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Dental Procedures and Services









(Nitrous Oxide is available upon request at no charge to our patients)

Prevention Services:

Empowering Our Patients: Our entire team is dedicated to helping you achieve your best oral health possible. We work with patients to individualize their oral hygiene practices, providing information and instruction that enables them to have greater control over oral health outcomes. We believe that when patients require fewer restorations and treatment, then we have done our job well. 

Risk Assessment: Like many other health conditions, not all patients have the same risk of developing cavities or periodontal (gum) disease. We assess individual risk factors and help develop  prevention strategies that are suited to each patient’s unique situation. Important factors that influence oral health include family history of dental disease, biofilm (plaque) levels, saliva flow, and dietary habits.

Home Care: It is no secret that the foundation for excellent dental health is proper home care. Our staff educates patients on oral hygiene techniques that go beyond brushing  and flossing.  We pride ourselves on offering the most current, scientifically supported, oral health recommendations.

Dental Cleanings: Regular dental cleanings focus on preventive dental care and the maintenance of healthy teeth and oral taltissues by the removal of calculus, plaque, and common stains. They also allow for identifying areas of concern when conservative intervention is possible. For example, some areas of demineralization ( early cavities)  can be reversed if caught in the early stages.

Exams and Digital X-rays: It's true. An ounce of prevention is worth a pound of cure. We recommend yearly evaluations of all oral structures including teeth, soft tissue, gums, bone, tongue and lips. We also provide oral cancer screenings as a part of our annual evaluations.  We prescribe x-rays based on individual risk factors, keeping exposures in line with the American Dental Association recommendation of “as low as reasonably achievable”. We use state-of-the-art digital imaging technology thus reducing the amount of radiation exposure.

Early Exams for Children: In line with the American Academy of Pediatric Dentistry, we recommend  dental exams for babies at one year of age. These exams are simple  and “baby friendly” and provide an opportunity  to catch early signs of decay before restoration is needed. Parents are counseled in the best practices to keep their child cavity free. Top

Restorative ServicesDrawing of tooth with Cavity

Fillings or Restorations: Tooth decay (a.k.a. dental caries) usually starts as a result of bacteria in the mouth interacting with sugars from food, causing the formation of acid. The acid breaks down tooth enamel, making the tooth even more susceptible to bacteria. The result is decay. Your dentist removes this decay and replaces it with a composite (tooth colored) or amalgam (silver) filling to repair the tooth or teeth that are affected by decay (cavity).

3-tooth Bridge
Crowns and Bridges:
When a tooth is broken, lost, or heavily decayed, your dentist may recommend a crown or dental bridge. The most common crown is a dental restoration that covers or replaces most or all the natural crown of a tooth and is made of either gold or porcelain. A bridge consists of one or more artifical teeth (pontic) positioned between two permanently crowned teeth (abutments). An alternative to replacing missing teeth with a bridge is to have an implant placed where the tooth is missing. An alternative to placing a bridge to replace teeth is an implant (see below). Top

Implants and Dentures

Dental ImplantsDental Implants: An implant is an artificial tooth, usually made of titanium, surgically placed in the jawbone below the gums to replace lost natural teeth. Because implants fuse to bone, they provide additional stability that helps dentures and other forms of artificial teeth feel more natural and fit more comfortably. Implant placement requires several visits over a three to four month period.

Dentures (Full and Partial):
Dentures are an option for replacing lost teeth and can be utilized with or independently of implants. Types of dentures include:

  • Full or Complete Dentures are used to replace all missing teeth in the upper and/or lower jaw

  • Partial Dentures are used when some teeth are missing and others remain

  • Removable Dentures can be taken out of the mouth for cleaning or for removal while sleeping

  • Fixed Dentures are usually anchored by implants for additional stability and "grip" Top

Cosmetic Dentistry

Beautiful SmileVeneers: Created in our in-house dental laboratory, veneers are bonded to the front of your teeth to give a natural appearance to your smile.

Teeth Bleaching:

Bleaching Trays - An impression of your upper and/or lower teeth is taken to create a mold which we use to create a "bleach tray." A bleach solution is placed in the tray at home and fitted over your teeth for a prescribed amount of time to obtain the desired color.

Tres White - Preformed trays containing a pre-loaded bleach solution in assorted sizes

Bonding - A tooth-colored material is applied to your teeth. When polished and complete, it will change the shape, color, and appearance of your teeth to achieve the desired results. Top

Oral Surgery Services:

Extractions: The removal of diseased or broken teeth after all other attempts to save teeth have been taken.

Tissue Biopsy - If abnormal tissue is discovered, a small piece of that tissue is harvested and submitted to an oral pathology lab for testing. Top

Periodontal Services:


Periodontal Maintenance - Periodontal cleanings following periodontal treatment performed every three to four months.

Scaling & Root Planing - Periodontal disease is caused by a buildup of calculus, plaque, and stain on the crowns and root surfaces of teeth. It can begin as localized gingival inflammation and progress to serious disease that result in major damage to the soft tissue and the bone that supports the teeth. Left untreated, this disease progresses to the ultimate loss of teeth. Scaling and root planing involves removing the disease causing buildup around each tooth under the gumline to the bone level. The procedure usually consists of two to four visits treating one-quarter of the mouth at a time (4 quadrants).

Bone Augmentation - This procedure is usually performed after the extraction of teeth and before a dental implant has been placed. Top

Root Canals:Root Canal diagram

Root Canal Therapy is required when the nerve of a tooth is damaged by either infection from dental decay or by some form of trauma to the tooth.  The procedure to save the tooth involves removing the damaged nerve that resides in the root of the tooth and replacing it with a sterile filling material so that the opening
is sealed leaving nowhere for bacteria to live. Top

Insurance Billing

E-Claims - Instead of using snail mail, we send all our dental claims electronically. This results in a faster response from your insurance company if there are any problems with the claim. E-claims are accurate and are what most insurance companies prefer for a faster turn-around time.Top

Office hours are Monday - Friday 8:00 to 5:00
Accepting new patients (530) 265-5815 or 265-8011

About Us
Dental Team Financing
Creasey & Pfaffinger General Dentistry 216 S. Pine St., Nevada City CA 95959 (530) 265-5815 or 265-8011
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