The latest advancements improve the precision, comfort, and results of your dentistry. You'll have a better understanding of your care options and the new possibilities. Plus, state-of-the-art, safety procedures, instrument cleaning and techniques take away the worry from your experience.

Click on a highlighted word for more information on our exciting technology!

BriteSmile in about an hourIntraoral Camera
Laser Treatment Smile ImagingVideo Presentations
High-Level Antiseptic CareHigh-Tech Root Canal Therapy
Neuromuscular Dentistry

 

It’s state of the art smile whitening. Linda Hume, our BriteSmile Coordinator, is specially trained in this exciting new technology. She is also whitening also trained as a dental hygienist. Her experience as a hygienist means she is fully qualified to provide you with the best dentistry has to offer. Call her and she can answer your questions – 845-627-SMILE – or e-mail Linda at BriteSmile@rocklandsmiles.com.

Get more questions answered about BriteSmile by clicking on the links below. These links will take you directly to BriteSmile’s Web site and a new browser window will open.

What is BriteSmile?
How BrightSmile Works

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We use intraoral cameras that are about the size of a pen to help you and us clearly see the condition of your smile.

Like never before, we can zoom in on small diseased areas, cracks, chips and worn metal fillings & significantly magnify these dental concerns. This information helps you understand how current and future dental care will affect the overall health of your smile.

We give you options and show you the possibilities. See for yourself how modern dentistry can improve the confidence and appearance of your smile.

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We use laser technology to create beautiful smiles. When patients come to us with concerns about gum tissue overwhelming their smile, we can now perform a treatment that contours and reshapes gum the line. By using a laser, we can reduce many of the concerns patients had with this kind of esthetic procedure.

The laser enables us to do surgery without a scalpel. Therefore, there is no bleeding and procedural discomfort eliminated. Healing is faster and more comfortable. The computer precisely controls the depth and extent of the shaping for even less discomfort and more esthetic contouring.

Say Good-bye to that gummy smile and say cheese, as wide as you please.

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What could a new smile do for your confidence? Let us show you. Computer smile imaging can give you a preview of what is possible. First, we’ll talk about the kinds of changes you would like to see. Then, we take a digital photograph of your smile. After that, we select a smile design that incorporates the characteristics you desire in a new smile. Finally, we print out your ‘new smile’ and your current smile. You can take these with you to show family and friends or just to remind you of the possibilities of modern dentistry.

Talk to Kim, our New Patient Coordinator, about an informal smile consultation and imaging session. Call her at 845-627-SMILE or click here.

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When you have questions about the details involved in a specific treatment or therapy, we can answer them with our interactive video presentations. Knowing the details can help many people overcome any worries they might have. The programs take you step by step through the treatment. If you want to know about a procedure, just ask about a video presentation.

The video presentations also help patients see the benefits of specific hygiene or periodontal therapies. Gum disease and cavities can develop quickly and cause lifelong problems. Without a complete understanding of how daily dental care that can prevent these health problems, many people are less likely to faithfully keep at it. This is especially helpful to younger patients.

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You can’t be comfortable if you don’t feel safe. That’s why we’re so stringent in our approach to germ control. Our instrument sterilization procedures meet Center for Disease control guidelines. We autoclave (heat-sterilize) all handpieces and instruments after each use and safely dispose of non-reusable items.

During treatment we wear gloves, gowns, masks, eye protection and use barrier covers for each procedure. We also give you protective eyewear. Each exam room is cleaned and disinfected after each use. We use only ADA approved disinfectants.

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Root canals, or endodontic treatments, don’t need to be primitive anymore. Many doctors still use hand filing to clear the damaged root canal. State-of-the-art technology has made this procedure more comfortable and precise.

By electronically locating the exact location of the canal and using precise electronic devices to remove the diseased or damaged tissue, we can perform the procedure quicker and with less stress.

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Found in this section:

Introduction
The Neuromuscular Difference
Comprehensive Treatment Planning

How N-D Relieves Pain

- Diagnostic technology & therapies

Candidate for Neuromuscular Exam?

- Self-assessment

Conclusion

Neuromuscular Dentistry: Introduction
Traditional concepts of achieving pain-free oral and ‘natural’ function center on the mouth and teeth and do not give the relief many people need. Neuromuscular dentistry combines our knowledge of the functional aspects of the mouth and teeth with jaw, oral, and facial muscle healing and harmonizing therapies.
Take the Self-assessment (link to Self-assessment) to see if you might have the symptoms of a neuromuscular disorder. Many of our clients come to us after being diagnosed with a disorder called TMJ. TMJ problems are also often attributed to how the jaw joints function in relationship to your teeth. Neuromuscular dentistry is a different and, as we have seen, a more successful way to treat this type of problem.
The Neuromuscular Difference
Rehabilitating teeth can improve the feel and function of your smile; however, building up or restoring teeth might only help to revert the jaw back to a habitual position not its proper position. Therefore, relief from pain can be short lived. Neuromuscular dentistry is focused on returning your oral function to a proper position that is comfortable for the long-term. The following information will give you insights into this potentially life-changing treatment.
Comprehensive Treatment Planning
The challenge of modern dentistry is to create lasting, natural looking and feeling smiles. This challenge results from the need to give someone a comprehensive solution when they only expect small ‘repairs’ to be done.
Much like only making patches to a deteriorated foundation of a building rather than complete restoration, traditional dentistry is usually focused on fixing localized problems. This type of treatment only extends the likelihood of dentures or significant crowning of teeth. These ‘minimal repairs’ are not long-term solutions for achieving pain freedom or preserving natural teeth, which are the kind of results our clients now expect.
We believe that neuromuscular dentistry is part of a comprehensive assessment of oral health to prepare the foundation of your smile for the additional benefits of modern restorative and esthetic solutions. Comprehensive treatment planning is an investment in the long-term future of your smile and remaining natural tooth structure. While not everyone will choose this level of care, we feel our clients deserve this comprehensive option.
How Neuromuscular Dentistry Relieves Pain
Instead of thinking about teeth, imagine someone riding a bike that has a good, comfortable and sturdy seat. The longer the rider rides the bike the more deteriorated the seat becomes. Depending on the original materials and what kind of other factors affected the materials (weather, the rider’s routines and size, bumps in the road, etc.), different types of damage will occur. As the deterioration of the seat increases, the rider will need to adjust their sitting habits.
This adjustment can cause strain on the muscles. Because we as ‘riders’ can never get off our bikes, we find the most comfortable position to sit. This is the habitual position for riders. In this position they find some relief, but having the seat in its original condition would work better. Of course, other ‘riders’ are forced into this position because of the ‘original design’ of their bikes or factors completely beyond their control.
Now imagine your jaw being locked in the wrong position for many years. When this occurs, some muscles shrink and others expand. This causes tension and pain. Getting back to the habitual position can give some relief. On the other hand, comprehensive restoration of teeth and the harmonization of the neuromuscular condition of your jaw and surrounding muscles through our relaxation therapies can do much more. Review our neuromuscular diagnostic and therapeutic treatments. (link to NmD technology page B)
Are You a Candidate for Neuromuscular Exam?
There are two situations where a neuromuscular exam might be recommended. First, people with head, neck or shoulder pain, chronic sensitive teeth (tooth) to hot and cold or other neuromuscular discomforts could be helped by this exam. Second, those considering restorative and/or cosmetic dentistry also can benefit from this comprehensive assessment to prevent neuromuscular conditions from arising.

Click Here To Take a Self-assessment.
Return to main Neuromuscular menu.

Neuromuscular Self-assessment
People can have neuromuscular pain throughout their lifetime and not understand why it is occurring. Many people see numerous kinds of doctors about their problems but do not find relief. To give our clients neuromuscular harmony, we begin by examining two basic areas of neuromuscular formation. What you could call ‘natural’ and ‘health experience’ episodes.
Natural episodes include how the jaw was formed during childbirth or during the first few years of life. We have seen other problems that developed during childhood tooth formation and early alignment of the jaw muscles. Health experience episodes include physically traumatic occurrences and the wearing down of teeth because of disease or excessive teeth clenching and grinding, and sometimes after dental treatment. Unfortunately, this discomfort can also occur when proper planning is not completed before restorative or esthetic enhancement is undertaken.

If you have any of the following conditions, neuromuscular treatment might give you the relief you are looking for.*
Symptoms of a Neuromuscular disorder
(Sometimes called TMJ or TMD - temporomandibular joint dysfunction)

  • Clenching/bruxing (grinding teeth)
  • Limited opening of the mouth
  • Neck problems
  • Loose teeth
  • Tingling in the fingertips
  • Forward head posturing
  • Mouth Breathing
  • Tongue thrusts
  • Open bites
  • Headaches
  • Sensitive and sore teeth
  • Facial pain
  • Neck and shoulder aches
  • Ringing in the ears
  • Jaw pain
  • Ear congestion
  • Clicking/popping or grating sounds in the ear or joint
  • Worn down teeth - especially the front teeth

*Our doctors are not able to diagnose your actual condition unless you come in for a complete exam. If you have some of these symptoms or would like to know more, please call our office team at
845-627-SMILE or email us.
Return to main Neuromuscular menu

Diagnostic Tests
Link or scroll to explanations of our therapeutic & diagnostic technologies:

Sonography – detecting unacceptable contractions and extensions of the jaw joint
CMS – measures proper/improper jaw closing, opening and turning movements
EMG – muscle ‘electricity’ is monitored to detect muscle stress
TENS – relaxing muscles to find the right posture and harmony for the jaw

Sonography
Our doctors can determine whether the condition of the jaw joint is a major cause of tooth, or facial, pain by using Sonographic Analysis. While jaw joint pain can be present, an absence of pain in the jaw joint does not rule out jaw joint problems. Evaluating the jaw in this way can help us understand what kind of overall care you will need.
Sonographic technology records the sounds made by the activity of the jaw joint. These recordings give us the information we need to understand the restrictions now placed on your jaw muscles. This is a non-invasive, user-friendly test, similar to wearing stereo headphones. Only the ‘headphones’ are listening your jaw joints not your ears. This technology is only part of the diagnosis process.
CMS
Computerized Mandibular Scanning shows the movement of the jaw so we can evaluate function. It can measure the amount of free space, the swallowing pattern and the pattern at which the teeth come together. It measures the up and down, and side to side movements of the jaw, and the speed at which these actions can be performed. It can detect the difference in factors that create a normal or abnormal jaw position jaw. If you have a disc problem, it can provide remedies.
All of this precise information is captured in the CMS scanner and displayed on a computer monitor using a sensor array and magnetic tracking technology. We can present and explain these finding to you. The CMS is most helpful when it is used in conjunction with EMG recordings.
EMG
We use surface Electromyography to determine what muscles are being stressed and which ones are in a relaxed mode. This is similar to your physician/doctor checking your heart with an EKG test. We can find the most serious problem areas with this technology. User-friendly pads or sensors are placed in specific sensing areas and the readings taken are projected on to a computer monitor, which can be seen by both team member and client.
While many doctors have been using a hands-on method to determine problem areas, tests like these are not subjective or ‘opinion’ based. The EMG can give us the basis for determining the most proper resting position for your jaw joint, creating long lasting harmony. This scientific method helps us give our clients long-term pain freedom and dental treatment that lasts much longer.
TENS
To achieve a proper resting position, we need to relax the muscles of the jaw and face. This is where Transcutaneous Electrical Nerve Stimulation comes in. TENS treatment has been around for over 30 years - utilized in many other medical fields.
The TENS technology uses low frequency, rhythmic electrical impulses to stimulate nerves that control chewing and facial muscles. Getting ‘TENSed’ is like experiencing a deep facial massage. After ‘TENSing,’ muscles are freed of toxins and the spasms caused by tension.
Once freed of these negative influences, muscles revert to their natural size, relieving pain and creating an ideal environment for testing. The TENS is then used to record the most favorable jaw and bite positions. To objectively document whether or not the TENS therapy is effective, we use the EMG.
Conclusion
These treatments give us a comprehensive diagnostic look at your condition. However, it does not guarantee that your successful treatment will come from the dental and therapeutic techniques we have available. Sometimes we need to refer our clients to other health professionals that can address other contributing concerns to provide complete pain freedom.
We invite you to experience the benefits of these techniques. At the very least we want to give you a new direction for your care that others have not. Our team wants to end your endless doctor visits and bring your search for a long-term, pain-free solution to a conclusion.

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Both our doctors are LVI trained – expertise you deserve – find out more at this link.

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