Achieving successful treatment outcomes relies upon using the best diagnostic technology to develop the most appropriate plan of care. In our state-of-the-art practice, we utilize the most advanced 3D radiographic imaging systems to obtain the sharpest diagnostic films while exposing the patient to the lowest level of radiation.
With 3D, low-dose radiographic imaging, we’re able to analyze and reconstruct multidimensional images of a patient’s teeth, jaws, and surrounding anatomy. This information facilitates not only more precise diagnoses but also detailed treatment planning. 3D, low-dose radiographic imaging is also quite useful in surgical planning, including the accurate placement of dental implants.
CAD/CAM stands for computer-aided design & computer-aided manufacturing. CAD/CAM software supports comprehensive case planning, including the precise analysis of diagnostic data along with the design and fabrication of restorations such as dental inlays, onlays crowns and bridges as well as other oral appliances.
CAD/CAM systems utilize comfortable optical scanning technology to obtain a virtual dental impression of the patient’s teeth and occlusion. This data is used to generate a detailed 3D intraoral image and create a computer-generated model on which a restoration or appliance may be designed.
An integrated CAD/CAM system elevates and streamlines the workflow process from consultation or exam to the construction of custom-fitted appliances and restorations. CAD/CAM technology makes the provision of complex and multi-step procedures faster and more precise and offers a more comfortable and convenient patient experience.
With CAD/CAM technology, high quality ceramic restorations, including inlays and onlays, crowns, and bridges can be designed and fabricated in a single visit.
Thanks to advances in modern dentistry, teeth that have been affected by a range of imperfections or that have sustained damage from trauma or dental caries can be fully restored to produce a naturally beautiful looking and functional smile. With the cosmetic dental solutions available today, your dentist can effectively improve and enhance the appearance of teeth that are stained, discolored, misshapen, chipped, fractured, gapped, crowded, or broken down as the result of dental disease or trauma.
Cosmetic dental procedures can range from treatments that are relatively quick and non-invasive to more comprehensive plans of care to restore incomplete smiles that have been affected by severely damaged, lost, or missing teeth. With conservative procedures such as cosmetic dental bonding, professional strength teeth whitening, and veneers, our office can effectively address a wide range of imperfections to achieve extremely satisfying and aesthetically pleasing smile improvements. For teeth with cavities, structural damage, or more significant cosmetic flaws, our tooth-colored fillings, and natural-looking dental crowns offer excellent solutions in care. We can also help patients with missing teeth to reestablish a complete and beautiful smile with options that range from dental bridges or dentures to dental implants.
We value patient input and listen carefully to your interests and expectations of care. When it comes to cosmetic dentistry, there is no “one size fits all” solution. At the office of Clever Dental in Denver, Dr. Vlad Twerskoi provides highly personalized treatments, combining state-of-the-art technology with an artistic touch to produce the highest quality and aesthetically pleasing results of care.
When teeth are missing, a series of changes that can impact your overall dental health and jaw function may begin to develop. The adjacent teeth may start to drift or tilt into the space, and teeth in the opposing jaw may start to shift toward the area of the missing tooth. It is therefore, essential to replace either the single tooth or multiple teeth that are missing from this area. One of the best options to prevent the consequences of shifting teeth and to restore full function to a small edentulous section in the mouth is a dental bridge.
A dental bridge replaces the missing teeth with artificial teeth called “pontics,” and may be supported on the ends by prepared natural teeth or strategically placed dental implants. Once fabricated and fitted, a dental bridge will be permanently “fixed” or cemented into place. Like crowns, bridges can be made of either porcelain baked on to a metal substrate or many of the new ceramic materials that have been developed.
We recognize that every smile and is unique and carefully evaluate each case to determine the best options in care for the replacement of missing teeth. Whether reestablishing a complete smile involves removable prosthetics, conventional or implant-supported fixed bridges, our goals are to achieve healthy, pleasing, and long-lasting outcomes that successfully address the specific needs of our patients.
Whether from disease, malnutrition, genetic disorders or an accident, it is occasionally necessary for patients to have some or all their upper and lower teeth extracted. While this can be upsetting news, partial or full dentures can be fabricated to restore an attractive smile, provide needed support for normal facial contours, and reestablish a highly functional occlusion.
A denture consists of natural looking artificial teeth set in a supportive base. It may be fabricated to replace either a small group of teeth, an entire upper arch, an entire lower arch, or used to restore both dental arches.
A complete denture refers to the replacement of all the teeth in a dental arch. It can be inserted either of two ways. It can be inserted some weeks after the extraction sites and other surgical procedures have had a chance to heal, or as an “immediate” denture placed the same day the last remaining teeth are extracted. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require multiple adjustments as the tissues remodel and heal following dental extractions or other surgical procedures.
In situations where some sturdy teeth remain, partial dentures can be fabricated. Partial dentures can achieve adequate retention and stability by having clasps on the teeth surrounding the edentulous areas.
In some cases, added stability for the dentures can be provided by strategically placed implants.
Low radiation imagery utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of diagnostic radiographic images. It offers several advantages over the older traditional film-based methods of taking x-rays. The most significant is that it reduces a patient’s exposure to x-ray radiation. This highly advanced technology also means that critical diagnostic images can be viewed instantly after being taken and easily shared and discussed with patients as well as other specialists or offices as required. Low radiation imagery is also safer for the environment as it does not require any chemicals or paper to develop.
An electronic pad, known as a sensor, is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.
Dental emergencies can come about in any number of ways. Your discomfort may be due to an injury to the oral facial area, the acute flare up of a longstanding problem, or the result of the sudden onset of seemingly inexplicable pain. Whatever the case may be, urgent dental care is needed to provide you with relief and to avoid any further consequences to your oral health or function, as well as your overall well being.
There are many reasons to seek emergency dental care, including severe toothaches, chipped or fractured teeth, a dental abscess, impacted teeth, loose or broken fillings, lost or dislodged crowns, broken dentures and more. While the pain of a toothache is one of the more common reasons that patients come to our dental office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one’s smile.
Whether your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, contact our office immediately for care. We will make every effort to see you as promptly as possible.
Losing a tooth due to injury, dental decay, or gum disease can happen. However, in order to avoid causing problems for the adjacent teeth and your overall dental health, it is important to replace the tooth that has been lost. This can be done any number of ways including fixed bridges, removable partial or full dentures as well as a more recent procedure known as dental implants.
One of the most significant dental innovations in recent times, an implant is a small surgical fixture made of biocompatible metal or ceramic materials that is placed into the jawbone and functions in the same manner as the root of tooth. In the same way that natural root supports the natural crown of your tooth, an implant once it fully integrates with the surrounding bone, provides a stable and durable foundation for a replacement tooth. Implants often support a crown for an individual tooth, but can also be used as abutment teeth for a dental bridge, or strategically placed to help stabilize a denture.
Out of all the restorative choices available today, an implant comes the closest to replicating the look, feel and function of a natural tooth. Furthermore, it is the only method of tooth replacement that does not require the involvement or preparation of the adjacent teeth. A dental implant also stimulates bone remodeling to prevent shrinkage in areas where teeth are missing and helps to restore facial contours in areas where significant bone loss has occurred.
At the office of Clever Dental, we maintain a position at the forefront of the latest advances in care to provide our patients with the highest quality of dental services. With the ClearCorrect system of care, we can provide orthodontic treatment that is at once comfortable, convenient, and so discreet that no one will ever know you’re wearing appliances to align your smile! Custom-made to the exact specifications of your smile, ClearCorrect aligners incrementally move your teeth into their correct positions. All you need to do is to swap-out last week’s aligner for the next one in the series and watch as your smile progressively shows signs of improvement. And, because ClearCorrect aligners are removable for short amounts of time, you can still enjoy the foods you love as well as brush and floss your teeth with ease!
Now that orthodontic care has entered the age of aligners, more and more patients are deciding it’s time to straighten their smiles. Transforming smiles with minimal interference to daily activities, the ClearCorrect system of care means patients can enjoy eating all of their favorite foods and engage in sports without the fear of breaking their orthodontic appliances or sharp poking wires. Moreover, as the aligners are completely removable, there’s also no need to struggle to brush and floss in between any attached orthodontic brackets and wires.
While not a solution for every type of malocclusion, orthodontic treatment with ClearCorrect is an excellent choice for many image-conscious teens and adults.
Remember, a beautiful smile begins today! Contact our office for more information about treatment with ClearCorrect and to schedule a consultation visit.
Chronic jaw clenching and grinding one’s teeth is called bruxism. While it can happen any time of day, it often occurs at night, causing an individual to wake up with any number of symptoms, including jaw pain, headaches, and sore teeth that may feel loose. Although stress and anxiety are the most common causes of bruxism, there may be other contributing factors such as a sleep disorder, an abnormal bite, as well as teeth that are missing or poorly aligned.
To alleviate the symptoms of bruxism, wearing an occlusal guard while sleeping is frequently recommended. This appliance is designed to fit over the teeth and to keep the jaws slightly apart. Wearing an occlusal guard prevents a number of damaging events, including muscle strain, excessive pressure on the jaw joint (the TMJ), and such dental damage as chipped or cracked teeth resulting from the teeth grinding against each other.
In addition to preventing damage to the soft and hard tissues surrounding the orofacial cavity, a custom occlusal guard fabricated at the dental office can help curb a bruxism habit and give the wearer a better night’s sleep.
At our office, we take pride in creating and maintaining beautiful and healthy smiles for our younger patients in an environment that is lighthearted and fun. With an emphasis on establishing oral health habits that last a lifetime, we offer a comprehensive program of preventive care and closely monitor the dental health of our pediatric patients as they grow.
As an added level of protection to guard against childhood dental decay, we recommend periodic fluoride treatments and the application of dental sealants on the biting surfaces of the newly erupted permanent back teeth.
Periodontal disease damages the surrounding soft tissues and bone that support the teeth. It is predominantly caused by the accumulation of bacteria, mucus and other particles in the form of plaque or tartar that sit between the teeth and the gums. Periodontal disease can range in severity from a simple gum inflammation, known as gingivitis, to a more serious inflammation of the periodontal tissues. Left untreated periodontal disease can result in significant tissue damage and eventual tooth loss.
The problem with periodontal disease is that often the progression is painless. As a result the affected individual may not be aware of an ongoing disease process. This is why it is so important to recognize the signs of the earliest stage of periodontal disease, which is gingivitis. The symptoms of gingivitis typically include red, swollen and bleeding gums. Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen, and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.
Left untreated, gingivitis can escalate into periodontitis. However, there are other factors that can contribute to the escalation of periodontal disease, including smoking, genetic tendencies, and unchecked diabetes. In either case, when periodontal disease has progressed to a more advanced stage there is usually clinical and radiographic evidence of damage to the bone and soft tissues supporting the teeth. Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. This may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.
According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.
To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.
It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.
Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.
Endodontics, or root canal treatment, is employed when the nerve supply to a tooth has been irreversibly affected by damage or decay. It is a way to prevent or help resolve a dental infection and save a natural tooth from extraction. A root canal treatment is performed when there is enough sound root and crown structure remaining to eventually restore form and function to the involved tooth.
Inside every tooth is either a single central chamber or multiple ones that contain connective tissue, a nerve supply, and blood vessels. These core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. A root canal procedure is required when this dental pulp is irreversibly damaged or has died.
Root canal treatment involves cleaning and shaping each canal, and then filling them with a special inert material. Following this they are sealed to prevent any subsequent infection. Once root canal treatment has been completed, the tooth should be fully restored as recommended.
Teeth that have been stained or darkened by food, tobacco use, age, medications or injury can be lightened and brightened by means of a non-invasive process known as teeth whitening.
Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. While there are many over the counter options for teeth whitening, the most effective and safest teeth whitening systems are the professional strength ones available at the dentist’s office. A dental professional whitening system offers a higher concentration of whitening components and delivers them to the teeth in the most efficient manner to achieve optimal results.
Our professional strength take home system produces excellent results by way of a gradual process. Our take home kit may be prescribed alone, or after an in-office treatment to perfect or maintain the in-office result.
According to recent studies, having a well-maintained and clean smile is essential not only for your dental health, but it's also vital to your overall health and well-being. At the office of Clever Dental, our professional dental hygiene program is designed to protect your teeth and their supporting tissues by preventing the onset, progress, and recurrence of dental disease.
To maintain your optimal oral health, we recommend routine professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth are essential for protecting the health and integrity of your smile.
It's essential to keep in mind is that in conjunction with periodic dental professional cleanings; an excellent home care regimen is also required. To help patients maintain optimal oral health, our professional dental hygiene team will review your current home care practices and make recommendations as to what areas need improvements. As skilled and experienced providers of care, we instruct every patient in the proper methods of brushing and flossing. We also provide dietary guidance to help prevent tooth decay and support a healthy smile.
Patients and their families can depend upon the office of Clever Dental for the highest quality of skilled and experienced care.
To help restore oral health, rebuild smiles, support the integrity of the hard and soft tissues in the mouth, and reduce the risk of tooth loss or infection, Dr. Twerskoi performs the following surgical procedures:
Bone graft procedures address hard tissue loss from dental disease, missing teeth, or trauma. By placing a bone graft, Dr. Twerskoi can effectively rebuild and regenerate dental bone to its original dimensions. In addition to providing a platform or “scaffolding” for new growth, bone grafts restore bone volume to support optimal facial esthetics and facilitate the successful placement of dental implants.
Dr. Twerskoi has been placing dental implants for close to three decades and understands the complexities and unique requirements of every smile. With the assistance of advanced 3D radiographic imaging systems, he considers all aspects of a patient’s smile when treatment planning the precise surgical placement and restoration of dental implants. Whether a patient requires one implant to replace a single tooth, or multiple ones to rebuild an entire smile, Dr. Twerskoi provides the skilled care necessary to achieve healthy and cosmetically pleasing results of care. For patients missing all of their upper and/or lower teeth, Dr. Twerskoi also offers the All-On-4® or All-On-6 methods of care. Both of these advanced solutions provide patients with a complete and beautiful set of teeth the same day as surgery.
Sometimes it is necessary to extract a tooth. This situation can happen for a variety of reasons. Extractions are commonly performed in cases where a deciduous “baby” tooth is reluctant to fall out, a severely broken down and non-restorable tooth is present, or “wisdom tooth” is poorly positioned and unable to fully erupt into place.
To reduce any anxiety and help ensure patient comfort whenever a tooth extraction is required, the procedure, the post-surgical instructions, as well as any restorative follow-up care will be explained in detail.
If gum disease has advanced and cannot be reversed with conservative approaches to care, periodontal surgery may be recommended. In this way, any bacteria and tartar from between the teeth and gums can be removed, and gingival pocket depth reduced. With successful periodontal surgery, improved oral hygiene, and care, the risk of further damage to the bone and soft tissues supporting the teeth diminishes. Periodontal surgery not only helps to prevent and address tissue damage to preserve your natural smile, but it can also help avert systemic problems linked to gum disease.
In addition to the development of pockets and bone loss, periodontal disease can cause the gums to recede, thereby exposing the roots of the teeth. When the root of a tooth loses its overlying soft tissue, it becomes more vulnerable to decay, sensitivity, and additional bone loss. Gum recession also takes a toll on smile aesthetics.
By performing soft tissue grafting, which is also known as a “gingival graft or gum graft,” Dr. Twerskoi surgically replaces the lost soft tissue on the exposed area of the tooth with donor soft tissue harvested from elsewhere in the mouth. This procedure not only insulates and protects the underlying tooth structure, but it also restores a normal appearance to the tooth and gums. While a soft tissue graft is often performed on a single tooth, it may also be performed for multiple teeth as needed.