiation than traditional x-rays. The individual’s treatment plan will be explained at this time, followed a question and answer session.

Specifically, this exam includes an inspection for cavities, gum disease, oral cancer, and dental infection. X-rays are vital to this process because they allow us to see what the eye cannot see from the outside. A lead apron is provided when taking x-rays to minimize the body’s exposure to unwanted radiation.

Pregnant women should ideally receive treatment in their second trimester, since this is the safest period. This, of course, excludes dental emergencies in which case we will provide the best treatment possible.

We at Parktown Dental Care do not believe in “selling” dentistry that is not needed...

Routine Cleaning
Smile

A routine, superficial cleaning is done using an ultrasonic device to remove surface plaque and calculus around and between teeth. Calculus is plaque that has hardened over time. This is followed by an overall polish with dental paste that leaves the mouth feeling simply refreshed!

Our pediatric patients receive only the polishing and a fluoride application, which strengthens the enamel. They are advised not to eat, drink, or rinse until after 30 minutes to ensure maximum absorption of fluoride into the enamel. Note that there is little fluoride absorption into the digestive system, and fluoride overdose in the body is not an issue.

After the procedure it is important to continue brushing and flossing regularly to maintain the cleanliness of teeth and gums. Mouth rinses facilitate the removal of debris from hard-to-reach areas.

Should there be plaque or calculus underneath the gums, a deep cleaning will be recommended to remove unwanted debris. This cannot be done during a simple cleaning because it would evoke discomfort, and anesthesia is often required.

Deep Cleaning

Often referred to as ‘Scaling and Root Planing’, a deep cleaning involves the removal of plaque and calculus below the gumline. Cleaning below the gums is important to preventing gum disease and stopping the progression of existing gum disease. Anesthesia is often used to make the procedure more comfortable for patients.

In patients with Periodontitis, or gum disease, the space between the gums and the teeth deepen to form pockets. Plaque could become trapped and impossible to remove via simple cleanings alone. Over several months, the plaque then hardens in the pockets, forming calculus, which can only be removed with special instruments. If the debris is not removed, the pockets could deepen further and propagate the gum disease. After deep cleanings, it is entirely possible for gums to heal, where pockets become shallower and more healthy.

After the procedure it is important to continue brushing and flossing regularly to maintain the cleanliness of teeth and gums. Mouth rinses facilitate the removal of debris from hard-to-reach areas.

Fillings
Fillings

There are two types of fillings offered in dentistry today:
amalgam and composite.

Amalgam is a silver filling that is made of an alloy of metals, including silver, mercury, tin, copper, and zinc. The amount of mercury found in dental amalgam is minimal and according to several studies has been deemed safe for use by the American Dental Association. Amalgam has been used for several centuries in dentistry due to its strength and durability.

Composite is a resin, or plastic material which is white in color. It is a popular alternative to amalgam due to its ability to blend in with surrounding teeth. Modern composites are as equally strong and durable as amalgam. Anesthesia is often used during both of this procedures to ensure comfortability of the patient.

For our pediatric patients, we offer preventative fillings called ‘sealants’ that help prevent cavities. Anesthesia is not required for this procedure.

Cavities are caused by bacteria that create holes in the hard tissues of the tooth. They are able to digest sugar on teeth and produce acid as a byproduct, which creates these microscopic holes. These holes can only be fixed by the removal of the cavity with a dental handpiece and placement of the filling.

Sealants are essentially composite fillings that fill in the grooves of permanent teeth in order to keep bacteria from entering. Thus, cavities are prevented as long as the sealants remain intact.

For fillings on front teeth, it is recommended that a composite be placed for better appearance and durability of the filling. During placement, composites are sticky and can better adhere to frontal surfaces of the anterior teeth. The filling is then hardened by a UV light. Composites are also easier to polish and adapt better to the curvature of teeth.

Note that it takes 4 hours for amalgam to harden after placement, so patients should eat on the opposite side of mouth until then. Composite, on the other hand, is fully hardened after placement.

Root Canal Therapy
Tooth Root Canal

A root canal is a procedure where the pulp of the tooth is removed, the internal surfaces cleaned, and then filled with rubber. Reasons that necessitate root canals are deep cavities, trauma, fractures, repetitive dental procedures, or spontaneous infection from an unknown cause. This treatment provides an effective means of saving teeth that might otherwise require extraction. Anesthesia is always administered prior to this treatment.

Active infections are often manifested by pain, sometimes a throbbing pain, to cold foods and chewing. Teeth can also be painful to hot foods and air. In later stages, the gums adjacent to infected teeth could become inflamed and a pustule could form.

To start the procedure, the tooth is entered from the biting surface using a dental handpiece. The inflamed pulp is removed and the insides of the canals cleaned and disinfected. The pulp is made up of blood vessels and nerves. Gutta percha, a type of rubber made from Guamanian rubber trees, is used to fill the empty space. A temporary filling is then used to cover the entrance of the tooth until the permanent filling can be placed.

Crowns are almost always recommended for root canal treated teeth in order to seal the entrance of the canal and protect it from re-infection. More importantly, since root canal treated teeth become brittle over time, the crown serves to protect teeth from future fracture. After restoration, teeth can function with the strength other vital teeth.

Post and Core Build-Up

A post is only placed in root canal treated teeth, if there is not enough tooth structure to hold the permanent filling in place. It functions to retain the filling and crown. The core build-up material is then placed around the post to permanently seal the entrance of the canal(s) of the tooth. Materials used can vary from amalgam to varying types of composites.

Crown Restorations
Crown and Bridge

Crowns are used to cover teeth that have been root canal treated, fractured, chipped, or are misaligned. Materials used to fabricate crowns vary from steel, to gold, to full porcelain, to porcelain fused to metal, which is most popular. Two main purposes why a crown is placed is to maintain the tooth’s integrity and to restore it to a more pleasant appearance.

Placement of a crown requires the removal of some tooth structure. After administering anesthesia, a dental hand-piece is used to reduce the tooth size to a smaller version of itself. The reason for doing this is to ensure that the crown is not larger than the surrounding teeth. It needs to fit with the patient’s current bite in order to function successfully. After the tooth has been prepared, an impression will be taken and sent to the laboratory where the crown will be made. A temporary is placed on the tooth where it will remain until the permanent crown is cemented.

Partial & Full Dentures
Partial & Full Dentures

Replacing missing teeth is important if you want to maintain a healthy and beautiful smile! Dentures are custom made for each individual and replace multiple missing teeth, or a full set of teeth if needed. Dentures function to restore your smile, chew your food, pronounce your words, and prevent facial sagging by providing support to your lips and cheeks.

There are many types of materials used to make full dentures and you should consult your dentist about which ones are right for you.

Extractions

An extraction, or removal of a tooth, is performed when a tooth is causing pain, damage, and can no longer be saved.

Other reasons include:

  1. The patient may choose extraction over another option due to financial reasons.
  2. For orthodontic treatment, the removal of teeth allows crowded teeth to straighten.
  3. Third molars that do not grow straight or start to negatively affect surrounding teeth.
General Pediatric Dentistry

As a family practice, we also treat children from the age of 2 and above. Our dentists and staff are trained to cater to children’s dental needs and are highly experienced and patient. Patients will find their environment to be friendly and welcoming.

Note that during their routine cleanings, children from the ages of 2 through 14 will receive a fluoride gel application. To increase the effectiveness of the fluoride, they will be asked not to eat or drink for 30 minutes afterward.

Cosmetric Dentistry

The purpose of Cosmetic Dentistry is restore the smile to a more natural and pleasing appearance through Bonding, Veneers, or Whitening.

Bonding
Bonding

Bonding is a procedure where composite resin is placed to cover irregularities on teeth in order to restore them to a desired appearance. It is the most conservative technique to brighten one’s smile! The composite can repair chips, minor cracks, gaps between teeth, exposed roots, and so much more. The procedure is done in one appointment and usually doesn’t require the use of anesthesia. Regardless of its use, bonding can produce attractive results!

Veneers
Veneers

Veneers are thinner porcelain crowns that are placed to alter teeth to the patient’s desired appearance. They can be placed to whiten teeth, fill unwanted gaps, straighten misaligned teeth. This process is done in two visits and involves the reduction of surface enamel. It is a relatively conservative procedure in that it requires less enamel reduction than traditional crowns. After two appointments, patients will find their smile to be dramatically improved!

Whitening
Whitening

It is normal for teeth to darken with time, especially if one’s diet includes food and drinks that stain. Although bleaching can lighten most discolorations, certain stains are difficult or impossible to eliminate entirely.

Our office provides home whitening kits, where clear trays are custom-made for each person and the whitening gel is provided. Altogether, whitening is the most common and successful method used in creating a wonderful smile!

Patient Education
Dental Station - Parktown Dental Care

All of our dental services will be completed along with patient education. Most of the time, patient education is done prior to the procedure and then after the procedure is done. Our doctors are very experienced and are able to complete the treatments quickly and efficiently. Our patients have and always will receive the best treatment dentistry offers! So we welcome you to our office with a warm smile and many helping hands!