River Rock Family Dental is Lawrence Kansas' Premiere Dental Office! - Richard Valbuena and Kelly Joice DDS
Adult and Child Cleanings
WHAT ARE Adult and Child Cleanings?
Good oral hygiene is important, not only for looks, but for general health as well. Poor oral hygiene can lead to a variety of dental and medical problems such as gum disease, infection, bone loss, heart disease, strokes and more. Regular check ups and cleanings can prevent these problems as well as provide you with good oral hygiene.

1. To Prevent Oral Cancer - According to The Oral Cancer Foundation, someone dies from oral cancer, every hour of every day in the United States alone. When you have your dental cleaning, your dentist is also screening you for oral cancer, which is highly curable if diagnosed early.

2. To Prevent Gum Disease - Gum disease is an infection in the gum tissues and bone that keep your teeth in place and is one of the leading causes of adult tooth loss. If diagnosed early, it can be treated and reversed. If treatment is not received, a more serious and advanced stage of gum disease may follow. Regular dental cleanings and check ups, flossing daily and brushing twice a day are key factors in preventing gum disease.

3. To Help Maintain Good Physical Health - Recent studies have linked heart attacks and strokes to gum disease, resulting from poor oral hygiene. A dental cleaning every 6 months helps to keep your teeth and gums healthy and could possibly reduce your risk of heart disease and strokes.

4. To Keep Your Teeth - Since gum disease is one of the leading causes of tooth loss in adults, regular dental check ups and cleanings,brushing and flossing are vital to keeping as many teeth as you can. Keeping your teeth means better chewing function and ultimately, better health.

5. To Detect Dental Problems Early - Your dentist and hygienist will be able to detect any early signs of problems with your teeth or gums. Early detection of cavities, broken fillings and gum disease are easily treatable. If these problems go untreated, root canals, gum surgery and removal of teeth could become the only treatment options available.

6. To Maintain Good Oral Health - Your dental hygienist will help to ensure that you are maintaining your good oral health by visual examination and comparing your previous dental check ups. If you are falling off track with your oral hygiene he / she will help put you back on the right path.

7. To Use Your Dental Insurance Plan - Dental insurance plans usually pay for all or most of the cost of dental cleanings and check ups every six months. Take advantage of this and save a lot of money in the long run by avoiding costly dental procedures that can result from poor oral hygiene.

8. To Create a Treatment Plan - If your dentist diagnoses any problems in your mouth, he /she will most likely give you a treatment plan. This treatment plan should have the cost of each procedure that you will need, so that you can discuss financial arrangements with the front office.

9. To Have a Bright and White Smile - Your dental hygienist can remove most tobacco, coffee and tea stains. During your cleaning, your hygienist will also polish your teeth to a beautiful shine. The result? A whiter and brighter smile!

10. To Prevent Bad Breath - Dental studies show that about 85 percent of people with persistent bad breath, also known as halitosis have a dental problem that is to blame. Good oral hygiene is essential in preventing bad breath. Regular check ups and cleanings are the best way to make sure that you are maintaining good oral hygiene.
Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth. Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures. Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene. Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic. Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth. Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure. Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.
As we age, our teeth lose the brilliant whiteness that implies good dental health and youth. The unsightly stains associated with tobacco, dark liquids, and other factors can leave us feeling less-than-confident about our smiles. Fortunately, there is a simple solution to this dental problem: cosmetic tooth whitening. Our practice provides a convenient, take-home tooth-whitening program. Take-home Tooth Whitening These kits contain a customized tray that is made from custom molds of your teeth and whitening gel made of hydrogen peroxide. The patient usually wears the trays and gel for approximately thirty minutes two times per day until their teeth have reached the desired shade.
Invisalign Clear Braces
WHAT IS Invisalign?
Invisalign is the breakthrough technology that lets you have the smile you've always wanted without the hassle of braces. By using a series of clear, removable aligners, Invisalign straightens your teeth with results you'll notice sooner than you think. The course of treatment involves changing aligners approximately every two weeks, moving your teeth into straighter position step by step, until you have a more beautiful smile. And unlike conventional braces, these clear aligners can be removed while you eat and brush your teeth as usual. An average Invisalign course of treatment takes about a year.
WHAT ARE Cerec 3D - ONE Visit Crowns?
CEREC Restorations Are Made & Placed in ONE Appointment The Tooth-Colored Restorations Are Natural Looking & Natural Feeling No More Messy Impressions or Temporaries! What is CEREC? CEREC® stands for Chairside Economical Restoration of Esthetic Ceramics. This state-of-the-art technology allows us to complete and place crowns, inlays, onlays, and veneers in just ONE office visit. This not only means less time at the dental office and more convenience for you, but also makes uncomfortable, messy impression trays a thing of the past! CEREC one-visit dentistry also eliminates the need for plastic temporaries in your mouth while laboratory work is completed, a process that can take weeks and a series of dental appointments. CEREC makes it so you can get the dental treatment you need and then get right back to your busy life and the things that matter most. How Does it Work? After Dr. Valbuena or Dr. Joice has examined your tooth and worked with you to determine the best course of treatment, your CEREC visit will be scheduled for a convenient time for you. At your appointment, Dr. Valbuena or Dr. Joice will prepare your tooth for restoration, saving as much healthy tooth structure as we can. Then, CEREC enables us to restore the tooth using a strong, biocompatible porcelain ceramic material that matches the natural color of your other healthy teeth. Using a special 3D digital camera, we take an optical image of the tooth to be repaired. We then digitally design the restoration, creating a virtual model on the computer screen using advanced CAD software. Milling & Placement The computer-aided manufacturing that follows the process described above is extremely precise for a great fit when we bond the newly milled restoration to the tooth. A block of the ceramic restorative material is inserted into our onsite CEREC milling unit to be machined to exact design specifications sent from the computer. After only 15 minutes or so, your restoration is ready to be placed. It is polished and bonded onto your tooth to look and feel like a healthy, beautiful tooth - all in the same visit! More Benefits of CEREC CEREC has been clinically proven in millions of successful restoration procedures, and patients all over the world have benefited from the convenience and cost effectiveness of CEREC. Restoring damaged teeth before it's too late can preserve more natural tooth and protect your smile for the future, not to mention the fact that restored teeth are more visually appealing than damaged teeth (and indistinguishable from your natural teeth).
Bonding is a process in which an enamel-like material is applied to a tooth`s surface, sculpted to an ideal shape, hardened, and then polished for an ideal smile. This procedure usually can be accomplished in a single visit. Bonding is often performed in order to fill in gaps or change the color of your teeth. It typically only entails one office visit, and the results last for several years. Bonding is more susceptible to staining or chipping than other forms of restoration such as veneers. When teeth are chipped or slightly decayed, bonded composite resins may be the material of choice. Bonding also is used as a tooth-colored filling for small cavities and broken or chipped surfaces. In addition, bonding can be used to close spaces between teeth or cover the entire outside surface of a tooth to change its color and shape. Crowns, also known as caps, are used in cases where other procedures will not be effective. Crowns have the longest life expectancy of all cosmetic restorations, but are the most time consuming.
WHAT ARE Composite (Tooth Colored) Fillings?
In the past, cavities could only be treated with unsightly metal fillings that are alloys for silver and mercury. These fillings, especially when close to the front of the mouth, are highly noticeable and unaesthetic. Sometimes, the filling is so large that it causes discoloration of the entire tooth. These fillings (or restorations) often weaken teeth due to the large amount of the original tooth that has to be removed. Also there is a risk of Mercury poisoning that is used in the filling. Modern dentistry has increasingly turned to Tooth colored or composite fillings as a strong, safe and more natural looking alternative. Composite fillings utilize a soft white plastic substance that is hardened with a blue light.
Teeth Extractions
WHAT ARE Teeth Extractions?
Despite regular brushing and flossing, tooth decay, gum disease, and tooth disease can still show up. While keeping a schedule of visits to your dentist for a routine dental checkup and having your teeth cleaned by a professional can catch many problems before they grow, sometimes a tooth cannot be saved by normal measures and a tooth extraction is necessary.

Other reasons for getting teeth extracted.
• Severe tooth decay or infection
• Extra teeth which are blocking other teeth from coming in.
• Cosmetic; teeth of poor appearance, unsuitable for restoration.
• Insufficient space for Wisdom Teeth
• Prosthetics; teeth detrimental to the fit or appearance of dentures
• In preparation for orthodontic treatment (Braces)
• Teeth which cannot be restored endodontically
• Severe gum disease which may affect the supporting tissues and bone structures of teeth.
• Fractured teeth • Supenumerary, supplementary or malformed teeth
• Teeth in the fracture line
Root Canal
It is a field of dentistry that treats the root canal system. When decay extends to the pulp or the nerve inside the tooth, the person almost always experiences spontaneous throbbing pain. The pain increases at night and is aggravated with cold & sweet foods. The Dentist relieves the pain and pressure symptoms by treating the root canal system which houses the tooth nerve or pulp. Treatment begins with profound anesthesia. The tooth nerve is accessed by drilling into the tooth, the infected nerve is removed, canals are cleaned and filled with a bio-inert material. Following a root canal treatment, the tooth is fragile due to insults from decay and mechanical instrumentation and is prone to fracture. Overtime color changes are also observed. To protect the tooth from fracture your dentist will advise a crown. Sometimes depending upon the amount of tooth structure that is lost, a post ( a metal or a glass fiber pin ) will need to be placed for added retention of the crown. To learn more please call our office today.
A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available – complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.

Complete dentures can be either “conventional” or “immediate.” Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about 8 to 12 weeks after the teeth have been removed. Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.

What Are Partial Dentures
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed (permanent) bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This “bridge” is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.

A third option would be Denture Implants - Here is a really nice artical about them. >> Denture Implants
How do Bridges Work? A bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the color of your natural teeth.
When you opt for a dental implant, the first thing that your dentist would check on is whether you have sufficient jaw bone mass to enable an implant to be drilled into. X-rays or CT scan would be done and if it shows that you have thin jawbone, then your dentist would recommend that you have to undergo a dental implant bone graft which will precede the actual implant procedure. Bone loss may be a result of aging, bone reabsorption due to teeth lost, gum diseases or prolong use of dentures. Most dental bone grafting procedures are done to restore your bone to its previous form following tooth loss, gum disease or trauma. It may also be used to maintain its shape after tooth extraction. Restoring and maintaining facial bone structure is important for several reasons. Many dental procedures, such as implant placement, require that the bone be as close to its original dimension and position as possible for optimal results. Also, the jaw and other facial bones support the skin and muscle that are responsible for our outward cosmetic appearance. Without the support of the underlying bone, our faces can look prematurely aged.
What Is Six Month Smiles? Six Month Smiles® is a modern twist on tried-and-true orthodontics. There is little debate within the orthodontic community that braces are the most widely used and most effective method to give patients straight, healthy teeth and a beautiful smile. Six Month Smiles has taken the best aspects of braces and modified the treatment and the materials to give adults a common-sense, cosmetic solution that fits your lifestyle. Here is what makes Six Month Smiles so innovative …

• Average treatment times of only six months
• Six Month Smiles Lucid-Lok™ clear brackets and tooth-colored wires are barely visible
• Use of braces has shown to provide the most conservative and predictable final result
• Six Month Smiles Patient Tray Kits™ ensure that your appointments are fast and comfortable
• Low forces and short overall treatment times increase comfort, safety, and hygiene
• Six Month Smiles is typically less expensive than traditional braces, aligner therapy, or veneers

>>> Visit the Six Month Smiles site for more info <<<
Fluoride Treatments
Fluoride is a mineral that occurs naturally in many foods and water. Every day, minerals are added to and lost from a tooth's enamel layer through two processes, demineralization and remineralization. Minerals are lost (demineralization) from a tooth's enamel layer when acids formed from plaque bacteria and sugars in the mouth attack the enamel. Minerals such as fluoride, calcium, and phosphate are redeposited (remineralization) to the enamel layer from the foods and waters consumed. Too much demineralization without enough remineralization to repair the enamel layer leads to tooth decay. Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It also reverses early decay. In children under six years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth. Fluoride also helps speed remineralization as well as disrupts acid production in already erupted teeth of both children and adults.

Benefits of Fluoride
Fluoride is a naturally occurring mineral that strengthens teeth and counteracts the effects of age, food, and even our own saliva. By using fluoride treatments available through your cosmetic dentist, you can restore the strength to your teeth and fight stains and damage. At your cosmetic dentist’s office, small amounts of fluoride can be used to treat teeth that have experienced demineralization. When used on a regular basis, fluoride encourages teeth to rebuild lost minerals and become strong once again. This strengthening also helps to boost your teeth’s defense against cavities. During a fluoride treatment, topical fluoride is placed directly on the teeth, usually by a dental tray. It can also be applied as a varnish that adheres to the tooth surface and penetrates the tooth for 24 hours after application. Both of these treatments are available at your cosmetic dentist’s office.
DENTAL Inlays and Onlays
WHAT ARE Dental Inlays AND Onlays?
Dental Inlays are used to treat teeth that have decay or damage lying within their indented top surfaces, between the cusps of the teeth. They can also be used to replace old or damaged metal fillings. Inlay placement is usually carried out over two appointments. During your first visit to the dentist, an impression of your tooth will be taken, and a temporary inlay will be placed over the tooth. The dentist will send the impression off to a dental lab, which will create the inlay to match your tooth's specifications. When you return to the dentist's office, the temporary inlay will be removed and the permanent one will be placed carefully over your tooth. There is no downtime after receiving a dental inlay, only a mild level of tenderness in the treated area, so you can return to work or other activities as soon as you leave the office. Since dental inlays and onlays can be made from durable, tooth-colored porcelain, they offer much more enduring and natural-looking results than metal fillings. In addition, their customized nature allows dentists to securely bond them to the tooth surface, adding structural integrity and preventing bacteria from entering and forming cavities.

Dental Onlays - Whereas dental inlays are designed to treat decay within the cusps, or top projections, of a tooth, onlays are used to treat decay that extends to one or more of the cusps. Onlays are placed in much the same way as inlays. First, an impression of the decayed tooth is taken, and a temporary onlay is placed over the tooth. The impression is then sent to a lab, where a dental technician creates the onlay according to the tooth’s dimensions. When the patient returns to the dentist's office, the temporary onlay is removed, and the permanent restoration is placed on the tooth and securely bonded using high-strength dental resins. Like dental inlays, onlays can be created from tooth-colored material, which makes them virtually undetectable to the naked eye. Onlays also help to conserve more tooth structure because their use requires minimal removal a tooth’s surface. Perhaps their most important benefit, however, is that, in saving damaged teeth, onlays help patients avoid the eventual need for more extensive treatment with dental crowns, dental bridges, or dental implants.
WHAT IS Scaling and Root Planing? AKA (Deep Cleaning)
Root planing and scaling is one of the most effective ways to treat gum disease before it becomes severe. Root planing and scaling cleans between the gums and the teeth down to the roots. Your dentist may need to use a local anesthetic to numb your gums and the roots of your teeth. Some dentists and dental hygienists will use an ultrasonic tool for the planing and scaling. This tool is not as uncomfortable as a standard scraping tool, but not all cleanings require this type of tool. Your dentist may place antibiotic fibers into the pockets between your teeth and gums. The antibiotic will help speed healing and prevent infection. The dentist will remove the fibers about 1 week after the procedure.

What To Expect After Treatment
If anesthesia is used, your lips and gums may remain numb for a few hours. Planing and scaling causes little or no discomfort.

Why It Is Done
Root planing and scaling is done when gums have either started to pull away from the teeth or the roots of the teeth have hard mineral deposits (tartar) on them.

How Well It Works
If you maintain good dental care after the procedure, the progression of gum disease should stop. And your gums will heal and become firm and pink again.
Periodontal Maintenance
What is periodontal disease?
Periodontal disease ("gum disease') is an infection of the gums and of supportive tissues surrounding the teeth. Many people develop gum and tissue problems. The good news is that periodontal disease can be controlled. In some cases, it can even be reversed. Periodontal treatment can make your mouth healthier and help preserve your teeth. You could have periodontal disease and not even know it. That’s because periodontal disease is "silent"; it often has no symptoms. This is true even in the late stages of the disease. Periodontal disease can destroy the soft tissues and bone that support the teeth. But with regular checkups, the infection can be caught early and treated. This offers the best results. There is a direct correlation between periodontal disease and your overall health. People with diabetes are at a greater risk for periodontal diseases. And having periodontal disease can make managing diabetes more difficult. Multiple studies have also found a direct link between periodontal disease and heart disease. The incidence of heart disease is about twice as high in people who also have periodontal disease.

How is periodontal disease treated? Your dental team can help you better understand periodontal disease and how you can prevent it. They can quickly and painlessly check and monitor the condition of your gums during your recare appointments. Your examinations may show signs of infection, such as bleeding or pockets (spaces between your teeth and gums) that are deeper than normal. Your dentist may suggest a course of treatment that will help stop any further damage to your gums and bones. Your dental team will then design a homecare regimen for your specific needs. Treatment of periodontal disease is initiated after a comprehensive review of medical and dental history and full oral exam. The initial stages of treatment include scaling and root planing (“deep cleanings”) usually combined with antibiotics and bite correction. If the severity of the periodontal disease is great enough or initial therapy does not control the disease surgical intervention may be required.

What is a periodontal maintenance procedure? A periodontal maintenance procedure is not the same treatment as a regular cleaning even though a hygienist may perform both services. After a patient has been treated for periodontal disease, either with root planing or surgery, a standard cleaning addresses scaling and polishing above the gumline, a person who has periodontal disease requires below gumline maintenance. Typically an interval of three months between appointments is effective in maintaining. As in many other chronic conditions, successful long-term control of the disease and prevention of tooth loss depends on continual, and possibly lifetime maintenance.
Veneers are thin, custom-made moldings that cover the fronts ofyour teeth. They are crafted from tooth-colored, high-tech materials, often porcelain, for a natural looking bright smile. After the tooth is reshaped, the veneer is permanently bonded, held in place by the latest bonding resins that adhere the back of the veneer to the front of the tooth. The finished result is extremely strong and durable. Though veneers are not suitable for every patient, they are a cosmetic alternative for a variety of dental conditions affecting the front teeth, including:

• Closing diastemas (spaces between the teeth)
• Restoring broken or chipped teeth
• Covering unsightly, stained or washed out fillings
• Whitening permanently stained or discolored teeth
• Correcting uneven or crooked teeth

Veneers are a thin but strong "shell" made of high-tech materials or porcelain that are permanently bonded to the tooth's surface with a strong resin adhesive Advantages and Benefits of VeneersWhen your smile is disfigured by decay, abrasion, chipping, breakage or imperfect development, our goal is to restore its natural beauty, so you can smile with confidence. Veneers provide an alternative to traditional crowns. Because they are custom made, veneers are hard to distinguish from your natural teeth. They resist stains from coffee, tea, red wine and cigarette smoke because they are made of high-tech, extremely polishable materials. There are many benefits and advantages to having veneers applied to your front teeth.
Address - 1100 E 23rd St Lawrence, KS 66046
River Rock Family Dental is Lawrence Kansas' Premiere Dental Office! - Richard Valbuena and Kelly Joice DDS