David F. Gage, 595 Dorset Street, South Burlington, Vermont
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Preventive Care Services
Restorative Services
Gum Care Services
Cosmetic Services
Dental Technology
Whitening Services
Porcelain Veneers
Cosmetic Bonding
White Composite Fillings
Crowns
Inlays and Onlays
Bridges
Dentures
Implants
Sedation Dentistry
Lumineers
TMJ Treatment

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Preventive Care Services

One of the best things we can do for you is to arm you with the proper weapons against tooth decay and gum disease. Those weapons include: an accurate understanding of what's going on in your mouth, clear instruction on proper hygiene technique, and effective preventive measures. Below are the services we provide to help you establish a healthy foundation:

  • Hygiene
  • Regular Check-Ups
  • Dental Sealants
  • Extensive Patient Education
  • Nightguards to protect against Bruxism & TMJ
  • NTI-tss appliances to eliminate headaches

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Restorative Services

Stress, aging, accidents.life can really take a toll on your teeth. But today's excellent technology and materials can transform decayed, cracked, chipped, worn, darkened, or even missing teeth into a strong, healthy smile once again. We approach such restorations by first considering the problem within the context of your long-term dental health: identifying possible causes, and noting any related areas of concern. Then, we choose the most conservative solution, maintaining the maximum amount of tooth structure. Our restorative services include the following:

  • Tooth Colored Fillings
  • Bonding
  • Whitening
  • Fixed Bridges
  • Full & Partial Dentures
  • Inlays, Onlays, & Crowns
  • Single Visit Root Canals
  • Dental Implant Restoration

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Gum Care Services

Gum disease- it's unpleasant to talk about it, but it's even worse to ignore it because it quickly and quietly leads to a myriad of increasingly serious health consequences. That's why, over the years, we've invested a great deal of time into learning about the most effective treatments and cures. What we've found is that healthy gums result from both direct and indirect therapy: first clearing away the results of the disease itself, while simultaneously making specific healthy changes to diet and lifestyle. And although the personal commitment is significant, the results are too: better overall health, and reduced or eliminated gum disease.

  • Charting and Diagnostic Services
  • In-Office Non-Surgical Therapy
  • Breath Analysis and Treatment
  • Periodontal Treatment

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Cosmetic Services

Your smile says more about you than you might realize. That's why so many people today are taking the time to evaluate and enhance their smiles. Sometimes it's tooth color, sometimes it's shape. Sometimes it's tooth color, sometimes it's shape and sometimes it's overall alignment that could use some adjustment. Whatever it takes, we start by sitting and listening to your concerns, looking together at the options, and helping you make an educated decision about how to obtain the smile that truly expresses you. Our cosmetic services include the following:

  • Tooth Colored Fillings
  • Porcelain Veneers
  • Whitening
  • Bonding
  • All Porcelain Crowns, Onlays & Inlays
  • Recontouring
  • Lumineers
  • Cosmetic Before and After Imaging

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Dental Technology

Technology has advanced so quickly in recent years, that dentistry has a tremendous number of new tools at its disposal. And while we're not prone to have a new gizmo just because it's out there, we do appreciate advances that improve our ability to do our work. If it helps us see better, work more efficiently, or keep you more comfortable, then we're happy to have it at our disposal. Just ask for more information on any of these tools:

  • Air Abrasion
  • Digital Imaging
  • Intra-Oral Camera
  • Customized Microscope Lenses on Exam Glasses
  • Patient Education System
  • Chairside Computers
  • Oral Conscious Sedation

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Whitening Services

Many professional dental organizations warn against using bleaching kits available at your local drug stores. The one-size-fits-all bleaching trays usually leave the sensitive gum tissue exposed to the bleaching gel, resulting in irritation. The gel may also damage the tooth's enamel and pulp chamber. Whitening toothpastes, which use abrasive substances to "polish" away stains, can damage your tooth enamel. Dentist-prescribed kits are your best option for teeth whitening, where your progress can be closely monitored for adverse reactions. We also offer in-office power bleaching which can be incredibly effect in just 2-3 short office visits
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Porcelain Veneers

Do you have discolored or crooked teeth, teeth with spaces between them or teeth stained by fillings? You can change the shape, color and length of your teeth using veneers. Veneers are thin, durable shells designed to cover the front of the tooth. They are typically made of porcelain and are extremely durable, stain resistant, natural-looking and easy to maintain.

Veneers are custom-fitted to your teeth by removing a small amount of enamel and bonding the veneer to your teeth using a safe, high tech polymer resin. You can expect veneers to stay bright and strong for many years by performing good oral hygiene.
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Cosmetic Bonding

If you have teeth that have stains that cannot be removed by bleaching, and veneers or crowns are not necessary, then cosmetic bonding might be a good option for you. Cosmetic bonding is an affordable, quick and painless way to repair many cosmetic flaws or injuries, including:

  • Gaps in teeth
  • Spots or stains
  • Chipped teeth

Dental bonding sculpts individual teeth without requiring removal of any tooth structure. This technique bonds a composite material that looks, acts and feels like the real thing, to an existing tooth. This procedure usually doesn't require the use of an anesthetic; is relatively quick to apply; gives an immediate result and is less expensive than veneers.


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White Composite Fillings

Until recently, dentists used a silver and mercury amalgam to fill and seal cavities. Because a larger amount of the original tooth must be removed, these types of fillings often weaken teeth. Recent innovations now allow us to replace old silver fillings with composite or porcelain fillings that are stronger, safer and more natural looking. Say goodbye to "metal mouth" and hello to a beautiful new smile.
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Crowns

Teeth are often restored using silver or composite plastic fillings. However, when too much of a tooth's structure is removed to support a filling, a crown or "cap" may be needed. A crown may be needed to:

  • Restore a tooth when it is unable to support a large filling
  • Attach bridges
  • Protect a weak tooth from fracturing or restore fractured teeth
  • Cover badly shaped or discolored teeth
  • Cover dental implants

A crown essentially covers a tooth to restore it to its natural shape and size. This permanent covering fits over your original tooth to strengthen or improve the appearance of the tooth. Fitting a crown generally requires at least two visits to the dentist's office.


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Inlays and Onlays

When more than a third of a tooth's biting surface is damaged, a dentist will often use an inlay or onlay. Large fillings on back teeth often require a stronger and properly contoured restoration, such as porcelain inlays or onlays. They are created at an off-site dental lab and are bonded into place using a strong resin. Inlays and onlays protect teeth similarly as crowns, but conserve more natural tooth structure and are a better match to your tooth's natural color.
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Bridges

Healthy and strong teeth support and maintain your jaw alignment. That is why when you lose one or more teeth, your remaining teeth may shift, and the ability to chew and speak may be affected. A bridge replaces missing teeth with artificial teeth, eliminating the gap where those teeth had been. The bridge is bonded onto surrounding teeth for support. Regardless of the type of bridge recommended, its success depends on keeping the surrounding teeth healthy and strong.
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Dentures

Missing teeth can create a host of aesthetic and functional problems including sagging facial muscles, inability to eat certain foods and speak. Dentures may be your best solution if you've lost all your natural teeth due to periodontal disease, tooth decay or injury.

Fitting a patient for dentures does not have to be a traumatic experience. During the preliminary visit, the remaining teeth are removed and a model is made of the patient's jaw. An immediate denture may be fitted so the patient does not have to be without teeth while the mouth tissue heals. Once the mouth tissue is completely healed, the patient is fitted with their custom dentures.


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Implants

When you lose a tooth, a dental implant may be needed to replace the tooth root and crown. Dental implants are simply "anchors" that permanently support replacement teeth. They are secure and durable and can be cleaned and cared for much like your natural teeth.

The procedure requires a titanium root be fitted into your jaw to replace the lost tooth's root. Once the implant is anchored into the bone, the bone around the implant requires six weeks to six months of healing. Once the bone has healed, a support post and replacement tooth is anchored onto the implant.
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Sedation Dentistry

Many people are afraid or uncomfortable going to the dentist. Sedation dentistry offers pain-free and anxiety-free dental procedures for patients who fear dental procedures, fear needles, have difficulty with their gag reflex, have very sensitive teeth or have difficulty becoming numb from oral injections. It also provides an opportunity to perform multiple or lengthy dental procedures in a single session.

Sedation dentistry requires that the patient take a prescribed medication about one hour before the scheduled visit. The patient will arrive at the dentist in a deeply relaxed state, though fully responsive. During the procedure, patients aren't unconscious, but mentally "detached" from what's going on. The sedative usually lasts about six hours and the patient will need a ride to and from the dental appointment.

Other types of conscious sedation include inhalation and intravenous sedation. Inhalation sedation (nitrous oxide oxygen, otherwise known as laughing gas) is the most common sedation technique. Patients recover more quickly and may leave the dental office alone and immediately resume normal activities. Intravenous conscious sedation is also a safe sedation technique. Patients will not remember any of the procedure and will feel as though they were asleep, even though they were wide-awake throughout. Intravenous sedation requires the patient be monitored for blood pressure, breathing and heart rate. Patients may only leave the office with an escort.

If you fear dental procedures, then sedation dentistry may be the no-pain, low-anxiety dental alternative you desire.
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Lumineers

Lumineers are contact lens-thin porcelain technology that provides beauty and strength while preserving your natural tooth structure. That means you can correct a wide variety of unsightly dental distortions or conditions such as: tooth discoloration, gaps, stains, and broken or misshapen teeth. Lumineers can even bond to existing crowns or bridgework without having to replace them. Just think.No drilling, shots or pain, no removal of sensitive tooth structure, and safe for sensitive patients.
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TMJ Treatment

Do you experience jaw joint clicking or locking, ear pain, headaches or sensitive teeth? Temporomandibular joint diseases (TMJ) is usually characterized by a dull aching pain in the jaw joint, inability to comfortably open the mouth, clicking and popping in the jaw joint, teeth sensitivity, headaches and pain in the neck, shoulder or back. While many TMJ sufferers get better without treatment, TMJ can be responsible for persistent and debilitating pain. If you suffer from persistent TMJ, visit us for a thorough examination and individualized treatment plan.
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