Diagnostic

• Dental Examination
  Unpleasant mouth odor is scientifically referred to as "Halitosis". It can be the result of many conditions, such as periodontal breakdown, ill-fitting restorations (fillings or crowns), digestive system problems, sinus infections, nose disorders, certain foods, especially those high in sulfur content, to name a few. Food which is trapped under defective crowns or bridges, or in-between teeth with ill-fitting broken restorations, decompose and ferment, sometimes also in the presence of pus, and illicit a very foul taste and smell. Treatment measures should include improved oral hygiene, a comprehensive oral examination with x-rays, evaluation of existing restorations, and replacement of defective restorations.
• X-rays

Preventive

• Teeth Cleaning
  The American Dental Association (ADA) recommends a routine check-up once every six months (exam & cleaning). X-rays should be taken as needed.
• Fluoride Treatment
• Dental Sealants
  Sealants are basically resins which are flowed into the grooves of teeth (back teeth) to help reduce the likelihood of cavities. They can be placed on primary and / or permanent teeth (molars and premolars). The new generation of Sealants are themselves fluoride releasing for yet added benefit. Any posterior tooth that has grooves which are deep and has no evidence of caries or an existing filling, is a candidate for a sealant. There is no age limit at which a person can have sealants placed. Many insurance companies however, will only pay for Sealants through age 14.
• Space Maintainers
  That may be true, but that is not the way that teeth were made to function. Teeth like to have adjacent and opposing teeth to keep them in sync. When a tooth is prematurely lost, some sort of replacement should be considered by the patient to be inserted four to six months post extraction. This limits the amount of drifting, tilting, rotation, extrusion, etc., which will result the longer that space exists. The replacement can be as simple as a space maintainer to as elaborate as an implant; removable as in a denture or fixed as in a bridge.

Restorative

• Fillings
• Veneers
  Cosmetic procedures ranging from inexpensive (Bondings) to expensive (Veneers) are all treatment options to correct the cosmetic appearance of these commonly occurring conditions, and give you the smile you deserve.
• Crowns
  The most common crowns, even today, are the porcelain fused to metal crowns. The substructure is metal, onto which is baked an "opaquer" and onto that the porcelain. The gum tissue being thin at the margin allows the collar of the crown to be visible and hence that gray outline. There are also numerous specialty crowns that are available today, which are almost every bit as strong as conventional porcelain-metal crowns, but exceedingly esthetic. There is no comparison in the esthetic component of these specialty crowns, but again these are not crowns that insurance companies allocate benefits for. Crowns of this classification include -- Occlusal Glass, IPS Empress, Wolceram, Captek, Procera, Occlusal Gold, to name some.
• Bridges
• Dental Bonding
• Restorative Dentistry

Endodontics

• Root Canal Treatment
  Invariably one doesn't know that a problem even exists, because the patient is asymptomatic — no complaints of any pain. Upon clinical examination, a discolored tooth is generally a pretty good indication that the tooth is non-vital (dead). Upon vitality testing of suspicious tooth, an electric current is passed through the tooth. A tooth which is alive will respond immediately. One which is almost dead, might barely respond, and one which is dead will be non-responsive. A tooth which has a large carious lesion (decay) that is approximating the pulpal chamber (nerve) might also be a candidate for a root canal. These are all indications for a root canal.
• Apicoectomy
  Root Canals, if performed properly, enjoy a very high success rate. There is no guarantee that every root canal will succeed. Sometimes they fail — even the best, text-book root canal fails sometimes for no apparent reason. Treatment options then can include re-treatment of the root canal, a microsurgical procedure known as an "Apicoectomy", or the patient might elect to have the tooth extracted. In terms of pain, root canals cover a very broad spectrum of pain -- from absolutely painless to outrageously painful. We always tell our patients not to wait for the pain, despite all the horror stories they have heard. If it's present, it will hopefully be very short-lived and the pain-medications will help lessen the pain.

Periodontics

• Gingivectomy and Gingivoplasty
  Gingivitis is basically inflammation of the gums in response to an irritant. It can be mild, moderate or severe. All forms of gingivitis are generally reversible with improved oral hygiene and some interceptive treatment. The more advanced cases might require a gingivectomy, which is the surgical excision of the redundant tissue. Causes of gingivitis include lack of good oral hygiene, drug induced (side-effects), hormonal to name a few.
• Deep Cleaning
  A Deep Cleaning is properly termed "Periodontal Scaling and Root Planing". It is a cleaning which, instead of cleaning from the gumline up onto the tooth, is a cleaning done under anesthesia, starting at the gumline and extending beneath the gum onto the surface of the root. It is a procedure which is recommended when the calcified deposits present in the mouth are heavy supra and subgingivally; the gums appear irritated and bleeding in response to the presence of these accretions; is radiographically evident; and is more than a routine cleaning can accomplish. Typically there is also "pocketing" the extent of which is measured using a "Periodontal Probe." After the deep cleaning is performed, with patient compliance and improved oral hygiene, the patient should experience a significant difference in his/her oral health.

Prosthodontics

• Dentures
  These are some of the most common concerns patients have. Dentures, if well made are very retentive and do not present any of these problems. A whole new generation of thermoplastic dentures are now available, and are what we almost exclusively utilize. They are the most esthetic, most comfortable and natural looking dentures available — no visible metal whatsoever, so you can smile away and nobody knows you have any dentures. These are a group of what we call specialty dentures, and are not the dentures that insurance companies allocate benefits for.

Implants

• Dental Implants
  Currently, Dr. Patel is working on continuing education courses with the United States Dental Institute to offer both adult and children patients orthodontic care. He is also working on an externship program with The Midwest Implant Institute to become certified in surgically placing dental implants. Dr. Patel has also traveled on mission trips with a dental team to provide dental care in remote villages of Tanzania.

Oral and Maxillofacial Surgery

• Oral Surgery
  MidWest Ohio Dental Care opened its doors in August of 1991 under the name, Charles J. Edelen, DDS, Inc. Dr. Edelen was settling in Sidney, with his wife, Julie after spending five years in the Western United States with the US Public Health Service. He served in the Indian Health Service on reservations in Montana and Wyoming and gained broad-based dental experience with focus on children's dental care, oral surgery, and restorative dentistry.
• Tooth Extractions

Orthodontics

• Orthodontics
  Dr. Lochard performs general dental care and clear aligner orthodontics. She is a member of The American Dental Association and Ohio Dental Association. She enjoys serving her hometown by providing high quality, modern dental care.
• Braces

General

• Teeth Whitening
  Always — No. In instances when a large amount of tooth structure is lost due to decay, then yes the tooth should be protected with an onlay or a crown (generically referred to as a "cap"). If the tooth has an excessively large filling with evidence of fracture lines in the remaining natural tooth structure, and is in a stress bearing area of the mouth, that too is an indication for a crown or onlay. Invariably, teeth in the front of the mouth do not need crowns even after root canals. If they radically discolor, other options such as bleaching or veneering might be treatment possibilities.
• Cosmetic Dentistry
• General Dentistry
  Dr. Edelen enjoys golf, skiing, spending time with his family, and anything that has to do with the great outdoors. He is an avid fan of The Ohio State University Buckeyes and is proud of the family tradition of attending school there, which is where he and Julie met. Proficient in all areas of general dentistry, Dr. Edelen has also completed several post-graduate courses of continuing education and strives to always stay abreast of all the latest advancements in modern dentistry.