Diagnostic

• Dental Examination
  The older the patient, the more likely an impacted canine will not erupt by nature’s forces alone even if the space is available for the tooth to fit in the dental arch. The American Association of Orthodontists recommends that a panorex or screening x-ray along with a dental examination be performed on all dental patients at around the age of 7 years to count the teeth and determine if there are problems with the eruption of the adult teeth. It is important to determine whether all the adult teeth are present or are some adult teeth missing. Are there extra teeth present or unusual growths that are blocking the eruption of the canine? Is there extreme crowding or too little space available causing an eruption problem with the canine? Your general dentist or hygienist usually performs an exam and will refer you to an orthodontist if a problem is identified. Treating such a problem may involve an orthodontist placing braces to open spaces to allow for proper eruption of the adult teeth. Treatment may also require a referral to an oral and maxillofacial surgeon for extraction of over retained baby teeth and/or selected adult teeth that are blocking the eruption of the all-important canine. If the eruption path is cleared and the space is opened up by age 11 or 12, there is a good chance the impacted canine will erupt with nature’s help along. If the canine is allowed to develop too much (age 13-14), the impacted canine will not erupt by itself even with the space cleared for its eruption. If the patient is too old (over 40), there is a much higher chance the tooth will be fused in position. In these cases the tooth will not budge despite all the efforts of the orthodontist and oral surgeon to erupt it into place. Sadly, the only option at this point is to extract the impacted tooth and consider an alternate treatment to replace it in the dental arch.
• X-rays
  Imaging services are an integral part of diagnosis and treatment. Our practice offers the latest advances in dental and maxillofacial radiographic imaging including panoramic x-rays and cone beam CT scanning. Appropriate imaging will be recommended for your specific case.

Preventive

• Teeth Cleaning

Restorative

• Crowns
  My crown removal by Dr. Jaime Cernansky, went so well. I had no pain at all as he had promised. I have a needle phobia but Dr. Cernansky had such a gentle touch and he explained everything he did step by step. The Dr. And his staff were excellent thats why I gave a 5 star review. Would i go back for any future dental, yes I would.
• Bridges
  You may choose to replace the missing teeth with a “fixed bridge.” This is a restoration that is supported by the teeth adjacent to the missing tooth space. The replacement tooth (or pontic) spans across the space. If the bone is deficient there will be an unsightly space under the pontic that will trap food and affect your speech.

Endodontics

• Root Canal Treatment
  Had an unfortunate experience with a root canal tooth that fractured. Despite already having the root canal done, the tooth cracked and needed to be extracted. Uncomfortable pain made it more urgent to get it done. Valley Oral did very thorough and fast exam, and within two days extracted tooth. Basically little uncomfortable pain afterwards, no swelling, no bruising - great service, concerned staff, great results.

Prosthodontics

• Dentures
  There is a special type of bone surrounding your teeth. This bone is called alveolar “ridge” bone, and exists solely to support your teeth. As soon as the tooth is removed, this bone begins to degenerate and “melt away.” This occurs in two dimensions. The first is loss of horizontal width caused by the collapse of the bone surrounding the tooth making the remaining ridge narrower than before the extraction. The second is a loss of vertical height which makes the remaining bone less “tall.” This process called bone resorption is accelerated in areas where you wear a partial or complete denture.

Implants

• Dental Implants
  The Trefoil system is a breakthrough in efficiency for treating the edentulous mandible with a fixed and definitive prosthesis on the day of surgery. Using a pre-manufactured titanium bar with a unique retention mechanism, it can adjust to compensate for inherent deviations from the ideal implant position and enable the passive fit of the definitive prosthesis.

Oral and Maxillofacial Surgery

• Oral Surgery
  Welcome to Valley Oral Surgery! Please fill out our simple appointment request form to get started. We look forward to providing you with top-notch care and ensuring your visit is comfortable and stress-free. Your journey to a healthier smile begins here!
• Jaw Surgery
  Dr. Anderson completed his undergraduate studies at the University of South Carolina, earning a Bachelor of Science in Biology with a minor in Chemistry in 2015. During his tenure at the University of South Carolina, Dr. Anderson was a patient of oral and maxillofacial surgery, undergoing reconstructive jaw surgery. This personal experience profoundly influenced his decision to pursue a career in the dental profession.
• Gum Surgery
  Shortly after surgery (1-2 weeks) the patient will return to the orthodontist. A rubber band will be attached to the chain to put a light eruptive pulling force on the impacted tooth. This will begin the process of moving the tooth into its proper place in the dental arch. This is a carefully controlled, slow process that may take up to a full year to complete. Remember, the goal is to erupt the impacted tooth and not to extract it! Once the tooth is moved into the arch in its final position the gum around it will be evaluated to make sure it is sufficiently strong and healthy to last for a lifetime of chewing and tooth brushing. In some circumstances, especially those where the tooth had to be moved along distance, there may be some minor “gum surgery” required to add bulk to the gum tissue over the relocated tooth so it remains healthy during normal function.
• Maxillofacial Surgery
  Dr. Parikh attended the Government Dental College and Hospital in Ahmedabad, India and graduated in 2003 with a bachelor of dental surgery. In 2007, he received his doctorate in dental surgery from the University of Michigan School of Dentistry. His residency in oral and maxillofacial surgery was completed in 2012 at the Beth Israel Medical Center in New York.
• Tooth Extractions
  Difficult dental extractions can require bone removal to facilitate its removal and therefore translates into bone loss.
• Bone Grafting
  Traditionally, if you do not have sufficient bone in your upper jaw, the only option was to perform bone grafting procedures to regenerate and/or rebuild enough bone to create a sufficient foundation for traditional dental implants. These type of bone grafting procedures were performed and then followed by a healing time of several months prior to the placement of conventional dental implants.

Orthodontics

• Braces
  In cases where the canine will not erupt spontaneously the orthodontist and oral surgeon work together to get these unerupted canines to erupt. Each case must be evaluated on an individual basis but treatment will usually involve a combined effort between the orthodontist and the oral surgeon. The most common scenario will call for the orthodontist to place braces on the teeth (at least the upper arch). A space will be opened to provide room for the impacted tooth to be moved into its proper position in the dental arch. If the baby canine has not fallen out already, it is usually left in place until the space for the adult canine is ready. Once the space is ready, the orthodontist will refer the patient to the oral surgeon to have the impacted canine exposed and bracketed.