Lillian Adame Nelson, D.D.S.
925 East Los Ebanos Blvd.
Brownsville, TX 78520
Monday – Thursday:
8 a.m. – 12 p.m.
1:30 p.m. – 5 p.m.
8 a.m. – 12 p.m.
A comprehensive exam lays the foundation for excellent dental care. Here you will experience the easy, gentle way to painless dental health. We recommend a "comprehensive dental exam" for all guests that are new to our practice and for "established" guests, those who are already in the practice, every three years.
The mouth is really a window into the body. Medical conditions may be discovered by a comprehensive dental exam before symptoms show up elsewhere in the body. By doing a comprehensive exam, we can together devise a strategy for long-term health and comfort. Cavities are one of the few diseases that can be totally prevented with good oral healthcare.
The comprehensive exam involves the following:
- Extensive medical and dental history
- Review of any medications patient is taking
- Blood pressure for designated patients
- Cancer screen for Oral Cancer
- Visual and Digital examination of the lips (inside and out); inside the mouth including: hard and soft palate, behind the molars, floor of the mouth, lips, borders, frenum, surfaces of the cheeks, tongue size, color, shape and position. Preventative Care Regular visits to see our hygienist and regular yearly exams and x-rays are extremely important in maintaining your optimal oral health and beautiful smile. This allows us to stay current with the health of your mouth, identify problem areas early, and fix them easily. During your hygiene visits, we screen for cancer and other diseases, check for cavities, evaluate your bone level, check the integrity of your existing restorations, take necessary x-rays, address any concerns you may have, and professionally clean your teeth.
Our objective is to keep your teeth and gums healthy all your life. Preventive measures and homecare practices will help you achieve this goal.
Restorative Dentistry encompasses the process of restoring missing, damaged or diseased teeth to normal form and function. Some forms of Restorative Dentistry may include:
Dental Implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. While high-tech in nature, dental implants are actually more tooth saving than traditional bridgework, since implants do not rely on neighboring teeth for support.
A fixed bridge anchors to the teeth on both sides of the space of the missing tooth or teeth. This gives the bridge strength. Good Oral Hygiene is still recommended when a bridge is in the mouth; brushing and meticulous special flossing are recommended to maintain the bridge and surrounding gum tissue healthy.
Complete dentures replace all of the teeth on either the upper or lower jaw. Complete dentures are made from prefabricated acrylic and sized to fit the shape of your jaw and mouth. They mimic the color and appearance of your natural teeth. The unique impression of your teeth, bite, and the shape of your jaw will be used to create the dentures. Typically, conventional complete dentures require a one to two month wait after the extraction of your teeth, so that your mouth and gums will have time to heal, permitting a more accurate fitting. However, if you cannot afford to be without the missing teeth even for a short time, dentures can be inserted immediately after the extraction. Over time your mouth will change, but your dentures will not. The jaw bones and gum can shrink or recede. You can have your dentures remade or refitted when necessary.
Implant Supported Dentures
Dental implant supported dentures are similar to a regular denture, except that it is supported and attached to dental implants for stabilityl Where a traditional denture rests on top of the gum, held in place with an adhesive, implant supported dentures snap into place on top of implants for a firmer hold. These implant supported dentures are removable, so you can remove the and clean them overnight.
ALL ON 4 Dentures
All on 4 implant dentures are a permanent set of teeth that look and feel like natural teeth. All on 4 dentures do not need to be taken out and do not need adhesives. A denture is screwed into the implants.
Partial Dentures are removable devices that replace a few missing teeth instead of all the teeth on the jaw line. They can be attached either by metal clasps or precision attachments. Precision attachments require crowns to be put on the remaining abutments teeth that hold the partial dentures in place. Regardless, these supporting teeth must be in good health.
Crowns are dental restorations otherwise known as "caps", which are coverings that fit over the teeth. Crowns may be necessary because of broken down old fillings, fractured, chipped or sensitive teeth. Crowns are also used to improve the appearance of natural teeth that are malformed, malpositioned, or discolored.
Crowns are made of natural looking porcelain and are made to improve your overall smile or to blend in with your own teeth. Sometimes an underlying metal shell is used under the porcelain if additional strength is needed.
Some indications for a crown are:
-A previously filled tooth where there now exists more filling than tooth. The existing tooth structure becomes weakened and can no longer support the filling.
-Extensive damage by decay
-Discolorations and compromised esthetics
-Root Canal- After root canal, teeth tend to become brittle and are more apt to fracture. These teeth need to be protected by a crown. Fitting a crown requires at least two appointments. During your first visit, the tooth is prepared for a crown, an impression or mold is made of the tooth, and a temporary crown is placed over the prepared tooth. At the subsequent visit, the temporary crown is removed and the final crown is fitted and adjusted and cemented into place.
When teeth are missing and there are teeth on either side of the space a bridge is one way to replace the missing teeth. This is called a bridge because it bridges the open space.
The space left from missing teeth may cause one of several problems. Teeth may drift into the space changing your bite; this changed bite may result in sore jaws, gum disease, or decay (due to more difficult hygiene). A fixed bridge is used to replace one or several teeth. The teeth on each end of the space are used as anchors (abutments). Bridges are not removable by the guest. As other types of crowns (caps), a bridge can be made of metal or porcelain, or a combination of these two.
To prepare a bridge, diagnostic models are taken to study the optimum way to perform this procedure. After studies are completed, the teeth used to attach the bridge are carefully reshaped. Impressions are taken and from these impressions, the bridge is made by a certified dental technician. The laboratory time is usually 1 to 2 weeks; during this time a temporary acrylic bridge is cemented to place.
Care for Bridges
Brush and floss daily all areas around the bridge. It is not possible to floss between the replacement tooth and the attaching crowns (it is made as one solid piece). In order to solve this problem, it is necessary to use a special type of floss to go under the replacement tooth and keep this area of gum tissue healthy.
Defective and unattractive fillings can be replaced with bonded tooth-colored materials such as porcelain or composite. Tooth colored fillings are the most common replacement and have many advantages over silver fillings:
- Preservation and strengthening of existing structure
- Minimal allergic reactions
- Biological compatibility
- No development of metal sensitivity
- Natural looking When decay has eaten away the tooth, a hole remains. We need to fill this hole produced by the decay; a "filling" is thus placed. Today there are basically two types of filling: "silver" fillings and "white" fillings. There has been much bad publicity regarding silver fillings as they contain mercury, a toxic substance. We use only mercury-free fillings for a beautiful smile.
Restorative Implant Dentistry
Dental implants can be used to replace one or more missing teeth and are an alternative to conventional bridges and dentures. A dental implant replaces a missing root with a titanium screw placed in the jawbone. A crown or denture is securely placed on top of the implant(s) and can withstand chewing forces like natural teeth. Implants have many options for tooth replacement including:
- Conservation of existing bone
- No tooth preparation (as in bridges)
- Esthetic: look and feel like natural teeth
- Easy to brush and floss
Tooth Whitening (bleaching) is a safe and effective method of whitening your teeth without further dental treatment. The most effective and common method utilizes a thick gel (dispensed by our office) which you apply into a custom clear tray and wear once a day. In approximately 10-14 days, you will achieve excellent whitening results.
Whitening solutions are available in various strengths. The doctor will determine which product will provide you with the best result.
When the nerve of the tooth becomes infected, root canal treatment can save the tooth. You may realize you have an infected tooth because it´s sensitive to hot or cold, it causes swelling or pain, or it gives you a bad taste in the mouth. You may also be unaware you have an infected tooth because you show no symptoms at all.
Though some teeth without cavities can get infected, deep cavities are the main cause of infection. A blow to the tooth may also cause the nerve of the tooth to die and then become infected. Years ago, an infected tooth had to be extracted, but today, we can save your tooth with root canal treatment. Root canal treatment and restoring the tooth usually involves 3 steps: First: We remove the infection to promote healing.
Second: We place filling materials in the root canals.
Third: We place a crown on the tooth to protect it from fracturing.
Wisdom teeth or third molars are the last teeth to come out into the mouth. If there is room for them, they usually start to appear in the late teens or early twenties. And that is when problems can begin.
An impacted wisdom tooth can push on other teeth. It can be excruciatingly painful when a wisdom tooth is partially in and becomes infected. Wisdom teeth are nearly impossible to keep free of plaque. Plaque causes cavities and periodontal disease, which may start near the wisdom teeth and spread throughout the mouth.
Because of these many serious problems, it is usually better to remove wisdom teeth early, even before they break through the gums. There are many advantages of early removal of wisdom teeth: - Roots are still short - Easier to remove - Less risk of nerve damage - Bone fills in better All of these add up to less pain and faster and easier healing. Anxiety Free Dentistry
Anxiolytic dentistry - Nitrous Oxide
is a pharmacologically-induced state of consciousness where an individual is awake but has decreased anxiety to facilitate coping skills while retaining interaction ability.
Also known as "dentistry while you sleep", one small pill allows us to offer a relaxing and enjoyable dental experience while you "snooze" through your dental treatment. Nitrous oxide gas (laughing gas) can be used in conjunction with the oral sedation to even enhance the anxiety-free experience.