Restorative Dental Care

Smile Design

If you would like to improve your smile, we offer our patients a service called Smile Design. It is a simple exam which includes discussing what your wants are, needs and exploring your options. 

With the advances in dental care we can restore teeth that are decayed, chipped, cracked, discolored or even missing. Whether it’s a filling, crown, implant or bridge, there are many techniques we can use to help restore your smile, which are designed to look and feel natural. Stop hiding your smile and let us help you restore your confidence! Call for a consultation today. 


  • lebanon-nh-dentist-crownsA crown can restore a broken, cracked or decayed tooth to optimum function, appearance and durability. A crown usually lasts for years, depending on the health of the surrounding tissue. We have various options available for materials including porcelain, gold and combinations of the two. Dr. Schell and Dr. Noble will discuss with you their recommendation, based on your specific need.

    Generally, our crown procedure is performed over two visits. On your first visit, we remove damaged tooth structure, rebuild the tooth with a bonded core filling material, and shape it for a proper fit. We then make a temporary acrylic restoration that fits on your tooth to protect it between visits. We also take impressions and photographs and send them to the dental lab where your crown will be made. A few weeks later, at your second visit, we replace the temporary crown with your custom crown, evaluate the fit, make any necessary adjustments, then permanently cement your new crown in place.

  • dental-implants-lebanon-nh-upper-valley-nh-dentistReplacing missing teeth allows patients to regain chewing function and improve appearance. One option for replacing teeth is implants.

    In this state-of-the-art technique, a titanium root is surgically placed in the bone. Once healed, approximately three to six months later, we complete the restoration by adding a crown. The completed restoration is comfortable, functional and looks completely natural. This procedure is completed without compromising the adjacent teeth.

  • Hydro/air abrasion uses water mixed with aluminum oxide particles under pressure to remove decay in small cavities, often without anesthesia. This enables us to conserve tooth structure and eliminates vibrational microfractures sometimes associated with use of the high speed hand piece to treat cavities.

  • This procedure is often used when fillings are required on front teeth. A composite resin material is color matched to your teeth, applied to bond with the enamel, and polished to blend in with your remaining tooth structure. The bonding procedure is completed in one visit and results in a natural looking restoration. This procedure is also referred to as composite veneers and can be used for cosmetic purposes as well.

    Composite resin restorations for back teeth that are decayed, chipped or stained are also an excellent esthetic option for patients who do not want the look of silver in their mouth.

  • Gold is the most long lasting restorative material used in dentistry. Strong and forgiving, its smooth surface contributes to better plaque control. Gold restorations preserve as much tooth structure as possible to help prevent more extensive treatment in the future. The superiority of gold in terms of protection against recurrent decay, precision of fabrication and ease of cleansing make it an excellent restorative choice. Two of the most common uses for gold in restorative work are inlays and onlays.

    Gold inlays are a strong, long lasting alternative to tooth colored or silver amalgam fillings on back teeth.

    A gold onlay is used to replace one or more cusps of a back tooth that has been compromised by decay or fracture. It is a conservative alternative to a full crown that takes advantage of the superior restorative and long lasting properties of gold.

    Both inlays and onlays are two visit procedures. During the first visit, we will prepare the tooth, make impressions and create temporary fittings. On your second visit, approximately four weeks later, we permanently cement the gold restoration in place.

  • Porcelain veneers are thin layers of dental porcelain that are custom fitted and bonded to the front surface of your teeth. They have a glass-like translucency that closely mimics tooth enamel and creates a natural looking tooth surface. This material is very durable and stain resistant. Often used in cosmetic dentistry, porcelain veneers also protect the surface of damaged teeth that are cracked, chipped or worn and may eliminate the need for more extensive dental treatments later. You also receive the added benefit of a beautiful, bright smile.

    Two visits are required. The first visit includes preparing your teeth to accept the porcelain veneers and taking impressions. Temporary veneers are also put in place. At your second visit, the temporary veneers will be removed and the tooth surface polished. The porcelain veneers will then be permanently bonded to your teeth.

  • These restorations replace missing teeth by attaching a replacement crown (or crowns) on either side of the missing tooth. This is usually a three-visit procedure and does not involve any surgery. The permanent bridge is the same size as your natural teeth and is both functional and aesthetic.

  • Dentures are generally used to replace a number of teeth in the top or bottom of the mouth and are an economical alternative to multiple teeth replacement. In many cases, cast metal framework partial dentures are a functional option to fixed bridgework or implants. Dentures are also removable for cleaning.