We are a full service Norcross dental family practice where we can take care of most of your family's dental needs under one roof. Our goal is to provide the highest
quality dental treatment while making you as comfortable as possible during
the process and with results that will make you smile.
Your comfort during treatment is extra important to us. With over 30 years of experience, we are able to make your visits as
pleasant as possible. With modern pain control techniques, including
nitrous oxide and conscious and IV sedation, fear of the dentist is
now a thing of the past.
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What Does It Mean That My Dentist
Is Board Certified?
- Cosmetic Dentistry
- Sedation Dentistry
- Crowns and Bridges
- Dental Implants
- Root Canal Treatment
- Gum Treatment
- Oral Surgery
- Invisible Braces/Invisalign®
- Teeth Whitening
- Children's Dentistry
- Full Mouth Reconstruction
You will be so happy that finding the right dentist for you and your family can be so easy!
For An Appointment Call:
Dr. Richard P. Gangwisch, D.D.S., M.A.G.D., A.B.G.D.
Board Certified General Dentist
- Doctor of Dental Surgery degree, Ohio State University
- Former Dental Officer, U.S. Navy
- Former Clinical Instructor of Operative Dentistry, Emory University School of Dentistry
- Fellowship and Mastership, Academy of General Dentistry
- Diplomate of American Board of General Dentistry (Board Certified General Dentist)
- Member, American Academy of Cosmetic Dentistry
- Published Author, Journal of Cosmetic Dentistry
- Volunteer Dentist, Ben Massell Dental Clinic
Dr. John D. Hulsey, D.M.D.
- Doctor of Dental Medicine degree, Medical University of South Carolina
- General Practice Dental Residency, East Carolina University
- Volunteer Dentist, Ben Massell Dental Clinic
- 12/27/12Read MoreApexificationWhen a child receives a blow to the mouth and injures a front tooth, there is always a chance that the blood supply to the dental pulp (or nerve) will be severed, causing the nerve to die. In this case, root canal treatment would be indicated. However, if the child is of a younger elementary school age, the end of the root has probably not matured yet.
This is a situation called an open apex. The apex is the tip of a tooth root. In a normal root canal, an inert filling material is packed against the apex to seal the end of the root. With an open apex, there is nothing to pack against so there is no way to get a good seal. Fortunately, there is a procedure called apexification that will stimulate the body to close the apex. After the root canal has been thoroughly cleansed of debris, a calcium hydroxide paste is inserted at the root end. The calcium hydroxide is very alkaline. The body reacts to this high pH by depositing hydroxylapatite crystals (the basic building blocks of teeth) at the site. It takes a few visits spaced out over a year's time and then the canal can be properly sealed. Using this procedure will allow a front tooth to be retained, saving the child from years of embarrassment and numerous tooth replacements.Read More
- 12/27/12Read MoreDenture Impressions - Preliminary StepsThe construction of a full denture starts with an impression of the gums. The dentist must first check to see if there are any suspicious lesions that could be a malignancy. X-rays should be taken to make certain that there are no tumors inside the bone. The dentist must also make certain that there are no bony undercuts which would prevent the denture from properly seating or flabby gum ridges which would not provide a stable surface for the denture to function. Any of these problems would require surgical intervention plus a healing period before final impressions could be made. The dentist must also check the condition of the gum tissue itself.
If the gums are swollen, red, and inflamed especially due to sleeping in the dentures or from smoking, then steps must be taken to relieve the inflammation. Many times, merely leaving the dentures out while sleeping for a week or two will allow the gums to heal. In more resistant cases, a tissue conditioner can be applied to the current denture. This conditioner is a resilient liner. Its soft nature can give the gums a chance to heal. Once all of the preliminary steps have been taken, the final impression can be made.Read More
- 12/27/12Read MoreImmediate DentureA dentist's goal is to save teeth, however, if there is too much decay or gum disease or the financial situation is not good enough to properly restore the teeth, then the fateful decision must be made to remove the remaining teeth. There are two ways of handling the construction of the first set of dentures. One method is to wait for one full month to allow the gums to heal and shrink. At this point, an impression (or mold) is made of the gums and denture construction begins. The other method is an immediate denture. An immediate denture is constructed before the teeth are removed. The advantage of that is that the denture is inserted on the day of the surgery. This way the patient never has to go around without teeth. Unfortunately, there are compromises. There is no way to do a try-in to check the cosmetic arrangement of the teeth, the function, or phonetics (ability to speak with the dentures). It's possible that the resulting pre-made denture could be far enough off that it may have to be remade. The other issue is that the gums will shrink after surgery, so the denture will have to be relined after about six months. This way the inner part of the plastic of the denture will match the new healed gums. An immediate denture would at least save one from the embarrassment of being without teeth for any length of time.Read More
- 12/26/12Read MoreTooth Trauma (Part IV of IV)When a front tooth has been chipped, there are a few options on restoring the tooth. If the chip is small enough, the area can be repaired by bonding tooth colored filling material to the enamel. I have many cases where that repair has lasted over ten plus years.
Large defects are better repaired by covering with a porcelain crown. The porcelain is extremely durable and color-stable and can last decades. With children, when a majority of these injuries occur, it is better to do a tooth colored filling, even with large fractures. The main reason is that at least a millimeter and a half of tooth enamel needs to be removed from the tooth in order to get a good cosmetic result and in a child, the nerve in the center of the tooth is extremely large. Taking 1.5 mm of enamel in a patient of that age group can be enough to either expose the nerve or injure it enough that root canal treatment would be needed later on. Also, in a child, the tooth continues to erupt out of the gums, so as the child matures, the edge of the crown can become exposed which can be very unsightly. When a tooth colored filling is done to repair a fracture, it is expected that it will have to be repaired or redone many times during the patient's lifetime.Read More
- 12/26/12Read MoreTooth Trauma (Part III of IV)If a tooth has been displaced in a traumatic accident, as long as the x-ray doesn't show any root fractures, then the dentist can usually move the tooth back into its original position. Then, the tooth is usually splinted to the adjacent teeth during the healing period. This is done by attaching a wire to the front teeth with composite. Composite is the tooth colored filling material routinely used to fill cavities.
When one of the teeth has been chipped, the primary focus tends to be on that tooth. However, in a traumatic injury to the mouth, it is not unusual to have multiple teeth having been injured. When a tooth fractures, then, the force of the blow is dissipated. Unfortunately, the intact teeth will transmit all of the energy of the insult directly onto the end of the root. The problem with this is that the end of the root is where the nerves and blood vessels enter the tooth. If the force is great enough, then the nerve and blood vessels can be severed. This will cause the nerve to die and will necessitate root canal treatment to save the tooth. It's hard for a dentist to tell right away whether a traumatically injured tooth may need root canal treatment. Many times, it takes up to six months before a dead nerve can be detected, and there are times that the damage will show up decades after the initial injury.Read More
- 12/26/12Read MoreTooth Trauma (Part II of IV)If a front tooth has been chipped in a fall, and there is no telltale red dot in the center of the tooth indicating an exposure of the nerve, then immediate treatment is not necessary. It's likely that the tooth would be very sensitive to cold, so cool liquids are best to be avoided. The tooth could also be painful to chew on. It is usually best to wait until your dental visit to rule out root fractures before attempting to chew on a traumatically chipped tooth. The teeth could also ache so a pain reliever with anti-inflammatory properties would be most helpful. Ibuprofen tends to work the best. Over-the-counter preparations come in 200mg tablets, so an adult could take as many as four tablets, for a total of 800mg per dose to stay comfortable. Once at the dental office, the dentist will x-ray the teeth, check for root fractures, and check for loose or displaced teeth.
If the root is fractured, the tooth may or may not need to be removed. It depends on where the fracture is. The closer to the end of the root, the better the chance that the tooth could be saved. If there are any teeth that are loose, they may need to be splinted in place. This would be just like placing a cast on a broken arm to allow for undisturbed healing.Read More