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There are 8 categories of dental services typically offered in a family dental practice. Those are General, Cosmetic, Pediatric, Orthodontic, Endodontic, Surgical, Periodontic and Prosthodontic. While we are supported by dental specialists, allied dental professionals, and other health care providers; we are the first assessors of any dental issues and can resolve most issues without the use of a dental specialist. A definition of each category is below. Click on the heading of each category to see definition of each service. Though not all services are performed at the office, most are. Please call for any questions regarding our services.

General Dental Services

General Dentistry refers to the primary care provided for patients in all age groups who take responsibility for the diagnosis, treatment, management and overall coordination of services to meet patients oral health needs. These oral health care needs include (but are not limited to): fillings, root canals, crowns, veneers, bridges, gum care as well as preventive education. Those in the practice of dentistry are known as dentists. Other people aiding in oral health service include dental assistants, dental hygienists, dental technicians, and dental therapists. (click the words “General Dental Service” above to see services performed”)

Comprehensive Oral Exams

Comp Exams include more than just examining your teeth; they include your gums, tongue, lips, throat, and jaw as well. We also perform a detailed and comprehensive oral cancer screening. A comprehensive oral exam is an extensive evaluation that gives both you and your dentist important information about your teeth and gums. This exam is performed (at least) once per year at Tranquility Dental.

Regular Dental Cleaning

Regular cleanings are an important part of your oral hygiene. Dental cleanings greatly help in preventing the disease which causes tooth decay/cavities. This same bacteria that destroys tooth enamel will also negatively affect your heart, lungs, brain, and other critical organs. The bacterial will also accelerate any disease state you may be dealing with currently or you may have a family history of (e.g. cancer, heart disease, diabetes, respiratory diseases, osteoporosis, etc.).

Scaling and Root Planing

Scaling and Root Planing or “SRP” is a method of plaque removal through deep-cleaning. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.

Dental Fillings

Dental fillings are used to repair damage to the structure of a tooth or teeth. Structural damage can be caused as a result of tooth decay, wear or trauma. After the removal of a problematic tooth structure, the tooth is restored with one of several filling materials: gold, amalgam, composite resin (white filling material) or porcelain. Each filling material has its advantages and disadvantages. Your dentist will work with you to determine which material is appropriate for you.

Periodontal Treatment

Early gum disease treatment may include tooth scaling and cleaning at three-month intervals along with use of medicated mouthwash and proper flossing. Later-stage gum disease treatment may include deep-plane scaling, periodontal surgery and laser surgery. General dentists, family dentists, periodontists and cosmetic dentists may perform gum disease treatment. However, availability of the latest material, technology and the level of expertise varies among dentists.

Cosmetic Dental Services

Cosmetic dentistry covers a multitude of procedures: teeth whitening, repairing teeth with crowns, veneers, straightening teeth with Invisalign braces, or replacing teeth with dental implants. In the past, a picture perfect smile could only be achieved after countless uncomfortable hours in the dentist chair and months in unsightly metal braces. Today, we pride ourselves on our ability to create beautiful smiles as quickly and painlessly as possible in a few simple visits. There are many things that can affect your smile; crooked teeth, broken or chipped enamel, stains and discoloration, or other issues involving tooth size, gums, and more. Your smile is often your first impression and a competent cosmetic dentist can help bring you new self confidence that we hope may change your life. (click the words “Cosmetic Dental Service” above to see services performed”)

Dental Veneers

A veneer is a thin layer of material placed over a tooth, either to improve the aesthetics of a tooth or to protect the tooth’s surface from damage. There are two main types of material used to fabricate a veneer: composite and dental porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth, typically using a resin cement. In contrast, a porcelain veneer may only be indirectly fabricated.We proudly offer dental veneers to give you the straight, white smile you have always wanted in just a few visits.

Invisalign and Invisalign Teen

Invisalign and Invisalign Teen are the invisible ways to straighten your teeth without braces. This removable orthodontic option can help you get the smile you want in fewer visits and with more convenience and comfort that traditional fixed orthodontic appliances.


Also known as indirect fillings, inlays and onlays made from porcelain or composite materials are a long-lasting yet cosmetic way to provide a “filling” to teeth with tooth decay or similar structural damage. Whereas dental fillings are molded into place within the mouth during a dental visit, inlays and onlays are created in a dental laboratory before being fitted and adhesively bonded into place by your dentist.

Composite Bonding

Chipped, broken, discolored or decayed teeth may be repaired or have their appearance corrected using a procedure called composite bonding. A dental composite material with the look of enamel and dentin is applied into the cavity or onto the surface of a tooth, where it is then sculpted into shape, contoured and hardened with a high-intensity light. The result is a restoration that blends invisibly with the remainder of the surrounding tooth structure and the rest of your natural teeth to create a healthy, bright smile.

Teeth Whitening

Teeth whitening is perhaps the most commonly recommended cosmetic dentistry procedure. Teeth are often stained from smoking, food, drink (coffee, tea or red wine) or poor oral hygiene. Bleaching the teeth can enhance the appearance of your smile

Smile Makeover

Smile makeovers involve a comprehensive assessment of your smile esthetics in order to improve its overall appearance. Typically one or more cosmetic dentistry procedures, such as dental veneers, dental implants, gingival sculpting and teeth whitening, will be required for several teeth in both the upper and lower arches in order to achieve the look you want.

Full Mouth Reconstruction

While consulting with you about a smile makeover to primarily improve the esthetic appearance of your smile, your dentist may discover that there is a need to provide necessary treatment to correct functional problems with your bite, muscles, teeth and bone structure. If you need full mouth reconstruction, the materials available today make it possible for your dentist to provide you with durable, functional and clinically sound treatments that also look natural.

Pediatric Dental Services

Pediatric dentistry serves the dental health of children and is an educational resources for parents. It is recommended that a dental visit should occur within six months after the presence of the first tooth or by a child’s first birthday. It is important to establish a comprehensive and accessible ongoing relationship between the dentist and patient because early oral examination aids in the detection of the early stages of tooth decay. Early detection is essential to maintain oral health and to treat any abnormalities as soon as possible. Additionally, parents are usually given information regarding home care (brushing/flossing/fluoride), a cavity risk assessments, information on finger, thumb, and pacifier habits, advice on preventing injuries to the mouth and teeth of children, diet counseling, and information on growth and development. (click the words “Pediatric Dental Service” above to see services performed”)

Child Appointments

Tranquility Dental welcomes children of any age. We are committed to making sure your children have an enjoyable dental experience so they can learn about how to care for their oral health for the rest of their lives

Dental Sealants

Sealants, also known as fissure sealants, are defined as a preventative dental treatment where a plastic material is placed in the pits and fissures or chewing surfaces of teeth. Teeth are susceptible because their anatomy (most specifically the chewing surfaces), which unfortunately inhibits protection from saliva and fluoride, and instead favours plaque accumulation

Fluoride Treatment

Fluoride is used to prevent tooth decay, it makes the tooth more resistant to plaque bacteria and sugars.

Stainless Steel Crowns

Stainless steel crowns are used to restore back teeth that are too badly decayed to hold white fillings. When tooth decay on back teeth has been left untreated, teeth may have extensive damage to the enamel, dentin and sometimes the nerve (pulp). In such cases, tooth-colored fillings are not a viable option, and stainless steel crowns necessary. These prefabricated sliver-colored crowns are fit; then cemented onto the primary (baby) teeth to prevent further damage until these teeth are naturally lost.

Early Orthodontic Care

General dentists can identify malocclusion (crowded or crooked teeth) or bite problems and actively intervene to guide the teeth as they emerge in the mouth. Interceptive orthodontic treatment can prevent more extensive treatment later. The dentist checks the progress of your child’s bite and jaw development with routine dental examinations. This early assessment of your child’s teeth may prevent extensive orthodontic work in his/her future.

Pediatric Extractions

Extractions are done only as a last resort in the case of severe tooth decay. If a primary molar is removed prematurely, a space maintainer will be placed. Some extractions are needed for orthodontic reasons to help facilitate tooth alignment when crowded teeth are present. Primary teeth are essential in maintaining the correct spacing in your child’s jaw for the permanent teeth.


Pulp therapy (pulpotomy) is the treatment of infected nerves and blood vessels in teeth. Pulp therapy generally becomes necessary for two reasons: either as a result of extensive tooth decay (dental cavities) or as the result of tooth injury. Failure to provide the necessary pulp therapy could result in your child experiencing pain, infection, swelling, or loss of the tooth. Many cavities may be so deep that they extend to the nerve, often causing pain and discomfort. When this happens, the infected part of the nerve must be removed. The remaining healthy nerve will be left intact and medicated. The purpose of a pulpotomy is to extend the life of the baby tooth, thereby avoiding the need for extraction and a space maintainer, until the eruption of the permanent tooth. In other words, the tooth can be preserved for chewing food and maintaining proper space for permanent teeth, as well as helping your child to preserve a healthy, happy smile.

Space Maintainers

Space maintainers are used when a primary tooth has been prematurely lost (or extracted) to hold space for the developing permanent tooth. If space is not maintained, teeth on either side of the extraction site can drift into the space and prevent the permanent tooth from erupting into its proper position. The space maintainer will be removed from your child’s mouth once his/her permanent tooth replacing the extracted tooth comes in.

Orthodontic Dental Services

Orthodontic Dentistry is the dental specialty concerned with the study and treatment of “improper bites”. An improper bite may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic treatment can focus on dental displacement or deal with the control and modification of facial growth. (click the words “Orthodontic Dental Service” above to see services performed”)

Invisalign and Invisalign Teen

Invisalign and Invisalign Teen are the invisible ways to straighten your teeth without braces. This removable orthodontic option can help you get the smile you want in fewer visits and with more convenience and comfort that traditional fixed orthodontic appliances.


Braces are the most common fixed appliances and they consist of bands, wires and/or brackets. Bands are fixed around the teeth or tooth and used as anchors for the appliance, while brackets are most often bonded to the front of the tooth. Arch wires are passed through the brackets and attached to the bands. Tightening the arch wire puts tension on the teeth, gradually moving them to their proper position. Braces are usually adjusted monthly to bring about the desired results, which may be achieved within a few months to a few years.


Serial aligners are an alternative to traditional braces for adults and are being used by an increasing number of orthodontists to move teeth in the same way that fixed appliances work without metal wires and brackets. Aligners are virtually invisible and are removed for eating, brushing and flossing.

Removable Space Maintainers

These devices serve the same function as fixed space maintainers. They’re made with an acrylic base that fits over the jaw, and have plastic or wire branches between specific teeth to keep the space between them open.

Lip and Cheek Bumpers

These are designed to keep the lips or cheeks away from the teeth. Lip and cheek muscles can exert pressure on the teeth, and these bumpers help relieve that pressure.

Palatal Expander

This device is used to widen the arch of the upper jaw. It is a plastic plate that fits over the roof of the mouth. Outward pressure applied to the plate by screws force the joints in the bones of the palate to open lengthwise, widening the palatal area.

Removable Retainers

Worn on the roof of the mouth, these devices prevent shifting of the teeth to their previous position. They can also be modified and used to prevent thumb sucking.


With this device, a strap is placed around the back of the head and attached to a metal wire in front, or face bow. Headgear slows the growth of the upper jaw, and holds the back teeth where they are while the front teeth are pulled back.

Endodontic Dental Services

Endodontic Dentistry is the dental specialty concerned with the study and treatment of the dental pulp. Endodontists perform a variety of procedures including root canals, endodontic retreatment, surgery, treating cracked teeth, and treating dental trauma. If the dental pulp (containing nerves, arterioles, venules, lymphatic tissue, and fibrous tissue) becomes diseased or injured, endodontic treatment is required to save the tooth.(click the words “Endodontic Dental Service” above to see services performed”)

Root Canal Therapy

Root canals are done when a tooth is badly decayed or becomes infected. During a root canal a dentist removes the pulp from the center of the tooth and fills the pulp and fills in the pulp cavity and the seals the tooth. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form. A root canal can relieve toothache, stop infection, and promote healing. Root canal therapies are commonly completed in one visit and patients are usually pleasantly surprised when they are finished.

Endodontic Surgery

The most common endodontic surgery is called an apicoectomy, or root-end resection, which is occasionally needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure. In this microsurgical procedure, the gum tissue near the tooth, is opened to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may be placed to seal the end of the root canal and few stitches or sutures are placed to help the tissue heal. Over a period of months, the bone heals around the end of the root. Local anesthetics make the procedure comfortable, and most patients return to their normal activities the next day. Postsurgical discomfort is generally mild.

Endodontic Retreatment

With proper care, even teeth that have had root canal treatment can last a lifetime. But sometimes, a tooth that has been treated doesn’t heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth. If you have pain or discomfort in a previously treated tooth. During this procedure, the tooth will be reopened and the dentist (usually done by an Endodontist) will remove the filling materials that were placed in the root canals during the first procedure. He or she will then carefully examine the tooth, looking for additional canals or new infection. He or she then removes any infection, cleans and shapes the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it.

Dental Implants

Dental implants provide you with new teeth to replace ones that are either missing or damaged. Dental implants not only look like real teeth, they have the stability, comfort, and functionality of real teeth, too.

Surgical Dental Services

Oral Surgery (also called maxillofacial surgery) refers to specific dental procedures where a dentist peforms surgery of the mouth and jaw. Oral surgery treats and reconstructs areas of the face, head, or neck after an injury or prior surgery. (click the words “Surgical Dental Service” above to see services performed”)

Tooth/Teeth Extraction(s)

Extraction is performed, primarily for positional, structural, or economic reasons. Teeth are often removed because they are impacted. Teeth become impacted when they are prevented from growing into their normal position in the mouth by gum tissue, bone, or other teeth. Teeth may also be extracted to make more room in the mouth prior to straightening the remaining teeth using an orthodontic treatment. Extraction may be used to remove teeth that are so badly decayed or broken that they cannot be restored. In addition (and though not typically recommended because of the impact missing teeth have on overall health) patients sometimes choose extraction as a less expensive alternative to filling or placing a crown on a severely decayed tooth.

Oral and Maxillofacial Procedures

Oral and maxillofacial procedures range from the less invasive treatment of abnormalities of the mouth, jaw and face – including accompanying structures such as the teeth – to major oral surgeries. Dental implants, TMJ (temporomandibular joint) procedures, reconstructive surgery and cleft lip and palate procedures also fall under the oral and maxillofacial category.


An alveolectomy is a reduction of maxillary or mandibular (jaw) bone that may be necessary during removal of teeth or to create an anatomy more conducive to a removable or fixed oral appliance. A moderate recontouring of the bone is often referred to as an alveoloplasty.

Oral Torus

An oral torus is a dense formation of bone commonly found inside the lower jaw or the midline of the palate (torus mandibularis or torus palatinus). The boney protuberance may be a single bump or a cluster of bumps, similar to grapes. Unless the torus, or tori, interfere with the function of an appliance, contribute to periodontal disease, or inhibit movement of the tongue (rare), no treatment is indicated. As their appearance is typically symmetrical and located bilaterally, biopsy is rarely indicated.


An exostosis is a protuberance of bone commonly found on the buccal (cheek) side of the maxillary (upper) ridge. Like tori, an exostosis is dense, benign bone and requires no treatment.


An apicoectomy is a dental procedure in which the end of a tooth root is removed. Performed by an endodontist or oral surgeon, it is often indicated in select teeth after a conventional root canal procedure fails or the antimony of the root prohibits an adequate seal by conventional procedures.

Hemisection/Root Amputation

A hemisection or root amputation is performed by a periodontist due to tooth fracture or periodontal disease. An attempt is made to retain most of the root support of a strategic tooth, rather than sacrificing the entire tooth. The procedure is less commonly done today with the common utilization of dental implants.

Incision and Drainage

Incision and drainage is a procedure performed to relieve pressure from a dental abscess. In select cases, a rubber drain is sutured in place to maintain an opening if additional suppuration (pus) or tissue exudates (fluid) is anticipated.

Periodontic Dental Services

Periodontology or Periodontics is the specialty of dentistry pertaining to the supporting structures of teeth, as well as diseases and conditions that affect those supporting structures. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament. (click the words “Periodontic Dental Service” above to see services performed”)

Crown Lengthening

This procedure can sculpt your gum line by removing excess gum tissue and giving you the proper contour of your gums and teeth with just the right length. Many times this is all that needs to be done, but if restorations are needed, this procedure sets the stage for allowing your new crowns to have the correct length and shape giving you a beautiful new smile. In addition, if a tooth is decayed or broken off under the gumline, it is often impossible to restore without exposing tooth structure; therefore, crown lengthening is necessary.

Periodontal Treatment

Early gum disease treatment may include tooth scaling and cleaning at three-month intervals along with use of medicated mouthwash and proper flossing. Later-stage gum disease treatment may include deep-plane scaling, periodontal surgery and laser surgery. General dentists, family dentists, periodontists and cosmetic dentists may perform gum disease treatment. However, availability of the latest material, technology and the level of expertise varies among dentists.

Soft Tissue Graft

Your gums may have receded for several reasons, thus exposing the roots of your teeth. If you choose to enhance your smile by covering one or more of these roots or because the roots are sensitive to hot or cold food/liquids, soft tissue grafts can be used to cover the exposed roots or develop gum tissue to even your gumline and reduce sensitivity.

Bone Grafts/Ridge Augmentation

An indentation in your gums and jawbone occurs because the jawbone recedes where it is no longer holding a tooth in place. This defect causes an unnatural indentation in the jaw line making it difficult to clean and maintain. In addition, this defect causes problems in placing dental implants because you do not have an adequate amount of bone. This can be corrected, periodontally, by filling in the indentation with bone or bone substitute to build up the ridge, a procedure called “ridge augmentation.” Ridge augmentation improves your dental appearance and increases your chances for successful long-lasting dental implants.

Socket Preservation

Bone grafting is performed to reverse the bone loss or defect caused by periodontal disease, trauma, or ill-fitting removable dentures. When one loses a tooth the surrounding bone collapses. To preserve this bone for future implant placement or for aesthetics, a bone graft is needed. Socket preservation is the procedure of inserting donor bone into the tooth socket after a tooth has been gently removed. Socket preservation grafting is done to conserve the bone in the area of the jaw that a dental implant will be placed.


Sometimes a frenum, a thin band of tissue attached to the center of the upper lip, can be attached too high on the gums causing either recession or spaces between the front teeth. The simple procedure to remove the tissue attachment between the two front teeth is called a labial frenectomy. It is a common surgical procedure in dental and orthodontic practices. Additionally, denture patients often have a labial frenectomy to achieve a proper denture fit.

Prosthodontic Dental Services

Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is the area of dentistry that focuses on dental prostheses. More specifically, it is the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of dental patients with clinical conditions associated with missing or deficient teeth and/or oral tissues. (click the words “Prosthodontic Dental Service” above to see services performed”)

Replacing Missing Teeth

Prosthodontists offer their patients a wide range of options to replace missing teeth depending on each patient’s needs. Whether a patient is a candidate for complete dentures, a removable partial denture, dental implants, a fixed bridge or combination of treatment alternatives, Prosthodontists are well-educated to provide high-quality care. These specialists have an excellent understanding of dental laboratory procedures, and they work closely with dental technicians to ensure that each custom-made prosthesis is attractive and comfortable for the patient.

Dental Implants

Dental implants provide you with new teeth to replace ones that are either missing or damaged. Dental implants not only look like real teeth, they have the stability, comfort, and functionality of real teeth, too.

Dental Crowns

Dental crowns can repair extensively decayed or damaged teeth. Dental crowns can be made of gold metals, silver metals, porcelain or a combination of porcelain and metal. Some dentists use CAD/CAM technology for the fabrication of dental crowns. In some cases, conservative dental veneers may replace the need for a dental crown. General dentists, family dentists, prosthodontists, pediatric dentists and cosmetic dentists may perform the crown procedure; however, expertise varies among dentists.

Dental Bridges

Dental bridges replace missing teeth with artificial replacements (pontic). The pontic is held in place by composite materials that are anchored to surrounding teeth. General dentists, family dentists, prosthodontists and cosmetic dentists may perform bridge procedures. Availability of the latest materials, technology and expertise varies among dentists.


Dentures are used to replace missing teeth or damaged teeth that cannot be otherwise repaired. General dentists, family dentists, prosthodontists, and cosmetic dentists may perform the procedure. However, availability of the latest material, technology and expertise varies among dentists.