April L. Skinner DDS
1300 Lincoln Way  - Suite B
Auburn,  CA    95603
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Dr. April and her staff are committed to helping each of our patients have healthy, strong teeth for life.  To accomplish this mission we offer a full range of treatment options for your dental health.  All treatments are provided in a comfortable, relaxing and supportive office,  with you, the patient, our number one priority 








GUM DISEASE:  Gum disease is an inflammation or infection of the gums and bone around your teeth.  It is one of the most common causes of tooth loss in adults.  Because it is usually painless, you may be unaware that you have active disease in your mouth.  Gum disease is classified according to the severity of the disease.  The two major stages are gingivitis and periodontitis.    Factors that increase your risk of developing periodontal disease include:  poor oral home care, tobacco use, systemic diseases such as diabetes, medications, and pregnancy. 

Good oral hygiene at home is essential to keep periodontal disease from advancing.  Brush at least twice a day, floss daily, and schedule regular dental cleanings and exams.

FILLINGS:  Dental filling materials include silver amalgam, composite resin and  gold.  The strength and durability of traditional filling materials continue to make them useful for situations where teeth must withstand extreme forces and where the location of the filling makes them the better choice for longevity.  Newer dental fillings include composite resins, modified glass ionomer resins and porcelains.  They are usually used where a natural appearance is important and where the location and extent of the tooth decay provides a good long term prognosis of performance and durability.

CROWNS:  Crowns, or caps, are used to improve the tooths shape or to strengthen a tooth.  They are most often used for teeth that are broken or have lost extensive structure to decay or previous fillings.  They can be fabricated out of gold for teeth in the back of the mouth and porcelain for teeth in the aesthetic zone.   A crown usually requires two visits.  The first visit involves preparing the tooth for the new crown, taking an impression for the laboratory making the crown, and fabricating and cementing a temporary crown on the tooth.  The second visit is when the new crown is tried in and checked for fit, function and appearance.  If all three criteria are met, the crown is cemented onto your tooth.

BRIDGES:  A fixed bridge may be used to replace missing teeth with artificial teeth.  Bridges can be made from gold, porcelain, or a combination of these materials and is cemented onto surrounding teeth.  A fixed bridge is not removable.  The appointment process is similar to a crown. 

ROOT CANALS:  Inside each tooth are a chamber and canals where the pulp tissue lives.  In a healthy tooth, the pulp tissue has nerves, blood vessels and other cellular structures.  When a tooth is cracked or has a deep cavity, bacteria can enter the pulp and cause an infection.  The infection will eventually lead to an abscess, forming a pus pocket at the end of the root.  This can result in pain and swelling. Root canal treatment involves removing the infected pulp, then cleaning the chamber and canals and sealing them off from new bacteria.  Most of the time, a root canal is a relatively pain free procedure if initiated early in the disease process.  Antibiotics may be needed if the abscess has progressed to a large size.

DENTURES:  There are several types of dentures available today.  Complete dentures are worn to replace a full set of missing teeth.  Usually these are most successful when the patient has a thick ridge of bone for the denture to sit on.  Sometimes an adhesive can help with retention.  A partial denture is used when the patient still has some strong and healthy teeth that can aid in retaining and supporting the denture.  Typically, a partial will have a metal base for stability and clasps, or arms, that engage the teeth for retention.  An implant retained, or overdenture, uses 2-4 implants that attach to the denture giving a wonderful improvement in retention and function during chewing.

IMPLANTS:  An implant is used to replace one or more missing teeth.  It involves two components.  The first part is the "root form"  or the implant body itself.  This is most commonly placed by a surgeon in the jaw bone and then allowed to integrate with the jaw for at least 3-6 months.  Once the implant "root" is determined to be solid within the bone, a porcelain or gold crown is made to attach to the root to replace the top part of your tooth.

SEALANTS:  Sealants are most commonly applied to children's teeth as a preventative measure during the cavity prone years.  Ideally they are placed as soon as the permanent tooth has erupted.  Sealants are a resin that is bonded onto the chewing surface of the tooth, filling in the grooves and pits that are most likely to decay in children.  Placing sealants doesn't involve any injections or extensive removal of tooth structure.  This makes for a fun and happy dental visit for your child.

PEDIATRIC DENTISTRY:  A child's first visit to the dentist should be enjoyable and positive.  The more you and your child know about the first visit, the better you will feel.  Children are not born with a fear of the dentist, they learn fear from their parents or siblings most commonly.  We encourage you to bring your child with you to your cleaning appointments to familiarize them with the sights, sounds and smells of a dental office.  If you as the parent have any anxieties about your child"s upcoming visit, we encourage you to talk with Dr. April prior to the appointment.  Together, you can determine how best to insure that your child and you feel at ease from the start.

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