Littleton's Favorite Dentist

Dental bridges are meant to be a permanent replacement for a tooth that has anchor teeth on both sides. Many factors affect your ability to retain your bridge including home care, diet, and quality of the anchor teeth. Studies have show dental bridges have a long duration, including a 74% success rate at 15 years.

A bridge is used to replace a missing tooth. A bridge can be a non surgical alternative to an implant. A bridge uses two adjacent anchor (abutment) teeth to hold one or more false (pontic) teeth. A bridge anchor tooth is prepared just like a crown, by removing some of the enamel.

A bridge typically costs between $450 and $900 per unit (number of abutment plus pontic teeth). A significant amount of this cost may be covered by your insurance reducing the cost to $225 - $600 per unit depending on your insurance. We always give you the cost of any procedure before beginning. Check out our comprehensive guide on dental bridge costs.

We absolutely do cosmetic dentistry including crowns, veneers, bridges, bonding, and/or implants. If you are looking to improve your smile, make an appointment with any of our doctors to go over your options to get the smile you want.

The cost of a 3D dental image varies, depending on the clinic and the specific area being scanned. It's generally more expensive than traditional X-rays but offers more detailed information.

A CBCT usually cost between $300-$400 minus what your insurance pays. We always give you the price of any procedure with an estimated insurance coverage before starting any procedure.

A 3D dental scan is recommended for complex cases, such as implant planning, orthodontic treatment, or detailed diagnostic analysis. It provides comprehensive data not available with standard 2D X-rays.

3D imaging provides precise diagnostic information, is comfortable and non-invasive, emits less radiation, facilitates collaborative care with specialists, and offers a comprehensive view of dental structures.

A 3D dental scan is typically quick, often completed in under a minute. The actual scanning process is usually around 20-30 seconds.

Dental 3D imaging, or cone beam computed tomography (CBCT), is an advanced X-ray technology providing detailed images of dental structures in three dimensions. It allows dentists to view teeth, bones, and soft tissues with exceptional clarity.

Yes, we are a group of privately owned practices, which is a form of DSO (Dental Service Organization).

Open and Affordable Dental offers a variety of benefits up to and including: dental coverage, medical coverage, 401k, a flexible schedule, on the job training, and fast paced dynamic environment. Some benefits/coverages may vary depending on the location at which you are seeking employment. Stop by an Open and Affordable Dental and Braces office to discuss what benefits they offer today!

We are always looking to hire doctors, hygienists, assistants, front office, and practice support staff. Please apply here!

Our Practice Support Group (corporate) office can be contacted by emailing corporate@openandaffordable.com. For urgent issues, you may call our 24/7 Answering Service by calling 720-580-1117.

In 2015, the ADA changed its protocol for prophylactic antibiotics before dental work for those who have prosthetic joint implants. The ADA states, "In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection." If a patient still wants to be pre-medicated or their orthopedic surgeon request they be pre-medicated, we can call in a prescription before the appointment. If you forget, the office can provide antibiotics at your appointment. The antibiotics can be taken up to one hour after your appointment.

If you are having COVID-19 symptoms we can see you if you are having a dental emergency. We request that you call your office before your appointment to advise us of your COVID-19 status and symptoms. We request that you use a mask while in the office. If you don't have a mask, we can provide one to you at no cost. If you are arriving by car, we request you stay in your car until we are ready to seat you in the dental chair. Call us when you arrive and we will come get you from the parking lot and provide you a mask if you need. If you are scheduled for a regular dental appointment, it is advised you reschedule a few days in the future when your symptoms have passed. If you have been exposed to COVID-19, but have no symptoms, you may be seen normally.

We are typically open every Monday through Saturday 7:30 am to 7:30 pm. Some offices may open Sundays instead of Saturdays depending on cultural preferences. Offices may open late or close early for weather or staffing related issues. Some newer offices may be closed additional days while their patient base is being established. It is advised to call the office before walking in to ensure their availability.

Local anesthetics do not enter breast milk. You may breast feed normally after dental work that requires local anesthetics. The use of antibiotics, Ibuprofen, and Tylenol is generally safe with breastfeeding. If you have been prescribed a narcotic (Tylenol with Codeine, Vicodin, Percocet, or Oxycodone), it is suggested to pump and discard your breastmilk as narcotics can pass into the breastmilk and cause the baby to become very sleepy.

We absolutely can see any patient that has an emergency immediately, in fact you don't need an appointment, simply walk into your closest Open and Affordable Dental office and we will see you as soon as possible, depending on how busy the schedule is. It is advisable to call the office ahead of time just in case the office is closed or there are scheduling concerns that will make your wait longer than you'd prefer. If your closest office is closed or busy, we may direct you to another office that has the ability to see you sooner. We encourage all to schedule their appointment, so we can increase your and everyone else's patient experience. Please call us at 720-580-1117 to be directed to the best location. If you have a non-emergency appointment request, please call your closest office, and we'll see you at your earliest convenient time. You can schedule your appointment via the Book an Appointment button at the top of this page.

We are glad to see patients that have Trigeminal Neuralgia. Understand that severe pain might make you hesitant about treatments, but regular visits are important to prevent more serious issues like cavities or gum disease. We try to start with the least invasive treatments to minimize discomfort. If you have facial weakness or numbness on one side, plaque and calculus may build up more there because it's harder to clean that area. Reduced saliva can also increase the risk of cavities, so your provider may recommend fluoride varnish and daily fluoride treatments to protect your teeth. To make your visits as comfortable as possible, it's best to schedule them during times when your pain is at its lowest or when your medication is at its peak effectiveness. Your provider will also review your health history and medications carefully to choose the best approach for anesthesia, aiming to avoid any extra pain.

Cold sores, also called fever blisters, are caused by the herpes simplex virus type 1. If your cold sore is active or blistered and you have a non emergency appointment, such as a cleaning, you may call in advance and reschedule your appointment. If you arrive for your non emergency appointment with a cold sore, or you want to be seen while you have a cold sore, we can see you. Understand there is a potential that the virus can be spread from its active site to other areas of the face. For emergency appointments, we will see you normally. If your cold sore is not blistered, we will see you for any appointment. We can prescribe you an antiviral medication if needed for your cold sore.

As general dentists with access to specialists, we perform all dental procedures including exams, and panoramic, bitewing, and 3D images. We perform cleanings, fillings, root canals, crowns, veneers, bridges, implants, partial dentures, full dentures, and implant retained dentures. We also work with orthodontists who place braces and Invisalign. In short, at Open and Affordable Dental, all of your dental needs can be met.

It is recommended and important to continue your normally scheduled routine cleaning visits during your pregnancy. You may experience increased gingival bleeding while brushing and flossing during your pregnancy. It is important to keep an expectant mother pain free during all trimesters of her pregnancy. There is almost no reason an expectant mother, even in a high risk pregnancy, delay getting a painful tooth fixed. Your dentist will always use FDA Pregnancy Category B (no studies have shown the drug to be detrimental to a growing fetus) local anesthetics. You may be given a local anesthetic, that along with being FDA Pregnancy Category B, has no epinephrin so as to not affect your heart. We usually schedule all non-emergency dentistry either in the 2nd trimester (all fetal organs are developed) or after the pregnancy. Your dentist may elect to not take any routine x-rays during your pregnancy. Discuss with your dentist your pregnancy status at your appointment.

Oral thrush, also called oral candidosis or candiasis, is a fungal infection. It is not contagious and is usually successfully treated with an antifungal medication. You can be seen normally for all appointments with oral thrush. We can prescribe you an antifungal medication at your appointment.

Anticoagulants (blood thinners) become a concern mostly when extracting teeth, and occasionally before deep cleanings. Alert your dental provider of your anticoagulant use and type before scheduling these appointments. Your dental provider may request you talk with your anticoagulant prescribing doctor to see if modifications need to be made before and/or after your dental procedure. Sometimes the risk of not taking your anticoagulant outweighs the risk of post operative bleeding. Your anticoagulant prescribing doctor or dental provider may elect not to change your regiment. If you are taking Coumadin (generic name Warfarin), it is recommended to have an INR taken 24 hours before your appointment and have a reading of 2.5 or less. If you are taking Xeralto (generic name Rivaraxaban) or Eliquis (generic name Apiaban), your anticoagulant prescribing doctor will need to be aware of the upcoming procedure and will instruct you and your dental provider if or what modifications need to be made. If you take Plavix or Aspirin, modifications to your regiment are rarely needed, but your dental provider will need to know if its use before your dental procedure. More information from the American Dental Association (ADA) about anticoagulants and dental procedures can be found here.

All offices are ADA (American with Disabilities Act) compliant.

This procedure is called an expose and bond. Your general practitioner or oral surgeon will perform this procedure using local anesthesia to facilitate its movement into the correct position.

Orthodontic retainers are used to keep your teeth straight, especially after braces or Invisalign. We fabricate orthodontic retainers in-house and can get them back to you within a few days. The cost of orthodontic retainers is $200 per arch, minus what your insurance covers. We always give you the cost of any procedure before beginning.

Although it's preferred to have your braces or Invisalign engagers/attachments removed by the original doctor who performed your orthodontic case, occasionally patients find themselves in situation where they've moved or lost the relationship with the orthodontic doctor. In these cases we can absolutely remove your braces or Invisalign engagers/attachments. We can also provide you with retainers, so you don't lose the progress you've made with your orthodontics.

Typically braces and/or Invisalign cost between $3500 to $6500 for a 24 month treatment. Some treatments can be more or less than this depending on your treatment goals and skeletal configurations. Insurances can pick up a portion of this fee. We always give you the cost of any procedure before beginning.

We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.

Your general practitioner may evaluate your permanent retainer to see if it is still working as designed. Occasionally your dentist may suggest it be removed if it is broken, loose, causing unexpected tooth movement, causing excessive tarter buildup, or causing bone loss. If you and your dentist decide to have it removed, it is a quick procedure that does not require you get numb. The decision to have it removed gets easier after you have been using it for 10 years, as your teeth have less chance of moving after 10 years of use. If you are concerned about tooth movement, you may request a clear retainer be fabricated after the fixed retainer is removed to prevent future tooth movement.

Deep cleaning becomes necessary for individuals with advanced gum disease. It addresses plaque and tartar below the gumline, targeting potential infection areas.

For most individuals, biannual teeth cleanings are recommended. However, your dentist may suggest a more personalized schedule based on your unique dental needs.

An adult cleaning costs $100 and a child cleaning costs $67. The exams and x-rays may add an additional $100 to the visit. Almost all insurance plans cover the cost of preventative services such and cleanings and exams at 100% with no deductible. Most individuals and families who don't have insurance sign up for our in-office discount plan as it costs $200 for an individual and $300 for a family. This cost includes the cleaning, exams, and x-rays. We always give you the cost of any procedure before beginning.

Absolutely! Teeth cleaning is essential for maintaining optimal oral health, preventing issues like gum disease, cavities, and bad breath.

Teeth cleaning helps prevent various oral diseases, including gum disease, cavities, and infections. It also contributes to overall well-being by reducing the risk of systemic health issues linked to oral bacteria.

A typical deep cleaning or Scaling and Root Planing (SRP) is performed and charged out by quadrants, having four quadrants per mouth. Most deep cleanings cost between $75 and $250 per quadrant. Many dental insurances pick up some or all of this cost. We always give you the cost of any procedure before beginning. You usually are numb for the procedure so we can thoroughly clean under your gums. Deep cleanings help with periodontal disease (bone loss around the teeth), reduce bleeding when brushing, reduce sensitivity, and prevent future loose teeth and tooth loss. After your deep cleaning, your provider may recommend you be seen more frequently to ensure you continuing to eliminate plaque and tarter accumulation.

Yes, professional teeth cleaning is highly beneficial. It removes plaque, tartar, and surface stains, contributing to a healthier, brighter smile.

Regular teeth cleaning focuses on plaque and tartar above the gumline, while deep cleaning addresses buildups below the gumline, particularly beneficial for those with gum disease.

Invisalign is often considered more comfortable than braces. It avoids irritation from brackets and wires and offers a smoother experience with gradual teeth movement.

On average, Invisalign costs between $3,500 and $6,500. The exact cost depends on individual treatment plans and duration. We offer consultations to provide a precise estimate for your case.

Although it's preferred to have your braces or Invisalign engagers/attachments removed by the original doctor who performed your orthodontic case, occasionally patients find themselves in situation where they've moved or lost the relationship with the orthodontic doctor. In these cases we can absolutely remove your braces or Invisalign engagers/attachments. We can also provide you with retainers, so you don't lose the progress you've made with your orthodontics.

Clear aligners, like Invisalign, are highly effective for mild to moderate teeth alignment issues. They offer a discreet and convenient solution for achieving a straighter smile.

The cost of Invisalign varies depending on individual cases and treatment duration. On average, it can range from $3,500 to $6,500. We recommend scheduling a consultation for a personalized quote.

Orthodontic retainers are used to keep your teeth straight, especially after braces or Invisalign. We fabricate orthodontic retainers in-house and can get them back to you within a few days. The cost of orthodontic retainers is $200 per arch, minus what your insurance covers. We always give you the cost of any procedure before beginning.

Invisalign offers a discreet and convenient teeth-straightening option, often preferred for its aesthetic appeal and removability. Traditional braces, however, might be more effective for complex dental issues. The choice depends on individual dental needs and lifestyle preferences.

Traditional braces generally cost less than Invisalign, but prices vary based on specific treatment requirements. Consult with us for a detailed cost comparison tailored to your needs.

Both Invisalign and traditional braces are effective for teeth straightening. Invisalign is ideal for mild to moderate alignment issues, while braces may be necessary for more complex dental concerns.

We absolutely do cosmetic dentistry including crowns, veneers, bridges, bonding, and/or implants. If you are looking to improve your smile, make an appointment with any of our doctors to go over your options to get the smile you want.

Typically we use a tooth color material for our crowns called zirconia. If you have a preference towards a gold or silver crown, we can absolutely accommodate your request. You would be responsible for the cost of the gold ($200 upcharge over a zirconia crown) or silver ($100 upcharge over a zirconia crown) used in your crown. Ask your doctor for more information.

If your temporary crown fell off or broke, it may or may not need to be recemented. If your doctor specifically requested you to be seen if it fell off or broke, call your office to be seen. If you are over the age of 30 and have only slight sensitivity, it may be indicated to simply be careful with the tooth, avoiding hard foods, until your crown seat date. If it falls off and you are extremely sensitive, you may use Ibuprofen to reduce the sensitivity until you can be seen at your office. We strongly prefer you to be seen at your original office for issues with temporary crowns, since your original office has the mold to make a new temporary crown if that is necessary. If you are traveling or do not have the ability to be seen at your office, you may use temporary cement purchased at your local pharmacy to recement the temporary crown.

We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.

There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.

A crown is an enamel replacement. If a tooth has lost more than 50% of its enamel, you may need a crown. A crown typically costs between $300 and $900. A significant amount of this cost may be covered by your insurance reducing the cost to $300 - $450 depending on your insurance. Some insurances cover the entire cost of crowns. We always give you the cost of any procedure before beginning.

At Open & Affordable Dental & Braces, we consider a dental emergency to be any situation that requires immediate attention to stop bleeding, alleviate severe pain, or save a tooth. This may include severe toothache, a knocked-out or broken tooth, a loose or lost filling, a dental abscess, or any other issue causing extreme discomfort or risk of permanent damage. If you experience any of these symptoms, please contact us immediately so we can provide the necessary care and relief

Our emergency dental services include treatment for severe toothaches, broken or chipped teeth, knocked-out teeth, and other urgent dental issues. We prioritize addressing dental emergencies promptly and efficiently to alleviate pain and prevent further complications.

Cloves can temporarily sooth a tooth ache because they contain eugenol, which is a natural anesthetic and antiseptic. It is recommended to see a dentist as soon as possible, since a tooth ache usually is a sign of something more serious going on with your tooth and will need a definitive treatment to resolve the source cause of the issue.

Tooth issues can be caused by a variety of factors. We'll split them up into internal or external factors. Internal: Caries is a bacterial infection into the dentin or soft part of your tooth. Dentin contains nerve endings that if infected can cause sensitivity when a stimulant such as hot, cold, acids, or sugars touch them. Usually a cavity filling is indicated for shallow caries where the sensitivity goes away after the stimulant is removed. If the sensitivity of ache is severe enough where it lingers long after the stimulant is removed or if spontaneous pain and infection within the dentin is present, a root canal is usually indicated. A root canal may also be indicated if the infection is so pervasive that it extends out the end or apex of the tooth and is causing an abscess around the apex of the root of the tooth. In some instances the tooth has been cracked. If the crack is small enough a cavity or crown may help, but if the crack is extensive enough, it may require a root canal. Some cracks that extend below the gumline require the tooth to be extracted. Your dentist will perform various tests to help understand which condition your tooth has. External: If bacteria stays around your tooth long enough it can infect the gum and eventually the bone that holds this tooth. This is called gingivitis when it infects the gum or periodontitis if it infects the bone. Between the bone and the tooth is a ligament called the periodontal ligament (PDL). If any of these structures; gum, bone, or PDL get infected it can have hot, cold, or biting sensitivity. Usually cleaning around the tooth with a dental instrument called a cavitron or a hand scaler may help. Additionally you may be prescribed an antimicrobial rinse and/or an antibiotic to help. If the tooth is loose, it may need to be extracted. Sometimes trauma in the form of clenching, grinding, or bruxism can cause your tooth to hurt. If you have more pain after eating hard food, or if you accidently bite on something hard, it can cause the PDL to become inflamed and cause the tooth to feel hot, cold, and biting sensitivity. Usually a soft food diet for a few days will help. If you clench or grind your teeth and feel sensitivity in the morning or right after the clenching/grinding event, it may be indicated to wear a night guard at night. We recommend a dentist create a hard/soft night guard as it will both psychologically allow your jaw to relax as it understands there is something between your teeth, and it is customized to fit snugly so it won't fall out. A custom night guard will also redistribute the forces so no one tooth is taking the brunt of the clenching/grinding force. Unfortunately store bought night guards are usually too soft to stay in your mouth, and they can cause more harm as your mouth treats them like gum and causes you to grind more. Finally, occasionally a piece of food such as a popcorn kernel will become stuck in your gum and cause pain. You may be able to floss it out, but it may take a professional dental instrument to remove it. Your dentist will perform various tests to help understand which condition your tooth has.

Absolutely! At Open & Affordable Dental & Braces, we understand that dental emergencies can happen at any time. We are committed to providing high-quality, affordable dental care, including emergency root canal treatments. Our experienced and compassionate dentists are skilled in performing root canal therapy to alleviate pain and save your natural tooth.

Please call your office as soon as possible to be seen immediately. If it is after hours or you are not able to contact the office, please call our after hours answering service at 720-580-1117 immediately. Your well-being is our top priority.

There are many great options to replace a broken tooth. It may be as simple as a filling or a crown. If the tooth was broken off at the gum line it may need to be extracted and replaced with a partial denture, bridge, or implant. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.

During an oral exam, the dentist inspects your teeth, gums, and mouth, assesses your bite, checks for signs of oral diseases, and discusses your oral hygiene habits.

A dental checkup usually includes an examination of your teeth and gums, a professional cleaning to remove plaque and tartar, and potentially X-rays to detect issues not visible to the naked eye.

Gingivitis is the early stage of gum disease, characterized by red, swollen, and bleeding gums. If untreated, it can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss and other health issues.

A dental exam typically includes a thorough examination of your teeth, gums, and mouth for signs of decay or disease, a check for oral cancer, and a review of your overall oral health. A dental exam looks for cavities, gum disease, early signs of oral cancer, and any other abnormalities in your mouth that could affect your oral health.

Yes, regular dental exams can help prevent gum disease by detecting early signs of gum problems and advising on proper oral hygiene.

Dentures typically cost $750 - $1600 per denture arch, or $1500 - $3200 per pair. Typical insurance may reduce the price of dentures to $500 - $1200 per arch. Some insurances cover the entire cost of dentures. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.

Dentures can be relined with a temporary soft material or a hard material that is more permanent. Soft relines use a squishy material that comforts the fit between the hard acrylic of your denture and your gums. Soft relines are usually used after extractions while your gums are healing and moving quickly. Once you're fully healed, and/or your denture becomes loose, a hard reline is indicated. Hard relines replace material on the inside of your denture to make the denture fit more tightly. If your denture is over 7 years old, many times a new denture is indicated.

There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.

One tooth removable partials or flippers cost between $600 and $1200 depending on the the price your insurance company dictates we have to charge. Most insurances cover removable prosthodontics at 50% after a $50-$100 deductible. Some insurances cover one tooth removable partial (flipper) at 100%. We always give you the cost of any procedure before beginning.

Dentures can be relined with a temporary soft material or a hard material that is more permanent. Typical soft relines cost $100-200 per arch minus what your insurance pays. Hard relines usually cost $200-300 per arch minus what your insurance picks up. We always give you the cost of any procedure before beginning. Schedule an appointment and we can discuss the best option for you.

A bone spur, also known as a dental bone spicule, is a small piece of bone that can form in the gums after a tooth extraction. It is a common occurrence after a tooth extraction and can occur many years after an extraction and is common with those who have mandibular tori. It occurs when the jawbone doesn't properly reshape or it may detach from the extraction site, and bone chips become trapped in the gum tissue. Bone spurs can feel like a sharp bone or an uncomfortable object in the gums, and can cause discomfort or pain while healing. They can also cut the tongue or cheek. Bone spurs may eventually detach from the jawbone and make their way through the gums. This can cause pain and discomfort especially if the patient is using dentures. Most bone spurs that are covered by gum tissue eventually heal over time, sometimes requiring several weeks. If the spur is especially sharp or is exposed through the gum, your dentist may decide with you to clip it off under the gum so the gum can heal over the affected area. If you have a bone spur that is sharp, painful, or sticking through the gum, contact your dentist to schedule it to be removed. This is a simple procedure that can be done with local anesthetic by your general practitioner dentist.

During the extraction, you shouldn't feel pain due to anesthesia, but there might be some pressure. Afterward some discomfort, swelling, and mild bleeding are both normal and manageable with over-the-counter medication.

Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.

Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). This is very common after extractions especially wisdom teeth as the tissues surrounding the jaw can be inflamed. Your muscles, tendons, and ligaments might be sore from stretching during the extraction. There might also be some infection around the extraction site that can exacerbate the issue. These symptoms will almost always alleviate as soon as the extraction site(s) heal. This can take up to two weeks. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. You may also be prescribed an antibiotic if there is concern about infection. If you are experiencing persistent limited opening or severe pain after your extraction, call the office to obtain direction on how to alleviate your issue.

Teeth that are cracked or have a poor to hopeless progosis almost always can be removed by the General Practicioner dentist who referred you to the Endodontist. Even if you were referred to an Oral Surgeon from the Endodontist, it is best to call your General Practitioner to see what direction they prefer since they will be in charge of replacing your tooth and usually can remove the tooth for less than an Oral Surgeon.

Most routine dental extractions do not require antibiotics. According to the cochrane study linked below, taking antibiotics may help prevent infection after an extraction but the possible adverse effects may outweigh the benefits. As long as you are healthy and do not require antibiotic prophylaxis, your immune system should naturally be able to prevent most infections after the procedure. Taking antibiotics as a just in case may have unintended consequences such as developing antibiotic resistant strains of bacteria. Taking antibiotics too frequently or unnecessarily can create superbugs and when you happen to get an infection and you need the antibiotics to work, they won't work. This is currently a big problem in the medical community. For this reason, even if your tooth has been keeping you up at night but you do not present with a swelling infection or fever, you are not required to take any antibiotics afterwards. We know that you may perceive it as very serious but developing a resistant strain of bacteria is even more serious. In every case we will give you the best course of medicines and protocols to follow to get you healed as quickly as possible. You dictate your own health. The link to review here.

Typically extractions cost between $100 and $500 dollars per tooth depending on how difficult the tooth is to extract. This varies greatly depending on which insurance you have. Many insurances cover most of an extraction reducing your price to under $75. Some insurances cover the entire cost of extractions. We always give you the cost of any procedure before beginning. Our dentists extract many teeth, and we work with oral surgeons at every office, so we can extract almost any tooth at every location.

After an extraction, avoid vigorous rinsing, sucking actions, smoking, alcohol, and hard or crunchy foods. Also, refrain from strenuous activities for a few days.

5% of patients who have their wisdom teeth removed have altered nerve sensation including numbness due to the nerve being irritated or hurt. Of this 5% of patients with altered nerve sensation, 98% will recover completely. Unfortunately nerves can heal very slowly, sometime requiring a few weeks to several months to completely heal. It is impossible to know which group you fall into until the nerve has healed. It is important to contact the office and provider where you had your wisdom teeth removed if you have numbness or altered nerve sensation . Your provider will want to talk to your personally about your case.

It is completely normal for the clot that forms after your surgery to come out within 24-48 hours after your surgery. We prefer the clot to stay in the extraction site as long as possible as part of the natural healing after an extraction. This is why we request you refrain from negative pressure such as sucking through straws. Removing the gauze your dentist, surgeon, or you place after your surgery may also adhere to the clot when it is taken out. It may be appropriate to lightly moisten the gauze before placing it over the extraction site so the gauze does not stick to the clot. As long as there is not profuse bleeding after the clot comes out, there is little concern. You may watch the extraction post operative instruction video here.

The duration of a tooth extraction varies but typically takes about 20-40 minutes, depending on the complexity.

Dry socket (alveolar osteitis) can happen after tooth extraction. When your dentist or oral surgeon removes a tooth, a blood clot forms in the socket (a hole in the bone where your tooth was). Dry socket happens when that blood clot dislodges (moves) or doesn’t form at all. Without the clot, your bone and nerves are exposed to the oral environment. Dry socket can be painful and delays the healing of the surgical site. Dry sockets can last up to one week. In most cases a dry socket will heal on its own. To speed healing, rinse and clean the socket with salt water. Place gauze over the socket to ease the pain. You may use Ibuprofen to help with the pain. Ice may also be used to relieve the pain. If you cannot tolerate the pain, please call your office as soon as possible to discuss options.

Recovery time varies, but most people feel better within a few days. Complete healing of the jawbone and gums may take a few weeks to months.

We follow guidelines of the ADA, which states that Amalgam fillings have shown no proven adverse reactions over many studies and years of clinical use. If your silver fillings are breaking down or have recurrent decay around them, it's appropriate to remove them and place another filling. If you as a patient are uncomfortable with amalgam fillings, we would be happy to help you replace them with a material you're more comfortable with.

Dental fillings are designed to be durable and long-lasting. The lifespan of a filling depends on factors such as the type of material used, the size of the filling, and oral hygiene practices. On average, amalgam fillings may last 10-15 years, while composite fillings can last 7-10 years or more with proper care.

Modern dental techniques and anesthesia make the process of getting a filling relatively painless. Before the procedure, the dentist will administer a local anesthetic to numb the affected area, ensuring you don't feel pain during the filling. Some patients may experience minor discomfort or sensitivity after the anesthesia wears off, but this is usually temporary and can be managed with over-the-counter pain relievers. If you have concerns about pain, discuss them with your dentist for personalized care.

Fillings cost between $130 and $342 depending on the number of surfaces and location of the tooth. Most insurances cover fillings at 80% after a $50-$100 deductible for the first filling. We always give you the cost of any procedure before beginning.

Fillings are used to treat cavities (dental caries) by filling the space left after decayed tooth material is removed. They restore the tooth's structure, preventing further decay and preserving its functionality. Fillings can also be used to repair cracked or damaged teeth, restoring both form and function.

We strive to make sure your visit is as cost effective as possible. First, we are super preventative dentistry focused and encourage you to be seen at least twice per year. Preventative visits including exams and x-rays are usually covered by your insurance at 100% with no patient copay. These visits allow us (you and us) to catch any problems when they can be easily and more cost effectively addressed. Second, we try to have the latest diagnostic equipment possible at each office so we can catch any issue as soon as possible. You will see large computer screens at each operatory that the patient and provider use to diagnose and decide what to do TOGETHER. Third, we are completely honest with what we treatment plan. It is your oral health, and after we (you and your provider) diagnose your issue together YOU get to decide what to do and when. We NEVER push any treatment, the provider and patient decide together what to do and when. Fourth, our providers make all financial arrangements with our patients. Since our providers know your insurance intimately, they can help you navigate your treatment options to significantly reduce your costs including pushing elective treatment to your next benefit year when you have new insurance benefits. Fifth, we provider many options to split your out of pocket costs into payments. This allows you pay according to your budget. Sixth, we are in-network with almost all insurance companies including Medicare and Medicaid. As your finances and employment changes throughout your life, you do not have to change providers, we will always be in-network with your next insurance provider. Seventh, if you don't have insurance, we have an in-office discount plan that costs $200 for an individual or $300 for a family (you, spouse, and all children up to the age of 26) which covers all of your exams and x-rays and a free cleaning for an entire year. It also gives you a 25% discount for any dental services you may need. Eighth, since we are open six days per week you may be seen after work in the evenings or on Saturdays, which reduces your costs of having to take off work to see the dentist. Being open 72 hours per week allows us to reduce facility costs and those reduced costs are passed onto our patients. If you aren't Open and Affordable you'll be Closed and Expensive :)

If you have a Medicare Advantage plan, it often has a dental benefit. At Open and Affordable Dental we do a complimentary benefits check prior to your visit to ensure that our providers are in network for your particular plan. If we find that we are out of network for your plan, we definitely have options for you including a cost-effective in office discount plan that will help greatly reduce your out of pocket cost.

We absolutely love seeing patients who have Medicaid. Colorado has an amazing adult Medicaid benefit, which provides an unlimited amount for routine care including cleanings, fillings, extractions, root canals, and crowns. Colorado Medicaid also provides an additional unlimited amount for dentures and partial dentures. We try hard take care of all of your dental needs at no cost to you. Children under 21 have an unlimited benefit that allows them to get most all of their dental care at no cost. We would love to take care of all of your dental needs. Please schedule an appointment at any of our offices, we can see you today!

Unfortunately no, we are not able to accept Medicaid programs from other states. Those benefits must be redeemed in the state in which they are administered.

Each time a dental claim is processed by your insurance company, they send what's called an Explanation of Benefits (EOB) to both the subscriber and the dentist provider. This is NOT a bill, but simply an explanation about what your dentist provider charged, the amount the insurance paid, and what the patient should have owed for the services rendered. Open and Affordable Dental and Braces does not send bills to patients, unless it's proceeded by a personal phone call. If the amount does not match what you paid, our accounts receivable is already applying any differences to your account, and we will discuss it at your next visit. You may also get a phone call from our office if the amounts don't match. Your insurance may also deny the claim completely. We always give you estimated prices before starting any treatment. Unfortunately, with any insurance, we cannot guarantee the exact amounts on treatment estimates. If you have any questions on your EOB, don't hesitate to talk with our office.

Yes, we absolutely accept HSA payments. If you need a detailed receipt/report to submit to your HSA, please request it at time of payment.

Yes, we use Care Credit for payment plans. It is a simple 3-minute application. Care Credit allows you to pay for services interest-free over 6 months. We also work with your budget if there is a larger treatment plan and can phase it according to your budget.

In-network insurance companies require dental offices to use the insurance discounted fees and charge patients contracted co-pays. Since insurance carriers provide their own discounted fees to patients, insurance companies do not allow patients to use additional discount plans. If a patient uses all of their benefits, the dental office must charge the insurance dictated discounted fee. For these reasons, there would be no benefit in a patient having PPO insurance and the Open and Affordable Discount Plan.

We obtain benefit breakdowns by procedure for all procedures performed by our oral surgeons. We pre-authorize all procedures requiring pre-authorizations by Colorado Medicaid. For all other procedures, we are able to give you the exact dental codes we will be performing and you may call you dental insurance company to obtain coverages and costs. It is advisable to obtain a reference number for your call with your dental insurance company representative to ensure there is documentation about these coverages and costs. We always do a complimentary benefit breakdown before every procedure, which is mostly accurate. Unfortunately being in-network with almost all insurance companies, it is impossible to know every insurance's policy on frequencies, coverages, deductibles, exclusions, and waiting periods. Ultimately the amount you pay to your dentist is dictated by the contract between you and your dental insurance company. This information is communicated back to both your dentist and you through an Explanation of Benefits (EOB) sent by your dental insurance company after the claim as been processed.

Each time a dental claim is processed by your insurance company, they send what's called an Explanation of Benefits (EOB) to both the subscriber and the dentist provider. We always send as much information possible to ensure the claim is paid and in a timely manner. Unfortunately, insurance companies may request additional information from our office to pay the claim. Most likely we are already working on submitting the additional information requested, but you are welcome to alert us about the issues raised on the EOB. There are occasions your insurance company will wrongly say you do not have coverage when you actually do, in these cases we may have you contact your insurance company or employer to correct your insurance company. Welcome to our world of dealing with insurance companies.

Colorado Medicaid will cover general anesthesia (IV sedation) for patients with a medical necessity. This means if you have special needs or autism spectrum disorder, you have a medical necessity to be sedated. Unfortunately, being apprehensive about the procedure does not qualify as a medical necessity. All patients with Colorado Medicaid and a medical necessity to be sedated will be referred by our Oral Surgeons or General Practitioners to a hospital setting for their sedation and procedure. A hospital setting is more appropriate and safe than a dental clinic for those with a medical necessity. Many patients call Colorado Medicaid, and a representative will state that general anesthesia (IV sedation) is a covered procedure, but fail to read to caveat that it requires medical necessity. These representatives unfortunately are not Oral Surgeons nor are they the same people who decide if they will reimburse the Oral Surgeon for the general anesthesia (IV sedation). For these reasons, Colorado Medicaid patients without a medical necessity are asked to pay for their general anesthesia (IV sedation).

​Our new patient exam and x-ray costs $29. We always give you the cost of any procedure before beginning.

Many, but not all HMO/DMO plans require you to use certain doctors, and honestly there aren’t many doctors that take these HMO plans. We always do a courtesy benefits check for your plan to see if we are in-network. As a courtesy to HMO members, who we are not in-network with, we provide our Open and Affordable Discount Plan for your first year at no charge. This is frankly better than your HMO as it includes all your exams and x-rays at no cost for a year. The discount plan also gets you a free simple cleaning. If you do need any dental work it will be discounted by 25%. During your first year, you may choose to apply for a PPO dental insurance plan during the open enrollment period or renew your discount plan for the standard fee when it expires.

We always guarantee all work against manufacturer material defect. Unfortunately dentistry resides in a VERY harsh environment, the oral cavity. Dentistry just like automobile tires can wear down with use. If any of the dentistry we have provided to you does not last, breaks, or gets damaged, please call your office and we'd love to discuss your particular case.

We gladly accept patients without insurance, in fact we have an in-office discount plan that acts much like insurance. It costs $200 per year for an individual and $300 for a family. The discount plan is valid for one year from the day you sign up. The sign-up process takes 30 seconds, you simply provide your name and birthdate. You receive all of your exams and x-rays for free for a year and a free simple cleaning. If you do need any dental work, that work is discounted by 25%. Your second cleaning for the year is discounted by 25%, costing $75 after the discount.

Fluoride is a naturally occurring mineral that is found in all natural water sources. Fluoride may be used to reduce teeth enamel's susceptibility to acid, thus reducing caries. It has been added to public water sources in the United States since 1945 starting in Grand Rapids, Michigan. In parts of the world where public drinking water is not fluoridated it has been added to table salt. Fluoride is also added to many oral hygiene products such as toothpaste and mouth rinse to help reduce caries. Fluoride varnish is applied in dental offices as a supplement to other sources of fluoride.

Please read the following articles from the American Dental Association (ADA) about fluoride and its uses: https://www.ada.org/en/resources/community-initiatives/fluoride-in-water/fluoridation-faqs https://www.ada.org/en/resources/ada-library/oral-health-topics/fluoride-topical-and-systemic-supplements

A potential risk of fluoride use is the development of fluorosis, which may result from excessive fluoride ingestion during tooth development. Teeth with fluorosis have white to brown stains integrated into the enamel. Fluorosis of permanent teeth occurs when an excess quantity of fluoride is ingested for a sufficient period of time during the time that tooth enamel is being mineralized. The level of fluoride intake between the ages of about 15 and 30 months is thought to be most critical for the development of fluorosis of the maxillary central incisors. Enamel fluorosis occurs only when primary and permanent teeth are developing. Once teeth erupt, they cannot develop enamel fluorosis. Excess fluoride exposure can be minimized by using the recommended amount of toothpaste and by storing toothpaste where young children cannot access it without parental assistance.

Before teeth break through the gums (erupt), the fluoride taken in from foods, beverages and dietary supplements makes tooth enamel (the hard surface of the tooth) stronger, making it easier to resist tooth decay. This provides what is called a "systemic" benefit. After teeth erupt, fluoride helps rebuild (remineralize) weakened tooth enamel and reverses early signs of tooth decay. When you brush your teeth with fluoride toothpaste, or use other fluoride dental products, the fluoride is applied to the surface of your teeth. This provides what is called a "topical" benefit.

No. Fluoride in water or professionally applied at the recommended level is not toxic according to the best available scientific evidence. Toxicity is related to dose. While large doses of fluoride could be toxic, it is important to recognize the difference between the effect of a massive dose of an extremely high level of fluoride versus the fluoride level currently recommended. Like many common substances essential to life and good health - salt, iron, vitamins A and D, chlorine, oxygen and even water itself - fluoride can be toxic in massive quantities. The single dose (consumed at one time) of fluoride that could cause acute fluoride toxicity is 5 mg/kg of body weight of sodium fluoride. For example, for an average 155 pound adult male, it would require that he consume more than 120 gallons of water or 3 tubes of toothpaste at one time to reach an acute fluoride dose. Kids would need to consume between 50-100% of an entire tube of toothpaste depending on age/weight at one time to reach an acute fluoride dose.

Topical fluoride applied during dental visits are more concentrated than rinses and self-applied fluorides. Fluoride mouth rinses and gels have concentrations between 200-900 parts per million. Self-applied fluorides have concentrations between 1,000-5,000 parts per million. Professionally applied fluorides have concentrations between 9,000-12,000 parts per million.

While we are unaware of any grants that pay for implants, you may use Care Credit to finance your implants. There are many alternatives to implants that are cost-effective, including, dentures, partials, or bridges.

The "best" implant depends on individual cases and needs. Endosteal implants are widely preferred for their effectiveness and suitability for most patients, but subperiosteal implants might be recommended in cases where the patient has a shallow jawbone and does not want to undergo a bone graft.

Mini dental implants have the same structure as regular implants, but they are smaller. Unlike conventional implants, they consist of a one-piece screw that is less than 3mm in diameter and includes a ball-shaped end protruding from the jawbone. Mini dental implants are placed using less-invasive techniques compared to conventional dental implants. These toothpick-sized implants are positioned over the gum surface when inserted into the bone, whereas conventional implants are placed beneath the gums. Due to the less involved placement process, mini dental implants require less time to receive than regular implants. Dentists can typically place mini implants in a single visit using local anesthesia, and no sutures are needed. In contrast, conventional implants take several months and require at least two dental appointments. Certain treatments may necessitate additional visits for bone grafting to provide sufficient bone support for the implants. Although the cost of mini dental implants can vary, on average, they fall within the range of $500 to $1,500. Rest assured that we always provide a clear cost breakdown for any procedure before initiating treatment.

Yes, many of our dentists place implants. We also have access to oral surgeons and periodontists who also place implants. Typically implants and the crown that is screwed into them cost $2000-$3500 per tooth. This varies greatly depending on how much bone you have around the implant site and also if it is close to nerves or sinuses. Your insurance may cover some of the implant cost, reducing the total price to $1500 or less. Some insurances cover the entire cost of implants. We always give you the cost of any procedure before beginning.

With proper maintenance and care, dental implants can last a lifetime. The longevity of an implant largely depends on good oral hygiene and regular dental check-ups.

The most commonly used type of dental implant is the endosteal implant, which is placed directly into the jawbone.

There are several great options to replace a missing front tooth. The best option to replace an anterior tooth is an implant. An implant is a titanium screw that replaces your tooth root. A white crown is screwed onto the implant. Implants are the gold standard to replace teeth as they do not involve the adjacent teeth and act as closely to a natural tooth as possible. Bridges can also be used to replace missing teeth. Bridges use adjacent teeth as anchors to replace missing teeth. Bridges require increased maintenance as you will need to floss under them to ensure the anchor teeth do not get cavities. Removable prosthodontics (flippers) can be used to replace a missing tooth. Removable prosthodontics are more cost effective than implants or bridges. Discuss with your provider which tooth replacement option is best for you.

Our dentists and oral surgeons are capable of placing and restoring any modern implant make/model. To increase efficiency and compatibility across offices, we prefer to place Blue Sky Bio BIO|Max implants. Blue Sky Bio BIO|Max implants are prosthetically compatible with the NobelActive® NP platform.

Tooth implant surgeries are many times less painful than an extraction. With an extraction, we pull a tooth and leave an open wound in your mouth. With an implant we place a small titanium screw in your jaw and then place a stitch over the surgical site. Many patients have very little post operative pain that can easily be managed with over the counter pain reliever. Discuss with your doctor if you are apprehensive about your implant surgery.

The bone graft that was placed prevents bone from atrophying after the extraction. We do need to ensure the bone has completely grown into the bone grafting site and is of the quality that will hold an implant. We recommend waiting 4 months for a mandibular (lower jaw) bone graft, 5 months for a maxillary (upper jaw) bone graft, and 6 months if you've had a sinus lift. These timeframes give us the best chance of a successful implant.

If an implant becomes loose, your dentist will check to see if it is the implant or the crown that is loose. If it is the crown that is loose, it may simply be tightened if it is screw retained. This can usually be done for a small fee if it was placed by an outside dentist. If it was placed at one of our offices, your dentist will tighten it for free. If the crown is loose and it was cemented, the crown might have to be removed, the abutment under the crown tightened, and a new crown may be fabricated. This costs approximately $900 minus what your insurance will pay. If the implant is loose, your general dentist may decide with you to have you see a specialist to place bone graft around the implant to tighten it. You may also decide with your dentist to remove the implant. The cost of removing an implant varies between $200-$500 depending on the difficulty of the extraction.

We love seeing kids of all ages. We have many options to take care of your child if they are apprehensive about the dental office. Parents are allowed and encouraged to be in the operatory with the children. We never push anyone, especially kids, through clinical procedures. The last thing we want is to create emotional scars that last a lifetime. You are the boss during your dental visit, we are just the hands that help. Please schedule an appointment with any of our amazing, caring dentists.

If you are experiencing jaw pain, tooth sensitivity, noticing tooth movement, or are seeing wear on the biting surfaces of your teeth, a night guard might be indicated. A night guard is similar to a sports guard and can be fabricated to be used on your upper or lower jaw. A night guard helps in a few ways. First, it will redistribute the forces so that one tooth doesn't take the brunt of your clenching or grinding. Second, it will psychologically prevent your mouth from continuing to clench as it notices something in between your teeth. This allows the jaw to relax instead of grinding all night long. Third, it can act as an orthodontic retainer and prevent your teeth from moving while you sleep. We recommend our in-office night guards because they are custom made and are soft on the inside and hard on the outside. They should last at least 5 years. We don't recommend the ones you can buy over the counter because they are made of a softer material that your mouth treats as gum and so you'll end up chewing on them all night long, making the problem worse. Many of the soft night guards are too soft and end up on the pillow at night, or as your dog's newest toy. Hard-soft night guards delivered in our clinic usually cost between $300-$425 depending on how much your insurance picks up. We always give you the cost of any procedure before beginning.

Laughing gas has analgesic properties that can minimize the sensation of pain, but it doesn't entirely block pain receptors. It alters the perception of pain, making it more bearable, but it's not a complete anesthetic. At Open and Affordable we will always pair your laughing gas with local anaesthesia, ensuring a pain-free experience.

While laughing gas helps minimize discomfort and anxiety, it may not entirely eliminate the sensation of pain. It serves as a mild analgesic, providing a more tolerable experience during dental procedures. At Open and Affordable Dental and Braces we will always pair your laughing gas with local anesthesia, ensuring a pain-free experience.

We provide a wide variety of ways to allow apprehensive patients to feel comfortable during dental appointments. This may include calming techniques during the procedure, oral sedation, nitrous oxide (laughing gas), or general anesthesia. It is best to meet with your dentist for them to assess the best method to make your visit as pleasant as possible. Know that we never push you through any procedure clinically. You are the boss in the dental chair, we are simply the hands that help. We want you to love coming to the dentist and we'll make sure you're as comfortable as possible.

Laughing gas is called "laughing" gas because it can induce feelings of euphoria and mild amusement. It interacts with certain neurotransmitters in the brain, promoting a sense of relaxation and joy during its administration.

No, laughing gas does not induce sleep. It creates a relaxed and calm state, allowing you to remain conscious and responsive during dental procedures. You can still communicate with your dentist while benefiting from the anxiety-reducing effects.

We provide a wide variety of ways to make you comfortable during your procedure, first of all letting you know that you are completely in control of your procedure. You are the boss, we are simply the hands that help, if there is anything we are doing that you don't like, simply tell us and we'll stop IMMEDIATELY. Beyond re-enforcement, we also provide a wild variety of sedative methods such as nitrous oxide (laughing gas), Halcion, or Valium to help you stay calm during your procedure. If you need to be sedated, we have access to specialists who can sedate you for your procedure. Please discuss your dental anxiety with your doctor to find the best method for you.

Currently nitrous oxide is offered at the following Open and Affordable Dental and Braces offices: Aurora South, Commerce City, and Englewood. We encourage you to call ahead and request the use of nitrous oxide to ensure that the dental office can prepare for your visit properly. Nitrous oxide, commonly known as laughing gas, requires specific equipment and setup; so it's essential to confirm its availability to avoid any inconvenience or disappointment on the day of your appointment.

There can be various causes to altered taste in your mouth. Sometimes this may manifest as a metallic taste. Here are some suggestions for each cause. 1. Recent Surgery or Dental Work: After surgery or dental procedures, residual infection or inflammation may affect taste buds. To manage this, maintain good oral hygiene by flossing, using mouthwash per post operative instructions, and brushing twice a day. Follow all post operative instructions. Saltwater rinses can soothe the mouth during healing. The taste usually resolves as soon as the surgical site heals, which may take a few days to a month depending on the surgery, your age, and health condition. 2. Gum Disease: Gum disease (gingivitis or periodontitis) can impact taste perception. If you have actice infection around your gum, the bacteria can cause a bad taste in your mouth. Regularly brushing teeth and gums, using dental floss, and getting dental cleanings often are crucial. You may benefit from deep cleanings and may also be referred to a gum specialist (periodontist). 4. Cold and other Infections: Colds, sinus infections, and upper respiratory infections can change the taste in your mouth. Nasal drainage, sore throat, and a cough can cause altered or metallic taste in your mouth. 5. Medications: Certain medications for heart conditions, gout, and antidepressants alter taste. Prenatal vitamins, iron, or calcium supplements could also be the cause. Discuss with your primary care provider if any of these could be the cause. 6. Chemotherapy or Radiotherapy: Cancer treatments like chemotherapy or radiotherapy can affect taste buds. 7. Indigestion: Acid reflux or indigestion may lead to altered taste. Address indigestion through dietary changes and antacids; taste should normalize afterward. 8. Pregnancy: Hormonal changes during pregnancy can affect taste perception. Fortunately, taste changes are usually temporary and resolve on their own. Discuss with your dentist if you have altered taste that does not resolve.

5% of patients who have their wisdom teeth removed have altered nerve sensation including numbness due to the nerve being irritated or hurt. Of this 5% of patients with altered nerve sensation, 98% will recover completely. Unfortunately nerves can heal very slowly, sometime requiring a few weeks to several months to completely heal. It is impossible to know which group you fall into until the nerve has healed. It is important to contact the office and provider where you had your wisdom teeth removed if you have numbness or altered nerve sensation . Your provider will want to talk to your personally about your case.

Your doctor will monitor you until you are awake. You may need extra oxygen if your blood oxygen level is lower than it should be. Ask your healthcare provider before you take off the mask or oxygen tubing. You may be able to go home when you are alert and can stand up. This may take 1 to 2 hours after you have received moderate sedation. You may feel tired, weak, or unsteady on your feet after you get sedation. You may also have trouble concentrating or short-term memory loss. These symptoms should go away in 24 hours or less.

The most common oral surgery is tooth extraction, including the removal of impacted wisdom teeth. It's a routine procedure for various dental issues.

While oral surgery can range from minor to complex, it's generally considered a safe and routine aspect of dental care. Serious complications are rare, especially under the care of experienced oral surgeons.

Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). This is very common after extractions especially wisdom teeth as the tissues surrounding the jaw can be inflamed. Your muscles, tendons, and ligaments might be sore from stretching during the extraction. There might also be some infection around the extraction site that can exacerbate the issue. These symptoms will almost always alleviate as soon as the extraction site(s) heal. This can take up to two weeks. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. You may also be prescribed an antibiotic if there is concern about infection. If you are experiencing persistent limited opening or severe pain after your extraction, call the office to obtain direction on how to alleviate your issue.

Because our oral surgeons travel between offices, some conditions may prevent you from being sedated or are better seen at a dedicated oral surgery office to manage complications. Please talk with your oral surgeon if you have any of the following conditions: pacemaker, COPD, under 16 years old, excessive blood thinners, high BMI, or sleep apnea. Additionally, your oral surgeon may refer you to a dedicated oral surgery office if your surgery requires extensive follow up and/or grafting.

An oral mucous cyst, also called a mucocele, is a harmless swollen spot on you cheek or lip. They are soft, round, dome shaped, and are moveable and painless. Mucoceles occurs when you damage a salivary duct within your lip or cheek, usually from biting. A mucocele can be removed by an oral surgeon and is usually biopsied. We usually refer you to an oral surgeon with a dedicated office to ensure follow up is available if needed.

Depending on the procedure and the patient's needs, various sedation options are available, including local anesthesia, conscious sedation, and in some cases, general anesthesia where the patient is fully asleep.

Part of your initial comprehensive and periodic exams include x-rays and inspection of the soft tissues in your mouth including your cheeks, lips, and around the tongue. Your provider will also inspect the lymph nodes under your jaw and your temporal mandibular joint (TMJ). If anything suspicious is found, your provider will discuss options including eliminating the possibility that the pathology is transient, meaning it resolves on its own. A two week follow up appointment may be scheduled to re-evaluate the suspected pathology. If the suspected pathology doesn't resolve within the two weeks or if the suspected pathology has been present for a while, you may be referred to see an oral surgeon or oral pathologist. The suspected pathology may be removed or biopsied. Since follow up is required, a specialist with a dedicated office is usually indicated. Many times oral pathology is benign, but we want to make sure any pathology is addressed in a timely manner. For this reason, we strongly suggest you see your dentist every 6 months. If pathology starts, we can catch it when it's small and more easily treated.

Our oral surgeons recommend resuming breastfeeding 24 - 48 hours post sedation. If waiting 48 hours feels too long, several studies support resuming after a minimum of 24 hours has passed.

The level of pain experienced during oral surgery varies, but with modern anesthesia and sedation techniques, discomfort is typically minimal. Post-surgery, pain management is effectively handled with prescribed or over-the-counter medications.

Studies and experience have shown that the following pain management regime is the most effective for post extraction pain. If you have allergies or contraindications to any of the following, take only the other drug and discuss with your healthcare provider. The following should be taken every 8 hours at the same time for 10 days or until the pain is gone. You may purchase these over the counter. There is no need for a prescription. 500 mg Acetaminophen (Extra Strength Tylenol). Take every 8 hours for 10 days or until pain is gone. It is contraindicated to take Acetaminophen (Tylenol) if you have liver problems. Do not exceed 3000 mg per 24 hours. 400 mg Ibuprofen (Two 200 mg pills). Take every 8 hours for 10 days or until pain is gone. Do not exceed 1200 mg per 24 hours. It is contraindicated to take Ibuprofen if you are pregnant, have kidney disease, ulcers, heart conditions, or have coagulation (bleeding) issues.

Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.

We provide a wide variety of ways to make you comfortable during your procedure, first of all letting you know that you are completely in control of your procedure. You are the boss, we are simply the hands that help, if there is anything we are doing that you don't like, simply tell us and we'll stop IMMEDIATELY. Beyond re-enforcement, we also provide a wild variety of sedative methods such as nitrous oxide (laughing gas), Halcion, or Valium to help you stay calm during your procedure. If you need to be sedated, we have access to specialists who can sedate you for your procedure. Please discuss your dental anxiety with your doctor to find the best method for you. ​

In 2015, the ADA changed its protocol for prophylactic antibiotics before dental work for those who have prosthetic joint implants. The ADA states, "In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection." If a patient still wants to be pre-medicated or their orthopedic surgeon request they be pre-medicated, we can call in a prescription before the appointment. If you forget, the office can provide antibiotics at your appointment. The antibiotics can be taken up to one hour after your appointment.

Because our oral surgeons travel between offices, some conditions may prevent you from being sedated or are better seen at a dedicated oral surgery office to manage complications. Please talk with your oral surgeon if you have any of the following conditions: pacemaker, COPD, under 16 years old, excessive blood thinners, high BMI, or sleep apnea. Additionally, your oral surgeon may refer you to a dedicated oral surgery office if your surgery requires extensive follow up and/or grafting.

Your doctor will monitor you until you are awake. You may need extra oxygen if your blood oxygen level is lower than it should be. Ask your healthcare provider before you take off the mask or oxygen tubing. You may be able to go home when you are alert and can stand up. This may take 1 to 2 hours after you have received moderate sedation. You may feel tired, weak, or unsteady on your feet after you get sedation. You may also have trouble concentrating or short-term memory loss. These symptoms should go away in 24 hours or less.

If you were prescribed an antibiotic and you are having a mild allergic reaction such as a rash or itching, discontinue its use. It may be appropriate to take a Benadryl to reduce the allergic effects. If you are taking the antibiotic as part of a post operative protocol for a recent extraction, root canal, or implant placement, it may be appropriate to not resume antibiotic use. If you are trying to reduce an active infection, it may be appropriate to call your office to be prescribed an alternative antibiotic. If you are experiencing moderate to severe allergic reactions such as hives or difficulty breathing, take Benadryl and go to an Urgent Care immediately. Alert your office that you've been seen at an Urgent Care. We will update your chart to ensure you won't be prescribed the same antibiotic in the future.

It is important to avoid alcohol for at least 12 hours prior, and to avoid marijuana for at least 72 hours prior, to your oral surgery (sedation) appointment. This is to avoid possible interactions with the drugs being used in the oral surgery (sedation).

Your oral surgeon may use Ketamine, Midazolam, and Propofol for sedation. They have access to other ancillary drugs for post operative pain, swelling and infection. Your oral surgeon has been through extensive post graduate training in a hospital setting to safely mitigate and manage sedation and surgical complications. Feel free to ask them before your surgery about any concerns you have about the sedation or the surgery.

Recent studies have shown that a mix of NSAIDs (Non-Steroidal Anti Inflammatory Drugs) and acetaminophen are the most effective medicines to address dental pain after a root canal or extraction. Our first line of pain management is this regiment. A copy of our extraction post operative instructions can be found on our Procedure Instructions webpage, which includes all instructions for pain management using the most recent studies available. Dentists and society have a unique challenge in reducing the amount of opioids prescribed and used. Your dentist will make the best decision with you as to the best course of pain management for your particular situation. The link to the study about post operative pain management here can be found at this link.

Your oral surgeon may use Ketamine, Midazolam, and Propofol for sedation. They have access to other ancillary drugs for post operative pain, swelling and infection. Your oral surgeon has been through extensive post graduate training in a hospital setting to safely mitigate and manage sedation and surgical complications. Feel free to ask them before your surgery about any concerns you have about the sedation or the surgery.

Studies and experience have shown that the following pain management regime is the most effective for post extraction pain. If you have allergies or contraindications to any of the following, take only the other drug and discuss with your healthcare provider. The following should be taken every 8 hours at the same time for 10 days or until the pain is gone. You may purchase these over the counter. There is no need for a prescription. 500 mg Acetaminophen (Extra Strength Tylenol). Take every 8 hours for 10 days or until pain is gone. It is contraindicated to take Acetaminophen (Tylenol) if you have liver problems. Do not exceed 3000 mg per 24 hours. 400 mg Ibuprofen (Two 200 mg pills). Take every 8 hours for 10 days or until pain is gone. Do not exceed 1200 mg per 24 hours. It is contraindicated to take Ibuprofen if you are pregnant, have kidney disease, ulcers, heart conditions, or have coagulation (bleeding) issues.

We mostly use FDA Pregnancy Category B anesthetics, Lidocaine 2% w/ 1:100,000 epi for most procedures or Prilocaine without epi for those with heart conditions. We have a wide variety available for specific needs beyond the two mentioned above.

Cannabidiol (CBD) is one of the main extracts of the marijuana plant, second only to tetrahydrocannabinol (THC). THC is the psychoactive component of marijuana. You may be sedated with recent CBD use, although it is advised to discontinue its use 72 hours before your surgery. THC is contraindicated for sedation, and its use needs to be stopped 72 hours before being sedated. If you have consumed THC within 72 hours of your sedation, you will be rescheduled to another day. Please advise your surgeon of CBD and THC use before your surgery.

Anticoagulants (blood thinners) become a concern mostly when extracting teeth, and occasionally before deep cleanings. Alert your dental provider of your anticoagulant use and type before scheduling these appointments. Your dental provider may request you talk with your anticoagulant prescribing doctor to see if modifications need to be made before and/or after your dental procedure. Sometimes the risk of not taking your anticoagulant outweighs the risk of post operative bleeding. Your anticoagulant prescribing doctor or dental provider may elect not to change your regiment. If you are taking Coumadin (generic name Warfarin), it is recommended to have an INR taken 24 hours before your appointment and have a reading of 2.5 or less. If you are taking Xeralto (generic name Rivaraxaban) or Eliquis (generic name Apiaban), your anticoagulant prescribing doctor will need to be aware of the upcoming procedure and will instruct you and your dental provider if or what modifications need to be made. If you take Plavix or Aspirin, modifications to your regiment are rarely needed, but your dental provider will need to know if its use before your dental procedure. More information from the American Dental Association (ADA) about anticoagulants and dental procedures can be found here.

The standard recommendation is every six months, but some individuals may require more frequent visits depending on their dental health. Want to know what cadence is right for you? Reach out!

A routine dental appointment typically includes a thorough examination of your teeth, gums, and mouth, a professional cleaning to remove plaque and tartar, and possibly X-rays.

A dental checkup usually includes an examination of your teeth and gums, assessment for any cavities or gum disease, a professional cleaning, and sometimes X-rays or oral cancer screening.

A routine dental examination is a comprehensive assessment of your oral health. It includes checking your teeth, gums, and mouth for signs of decay, gum disease, and other oral health issues.

There can be various causes to altered taste in your mouth. Sometimes this may manifest as a metallic taste. Here are some suggestions for each cause. 1. Recent Surgery or Dental Work: After surgery or dental procedures, residual infection or inflammation may affect taste buds. To manage this, maintain good oral hygiene by flossing, using mouthwash per post operative instructions, and brushing twice a day. Follow all post operative instructions. Saltwater rinses can soothe the mouth during healing. The taste usually resolves as soon as the surgical site heals, which may take a few days to a month depending on the surgery, your age, and health condition. 2. Gum Disease: Gum disease (gingivitis or periodontitis) can impact taste perception. If you have actice infection around your gum, the bacteria can cause a bad taste in your mouth. Regularly brushing teeth and gums, using dental floss, and getting dental cleanings often are crucial. You may benefit from deep cleanings and may also be referred to a gum specialist (periodontist). 4. Cold and other Infections: Colds, sinus infections, and upper respiratory infections can change the taste in your mouth. Nasal drainage, sore throat, and a cough can cause altered or metallic taste in your mouth. 5. Medications: Certain medications for heart conditions, gout, and antidepressants alter taste. Prenatal vitamins, iron, or calcium supplements could also be the cause. Discuss with your primary care provider if any of these could be the cause. 6. Chemotherapy or Radiotherapy: Cancer treatments like chemotherapy or radiotherapy can affect taste buds. 7. Indigestion: Acid reflux or indigestion may lead to altered taste. Address indigestion through dietary changes and antacids; taste should normalize afterward. 8. Pregnancy: Hormonal changes during pregnancy can affect taste perception. Fortunately, taste changes are usually temporary and resolve on their own. Discuss with your dentist if you have altered taste that does not resolve.

Dental exams are commonly referred to as dental check-ups or oral examinations.

A dental cleaning involves removing plaque and tartar from teeth, while a checkup is an overall examination of your oral health, which can include a cleaning but also encompasses evaluations for any dental issues.

Dental checkups are crucial for maintaining oral health, preventing dental problems, early detection of issues, and ensuring that any existing dental problems don't worsen.

Generally, it's recommended to have a dental checkup every six months, but this can vary based on individual oral health needs.

Yes, all of our dentists perform root canals. We may also send you to a root canal specialist if we feel their expertise and additional instruments and equipment would serve to restore your tooth better.

Most people know when they need a root canal. They either have spontaneous pain that wakes them up at night, or they have an abscess with associated draining puss. Another reason for a root canal would be lingering pain. If you have a cavity that goes into the nerve, the nerve might have died and you would feel no pain. If you have a cavity into the nerve canal, you will need a root canal to eliminate a future abscess. We try to eliminate all other possibilities, such as periodontitis or clenching, before doing a root canal. Pain that goes away or is associated with cold, heat, or eating only may be able to be fixed with a filling.

Typically a root canal costs between $350 and $1000 dollars. A significant amount of this cost may be covered by your insurance reducing the cost to $150 - $300 depending on your insurance and the tooth needing the root canal. Some insurances cover the entire cost of root canals. We always give you the cost of any procedure before beginning. Learn more on our guide on root canal costs.

Most routine dental extractions do not require antibiotics. According to the Cochrane study linked here, taking antibiotics may help prevent infection after an extraction but the possible adverse effects may outweigh the benefits. As long as you are healthy and do not require antibiotic prophylaxis, your immune system should naturally be able to prevent most infections after the procedure. Taking antibiotics as a just in case may have unintended consequences such as developing antibiotic resistant strains of bacteria. Taking antibiotics too frequently or unnecessarily can create superbugs and when you happen to get an infection and you need the antibiotics to work, they won't work. This is currently a big problem in the medical community. For this reason, even if your tooth has been keeping you up at night but you do not present with a swelling infection or fever, you are not required to take any antibiotics afterwards. We know that you may perceive it as very serious but developing a resistant strain of bacteria is even more serious. In every case we will give you the best course of medicines and protocols to follow to get you healed as quickly as possible. You dictate your own health.

Yes we have many options to help you with sleep apnea. Mandible Advancement Devices MADs help position your lower jaw forward, which moves your tongue forward and out of your airway. This can help you sleep better. Mandible Advancement Devices can be used for those who cannot tolerate a CPAP or for those who travel and dont want to take the CPAP with them. Many patients ask if the MADs are covered by medical insurance. They may he if they are directed by your sleep doctor. Unfortunately they are rarely covered by your dental insurance. The cost for a MAD ranges between $400-600. More information can be found by visiting the link here.

Trismus, commonly known as lockjaw, is a painful condition where the jaws, or temporal mandibular joint (TMJ) cannot fully open. It can lead to difficulties with eating, speaking, and oral hygiene due to limited mouth opening. Trismus occurs when a person cannot open their mouth more than 35 millimeters (mm). It can be caused by trauma, inflammation, recent dental surgery, infection, and in rare occasions cancer. Start by sticking to a soft food diet and applying hot then cold compresses for 15 minutes on the TMJ (directly in front of the ear). You may also use Non-steroidal Anti-inflammatory Drugs to alleviate the pain. If the symptoms persist or are severe call our office to schedule an appointment.

It is recommended that you reduce stain producing food such as red wine, spaghetti sauce, and coffee after your sessions. Whitening is appropriate after the age of 13 or when all adult teeth have erupted. Whitening has no adverse effect on teeth according to the American Dental Association.

We offer two whitening products. The in-office Zoom Whitening costs $350-$500 for an hour long session. This whitening can get you a couple of shades whiter within that hour. We recommend you take 400 mg Ibuprofen before your appointment to reduce the sensitivity during and immediately after the procedure. Sensitivity can last for 24 hours after the whitening. We also offer Opalescence take home kits for $85 that give you the exact same result from the comfort of your home. It may take up to one month to get the same results with the take home kit. The take home kit is appropriate for people with sensitive teeth as it allows you to control the time of each session. Some patients like to get the immediate effect of the in-office whitening and then use the take home kit to maintain their whiteness.

Typically after your in office whitening session you will want to do an at home whitening treatment weekly to maintain the results. Please keep in mind that your diet (for example drinking items that typically cause staining of the teeth such as coffee, tea, red wine, etc...) will impact the long term results of your whitening.

We try to follow the ADA recommendation for the amount of radiation, which is called As Low As Reasonably Achievable (ALARA). We only use digital x-rays at our offices. The amount of radiation we use with digital x-rays is measured in micro Sieverts. Getting four bitewing x-rays exposes you to 0.8 micro Sieverts. Getting a panoramic x-ray exposes you to 10 micro Sieverts. Comparatively, eating a banana exposes you to .1 micro Sievert, an airplane flight from New York City to Los Angeles exposes you to 40 micro Sieverts, and a mammogram exposes you to 3,000 micro Sieverts. The maximum allowed dose for a medical worker per year is 50,000 micro Sieverts. There are cases such as pregnancy or current or past radiation treatment where your provider may choose to forgo diagnostic or periodic x-rays. Many times patients are concerned that they recently obtained x-rays at a previous dental office and are concerned they will be charged out of pocket for the x-rays taken with us. Discuss this with your provider as they will most likely NOT charge you out of pocket for these new x-rays. It is VERY important that we obtain x-rays at some point. First, it is our legal and professional obligation to detect pathology not seen clinically. It helps us legally to understand through x-rays what your mouth looks like radiographically before we worked on you. The x-rays we take become part of your medical record and can be used in forensics. Second, it is impossible to do our job of helping you remain healthy if we cannot see what is going on under your gums and teeth. We almost always come to a reasonable solution for both the patient and the provider when deciding when, how much, and how often we will use x-rays to detect pathology. Providers always discuss with patients any radiation concerns before starting to take x-rays. Feel free to discuss any concerns you have with your provider.

There isn't a one-size-fits-all answer, as it depends on individual health needs. However, dental X-rays are generally considered safe and are only performed as needed. The amount of radiation exposure is low, especially with modern digital X-rays.

Yes, dental X-rays are necessary for a comprehensive view of dental health, often revealing issues that are not visible during a regular dental examination.

The three common types of dental X-rays are panoramic X-rays (full mouth view), bitewing X-rays (showing upper and lower teeth in a specific area), and periapical X-rays (focusing on a single tooth).

Dental X-rays can detect a variety of issues like cavities, especially between teeth, decay beneath fillings, bone loss in the jaw, infections, positioning of unerupted teeth, and abscesses.

The frequency of dental X-rays depends on individual oral health needs. Typically, they're recommended every 6 to 18 months. For those with specific dental issues, more frequent X-rays may be necessary.

We love seeing kids of all ages. We have many options to take care of your child if they are apprehensive about the dental office. Parents are allowed and encouraged to be in the operatory with the children. We never push anyone, especially kids, through clinical procedures. The last thing we want is to create emotional scars that last a lifetime. You are the boss during your dental visit, we are just the hands that help. Please schedule an appointment with any of our amazing, caring dentists.

We absolutely love seeing patients who have Medicaid. Colorado has an amazing adult Medicaid benefit, which provides an unlimited amount for routine care including cleanings, fillings, extractions, root canals, and crowns. Colorado Medicaid also provides an additional unlimited amount for dentures and partial dentures. We try hard to take care of your dental needs at no cost to you. Children under 21 have an unlimited benefit that allows them to get most all of their dental care at no cost, such as braces for example. Also read: Denver Medicaid Dentists. We would love to take care of all of your dental needs. Please schedule an appointment at any of our offices, we can see you today!