Wisdom Teeth Removal

We routinely see patients and discuss if wisdom teeth extractions are necessary. We are happy to discuss if the procedure is best done at the office or a referral for removal with sedation is necessary.

We also remove hopeless teeth that unfortunately can not be restored due to gum disease or extensive decay. Tooth removal is sometimes the last option, but necessary. Our goal is to always make you feel comfortable.

What should you expect when you are scheduled for a tooth extraction?

We will numb the area to lessen any discomfort. After the extraction, we will advise you of what post extraction regimen to follow, in most cases a small amount of bleeding is normal. Avoid anything that might prevent normal healing. This includes no smoking or rinsing your mouth vigorously, or drink through a straw for 24-48 hours. These activities could dislodge the clot and delay healing.

Composite “White” Fillings

Dental composite bonding is a popular choice for fillings because the material can match the shade, translucency and even the texture of your own natural teeth and provides a much better aesthetic result than amalgam/silver fillings, therefore enhancing your smile.

The tooth surface where the composite will be applied is thoroughly cleaned of any decay and old filling as the composite needs a clean surface to bond to. Once the correct shade of composite has been selected by your dental team, the tooth is kept dry and then the material is shaped and the tooth is restored. The final step involves polishing and buffing the composite to give the desired shape and smooth finish.


If you’ve lost some or all of your natural teeth, whether from periodontal disease, tooth decay or injury, partial or complete dentures can replace your missing teeth and your smile. Replacing missing teeth will benefit your appearance, your bite, and your health. Without support from a denture, facial tissues have not support and sag therefore, making a person look older. You’ll be able to eat, speak and smile. All things that are taken for granted until natural teeth are lost.

There are different types of dentures.

Partial Dentures replace multiple missing teeth and are supported with clasps around the remaining teeth and surrounding gums.

Complete Dentures are made when all remaining teeth are removed and tissues have healed. Healing after extractions may take 6-8 weeks.

Immediate Complete Dentures are inserted the same day when remaining compromised teeth are removed. With immediate dentures, the patient leaves with dentures in his mouth. After tissues have healed relines of the dentures are necessary to ensure a good and comfortable fit.

Overdentures are dentures that fit over a small number of remaining natural teeth or implants. These dentures give added support and stability to the denture.

Implant Supported Overdenture:

Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque. Always remove your dentures at night to allow the tissues below the dentures to rest and breath.

Scheduling regular dental checkups are still necessary when wearing complete dentures. We will examine your mouth to see if your dentures continue to fit properly and also examine your mouth for any signs of oral diseases including oral cancer.

What will dentures feel like?

New dentures may feel awkward for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place.

It is not unusual to experience minor irritation or soreness. You may find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should diminish. One or more follow-up appointments with the dentist are generally needed after a denture is inserted. If any problem persists, particularly irritation or soreness, be sure to consult your dentist.

Will dentures make me look different? Dentures can be made to closely resemble your natural teeth so that little change in appearance will be noticeable. Dentures may even improve the look of your smile and help fill out the appearance of your face and profile.

Will I be able to eat with my dentures? Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the dentures from tipping. As you become accustomed to chewing, add other foods until you return to your normal diet. Continue to chew food using both sides of the mouth at the same time. Be cautious with hot or hard foods and sharp-edged bones or shells.

Will dentures change how I speak? Pronouncing certain words may require practice. Reading out loud and repeating troublesome words will help. If your dentures “click” while you’re talking, speak more slowly. You may find that your dentures occasionally slip when you laugh, cough or smile. Reposition the dentures by gently biting down and swallowing. If a speaking problem persists, consult your dentist.

Frequent Asked Questions about Dentures

Q. Should I use a denture adhesive?
Denture adhesive can provide additional retention for well-fitting dentures. However, it is not the solution for old, ill-fitting dentures. A poorly fitting denture, which causes constant irritation over a long period, may contribute to the development of sores. These dentures may need a reline or need to be replaced. If your dentures begin to feel loose or causes discomfort, let us know so we can take evaluate them to see what adjustments are necessary.

Q. How do I take care of my dentures?
Dentures are very delicate and can easily break if dropped. When you are not wearing your dentures store them away from small children and pets. Like natural teeth, dentures must be brushed daily to remove food deposits and plaque. Brushing helps prevent dentures from becoming permanently stained and helps your mouth stay healthy. It’s best to use a brush designed for cleaning dentures. A toothbrush with soft bristles can also be used. Use a mild soap or denture cleaning solutions. Avoid using beach or other household cleansers, which may be too abrasive. Toothpaste can create small pores in the denture leading to more stain in the future.

Q. Can I make minor adjustments or repairs to my dentures?
You can damage your dentures and harm your health by trying to adjust or repair your dentures on your own. A denture that is not made to fit properly can cause irritation and sores. Please see us and we will help you!

Q. Will my dentures need to be replaced?
Over time, dentures may need to be relined or remade due to normal wear or changes in your mouth. To reline the denture we use the existing denture and put a material inside to get a better fit with the surrounding tissue. Dentures may need to be replaced if they become loose and the teeth show signs of significant wear or fracture. Dentures can become loose over time since the bone and gums can recede or causing jaws to align differently and the denture to fit more loose. Loose dentures can cause sores and lead compromised chewing. It’s important to replace worn or poorly-fitting dentures before they cause problems.

Children’s Dentistry

We are passionate about helping kids and babies as early as possible in life. Our role is to help guide children’s growth optimally and to give them the tools to keep them and their teeth healthy!

We are happy to do wellness consultations for infants and toddlers if parents have concerns regarding latch or feeding. During these appointments we check for tongue ties and discuss how to optimally treat with an interdisciplinary team.

We love seeing kids for their very first dental appointments and counting their teeth and showing them how to floss and brush for 2min twice daily.

We provide preventative dental care such as routine dental cleaning to protect their teeth and gums and if there is a need we will hold their hand and bring out the movie glasses for any dental work such as fillings.

As we watch your kids grow, if there are concerns with jaw development, we may recommend myofunctional therapy to help train nasal breathing, teach correct swallow and tongue position to establish proper habits for development. We will can also discuss how different appliances may help expand their jaws and get them on the right track. We also offer interceptive myofunctional orthodontics and traditional orthodontic when and if needed.

We love seeing children grow in our practice – nothing brings us more joy!

Traditional Braces

Orthodontic treatment straightens your teeth so they look and work better. Braces work by putting gentle pressure on your teeth and over a number of months or years this pressure can move your teeth into the right position.

Orthodontic treatment isn’t just for teens, as teeth can be moved at any age. In fact, more and more adults are having orthodontic treatment to improve the look and health of their smile. 

In some cases, it is helpful to start orthodontic treatment before all the permanent (adult) teeth come in. This is called interceptive orthodontics. We can do an orthodontic screening to find out if your child will need orthodontic treatment to correct a bad bite. Interceptive orthodontics allows us to treat or stop a problem as it is developing.

To apply braces, we attach brackets to each tooth. Arch wires are fitted into all the brackets and are usually held in place with rubber or wire ties.

The position of your teeth and jaws has an effect on your bite. Your bite is how your top and bottom teeth come together. When your top and bottom teeth do not fit together properly, this is called a malocclusion or a bad bite. Problems like missing, crooked, crowded or protruding teeth can contribute to a bad bite. Thumb or finger sucking may also affect your bite.

A bad bite can make it hard to chew some foods and may cause some teeth to wear down. It can also cause muscle tension and pain. Teeth that stick out are more easily chipped or broken. Crowded and crooked teeth are harder to clean and may be more likely to get cavities and gum disease. Fixing a bad bite improves your smile and your health. Different types of bad bites include an overbite, a crossbite, an overjet and an open bite.

An overjet occurs when the upper front teeth protrude.


A deep bite occurs when the upper front teeth cover the lower front teeth too much.


An underbite occurs when the upper teeth fit inside the arch of the lower teeth.


An open bite occurs when the back teeth are together and there is an opening between the lower and upper front teeth.


Gaps between teeth


A crossbite occurs when one or more of your upper teeth don’t
line up with the appropriate lower tooth or teeth.


Crowded or overlapped teeth

Taking Care of Your Teeth With Braces

  • Brush and floss Consistently. Taking care of your teeth is always important, but even more critical when you have braces since plaque can easily build up around the edges of the brackets. If plaque isn’t properly removed, it can affect the enamel and cause white or brown stains that can be permanent. We recommend more frequent visits to help you get under the brackets and to make sure your gums and teeth stay healthy. We will also give you tips and tools and show you how to brush and floss effectively for a beautiful smile.
  • Avoid foods that are not braces-friendly. Sticky, chewy foods like gum, caramels and gummies should be avoided during your orthodontic treatment. Also really hard things like ice cubes and nuts. This not only will help prevent cavities, but also damage to brackets and distort the wire of the braces.
  • Avoid missing your appointments. Making sure you are seen regularly allows for any adjustments to be made and gives you the opportunity to ask all your questions.


Once your braces have been removed, a retainer can be used to keep your teeth in the right place. Retainers are fixed (attached to the teeth) or removable. They may need to be worn all the time or part of the time depending on each individual person’s case.
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Tips for Weaning Kids off the Pacifier or Thumb Sucking

Pacifiers and Thumbsucking: What You Should Know

Thumb sucking is a habit that starts in utero.  It trains the fetus to suck and swallow, so at birth, they are prepared for breastfeeding.  The use of pacifiers and continued thumb sucking habit after 6 months, can create problems with your child’s growth and development.  Ideally, the tongue should always rest on the roof our mouth.  This allows for proper expansion of the upper and jaw and it is the start position for swallowing.  The use of a pacifier and continued thumb sucking trains our tongue to be in a low position.  In this position the upper jaw is not getting the stimulus it needs to grow and our swallowing habit becomes compromised.  We start using our cheek muscles for swallowing rather than our tongue muscle. Therefore, continued pacifier use and thumb sucking can effect proper growth of the mouth and jaws, alter the alignment of the teeth and create changes in the shape of the roof of the mouth.  If not treated early, it can lead to skeletal changes in jaw alignment, an open bite of the front teeth and excessive overjet commonly referred to as an overbite.

Tips for Weaning Kids off the Pacifier or Thumb Sucking

A few tips for how to stop kids from sucking their thumb and for weaning them off the pacifier:

  • Never yell at your child for using their pacifier or sucking their thumb. Instead, lavish them with praise when they refrain.
  • When deciding to take away something so desired by the child, replace it with something great.  This will act as positive reinforcement. We believe that  Myo Munchees and Myochews are not only can be a great “replacement”, but will also positively impact lip and tongue strength and promote nasal breathing that will help jaw health and development.
  • If stopping cold turkey doesn’t work (this is mostly true for pacifiers), try a gradual approach. Start by taking away the pacifier  during happy times, like when the child is playing at home, then start to eliminate it while outside, eventually just keep the pacifier in the crib before phasing it out completely.
  • Most kids default to sucking their thumb or pacifier when they’re anxious and need comfort. Find out what’s bothering them and try to remedy the situation. Teaching them a few self-soothing techniques can go a long way as well.
  • If they need a pacifier to fall asleep or tend to suck their thumb before bed when they’re tired, try to implement a different bedtime routine that includes things they find calming like reading a bedtime story or taking a bath.
  • Most children that have a thumb sucking habit will also have a habit with the off hand (the other hand that isn’t being used during the habit).  This may be twirling their hair, nail biting.  The off-hand habit has to be recognized and addressed so that both can be resolved.
  • Who doesn’t love prizes? Set goals with your child.  When they achieve the set length of time without sucking their thumb or using a pacifier, give them a reward like letting them choose the next family activity or taking them on a trip to the movies.
  • Show your child the thumb of the hand they suck on vs. the other hand. The thumbsucking thumb is always sparkling clean. Show them the difference and explain that all the germs are going in their mouth and body.

If you’re having trouble helping your child break the habits, schedule an appointment with us today. We can teach you ways to stop thumb sucking and get rid of the pacifier to make sure your child’s development is on track.
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Straight Teeth the Natural Way: Myobrace

Are you noticing your child’s teeth are getting a little crowded?  Or are you concerned about a deep bite they are developing?  There are options available instead of waiting for braces.

3 out of 4 kids have crowded teeth and incorrectly developing jaws.  This can be evident as early as age 3-5.  Traditionally, we have waited until all permanent teeth have erupted to start orthodontics (age 12-14).  Studies have shown that by starting treatment earlier, you can help your child even more.  Myobrace is a pre-orthodontic treatment that can straighten your child’s teeth sooner and without braces. It’s a natural approach to straightening teeth while your child is still growing. You can get started as early as 3-15 for kids!

Why do kids develop crooked teeth?

Modern research has shown that crowded teeth, incorrect jaw development and other orthodontic problems are not caused by big teeth in small jaws or hereditary factors. Nutrition, mouth breathing, tongue thrusting, reverse swallowing and thumb sucking (known as incorrect myofunctional habits) are the real causes. Allergies, asthma and an open mouth posture also contribute to incorrect jaw development. Growing up, most of us have had one or more of these myofunctional problems, which may have been the cause of incorrect dental and facial development.  By correcting these habits, better facial development and straighter teeth are achieved!

Why does mouth breathing cause crooked teeth?

During mouth breathing the tongue is not resting on the roof of the mouth.  It has a lower tongue posture (floor of mouth), cheek muscles narrows the upper jaw and palate.  In effect, the lower jaw does not grow accordingly and stays in a more back position.

Remember the mouth is for eating and the nose is for breathing!

Can’t all these concerns be treated with Invisalign?

Orthodontics is the best way to move/align teeth.  However, it does not treat the reason why children have developed the malocclusion.  It does not treat oral habits.  Therefore, after going through braces or Invisalign relapse can occur.

How can Myobrace help?

These appliances are designed to train the tongue to position correctly in the upper jaw, retrain the oral musculature and exert light forces to align the teeth.

Wearing a Myobrace appliance for one to two hours each day and overnight while sleeping, combined with a series of ‘myofunctional exercises’ (also known as the Trainer Activities) each day is all that is required in the treatment process. In a small number of cases, fixed braces may be required for a short time to provide optimal alignment.

The Myobrace System differs from other orthodontic forms of treatment as it is not only aimed at straightening the teeth, but is primarily directed at correcting the causes of crooked teeth and underdeveloped jaws. This works best for patients who are still growing, around the ages of six to ten. Effective treatment can be done outside of these ages, but habits become harder to correct in older patients.  Compliance is very important!

Myobrace treatment goals:

  • Lips together at rest
  • Correct tongue position on tag
  • No facial muscle activity during swallowing
  • Good facial development
  • No braces, retainers or extractions (when possible)
  • Straight teeth
  • Healthy hard-food diet

How does Myobrace work?

Myobrace is an evolution of functional appliances that includes myofunctional therapy.  It allows early treatment with these appliances that addresses the causes of malocclusion while the child is still growing.  It is based on myofunctional therapy exercises, but systemized and modernized so compliance and reproducibility are achieved.

Children wear their myobrace 1-2 hours during the day and while sleeping at night. Goals while wearing the myobrace are tongue on the tag, lips together and breathing through your nose.

Each month a new activity will be given to the child to master. These activities are to be done everyday for 2-5 minutes using an activities app.  The activities focus on breathing exercises, tongue and  correct swallowing training.  All to achieve optimal development.  We make the activities fun!

Unique features of the Myobrace Appliance

  • Tooth channels – align the front teeth
  • Tongue Tag – trains the tongue position
  • Lip Bumper – trains the lower lip
  • Frankel gage – Expands the arch form

During treatment, kids are to wear their myobrace 1-2 hours during the day (can be broken up) and while sleeping at night.

Each month a new activity will be given to the child to master. These activities are to be done everyday for 2-5 minutes.  We make them fun and are available on an app! The myobrace treatment program is customized for each child’s needs and age.  Treatment is divided into 3 phases.  Oral habit elimination, expansion and alignment/retention.

Ready to get started? Call us to schedule a consultation appointment!

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Lip and Tongue Tie Releases

What is a tongue tie?

A tongue tie is when a tight thin string of tissue (lingual frenum) under the tongue restricts the movement of the tongue. We are all born with a lingual frenum, it connects the tongue to the floor of the mouth. However, for some newborns if the frenum is too tight or tethered it will impact the movement of the tongue and possibly the ability for the infant to breastfeed due to a poor latch.

What is a lip tie?

A lip tie is commonly seen in babies that also have a tongue tie. It occurs when the tissue attachment between the upper lip and upper gum (labial frenum) is too tight. This can also hinder nursing since the baby cannot flange around the breast to create a proper seal.

Signs & Symptoms of Lip & Tongue Ties:


  • Pain and damage of nipple while nursing
  • Flattened nipples after breastfeeding
  • Prolonged feedings
  • Poor breast drainage and decreased milk production


  • Poor weight gain
  • Popping on and off the breast
  • Noisy suckling or clicking
  • Leaking on the sides of the mouth
  • Coughing or gagging
  • Gas pain
  • Reflux or colic symptoms
  • Noisy breathing or snoring while sleeping

Diagnosis and Treatment
During our examination, we evaluate the infant’s function. Not all ties cause problems and require correction. Therefore, each patient with a lip and tongue tie are evaluated to see how the restriction affects mobility and function.

If release or revision of the tie is indicated, the LightScalpel laser is used.  For best results, lip and tongue exercises and stretches must be done after treatment and breastfeeding support with a lactation consultant is highly recommended. We also encourage bodywork with a Chiropractor and or Osteopath.

Children and Adults:
We perform our frenectomies with a state of the art CO2 Lightscalpel laser https://www.lightscalpel.com/patient-laser-surgery/ . Dr. Hendricks has also been trained by Dr. Zaghi at the Breathe Institute in Los Angeles to release tethered oral tissues using scissors and suture technique https://www.thebreatheinstitute.com/tonguetierelease.html . When doing all of our release procedures we use with a multidisciplinary protocol to achieve success. This integrates myofunctional therapy both before and after the release. This allows for optimal results and lessens the possibility of tissue reattachment and scaring. The tongue is an integral organ in our body that has the ability to shape orofacial structures and musculature. We want to optimize growth, development and function of children from birth onwards.

Why it’s important to release a tongue tie in a child and/or adult:
Our goal for each of our patients is optimal growth and development. There is a direct connection between breathing, sleeping, tongue and lip function. Form always follows function. We evaluate each patient to see if the tongue restriction is inhibiting optimal function. Our tongue should comfortably rest in the roof of our mouth at rest and when we swallow. In this position, the tongue is creating pressure on the upper jaw to grow and develop properly. We evaluate each patient and start with myofunctional exercises to strengthen the tongue and establish nasal breathing. As we re-train and strengthen the tongue we will re-evaluate to see if tongue mobility has been improved or a release is necessary.

We offer in-office Lip and Tongue laser frenectomy releases to assist babies, children and adults attain optimal growth and development. Book your consultation today!

Is Invisalign Right For You?

The Invisalign treatment consists of a series of clear, snap-on, custom fit, removable mouth trays or aligners that apply a controlled amount of force to your teeth, forcing them to shift. The system provides the same beautiful results as traditional braces, but since the trays are made of clear plastic, they are virtually invisible. In addition, because Invisalign trays are removable, they can be taken out while eating, drinking, brushing and flossing.

Why Invisalign?

Healthier Teeth

Swollen, red gums can often be the result of having teeth that are crowded or too widely spaced. Unfortunately, these are also signs of periodontal disease. When teeth are properly aligned, it helps the gums fit more securely around the teeth, allowing for the strongest and healthiest defense against potential periodontal problems. That’s where Invisalign comes in. The comfortable and clear aligners gently and gradually begin to move your teeth into the proper position – without unsightly brackets and wires.

Easier Cleaning

One of the biggest challenges of having braces is removing all the food that gets trapped in the brackets and wires. This can often lead to plaque buildup and eventually tooth decay. With Invisalign, the aligners are removable, so it’s easy to continue brushing and flossing your teeth the way you normally do.

How It Works

Invisalign works a lot like braces, except without any of the bracket, wires and other contraptions often used to straighten and enhance your smile. We will start off with an impression, photos, and all necessary x-rays of your teeth. From there, a series of “aligners” will be fashioned each crafted to gradually make subtle changes in the position of your teeth. Every two weeks you’ll switch out one aligner for the next in the series to progressively shift your teeth into place. The easiest way to look at it is as a systematic modification in the position of your teeth in stages. As time goes by, the position of your teeth will slowly move closer to their intended goal, just like regular braces.

Invisalign is an orthodontic treatment without brackets or wires.

It uses a patented proprietary system that uses 3D modeling software and cutting-edge manufacturing technology to provide a clear, removable solution for straightening teeth. Invisalign is effective at treating a wide variety of orthodontic issues including: crowding, spacing, overbite, under bite, deep bites and open bite.

We are proud to introduce the new iTero element scanner to Harvard Rd Dental Care!  Within minutes we can show our patients the outcome of their Invisalign treatment.

  •   The ClinCheck which shows how teeth incrementally move with each aligner is also available twice as fast.
  •   The iTero scanner takes the most accurate record of your teeth, which translates into aligners fitting seven times better than with traditional impressions.
  •   The best part is that there is no mess or goop like with traditional impressions!

Ask us at your next visit, how “Invisalign” can change your smile!
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TMJ Disorders: Symptoms, Causes & What You Can Do About It

What is TMJ?

TMJ stands for temporomandibular joint, or the jaw joint. Each person has two, one in front of each ear. The TMJ is the joint formed by the temporal bone of the skull with the lower jaw or mandible. This is the most highly used joint in the body. It moves every time we chew, talk or swallow. Unlike the shoulder or knee, which are ball-and-socket joints, the TMJ is a sliding joint. The sliding allows for pressure placed on the joint to be distributed throughout the joint and not just in one area.

Between the two bones that make up the TMJ is a disc, just like those between the bones on your back. Made primarily of cartilage, in the TMJ the disc acts like a third bone. Because it is attached to a muscle, the disc actually moves with certain movements.

Properly Functioning TMJ

A TMJ disorder is a disruption in the action of the jaw, usually accompanied by pain. There are a number of conditions affecting the function of the jaw that can cause one of these disorders. Fortunately, since the jaw is made up of bone and other living tissue, it is alive, making it capable of repair and healing. However, any malfunction prevents the complex system of muscles, bones and joints from working together in harmony. The result is a TMJ disorder – also known as TMD or CMD (cranio-mandibular dysfunction). Generally, a malfunction of one or both of these jaw joints is caused by trauma, whiplash, bad bite (malocclusion), poor posture, teeth grinding or skeletal malformation. It is estimated that one in every four people suffer from TMJ symptoms.

Displaced TMJ


People with TMJ problems generally experience one or more of the following symptoms:

  • Chronic recurring headaches
  • Clicking, popping or grating sound in the jaw joints
  • Earaches, congestion or ringing ears
  • Limited jaw opening or locking
  • Dizziness
  • Pain when chewing
  • Neck and/or throat pain
  • Difficulty in closing the teeth together
  • Tired, tight jaws
  • Pain behind the eyes
  • Tenderness and pain in muscles of the face and neck
  • Swallowing difficulty
  • Pain in the tongue, gums or cheek muscles
  • Teeth grinding or clenching

TMJ can be treated using a nightguard specifically for TMJ, or a TMJ appliance.
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