Restorative Dentistry – Lancaster PA, Columbia - Dr. Gilbert Palmieri

Restorative Dentistry for Healthy Smiles

Dental Implants

If you are missing teeth, dental implants can offer unmatched support for your restorations. Surgically implanted in the jawbone, dental implants mimic a natural tooth root, providing incredible durability and stability. Patients can enjoy a lifetime of support, and not have to worry about their restorations slipping when they speak, laugh, and eat. Dr. Palmieri can perform a range of implant services on-site, including preparatory procedures like bone grafting, your implant surgery, and post-surgical follow-up. 

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All-on-4® by Nobel Biocare™ is a dental implant system that allows Dr. Palmieri to support a complete or partial denture using only four implanted posts. All-on-4® implants are smaller than traditional types, allowing your doctor to maximize your remaining bone. With All-on-4®, even patients with reduced bone quantity and density can enjoy unparalleled support for permanent full-arch restorations. 

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Bone Grafting

A prerequisite for dental implants is a dense, healthy jawbone. For patients who want implants but lack sufficient bone tissue, bone grafting can fortify the jawbone and improve dental implant candidacy. A highly-skilled surgeon, Dr. Palmieri can also perform a sinus lift, socket graft, or ridge augmentation to meet your various oral health needs.  

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Dental Crowns

Sometimes a tooth suffers extensive decay or trauma that cannot be restored with a simple filling. For severely compromised teeth, a dental crown can provide strength and protection, and bring balance to your bite. Crowns are lab-crafted restorations made of porcelain, porcelain fused to metal, or all metal. Crowns can also support bridges, which replace one or more consecutive missing teeth. Traditional dental bridges are held in place by crowns that are attached to adjacent, natural teeth.

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Dentures can replace a full arch of teeth that are missing on the bottom, top, or both. Traditional dentures are held in place with a mild adhesive, and have a tendency to slip out of place during eating or speaking. For improved support, many patients choose implant-supported dentures, which alleviate the worry of dentures becoming loose. Dr. Palmieri offers a range of implant-supported dentures that offer improved function and a more natural appearance. 

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Inlays & Onlays

Sometimes called partial crowns, inlays and onlays are made in a dental lab like a crown, but fit within a tooth like a filling. Inlays fit between the grooves on the biting surface of a tooth, while onlays are placed on the biting surface of a tooth and beyond one or more cusps. In contrast, crowns fit completely over the entire tooth, like a cap. Inlays and onlays provide support that falls between the minimal coverage offered by a filling, and the more extensive reinforcement of a crown.   

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No longer made of dark metal amalgam, fillings are now constructed with composite resin, specially shaded to blend with your natural enamel. Most of us will have dental decay at some point in our lives, and thanks to advanced technologies, we can now benefit from fillings that are indistinguishable from our teeth. Dr. Palmieri is proud to offer tooth-colored fillings, as well as all-gold fillings which may be recommended to better sustain the pressure exerted on back teeth. He can also replace your old metal fillings with tooth-colored restorations. 

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Full Mouth Reconstruction

For patients with a number of restorative needs, a full mouth reconstruction can address all of your concerns with one comprehensive plan. By combining different procedures that are individually tailored just for you, patients can enjoy restored oral health, a better bite, and a more beautiful smile. The convenience of this single treatment plan extends beyond simply meeting your oral healthcare needs - it can also be designed to best fit your budget, schedule, and lifestyle. 

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Dental Bridges

Dental bridges can replace one or a few missing or damaged teeth in a row. A traditional dental bridge is affixed to teeth at either side of the gap with dental crowns. Alternatively, Dr. Palmieri can attach your bridge to dental implants, which offers a permanent solution with additional oral health benefits. In either case, your bridge will look natural and restore your ability to eat, speak, and smile as you normally would.

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