New Home For Dr. Duke!!

Posted in Uncategorized on September 10, 2015 by dukeslc

Finally I have found a new home.  I am now in the beautiful city of Bountiful!  I have partnered with Dr. James Keddington as he is taking more time away from the practice to teach at the University of Utah Dental School.  It is a small intimate practice that has wonderful patients and I am so excited to be here.  Please call if there is anything we can do for you.  The address of the practice is 1480 Orchard Dr., Bountiful, UT  84010; and the phone number is 801-298-2241.  Would love to hear from you!!

Where’s Dr. Duke?

Posted in Uncategorized on July 23, 2014 by dukeslc

I wanted to let everyone know that I am now at Jordan Landing Dental Care in South Jordan. As most of you know, I sold my practice to ISmile nearly 2 years ago, and I have decided to move on from that experience. I found that I was unable to provide the quality of care for my patients that I had done in the past. I realize that I am some distance from the downtown area, but if I can be of assistance to anyone, my telephone number is 801-280-7001, and my address is 7611 Jordan Landing Blvd., West Jordan, UT, 84084. I am also looking for a site in the South Davis area to build a new practice, so I will keep everyone informed as that progresses. Thank you for your interest and feel free to call me at my new office!!

Dentures

Posted in Cosmetic, Dental, Dentures, Smile Designs with tags , , , , , , , on June 27, 2011 by dukeslc

Have you been considering dentures in  Salt Lake City, UT? If so, come on in to Dental Designs of Salt Lake and meet with Dr. David Duke and his team for a free consultation today.

Below is some information about dentures along with its advatages and disadvantages. If you have any questions regarding dentures please feel free to give us a call at (801)355-2202.

 

What are Dentures?

Dentures are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support. There are two main types of dentures. Both Complete Dentures and Partial Dentures are finely crafted, custom-fitted. If you properly maintain your dentures they will appear natural and provide a perfect smile. Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing.

Who is a candidate for dentures?

If you’ve lost, or are losing, all of your teeth a Complete Denture is something to discuss with your cosmetic dentist. If some of your teeth remain and are healthy, a partial denture may be your way to a great smile.

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

Types of Dentures

Complete Dentures

These replace all of your teeth, upper or lower. Their comfort depends on muscle, bones, tongue, and saliva. Patients begin wearing conventional dentures after healing the teeth that were pulled.

Immediate Dentures

Immediate Dentures are placed all at once, and may require additional adjustments after the healing process. It can take months for your bone and tissue to stabilize after tooth extractions.

Upper Dentures

Upper Dentures, tend to be a bit easier to adjust to. These are made of the same materials as a Complete Denture, but are designed to provide you with upper teeth only.

Over Dentures

Over Dentures are a type of conventional denture similar to Complete Dentures. The difference is that not all teeth are extracted and they use one or more natural teeth for their support. This type provides greater stabilization during chewing. Over Dentures cost more and typically require more preparation dental appointments until the procedure is fully complete.

Partial Dentures

Designed to correct the gaps in your smile when only some of your teeth are missing. Metal attachments anchor the dentures to your natural teeth. Partial Dentures maintain tooth alignment by preventing your remaining teeth from shifting. Partial Dentures can also help prevent your loss of more teeth due to decay or gum disease.

Advantages & Disadvantages of Dentures

Pros and Cons of a Dentures

Advantages:

Dentures definitely provide a great smile with a very natural appearance. They’re made of very durable materials and last very long when properly taken care of. Typically dentures last from five to ten years. They also correct several problems, from speech to chewing, for many patients.

Disadvantages:

There’s no doubt that dentures take a little getting used to. There is maintenance involved, and initial speech issues to overcome (these are temporary and last only a couple of days). Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and not removing your dentures when needed. It is common that your mouth changes over the life of your dentures, so even though they last long, they may need to be replaced to achieve a better fit before they are worn out. With a denture a person typically chews at only 15-23% efficiency compared to a person chewing with their natural teeth. In the case of a full upper denture, the upper palate is covered which can reduce taste of foods you’re chewing.

Before Dentures Procedure
After Dentures Procedure

Before                                                                      After

Cosmetic Crowns

Posted in Cosmetic, Crowns, Dental with tags , , , , , , on June 23, 2011 by dukeslc

 If you have been considering getting cosmetic crown work done in Salt Lake City, here is some information that will help you understand the procedure in which it is preformed.

What is a Crown? 

A crown is like a cap that goes over a tooth preparation. Sometimes, when a tooth is very heavily restored, its multiple fillings may not look good or last long because even the strongest filling materials have their limitations. The most durable solution for restoring badly damaged teeth is to prepare the tooth for a crown. The crown not only protects remaining tooth structure, but also restores the original appearance of the tooth.
 

Procedure

Unlike fillings, crowns cannot be constructed in one visit. The dentist must first take impressions of your mouth to make some study models and also to construct temporary crowns, usually made of resin. Study models help the dentist plan the case. Every tooth is unique and will require the dentist to exercise judgement on where to trim the tooth and how much to trim. For cosmetic cases where tooth positions are changed by crowning, the dentist may have to discuss his plans with the patient before proceeding to the preparation stage.

Teeth which are still vital will feel sensitive when trimmed, so a local anaesthetic is usually given. This is to make space for the crown and adequate clearance is absolutely necessary. The thicker the crown, the stronger it is. Once the preparation is complete, the dentist takes an impression of the prepared teeth with a rubbery material. The final crowns will be fabricated on this impression. At the end of the crown preparation visit, temporary crowns are cemented to protect the remaining tooth structure.

When the permanent crown is completed in the laboratory (usually takes about a week), the temporary cowns are removed from the mouth to be replaced by the porcelain crown which is then permanently cemented over the prepared tooth. The crowning process is thus completed.

Crowns can be very simple or complex, depending on the condition of the mouth and the needs of the patient. Mobile teeth are not suitable for crowning. Teeth with bleeding gums will also affect the accuracy of the impression. For cosmetic realignment, a considerable amount of skill and experience are required.

Pictures:

 

If you have other questions you need answered or if you are interested in scheduling an appointment, you may contact Dr. David Duke of Dental Designs of Salt Lake City, Utah at 801-355-2202.

Five Rules for Great Dental Hygiene

Posted in Dental Hygiene, Uncategorized with tags , , , , on June 16, 2011 by dukeslc

Maintaining your dental health is important for more reasons than you might think. Nobody wants the pain associated with cavities and infection, but poor dental health affects not only your mouth, but the health of your entire body. Here are five suggestions from Dental Designs of Salt Lake City, Utah for maintaining good dental hygiene.

Brush. The first and most fundamental rule for sound dental health is to brush your teeth. Minimally, you should brush twice a day, morning and night; but optimally, you should brush three times a day. When you purchase a toothbrush and toothpaste, look for the ADA (American Dental Association) stamp. The ADA has certain standards that assure minimum quality for dental products. By choosing ADA approved dental products, you can be assured that you are getting the quality your teeth require. When you brush your teeth, visualize every surface of your teeth, top and bottom, including the nooks and crevices and your gums. Brush in a gentle, circular motion, moving slowly across all of the surfaces and crevices you visualize to ensure that your brushing action is reaching and thoroughly cleaning all the surfaces and nooks and crannies in and around your teeth where bacteria exist.

Floss. After brushing, the most important habit for maintaining the best dental health is flossing. While you may brush thoroughly and regularly, nothing beats flossing for removing plaque and other remaining bacteria that lingers on your teeth, in between your teeth, or on your gums. Also, flossing helps prevent gum diseases, which if unchecked can lead to much more serious health issues. To help you floss more thoroughly, look for floss that has a waxed coating. This helps the floss move through your teeth more easily. Floss every day.

Mouth Rinsing. The third rule for great dental health is to rinse out your mouth with either water or mouthwash after meals when you can’t brush. Swishing or gargling water or mouthwash after meals helps to remove food debris and other bacteria that is likely to remain after the meal. Food debris and bacteria cause an acid to form on your teeth that causes plaque and eats away at enamel. If plaque is not removed it can turn to tartar. Once plaque has turned to tartar only a dentist can get it off. The rinsing action minimizes the build up of plaque in your mouth.

Fluoride. The fourth rule for maintaining good dental health is to rinse your mouth with mouthwash that contains fluoride. Fluoride strengthens the enamel on your teeth, and the harder the enamel on your teeth is, the tougher it is for plaque to stick and for acid to eat through it.

Dental Check-up. The fifth rule for great dental health is to see your dentist on a regular basis. Usually dentists like you to come in every 6 months for a cleaning. Going to the dentist every six months is important for your dental health because they will do a detailed check up of all your teeth. Your dentist will also clean off any tartar build up that has occurred. Getting all of the tartar off of your teeth is crucial for avoiding gum disease.

To learn more about dental hygeine, contact Dental Designs of Salt Lake City or Call us at 801-355-2202.

Invisalign

Posted in Uncategorized on February 8, 2011 by dukeslc

If you are considering Invisalign braces in Salt Lake City, here is some information that will help you more fully understand how Invisalign works, and what the advantages and disadvantages are. Hundreds of thousands of successful Invisalign treatments have been performed. It’s a good option and a serious alternative to traditional metal braces.

Below is an explanation of the advantages and disadvantages of Invisalign orthodontia. If you have other questions you need answered or if you are interested in a free initial consultation, you may contact Dr. David Duke of Dental Designs of Salt Lake City, Utah at 801-355-2202.

Invisalign Advantages

The most obvious advantage of the treatment is cosmetic: the Invisalign aligners are completely transparent, which makes them far more difficult to detect than traditional wire and bracket braces. This makes the method particularly popular among adults who want to straighten their teeth without the look of traditional metal braces, which are commonly worn by children and adolescents. In addition, the aligners are marketed as being more comfortable than braces. Due to the removable nature of the device, food can be consumed without the encumbrance of metallic braces.

Clinically, aligners avoid many of the side effects of traditional fixed appliances; for example, the effects on the gums and supporting tissues. Almost all types of orthodontic treatment will cause the roots of teeth to shorten for most patients, and demineralization or tooth decay occurs in up to 50% of patients because they cannot be removed for eating and cleaning, and because they prevent accurate x-rays from being taken.

With Invisalign, patients “graduate” to a new set of aligners in their treatment series approximately every two weeks. The aligners give less force per week and less pain than do fixed appliances (traditional metal braces). Fixed appliances are adjusted approximately every six weeks and apply greater forces.

Aligners should be removed to eat, drink, to clean the teeth, or to have them checked by the clinician. Because you remove the aligners, you are not limited to what you eat, which is not the case with traditional metal braces. Computerized treatment planning is necessary as part of the Invisalign protocol. As with other forms of orthodontic treatments that incorporate a computerized plan, this allows the prospective patient to actually visualize the projected smile design. The patient will also learn how long the treatment is likely to take, and they can compare different plans and make a more educated decision about whether or not to use Invisalign.

Invisalign treatments have been claimed to be quicker than traditional orthodontics. A large-scale study of 408 patients with traditional appliances in Indiana took an average of 35.92 months with a maximum of 96 months, while Invisalign took between 12–18 months.

Invisalign Disadvantages

As with all orthodontic treatment options, Invisalign also has potential disadvantages. The very fact that the aligners are removable means they are not continually correcting the teeth. Traditional fixed braces correct constantly; yet Invisalign braces are largely dependent on a patient’s habits and their consistency in wearing the aligners. The success of the Invisalign aligners is based on a patient’s commitment to wear the aligners for a minimum of 20–22 hours per day, and only removing them when they are eating, drinking, or brushing their teeth.

The system is also somewhat expensive, as conceded by the Align Company, and can be more expensive than traditional wire and bracket systems. The aligners must be removed before eating, which might be perceived as an advantage or disadvantage, depending upon the person. The aligners and the teeth should be cleaned before re-inserting them afterwards.

Certain teeth are slightly problematic for Invisalign aligners to rotate. Some lower premolars have a rounded shape, which can make it difficult for the aligners to grasp and apply a rotational force to the tooth. Teeth grinding or clenching during the day or while sleeping can sometimes damage the aligners. In practice, however, this problem is very rare and a new aligner can be ordered. Also, similar to traditional metal braces, aligners may cause a slight lisp at the beginning of treatment, but this usually disappears as the patient becomes used to the treatment.

The aligners are constructed of implantable-grade polyurethane, and the Align company acknowledges that with a few patients there may be cases of allergic and toxic sensitivity reactions to Invisalign. There have also been a few reports of minor symptoms such as sore throat, cough, and nausea.

Treatment

Invisalign treatment begins with a dentist or orthodontist taking dental impressions, x-rays and photographs of the patient’s teeth. These impressions and photographs are sent to Align Technology. The impressions are put through a CT scan and a computer creates a three-dimensional model. Technicians then individualize the teeth in the computer model and move them to their final position as prescribed by the dentist or orthodontist. Custom Align software then simulates the movement of the teeth in stages. The orthodontist reviews the simulation online via a web browser and approves or modifies the treatment. Once approved, a plastic resin aligner is manufactured for each stage of the computer simulation and shipped to the doctor.

Average treatment time is about one year, again depending on the complexity of the treatment. Simple treatments (minor crowding, minor spacing) may be as short as twenty weeks—this is known as the “Invisalign Express” program. Although the aligners are removable, they must be worn at least 20 to 22 hours per day to avoid delaying the treatment process. If they are not worn consistently, treatment time will increase.

After the regular aligner or braces treatment is complete, retainers composed of a similar plastic material are usually required to be worn, at least at night.

The final position of the teeth is not completely determined by the last aligner. If the patient wants to change the end position because the actual position is not optimal, new aligners are ordered, which are usually included in the originally quoted cost, called a ‘Refinement.’

Salt Lake City Dental Implants

Posted in Cosmetic, Dental, Implants with tags , , , , , on September 2, 2010 by dukeslc

Dental Implants are a wonderful way to replace missing teeth. It can be used for replace one tooth or many. Dental implants may be slightly expensive but there is a noticeable shift in dental insurance and many insurance carriers now cover 50% of the cost.

Free Consultation

The first step is to schedule a FREE consultation with our Salt Lake City Dentist, Dr. David Duke. He will access the bone and surrounding tissues to determine if the missing tooth site is suitable for a dental implant.

Pre-approval of Dental Insurance Coverage

We want to ensure that there are no surprises when it comes to paying for a dental implant. We submit pre-approval claims to all insurances to make sure we understand the patient’s coverage. While there may be restrictions and exclusions on your dental plan, we do our best to apply insurance coverage to the treatment.

Placement of the Dental Implant and Healing Cap

This procedure is done in a completely sterile environment with the best technology available. Dr. Duke uses titanium implants and expert training to provide the gentlest placement possible. A cap is placed on the implant, which allows the gums to heal over the next few weeks.

Removal of the Cap and Impression for a Crown

After several weeks, the bone and implant will be examined for stability and strength. If it is approved, an impression will be made for a Dental Implant Crown.  Our dental labs take an average of 1-2 weeks to make the final crown.

Placement of the Dental Implant Crown

The final visit will consist of placing the Implant Crown on the fully healed, permanent Dental Implant. Oral hygiene routines, speaking, and eating are not impaired or altered. Dental Implants offer the best tooth replacement option available. It is the best aesthetically pleasing, gentle, permanent solution!

We are located in Downtown Salt Lake City, Utah. Dr. David Duke offers free consultations to all those interested in receiving information about the procedure and meeting our staff. Check out our website for before and after photos and call us today!

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