Dentist Denver | Cosmetic Dentistry Golden CO

Dental Exams, Teeth Cleanings and X-Rays

Regular twice-yearly professional cleanings and diagnostic exams from Dr. Nancy E. Gill, Dr. Dallas D. Kenson, and our team provide the foundation for good oral health. Beyond removing tartar and stains from your teeth, our diagnostic abilities can catch oral health issues such as gingivitis and decay before they develop into larger problems. Plus, every exam checks for oral cancer.

Here’s what we offer during these visits:

What Does my dental exam Involve?

There’s a reason we pull on your tongue, push on your glands below your jawline, and use picks to probe areas on your molars — it’s all part of catching oral health problems early. Here’s what we cover with our exams.

  • Diagnostic dental X-rays — X-rays are crucial in detecting decay, possible tumors, cysts, and bone loss in the patient. X-rays also determine the position of each tooth and its root. We employ the latest technology to keep our diagnostic options at the forefront of the industry (see section below).
  • Oral cancer screening — We check your gums, tissues, throat, tongue, lips, face, and neck for any signs of oral cancer. The number of patients with oral cancer as a result of the human papillomavirus (HPV) has been growing.
  • Evaluation of gum disease — We check the gums as well as the bone surrounding the teeth for signs of periodontal disease. We offer periodontal therapy and gingival therapy.
  • Examination of dental decay — We will examine every tooth surface for decay.
  • Examination of existing dental restorations — We will check your existing dental restorations — fillings, crowns, bridges, veneers, etc. — for stability and wear.
  • Screening for Sleep Apnea — With each dental exam, we will screen for signs of Sleep Apnea and discuss treatment options available at our office.

How is a professional cleaning different than home hygiene?

Our registered dental hygienists perform your professional cleanings, also known as “dental prophylaxis.” Here’s what they do:

  • Calculus (tartar) removal — Calculus builds when plaque calcifies and bonds to your teeth. Drs. Gill and Kenson will remove this during your cleaning. It is commonly found above and below the gum line and can’t be removed by tooth brushing alone. Special dental instruments are needed to completely remove tartar, breaking the bond it has formed on the tooth surface.
  • Plaque removal — Plaque is a nearly invisible, sticky substance that forms on the teeth. Along with saliva and food debris, bacteria are found in plaque. Not removing plaque, and its bacteria, leads to gum inflammation, tooth decay, and periodontal disease.
  • Teeth polishing —This final step polishes the teeth, removing many stains and any remaining plaque remnants.

Our diagnostic capability is extensive

Dr. Gill and Dr. Kenson use some of the most advanced technologies to X-ray and photograph your teeth to see any underlying damage that a traditional mirror examination cannot provide. Here are the tools we use to keep your teeth healthy:

Panorex X-Ray

DDental X-Ray Denver | Panorex X-Ray Golden COental X-rays are beneficial in finding cavities. A panorex X-ray, or panoramic X-ray, provides a full view of the upper and lower jaws, teeth, temporomandibular (TM) joints, and sinuses. This panorex X-ray shows more of a patient’s oral cavity than a traditional X-ray can.

X-rays can be used to reveal cysts, tumors, bone irregularities, wisdom teeth and more. And, unlike with a traditional X-ray, the mandibular nerve, which is the nerve going to the lower lip, is fully visualized with a panorex X-ray. The panorex X-ray can also sometimes be able to see calcifications of the carotid artery.

The panorex X-ray machine makes a complete half circle from ear to ear, producing a complete two-dimensional representation of the entire oral cavity. This panoramic view is accomplished by rotating the X-ray film around the patient’s head for approximately twelve seconds.

Less radiation is produced by a panorex X-ray than by a traditional X-ray, and the actual taking of the panorex X-ray is more comfortable for the patient.

Intraoral Cameras

Intraoral Camera Golden COAn intraoral camera is an advanced diagnostic tool that provides clear, detailed images of the teeth and mouth that a simple mirror examination cannot achieve. These devices have been used since the early 1990s, and are now found in up to half of all dental offices because of their many advantages.

In addition to ensuring a proper diagnosis, an intraoral camera can help a patient understand a diagnosis and recognize the benefits of any recommended treatment. The images from an intraoral camera allow a dentist to view the teeth at magnified levels, and to keep a permanent record of the teeth for comparison over time, and before and after treatment. Photo documentation of the teeth can also help speed up the insurance-claim process by providing clear-cut evidence of dental conditions.

3-D Imaging

In medicine, 3-D imaging is the process used to create images of the human body and its internal organs. 3D Dental Imaging Golden COThis type of procedure requires a patient to sit or stand still while a machine circles the patient to record the images. Different techniques are used depending on the part of the body being examined and what variety of image is needed. For dentistry, it is used to check the temporomandibular joint (TMJ) and the patency of the airway. It can also be used to check for tumor or cystic formation in the jaw, as well as locating anatomical landmarks when placing implants.

Perio therapy

When there is inflammation exhibited by bleeding gums, accompanied by bone loss, you may be a candidate for periodontal therapy. It is a series of deep cleanings that will debride UNDER the gum tissue. Patients are typically anesthetized for this, as it will ensure that you are comfortable. We will use different technology to accomplish this such as microsonics, air polishers, scalers, and lasers. We start on the worst area, debride it in one visit. On the next visit, we will touch up that area and move on to the next worst area. This continues until all is debrided and healthy. You will be placed on a schedule of maintenance visits every 3 months to ensure there isn’t regression. Our goal is to have clean, healthy gums that don’t bleed. We know that bleeding gums is a sign of inflammation in the rest of the body and here at Golden Dental Solutions, we strive for whole body health.

Gingival Therapy

Similarly to perio therapy, when there is inflammation exhibited by bleeding gums, but not accompanied by bone loss, you may be a candidate for gingival therapy. It is a series of appointments targeted at the gum line to eliminate bleeding in order to NOT progress to periodontal disease. We will use different technologies with this procedure such as microsonics, air polishers, scalers, and lasers. Typically, gingival therapy does not have as many appointments recommended as periodontal therapy, as the progression of disease doesn’t warrant it.
Gingivitis is diagnosed by measuring probe depths, or pockets, around the teeth. Our teeth naturally have pockets ranging from 1-3mm, which is normal, however, bleeding is not. Anything above 4mm is a sign that there is inflammation, and if left untreated, can lead to bone loss. By measuring and seeing the reaction of the gum tissue, we are able to see how much inflammation is present and determine the proper treatment
The best treatment for gingivitis is gingival therapy.

Why Should My Dental Cleaning Involved Screening For Gum Disease?

The short answer is, because periodontal treatment works! What we have found is this. For a long time, dentists were confined by insurance companies to do 4 quadrants of deep cleaning and stop there. What happens when someone is treated like that, is we only did half of the job. This is a morbid analogy, but it’s like a cancerous tumor. If you do surgery and you get most of the lesion removed and then you do a scan and still see cancer, you aren’t going to leave it there. You’ll go back in and remove the rest of it. Because we know that removing ALL of it decreases the risk of it returning. When we get “most” of the debris removed from the pocket, but leave some and don’t go back to touch it up and remove the rest, the chance of recurrence is high. But what we now know, is if we retouch the areas and customize the plan to what the patient “needs” and not what insurance dictates, we get amazing results.

Are Gingival Therapy and Perio Therapy Non-Surgical?

Yes!  Everything mentioned is non-surgical.  No one wants surgery.  This treatment is a great alternative to surgery and low risk.

How often should I have these professional cleanings and exams?

Patients should see us every six months for diagnostic exams​and to assess what type of cleaning is necessary. If you have healthy gums, six month cleanings may be recommended. In the article below, you’ll see that “bad” bacteria duplicates every 42 days (see page 2). If your gums bleed, you most likely have some of this type of bacteria. This unsafe type of bacteria needs to be eliminated, which is only possible with professional cleanings. It may take several appointments along with excellent home care to remove the bacteria and prevent it from returning. ​Our goal is to achieve optimal oral health and that journey isn’t always the same for each individual. It is so important to maintain health if you have it, and to achieve optimal health if you don’t. Here at Golden Dental Solutions, we would love to see gum disease become a disease of the past.

View article

What is A fluoride treatment?

Your teeth remain strong and healthy through a process known as remineralization, where minerals are added to your tooth enamel. The reverse, demineralization, occurs when acids formed from the bacteria in plaque and sugars in the mouth attack the enamel. Fluoride has been proven in numerous large research studies to help prevent tooth decay by making the tooth enamel more resistant to those acids. This is especially important for children with developing teeth, but fluoride treatments can also help adults whose teeth are prone to developing cavities.

We provide concentrated fluoride treatments. We apply a fluoride varnish to the teeth or place a tray with fluoride gel on the teeth for several minutes. Afterwards, patients need to not rinse their mouth, or eat or drink anything for 30 minutes. This allows the teeth to absorb the fluoride.

Oral Therapy Practices for Children

Dr. Nancy Gill encourages oral therapy for the proper growth and development of nasal breathing in children. Watch as Dr. Gill and her daughter demonstrate some at-home techniques!

How do your exams check for oral cancer?

When we’re examining your mouth, we probe your lymph nodes under your jaw, pull on your tongue, push on various spots across your cheeks, and visually examine the inside of your mouth. We’re checking for these signs of oral cancer:

  • A sore in the mouth
  • A lump or thickening in the cheek
  • Persistent mouth pain
  • Difficulty swallowing or chewing
  • A white or red patch on the gums, tongue, tonsils, or lining of the mouth
  • Difficulty moving the jaw or tongue
  • Jaw pain
  • Numbness of the tongue or other areas in your mouth
  • Jaw swelling
  • Persistent bad breath

This is another reason why twice-yearly exams are important. Drs. Gill and Kenson can spot any signs of oral cancer early, and that’s the key to successfully treating, and beating, oral cancer.

Schedule an Appointment

To schedule an appointment for a diagnostic exam or teeth cleanings, call our office at (303) 277-9600. Nancy E. Gill, DDS and Dr. Dallas Kenson serve Denver, Golden, and surrounding areas in Colorado.

 

Dr. Nancy Gill & Dr. Dallas Kenson

Our Office Would Love to Hear From You!

If you have any questions about the services we offer or would like to schedule an appointment, please call us today at (303) 277-9600



Request an Appointment Keep in touch with us and let us help you find the solution.


Quick Contact

  • * All indicated fields must be completed. | Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.