Common Dental Conditions and Top Dental Procedures at NFD


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Here you can learn about general dental procedures in dentistry and the top dental procedures we offer. Please read the information by clicking on links to learn about dental conditions and services before reading about the top procedures we offer at our dental group.



teeth replacement lincoln ne

Procedure: Hybrid Prosthesis 

The #1 option for total teeth replacement: Hybrid Bridge.

Imagine waking up in the morning with dentures and going to bed that night, with permanent teeth.

Teeth that do not come out, but are anchored in place — a natural-looking and new smile, just like the one that you dreamed of having again.

The Hybrid Prosthesis is one of the most innovative missing teeth options. The Hybrid Prosthesis is a procedure in which you can have your teeth replaced in a single visit. An oral surgeon will remove the teeth and place implants. Immediate dentures will be secured so that you leave with a great smile right away while you await your implants to heal and the fabrication of your permanent denture by the lab.

The Hybrid Prosthesis is an option for people that never want to remove their teeth again!

Tooth loss, gum disease, and bone disease affect millions of people worldwide, on every continent, and in every age group. Globally, several hundred million people are thought to be missing one or more teeth. More than 40 million people are estimated to be fully edentulous in the United States alone. Completely edentulous jaws (jaws that have no teeth) are a much more widespread handicap than most of us realize. Significant barriers to solving the problem are the perceived complexity, stagnant technology, and high cost of treatment. With innovative new solutions, this no longer needs to be the case. There is a solution – a cost-effective, proven solution – it’s the Hybrid Prosthesis solution!

Hybrid Prosthesis is a revolutionary concept providing patients with fully functioning teeth on dental implants in one single procedure that lasts about an hour. This technology is a recent development by Nobel Biocare and allows for collaboration between both the restorative doctor and the surgeon. This merging of knowledge and experience achieves not only increased safety but also a more precise implant placement. Also, the fabrication of the final prosthesis is completed before the surgery. The computer-guided implant surgery is done in an arthroscopic fashion without requiring any flap reflection; this benefits the patient in that there is less postoperative discomfort, less swelling, and less bruising. Patients can often resume their normal activities the next day.

The process starts with a CAT scan of the patient’s jawbone. This CAT scan allows for the generation of a three-dimensional model of the jawbone. The three-dimensional model is used with virtual reality software to plan the implant placement without the presence of the patient. The results are more accurate implant placement and less chair-time for the patient at the surgical office.

Benefits of the Hybrid Prosthesis

#1. Beautiful New Teeth in One Day. Due to the rigid structure of the replacement teeth and the cross-stabilization provided by the dental implants, you can go home that same day with a new set of teeth – even when extractions of failing teeth are required.

#2. Gentle Oral Sedation. Gentle oral sedation ensures maximum safety for every patient. Also, oral sedation promotes comfort throughout the procedure. The entire process, including any necessary extractions, can be completed in one day with minimal recovery time. The result is a fully functional set of teeth that looks and feels natural, enhances self-confidence, and allows individuals to once again experience the foods and activities they enjoy most.

#3. Less Downtime. The Hybrid Prosthesis technique delivers maximum results in the shortest amount of time with minimal discomfort. Most patients experience only minor soreness the next day and can eat a light meal that same evening. In most cases, you can return to work the next day.

Additional Benefits:

• Reduces overall cost when compared to single implants

• Eliminates the need for bone grafting, in most cases

• Allows for easy maintenance through proper oral hygiene

• Restores the ability to eat all types of foods

• Relieves the many frustrations of removable appliances

• Ensures long-term results with the potential to last a lifetime

• Renews a youthful appearance through bone level stabilization

• Creates a whole new smile in just one day• Enhances self-confidence and overall quality of life

NFD before after 33

Procedure: Cosmetic Denture 

Cosmetic Denture – $2500

Cosmetic dentures don’t just replace your teeth – they give you the confidence you deserve to continue living a happy, healthy life.

A complete cosmetic denture is custom made over several appointments. It does not have implant attachments but is often suitable for an upper denture in patients who are looking for a custom upper denture to complement a lower overdenture or Hybrid Prosthesis. This option is superior to conventional dentures as patients get two sets of dentures instead of one. It takes time for the bone to remodel after removing teeth, which is why we make the first set to be used right after the removal of teeth. The second set is made after a healing period of 3-4 months to allow for the best fit possible and a natural-looking smile. This procedure is typically not covered by dental insurance and requires multiple appointments for superior fit.

Benefits and Quality of Cosmetic Dentures

Not all dentures are created equal. Some dentures can even do more harm than good. Economy dentures aren’t always made to fit the owner’s mouth, and they can end up moving around. Ultimately, this causes poor retention and sores in the mouth.

Every face is different, so every set of cosmetic dentures must be custom made. It’s essential that your smile looks natural and fits your personality. For this reason, we take exact measurements of your facial structure when selecting dentures with patients.

Differentiating Factors of Cosmetic Dentures

There are three factors associated with how cosmetic dentures look and feel for the patient who wears them.

The shape of teeth used in dentures – The shape of the dentures should look realistic and similar to your teeth.

The materials used to make the dentures – As we mentioned before, economy dentures often use “filler materials” to create less durable, more cost-effective dentures. To make cosmetic dentures, we use only the highest quality acrylic nano-hybrid material, which resists chipping and lasts longer than cheaper materials.

The colors of your teeth – to give patients the most authentic look possible, we match denture colors to the natural color of your teeth.

How Much Do Cosmetic Dentures Cost?

An economy pair of dentures can cost as low as $300-$500. However, this doesn’t include the costs of future visits in repairing and replacing dentures, which is incredibly common with these low-end dentures. Due to low satisfaction with economy dentures, we do not make them at our office, and instead, we refer patients who choose economy dentures to Affordable Dentures or UNMC College of Dentistry. A high-quality set of cosmetic dentures at our office is $2500 but will last longer and look better, due to the custom-fit. The price also includes a temporary set of dentures you can wear during your recovery.

implant dentures

Procedure: Implant-Retained Cosmetic Denture 

Implant-Retained Cosmetic Denture – $5000

An overdenture is a removable implant-retained denture that snaps onto implant attachments. It is considered the standard of care for a lower denture. The advantage of implants is they keep the denture in place, and they preserve the lower bone from resorbing over time. This type of denture is custom made for your mouth and takes several appointments to fabricate. We partner with Nebraska Oral and Facial Surgery to complete this procedure.  

Reasons To Replace Your Dentures for Implant Retained Dentures

Implant retained dentures are an excellent option for patients who need a complete denture but want the security an implant denture has to offer. An implant is a titanium post that is placed into your bone where a tooth or teeth used to be. This post acts as the root of your tooth once did to maintain bone and keep it from dissolving. Below are reasons to consider an implant denture instead of a conventional removable denture.

A. Every time natural teeth are removed, bone loss will happen in that area if an implant does not replace it. Implant dentures prevent bone loss as multiple implants are placed and fuse into the bone and hold the denture in place.

B. Prevention of gum irritation. Because the denture sits on the implants as opposed to right on your gums, they prevent the common gum irritation often associated with conventional dentures.

C. No adhesive. No denture adhesive is needed since the implant denture is attached to the implants.

D. Stability of the denture overall. Implants are anchored into your jaw bone so they provide stability and prevent the denture from moving around in your mouth. No need to worry about your dentures shifting or coming out unexpectedly.

E. Significantly less movement. Conventional dentures have no connection except to your gums; they are easily moved out of position by the tongue and lips. When they have moved around, it is uncomfortable and can be embarrassing, but implant retained dentures are fixed in place and are much more secure. Better fit: Implant retained dentures are held in place more securely by permanent dental attachments inserted into your jaw through a surgical procedure for a more reliable and comfortable fit.

F. Stability during eating. Implant retained dentures add stability during chewing and eating by 80%. Dietary nutritional benefits. An implant-supported denture allows you to eat crunchy fruits and vegetables, leading to better overall health. It can restore full chewing capacity and efficiency. Eating most foods will not be painful or uncomfortable. 

G. Less food seepage. There is less food seepage under implant-retained dentures because they have a tight fit and do not allow food to get under the denture.

H. Superior aesthetics. You do not have to worry about using Fixodent. Your denture is staying in. Implant retained denture allows you to have a feeling close to that of your natural teeth.

I. No Pain. Traditional dentures are prone to sore spots caused by pressure points. Implant-retained dentures significantly reduce these pressure points.

J. Prevention of Bone Loss. Implant retained dentures prevent further bone loss, which helps maintain your facial structure as well as contributes to your oral health.

K. Enhanced Appearance: Teeth loss causes your bone and gums to shrink as well as bone resorption, which will change your face making you look older. This process is significantly slower when you have an implant-retained denture.

tooth implant

Procedure: The Best 3 Options for Replacing a Single Molar Tooth and The Importance of Replacing this Molar Tooth.

Tooth replacement Options for Single Teeth: Our first molars are our primary chewing teeth. We get them at six years of age and we also tend to get dental work done over time. At some point, those molars are not restorable, and patients may lose them. So, is it crucial to replace them?

80% of pressure from chewing happens on those teeth. When we do not have them, all that pressure now applied to other teeth are not meant to handle that much pressure.

As a result of that, other teeth may have cracks from excessive pressure.

So, what are the best options to replace the teeth?

Replacement teeth should last for years, so it is essential to discuss all of your options with your dentist. Your dentist may suggest:

  • Implants
  • Fixed Bridges
  • Removable Partial Dentures
dental bridge nebraska family dentistry lincoln NE

Procedure: When is a Dental Bridge a Good
Choice for Single Tooth Replacement? 

An excellent choice for a front tooth – not as good of an option for back molar teeth.

There are clear benefits of dental bridges. This type of prosthesis (false replacement) can be fabricated within one or two weeks and provides normal shape, function (eating, talking, and smiling), comfort, aesthetics, and health. An excellent choice for front teeth. Also, a great choice when patients do not have a bone or the money for an implant placement.

BUT: FDPs are not invariably successful over time. If not well maintained, the pontics can act as reservoirs for bacterial biofilm and the abutment teeth can decay. As a result, the supporting abutment teeth are susceptible to structural failure from decay, failed endodontic therapy, and/or fracture, increasing their risk of loss. The abutment teeth of FDPs may be lost at rates as high as 30% within 14 years. Such unfavorable outcomes of FDP failure include the need to replace them and the loss of an abutment tooth or teeth.

When can we offer a dental bridge as an option instead of a dental implant?

Easily maintained: An area where it is easy to maintain the bridge by flossing and preventing recurrent decay: an anterior front area.

Not many teeth are involved: The shorter the bridge, the better its prognosis.

Teeth have to be Perio healthy: No bone loss or furcation involvement.

Teeth that will serve as abutments have enough tooth structure and are able to handle chewing forces from a new bridge. 

How much do bridges cost? About $2400 and most insurances will cover it at 50% – But it may need to be redone. Ultimately costing a lot of $$$$$ considering that failed bridges require more than one tooth replacement. Most of the time, a failed bridge means replacing 2 or 3 teeth instead of the initial one missing tooth.

What about a single implant? It is about $3500, but most likely will serve a patient forever. 

Should we do dental bridges? Absolutely, but the patient selection should be made carefully. The patient should always be well educated on his/her choices and the consequences of having a bridge.

before and after

Procedure: Instant Orthodontics

Instant orthodontics should not be confused with traditional metal braces. Instant orthodontics is an alternative to traditional braces.

With instant orthodontics, you can get straight, beautiful teeth with only a couple of visits.

Instant Orthodontics provides a quick, permanent way to get the smile you have always desired. Our cosmetic dentist will consider the following treatments if you wish to undertake instant orthodontics:

  • Porcelain Veneers
  • Lumineers®
  • Dental Crowns

Porcelain Veneers

When using porcelain veneers in instant orthodontics, dental porcelain is bonded directly to your teeth – this not only straightens your teeth, but it makes your teeth much stronger and whiter. The most common treatment in instant orthodontics is porcelain veneers. 

These are thin shells of porcelain, made to look just like your natural teeth. They are bonded onto your teeth perfectly by your cosmetic dentist. The dentist will create each veneer to match your other teeth in shape and color.

Your cosmetic dentist can also make your veneers brighter and whiter if you choose. The result of using porcelain veneers is a more radiant, straighter smile. Porcelain veneers can be used to correct the following:

• Cracked or chipped teeth

• Crooked teeth

• Discolored teeth

• Uneven teeth

Patients often ask: Lumineers® or Veneers?

What are dental Lumineers®?

Dental Lumineers® are the same as dental veneers. It is a brand name for the type of porcelain used. Lumineers® are like veneers and are routinely used to fix teeth that are worn down, chipped, broken, unevenly misaligned, discolored, or that have spaces between them. They are as thin as contact lenses and can be bonded directly to the front surface of teeth with minimal drilling. Constructed of high-grade porcelain that looks natural and blends beautifully with the surrounding teeth, veneers mask imperfections, and they also add strength and durability. Also, they are resistant to staining or discoloration and can get rid of the appearance of stained teeth. Veneers can change tooth size, shape, color, or length, and can be used to give patients white, straight teeth in about two weeks.

Conditions Lumineers® can fix are misshapen teeth, mildly crooked teeth, broken or chipped teeth, gaps between your teeth, dark, yellow or stained teeth, and permanently stained or discolored teeth.

What is the cost per Lumineer®/Veneer?  Roughly $1200.

Porcelain Crowns

Porcelain crowns can be used instead of veneers as instant orthodontics. Crowns can do more than veneers and are mainly used to strengthen weak, decaying, or cracked teeth. Porcelain crowns are an Instant Orthodontics option.

Veneers, Lumineers® or Crowns: Instant Orthodontics is The Permanent Solution

You can benefit from instant orthodontics even after braces. After traditional braces are removed, teeth tend to shift. Instant orthodontics using veneers or crowns can be completed after braces have been removed to keep spaces from coming back. So, instant orthodontics is a permanent solution for teeth with spacing as teeth seldom shift.

perio disease nebraska family dentistry teeth

Procedure: Periodontal Disease Treatment

What we tell patients about Periodontal Disease 

This area needs attention now and regularly in the future. You have been diagnosed with Stage II Periodontal Disease. Periodontal Disease is a type of bacterial infection that leads to bone loss around teeth, developing cavities between teeth, and may lead to developing medical problems.

It is important to treat Periodontal Disease for your overall health. Periodontal Disease is a type of bacterial infection that can increase overall chronic inflammation. If your gums are infected, your entire body suffers from the inflammation that is part of the immune response. So, unhealthy gums increase the risk of heart attacks, autoimmune problems, diabetes, and other maladies you do not want. Untreated Periodontal Disease can lead to heart problems, high blood pressure, and diabetes.

It is also important to treat Periodontal Disease as your gums cover and protect the bone that supports your teeth. This bone is like a foundation that supports a building. If the foundation becomes weakened, the structure may fall, even though there is nothing wrong with the building itself. Similarly, if the gums are not cared for, the bone underneath can become infected and damaged, which will ultimately lead to you losing teeth.

You have generalized bone loss around your teeth caused by Periodontal Disease. To stop bone loss, we will have to work as a team. Good deep cleaning appointments followed by flossing and brushing daily at home and three-month cleanings visits in our office are critical to keeping all your current teeth. The excellent news, gum disease in your case can be controlled and remain stable for years.

DIABETES AND PERIODONTAL DISEASE – There are tightly connected

Diabetic patients are more likely to develop Periodontal Disease, which in turn can increase blood sugar and diabetic complications.

People with diabetes are more likely to have Periodontal Disease than people without diabetes, probably because people with diabetes are more susceptible to having overall chronic inflammation. Periodontal Disease is often considered a complication of diabetes, as a result of chronic inflammation. Those people who don’t have their diabetes under control are especially at risk.

Research has suggested that the relationship between diabetes and Periodontal Disease goes both ways. Periodontal Disease may make it more difficult for people who have diabetes to control their blood sugar.

Severe Periodontal Disease can increase blood sugar, contributing to increased periods when the body functions with high blood sugar. This puts people with diabetes at an increased risk for diabetic complications.

What to do if patients have diabetes?

Always educate about the connection between diabetes and Periodontal Disease and its importance for controlling both diseases. Both conditions cause chronic inflammation that will lead to other overall health complications.

Please talk about other major conditions associated with higher CRP markers and active Perio.

cavity b nebraska lincoln ne

Procedure: Fixing Cavities

What do we do most of the time? Take care of cavities 90% of our day. 

Please keep reminding patients that: Cavities do not hurt! 

A simple way to explain cavities:

You have some cavities between your teeth; Cavities do not hurt and grow without any symptoms. If left untreated, cavities will reach the nerve of the tooth, which can mean one of two things: a root canal or an extraction. We recommend restoring cavities with simple fillings before needing extensive work done – like root canals or extractions.

We offer white tooth-colored fillings because they match your natural tooth structure and look great. Also, they last a long time and are a better choice for your overall health.

while fillings

Procedure: Replacing Amalgam Fillings

Silver fillings are ugly, but most importantly they work as a “wedge” in a tooth often leading to cracks and recurrent cavities. They are made up of 50% mercury, which is a heavy metal and is not safe for the body’s overall health.

Q: I have a toothache after a dental filling, Do I need a root canal? A: It is common to experience some discomfort for a few weeks or months after a filling. This is a normal part of the healing process. If this discomfort does not subside over time, it is possible that the nerve did not normally respond to the treatment and have developed chronic inflammation. When this happens, sometimes a root canal is the best option to save the tooth.

Procedure: White Fillings and Why We Choose White Fillings Instead of Amalgam Fillings

Composite fillings are beautiful, natural looking, and healthier than amalgam fillings. 

What is the most common risk for composite fillings (or any filling)? Patients that chew ice, grind their teeth, or clench a lot, do crack their fillings. They have a tendency to develop recurrent cavities under the newly placed fillings. Patients can become frustrated when we tell them about the need to replace a cracked filling.

What is the solution? All doctors should explain the possibility of newly cracked fillings if a patient grinds, clenches, or chews ice. We can offer at no charge as a thank you for completing operative treatment. Talking about the possibility of freshly cracked fillings and developing recurrent decay will decrease the chances of a patient becoming frustrated. Thus, leading to the patient having healthy, solid, and cavity-free fillings for many years. 

Cavities do not hurt. Most of the time, fixing cavities and placing white fillings will lead to acute inflammation in teeth and sensitivity.  

Please talk about managing sensitivity after dental work and educating patients on post-op sensitivity.

nickel free crown digital illustration

Procedure: Dental Crowns – Why and When We
Choose to Use a Crown versus a Filling?

Composite fillings are better than amalgam; Composite is more gentle; however, it is still a foreign material and is constructed of plastic. Composite is a costly plastic, but it is just plastic, after all. The bigger it gets in size, the more brittle it makes the tooth, thus requiring additional protection.

All plastic materials crack over time. The bigger the surface area of plastic, the faster it will crack. Ultimately, this leads to the development of cavities underneath of it. Cavities under any filling are the worst – as their growth can not be slowed by flossing or brushing. Cavities under cracked fillings grow fast. The solution is to place a crown for full coverage versus another plastic or large metal filling.

Teeth that have the following things should have full crown coverage to aid in prevention from a cracked tooth, a root canal, or even an extraction.

  1. Old silver filling with cracks in facial or lingual surfaces.
  2. Sensitivity to biting with silver or white plastic fillings.
  3. Extensive composite filling is present.
  4. One of the cusps is gone – this is a must 🙂
  5. A white filling that has dark shadows under it.
  6. Class V decay on 2nd molars (unless the cavity is tiny and on a young person).
  7. Posterior molars that are endo treated.
cracked filling

Procedure: Preventing Cracked Fillings,
TMJ joint pain: Custom Night Guard 

Note about cracked fillings? What is the main reason for cracked fillings? 

If your patient seems to be experiencing multiple cracked fillings, nightly jaw clenching, teeth grinding, or TMJ symptoms, you know how uncomfortable the side effects can be. Self-care practices at home, such as eating softer foods, minimizing extreme jaw movements, treating pain with heat or ice packs, and/or controlling jaw tension with relaxation techniques, can sometimes ease the discomfort. Nightguards, however, are often the best way to minimize painful symptoms and achieve superior relief. 

Preventing cracked fillings

The white composite material used for fillings is durable and strong, but it is just plastic.Just like every plastic, it can crack under constant pressure. Grinding puts an extra amount of continuous pressure on dental fillings, leading to the development of cracks. When cracks form under fillings, cavities start, and they can grow fast. The growth of those types of cavities can not be controlled, stopped, or slowed down unless the composite filling gets replaced.  

Alleviate Pain & Headaches

Unfortunately, there are a host of discomforts that accompany TMD (temporomandibular disorders). Patients often complain of a sore or tender jaw, morning headaches, earaches, neck pain, sensitive teeth, muscle fatigue, and spasms. The great news, however, is that nightguards can make a tremendous difference when it comes to these everyday aches and pains. The night guard prevents the upper and lower teeth from coming in contact, thereby lessening the effects of nightly grinding and clenching. Also, the guard helps align the teeth in their “most correct” position, which helps alleviate jaw pain in the process.

Prevent Tooth Damage

Nightguards also offer a critically important benefit by helping you prevent costly tooth damage. The nightly habit of unconsciously grinding and clenching your jaw can lead to chipped teeth, damage to fillings, and even excessive wear of the teeth. A custom-fit mouth guard will not only safeguard your teeth, but the quality of your smile as well.

Improve Your Sleep Patterns

Due to the maximum comfort and minimization of symptoms that a night guard offers, it’s a great way to help improve your sleep patterns. The mouth guard positions your jaw in a typical fashion to help your muscles relax. And by keeping those muscles as relaxed as possible, it can help you avoid the kind of stress-filled sleep that tends to accompany TMJ or TMD.

What are the benefits of a custom nightguard versus a one size fits all nightguard? 

What is the cost of a custom made nightguard here versus everywhere else? $450 vs. $75.

What are the benefits of our nightguards? Patients say:

1. It is easy to get used to them

2. They are soft and do not move teeth as hard ones often tend to do.

3. There is enough cushion to prevent damage from grinding – they are not too thick.

NFD before after teeth whitening 3

Procedure: Teeth Whitening
What Age is Appropriate? They can start at 12-14 years old.

Two of the most common procedures used to whiten teeth fast are:

  • Professional teeth whitening kit made by your dentist.
  • Generic over-the-counter teeth whitening strips.

FAQ about teeth whitening: What is a better option for fast teeth whitening results?

The benefits of a professional teeth whitening kit made by your dentist are:

  • Teeth whitening solution used is 35%-45% Carbamide Peroxide.
  • Trays are custom made and fit perfectly on your teeth and help avoid the teeth whitening solution getting on your gums.
  • It takes fewer applications to get desired results.

Crest strips or over-the-counter teeth whitening kits:

  • The teeth whitening solution commonly used is Hydrogen Peroxide 10-12% strength. This solution tends to create more sensitivity.
  • Strips are not custom made, leading to teeth whitening solution leaking onto and irritating gums.
  • It takes longer to get desired whitening results due to a weaker whitening solution.

FAQ about teeth whitening: How many days will it take to get my teeth whiter?

The answer depends on the initial color of each patient, and the answer is unique for each patient.

FAQ about teeth whitening: I tried Crest Strips, and my teeth got very sensitive. What can I do to get my teeth whiter without experiencing so much sensitivity?

If you have sensitive teeth, it is better to use professional teeth whitening kits that are custom made and will prevent gums from becoming irritated. Besides being custom made, professional teeth whitening kits have extra ingredients to prevent sensitivity.

It also could be that some teeth may not respond to teeth whitening and require more than teeth whitening to get that ultra-white smile. If you have tried teeth whitening but did not notice any results, you may need to learn about dental veneers or Lumineers®.

Dental veneers/Lumineers® allow you to get that super white smile without needing any teeth whitening. The best part about dental veneers or Lumineers® is that you get a super white smile that stays permanently white.

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