Services

New Patients
Regular Exams
Adult & Child Cleanings
Fillings
Crowns

New Patients

We want to get to know you, your history, and what brings you to our office.  We want to know if you have any concerns or specific dental goals, so that we can better serve you.

New Patient Exam, Head and Neck Cancer Screening, Periodontal tissue exam, complete radiographic examination of all teeth, laser testing for cavities, thorough examination of oral tissues and teeth by Registered Dental Hygienist, and repeated by Dr. Sutherland.

If no periodontal disease is present, a regular cleaning is completed at this appointment) 

Diagnosis of any disease present, documentation with pictures and xrays, and plenty of question and answer time with Dr. Sutherland and the Nixa Dental team.

Together, you and Dr. Sutherland will discuss your treatment options, pros/cons of each, and make a treatment plan that fits your goals and keeps you healthy. 

Aubrey will go over the details of your specific financial considerations  including any insurance or payment methods you may use.  Then, Aubrey will find a day and time that works for you to get the treatment you desire.

Regular Exams

Exams are performed every 6 months by Dr. Sutherland.  She provides a free head and neck oral cancer screening, reviews your x-rays, checks the tissue in your mouth, and your teeth.  Dr. Sutherland listens to any concerns you may have and also thoroughly exams your teeth and gums to address any problems before they cause you pain.  Dr. Sutherland will answer any questions you have and will work with you to find a plan for keeping you healthy, pain free, and looking your best.

Adult and Child Cleanings

Our Registered Dental Hygienist, Julie, discusses any concerns you may have, as well as your areas of sensitivity.  Julie will first take any x-rays prescribed by the doctor, and take intraoral HD photographs of teeth and mouth as needed.  Julie measures your gum health and checks for Periodontal Disease by measuring the gum tissue surrounding each tooth.  Julie then uses an ultrasonic irrigation system and specialized tools to remove stain, calculus, and bacteria from the teeth and gums.  Next Julie smooths the surface of the teeth with a polishing paste, then flosses between each tooth.

When the teeth are clean, Julie will use a laser measurement tool, Diagnodent, to test any suspicious or high risk areas for cavities.

Lastly, Julie will provide you with an in office Fluoride Treatment to strengthen teeth and  prevent cavities.

If you are due for an exam (every 6 months) Dr. Sutherland will perform the exam at the end of this appointment.

Scaling and Root Planing

When you have Periodontal Disease, it is necessary to remove the calculus and bacterial infection that is harboring in the enlarged pockets around the teeth.  The Registered Dental Hygienist will numb the affected areas, then use her ultrasonic irrigation, specialized tools, and medicated irrigant to clean the pockets.  If the pockets are a certain depth, then an antibiotic in powder form will also be placed at the base of the pocket.

This treatment is typically done in 2 appointments, one side of the mouth at each appointment.

3 weeks following completion, you come back for a Re-Evaluation to measure the pockets and confirm success of the treatment.  From that point in time, you must return for Periodontal Maintenance at least every 3 months until all pockets are completely healed, thus able to be maintained at home without becoming reinfected.

Periodontal Maintenance

If you have been treated for Periodontal Disease at any time, your cleanings are considered Periodontal Maintenance.  This is a deeper cleaning than a person with healthy gums would receive, and usually involves medicated irrigation.  Usually, this service is performed every 3 months, but could be needed more often or as infrequently as every 6 months if complete healing is achieved.

Fillings

 

This is needed when a tooth has a small or moderate amount of decay, called a cavity.  The tooth is numbed so that you can be totally comfortable and relaxed.  Dr. Sutherland removes the decay and prepares the tooth for the filling.  We use a variety of tooth filling materials, all of which are tooth colored and designed specifically to fit the look and needs of your tooth.  We want your tooth restored to health, beauty, and function.  We then custom adjust your bite on that tooth until you are completely satisfied.

Crowns

Available in a single visit! No temporaries or goopy impressions!

A Crown is needed when a tooth has a large amount of decay, fracture lines, Root Canal Treatment or decay around an existing crown.  A crown replaces large areas of missing tooth, and holds together a tooth that shows signs of breaking due to fractures or symptoms. 

Typically our crowns are one of 3 materials:

Porcelain– Beautiful and very strong due to the latest technology

Zirconia– Super strong, can be made very thin, tooth colored, great for back teeth

Gold– On back teeth that bite against natural teeth, gold can be very good for patients who have clenching and grinding habits.  These cannot be done in one day.

What to Expect at your appointment

The tooth is completely numbed, all decay is removed, if too much of the core of the tooth is missing, it is replaced with a filling called a Core Build-up.  A thin outer shell of the tooth is reduced so that a new porcelain shell can cover the tooth without adding to its size. 

The prepared tooth is then digitally scanned with a state-of-the-art, highly accurate video scanner.  The image is then integrated into the latest software, and we custom design a crown to perfectly fit the prepared tooth as well as mimic the look and function of the surrounding teeth.  The design is then transferred to our in office crown mill where the crown is made, and then sintered.

The fit of the crown is verified to be exact prior cementing with an x-ray.  Then the crown is permanently cemented and a final x-ray is taken to show complete seating and cement cleaned up.  Your bite is checked and adjusted if needed until it feels good to you.

Bridges

A bridge is needed when 1 or 2 teeth are missing and Dental Implants are not a good option.

A bridge is a crown on a tooth next to the space, connected to a floating tooth, connected to a crown on the other side of the space.  A bridge is not removable.  The floating tooth appears to be a separate tooth, but it ends just as it touches the gums and has a rounded bottom.

Typically our Bridges are made of:

Zirconia– When only one tooth is missing, behind the smile zone, zirconia is a tooth colored material that is extremely strong and can be made in 1 appointment in the office.

Porcelain– When a front tooth is missing, new technology allows us to make beautiful bridges that are strong enough to function in the front of the mouth.  These can usually be made in 1 appointment in the office.

Porcelain fused to metal–  When more than one tooth is missing the back of the mouth,  a metal coping is needed to provide strength for chewing.  These cases are scanned with our digital impression and sent to a special laboratory.  A temporary bridge is made for you to wear for 2 weeks until the permanent bridge is completed.  You return to the office for a short appointment to cement the bridge.

Inlays and Onlays

When a tooth has a moderate to large amount of decay, but has 3 to 4 walls that are free of decay and thick enough to support biting forces, an Inlay can be used instead of a full crown.  If the tooth has 1 to 2 walls that are decay free and thick enough, an Onlay can be used to cover the affected walls and cusp tips instead of a full crown.  Typically, these are made of Porcelain or Porcelain/Zirconia Infused Composite Hybrid material and a made in 1 visit in the office. 

Procedure

The tooth is completely numbed, all decay is removed, and any weakened parts of the tooth are prepared to be replaced/supported by the porcelain.  If too much of the core of the tooth is missing, it is replaced with a filling called a Core Build-up. 

The prepared tooth is then digitally scanned with a state-of-the-art, highly accurate video scanner.  The image is then integrated into the latest software, and we custom design a crown to perfectly fit the prepared tooth as well as mimic the look and function of the surrounding teeth.  The design is then transferred to our in office crown mill where the crown is made, and then sintered.

Root Canal Treatments

A Root Canal Treatment is needed when the innermost part of the tooth, containing the nerve, becomes infected.  The most common causes for this are large cavities and trauma to the tooth.

We completely numb the tooth, and provide additional anesthetic as needed to keep you completely pain free.  First we make a small entrance on the biting surface of the tooth that we can reach the root canals through.  We clean out the infection and disinfect the canals. 

(Sometimes, a temporary medication is placed at the end of the roots at this point, and a temporary filling is put on the biting surface.  You would then return a couple of weeks later to complete the treatment.)

Then we place a special filling material with a sealer to keep the canals sealed off from any bacteria that would make a home inside.  Finally, a filling is placed in the small access hole.

Following a Root Canal Treatment, a Crown is necessary to support the tooth structure.  If a crown is not placed in a timely manner, the tooth will break, possibly resulting in tooth loss.

Invisalign

 

Nixa Dental Invisalign

Invisalign orthodontic treatment for teens and adults is a method of re-positioning the teeth using a progressive series of clear trays that fit closely to the teeth to gently and consistently provide pressure in the desired direction.  These clear trays are extremely subtle and an excellent choice for those who want to look their best during treatment.  The trays are easily removable during meal time.  Following treatment a series of retainers is included with your treatment to make your results last.

Misalignment of the teeth can lead to many problems beyond the obvious cosmetic concerns.  Misalignment can lead to cavities, notching of the teeth along the gumline (called Abfraction), tooth chips and fractures, tooth wear, clenching and grinding, TMJ pain, and stain collection.

Getting Started

The first step in treatment a clinical examination, a series of facial and intraoral photographs, and a digital impression using our Omnicam scanner.  After this information is evaluated, we can make a specialized treatment plan for you.  When the treatment plan and timeline are confirmed, we can then tell you whether your case falls into the Express, Light, or Full category which determines both the length of treatment and the cost.

There are several payment options.  Some insurance plans include some orthodontic coverage, we accept CareCredit who has special financing plans in partnership with Invisalign, or we often have other discount offers.  Call 417.725.3773 with any questions!  We are happy to help!