About Us

Welcome to Seaver & Pittman, D.D.S and Blountville Dental Associates. Our office is dedicated to your entire family’s dental care, offering a warm and welcoming environment for children and adults alike. Our goal is to provide you with the most pleasant dental experience possible. We pride ourselves on striving for pain-free dentistry, by utilizing state-of-the-art technology as well as Sedation Dentistry. Some of our advanced procedures include: Invisalign, implants, one visit Cerec onlays and crowns, and Veneers.

We have two locations to better serve you. Visit us at either our Bristol, VA or Blountville, TN location. Both offices are currently accepting new patients. We participate with several insurance companies, as well as VA Medicaid and TennCare.

We believe that making your smile the best it can be will go a long way in improving your quality of life. We offer the most current technologies in cosmetic dentistry to create a dazzling smile that you will be proud to show. A beautiful smile builds confidence; and healthy teeth and gums improve your overall health. We strive to be your partner in achieving both!

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Our Goals list

  • 100%
    Patient Satisfaction
  • 100%
    Patient Comfort

Meet the Team users

  • James M. Seaver DDS

    read more…James M. SeaverDr. Seaver is a Bristol, Virginia native. He graduated from Virginia High School in 1972 and went on to earn his Bachelor of Science in Biology from King College in 1976. He continued his education in Richmond at the Medical College of Virginia, where he received his Doctorate in Dental Surgery in 1980.

    Upon receiving his degree, Dr. Seaver returned home and began practicing dentistry in Abingdon, VA and later Bristol, TN. In 1981 he established his own practice in Bristol, VA, which has been successful for over 30 years. Over the years Dr. Seaver has served term as president of the Bristol Dental Society and President of the Board of Directors for the Theatre Bristol. He currently resides in Bristol, TN with his wife, Sharon. He has three daughters: Ashley, Anna, and Hailey.

  • Tyler L. Pittman DDS

    read more…Tyler L. PittmanDr. Pittman is originally from Johnson City, Tennessee. He graduated from Tri-Cities Christian High School in 1990, and completed his undergraduate education at King College in Bristol, TN with a Bachelors degree of Science. He then attended dental school at The University of Tennessee, graduating with a D.D.S.

    After graduating from dental school, Dr. Pittman returned to the Tri-cites and joined Dr. Seaver at this practice. Dr. Pittman currently lives in Bristol, TN with his wife Denise and children: Kayla and Zach.

  • Michael Cagle DDS

    read more…Michael CagleDr. Cagle grew up in Johnson City, Tennessee. After graduating from Science Hill High School, he went on to receive his BS in Biochemistry from the University of Tennessee at Chattanooga. After deciding to pursue a career in Dentistry, Dr. Cagle graduated with Highest Honors from the University of Tennessee School of Dentistry. He next completed a one year Advanced Education in General Dentistry residency in Birmingham, Alabama which was heavily focused on Dental Implants and IV sedation.

    Dr. Cagle recently returned home to the Tri-Cities with his wife Catherine and his 8 month old son Pierce. In his free time, he enjoys spending time on the lake and in the mountains with friends and family, and the occasional round of golf.

  • Amelia Dinwiddie DDS

    read more…Amelia DinwiddieDr. Dinwiddie is originally from western Tennessee. She is a graduate of University of Tennessee Memphis Dental School. In her down time, Dr Dinwiddie enjoys hiking and camping.×


Services Provided layers

+ Bone Grafting

Bone grafting is often closely associated with dental restorations, such as bridge work and dental implants. In the majority of cases, the success of a restoration procedure can depend on the height, depth, and width of the jawbone at the implant site. When the jawbone has receded or sustained significant damage, the foundation is unstable and the implant(s) cannot be supported. This is when bone grafting is usually recommended for the ensuing restoration.

Read More Periodontal Disease – Periodontal disease can affect and permanently damage the jawbone that supports the teeth. Affected areas will progressively get worse until the teeth become unstable.

Tooth Extraction – Studies have shown that patients who have undergone an extraction procedure subsequently lose 40-60% of the bone surrounding the extraction site during the following three years. Loss of bone results in what is called a “bone defect”.

Injuries and Infections – Dental injuries and other physical injuries resulting from a blow to the jaw can cause the bone to recede. Infections can also cause the jaw bone to recede in a similar way.

Reasons for bone grafts

Bone grafting is a highly successful procedure in most cases. It is also a preferred alternative to having missing teeth, diseased teeth, or tooth deformities. Bone grafting can increase the height or width of the jawbone and fill in voids and defects in the bone.

There are essentially two basic ways in which bone grafting can positively impact the health and stability of the teeth:

Jaw Stabilization – Bone grafting stabilizes and helps restore the jaw foundation for restorative or implant surgery. Deformities can also be corrected and the restructuring of the bone can provide added support.

Preservation – Bone grafting can be used to limit or prevent bone recession following a tooth extraction, periodontal disease, or other invasive processes. Oral Examination

Initially, the dentist will thoroughly examine the affected area in order to assess the general condition of the teeth and gums. If periodontal disease is present or the adjacent teeth are in poor condition, these factors will be fully addressed before the bone grafting procedure can begin. The dentist will also recommend panoramic x- rays in order to assess the precise depth and width of the existing bone. On occasion, a CAT scan may be recommended to determine the bone condition. Depending on these results, the dentist may also numb the area and explore into the gum in order to determine what kind and how much bone is required.

What Does Bone Grafting Involve?

The bone grafting procedure can often take several months to complete. Bone is typically harvested from your own body (or on rare occasions obtained from a “bone bank”) and added to the affected site. This bone will fuse with the existing bone and the migration of cells will cause firm adhesion and cell growth. Supplementing the jaw with bone will result in greater bone mass to help support and anchor the implant(s).

There are several types of bone grafts. Your dentist will determine the best type for your particular condition.

Autogenous Bone Graft – Harvested from the patient’s own body (usually from the posterior part of the lower jaw or the chin). This method is usually preferred because it produces the most predictable results.

Allograft Bone Graft – Cadaver or synthetic bone is used in this type of graft.

Xenograft – Cow bone is used in this type of graft. During the surgery, the dentist will numb the grafting and extraction sites using local anesthetic. A small incision will be made to prepare the site for the new bone and it will be anchored into place. On occasion, a synthetic membrane may be used to cover the new bone. This membrane prevents soft tissue and bacterial invasions, and encourages new bone growth. The surgery does not require an overnight stay, and you will be provided with instructions for your post-operative care. The dentist will prescribe medications to help manage infection, discomfort and swelling.

+ Crowns

Over time, large fillings, especially amalgam metal filings, can allow teeth to fracture while chewing or grinding. Depending on the severity of the crack, the dentist may decide that a tooth needs a root canal or needs to be removed. A crown is a restoration that will recreate tooth enamel and reseal the entire tooth, protecting it from premature damage or loss. Crowns completely cover a tooth or dental implant and are made to blend in with your own smile. Through careful consideration of an individual patient’s needs and the aid of digital X-rays and photographs, a crown is created that will closely match the surrounding teeth.

Read More Although there are several types of crowns, porcelain (tooth colored crown) are the most popular, because they resemble your natural teeth. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:
  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.
  • Tooth has a root canal.
What does getting a crown involve?

A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly. At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

+ Cosmetic Dentistry

Embarrassed by your smile? We have the ability to do a complete smile makeover with a combination of procedures to get the smile you’ve always wanted. Our dentist would be happy to sit down with you and go over what procedures will be best for you.

Read More Some of the procedures we offer are:
  • Teeth Whitening
  • Replacing missing teeth with Implants or Bridges
  • Straightening teeth with Invisaline
  • Closing gaps between teeth
  • Repairing chipped or broken teeth with Fillings, Crowns, or Veneers
  • Reshaping teeth to match other or to look more esthetically pleasing
  • Replacing old silver fillings with tooth colored fillings

+ Dental Implants

Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances.

Read More Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone. The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!

Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.

Reasons for dental implants:

Replace one or more missing teeth without affecting adjacent teeth. Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
  • Restore a patient’s confident smile.
  • Restore chewing, speech, and digestion.
  • Restore or enhance facial tissues.
  • Support a bridge or denture, making them more secure and comfortable.
What does getting dental implants involve?

The process of getting implants requires a number of visits over several months.

X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months. Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place. With other implants the post and anchor are already attached and placed at the same time.

After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step may take one to two months to complete. After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.

+ Dentures & Partial Dentures

A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.

Read MoreThere are two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.

A Complete denture may be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks. During this time the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made. Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.

Reasons for dentures:
  • Complete Denture – Loss of all teeth in an arch.
  • Partial Denture – Loss of several teeth in an arch.
  • Enhancing smile and facial tissues.
  • Improving chewing, speech, and digestion.
What does getting dentures involve?

The process of getting dentures requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.

+ Endodontics / Root Canal Therapy

Endodontics is one of the dental specialties dealing with tooth pulp and tissues surrounding the root of a tooth. It involves many procedures such as root canal therapy, treating cracked teeth and dental trauma. The signs of root canal problems are well familiar: severe pain, swelling, sensitivity to hot or cold water or a darkening tooth. In the past root canal therapy was unpleasant, thanks to modern dentistry you don’t have to fear root canals anymore. You will be surprised how comfortable modern root canal therapy can be.

Read More Root Canal Therapy

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Signs and symptoms for possible root canal therapy:
  • An abscess (or pimple) on the gums.
  • Sensitivity to hot and cold.
  • Severe toothache pain.
  • Sometimes no symptoms are present.
  • Swelling and/or tenderness.
Reasons for root canal therapy:

Decay has reached the tooth pulp (the living tissue inside the tooth). Infection or abscess have developed inside the tooth or at the root tip. Injury or trauma to the tooth.

What does root canal therapy involve?

A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist). While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva. An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria. If tooth decay is present, it will also be removed with special dental instruments. Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.

At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, all teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function.

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed. You will be given care instructions after each appointment. Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

+ Extractions

You may need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

Read More The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, the doctor will discuss alternatives to extractions as well replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jawbone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a tooth

Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.

After Extraction Home Care


Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.

Blood clots that form in the empty socket.

This is an important part of the healing process and you must be careful not to dislodge the clot.

Avoid rinsing or spitting for 24 hours after the extraction. Avoid use of a straw, smoking or hot liquids.


If swelling occurs you can place ice on your face for 10 minutes and off for 20 minutes. Repeat this cycle as you feel necessary for up to 24 hours.

Pain and Medications

If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.


For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid diet may be recommended for 24 hours.

Brushing and Cleaning

After the extraction avoid brushing the teeth near the extraction site for one day. After that you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.

Dry Socket

Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.

Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain, which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry.

The doctor will apply a medicated dressing to the dry socket to sooth the pain.


After a tooth has been extracted there will be a resulting hole in your jawbone where the tooth was. In time, this will smooth and fill in with bone. This process can take many weeks or months. However, after 1-2 weeks you should no longer notice any inconvenience.

+ Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth. There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Read More Reasons for a fixed bridge:
  • Fill space of missing teeth.
  • Maintain facial shape.
  • Prevent remaining teeth from drifting out of position.
  • Restore chewing and speaking ability.
  • Restore your smile.
  • Upgrade from a removable partial denture to a permanent dental appliance.
What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be created. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.

+ Full mouth reconstruction

Full mouth reconstruction uses many different methods of dentistry, like bonding, veneers, crowns, and dental implants to correct problems you are having in your mouth. A cosmetic dentist will perform any combination of these methods and others in order to make sure that your smile is beautiful and to relieve tension in the jaw and neck.

Read More If you are in need of full mouth reconstruction our dentist will work on rebuilding and restoring the teeth on both your upper and lower jaws. Full Mouth Reconstruction is similar to getting a smile makeover, the difference is that full mouth reconstruction needs to be done in order to make your mouth healthy while a smile makeover is performed by the patient’s choice.

You may need full mouth reconstruction if you have lost teeth due to decay or trauma, or have injured or fractured teeth. Other reasons our dentist might suggest full mouth reconstruction are if you have severely worn teeth as a result of longterm acid erosion or ongoing problems with your jaw muscle that cause headache pain and require adjustments to your bite.

If you feel that you are in need of full mouth reconstruction, visit office so that the dentist can examine your mouth. After doing this, the dentist will be able to determine what procedures need to be done to give you a healthy and beautiful smile.

Most full mouth reconstruction could take up to or over a year to be completed. Since there are multiple procedures that the dentist will need to perform, you may be in our office for many visits. If you are a candidate for full mouth reconstruction, the dentist will sit down with you and go over what procedures you will need to have done step-by-step.

+ Onlay Restorations

An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. An onlay is sometimes also referred to as a partial crown. It is made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.

Read More Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.

Reasons for onlay restorations:
  • Broken or fractured teeth
  • Cosmetic enhancement
  • Decayed teeth
  • Fractured fillings
  • Large fillings
What does getting an onlay involve?

An onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration. A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory. At your second appointment, your new onlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

+ Invisalign

Invisalign is an excellent alternative to braces. It is a series of aligners that shift your teeth into place. Because of Invisalign, you can now straighten your teeth without others noticing that you are doing so.

Read More Treatment is a series of aligners that get replaced almost every two weeks. Each aligner gradually shifts your teeth into place and is custom made for your own mouth.

Invisalign SmileThe Dentist will take an impression of your teeth to create Invisalign aligners that fit in your mouth and are customized to your teeth. Invisalign aligners are removable, so you can take them out to eat, drink, or for special occasions. The great thing about Invisalign is that it is invisible, so others won’t be able to see that you are wearing your aligners. The edges of your aligners will be smooth, so they will be comfortable to wear and won’t irritate your gums.

On your first visit, you will discuss the results that you wish to have with your teeth. If it is decided that Invisalign is right for you, then the dentist will make an impression of your teeth and some pictures will be taken. Next, the impressions of your teeth will be turned into a 3-D, computerized image. The Invisalign dentist will determine the movement of your teeth throughout your Invisalign treatment and you will see a virtual representation of what your teeth look like now and what they will look like during, and after using Invisalign. Finally, your aligners will be created and should be worn at all times, except while eating and drinking. A timeline will have been determined between you and the cosmetic dentist. You will come into our office for occasional check-ups and after using Invisalign, will have a beautiful, straight smile.

+ CEREC Same Day Crowns

We know how important your oral health is for you and we also know that as busy people, time is equally important. We aim to provide patients with efficient dental crowns in the shortest time possible. We are now able to offer same day crowns with the latest in dental technology: CEREC.

Read More CEREC is a dental device that allows crowns to be milled and restored into the patient’s mouth in one day. It uses the CAD/CAM, or “Computer-Aided Design” and “Computer-Aided Manufacturing” technology, in order to create the patient’s dental crown in one appointment.

Instead of wearing a temporary crown for a few weeks, we deliver the crown in the same appointment. Your tooth is scanned by a computer, the restoration is designed and then milled to completion. The crown is then delivered by your dentist before the anesthesia (numbness) even wears off.

The Process

The dentist administers an anesthetic and prepares your tooth for the restoration, removing decayed and weakened tooth tissue. This preparation is just like he or she would do for many other restorative techniques.

Then, the CEREC machine helps the Dentist create the restoration for your tooth. The CEREC 3D software takes the digital picture and converts it into a 3- dimensional virtual model on the computer screen. Your Dentist then uses his or her dental expertise to design the restoration using the CEREC 3D computer program. Within a few minutes, your Dentist clicks a button, and the restoration design data is sent to a separate milling machine in the office. A ceramic block that matches your tooth shade is placed in the milling machine. About 10 – 20 minutes later, your all-ceramic, tooth-colored restoration is finished and ready to bond in place. Finally, your Dentist tries the restoration in your mouth to ensure proper fit and bite. The restoration is then polished and bonded to the prepared tooth. Your tooth is restored with no temporary crown or return trip necessary. All of this is done in a single appointment!

+ Periodontics

Gum disease, also known as periodontal disease, is a serious condition in which the gums and bone around the teeth are infected. This infection is caused by plaque and tartar. This in turn can eat away at the gums and bone and cause irreversible damage to your mouth.

Read More Gum disease starts with the formation of plaque. When you eat starchy or sugary foods, it mixes with your saliva and becomes food for bacterial plaque. When this bacterial plaque is not removed properly with regular and effective brushing and flossing, it gains strength as it accumulates around the gum line. This causes inflammation of the gums, also known as gingivitis. Eventually, it causes bone loss, which is known as periodontitis. The most serious ramifications of gum disease, if left untreated, is tooth loss. This is an irreversible result of extreme periodontal disease.

Health Risks Associated with Periodontal Disease

Experts have identified a link between periodontal disease and heart disease. In fact, research indicates that individuals with periodontal disease are nearly twice as likely to develop coronary artery disease. Since periodontal disease is a bacterial infection, the bacterium that causes periodontal disease can enter the bloodstream. If this happens, new infections can develop in other vital organs, including the heart. In addition, periodontal disease is also believed to be linked to respiratory diseases, diabetes, and osteoporosis.


In its early stages, periodontal disease is reversible with professional treatment and good oral care. Since there are often no outward symptoms of periodontal disease in its early stages, it is very important that you have regular dental hygiene check-ups. For many patients, early periodontal disease can be effectively treated with scaling and root planning, eliminating the need for more invasive periodontal surgery. Prior to your scaling and root planning, your gums and the roots of your teeth will be numbed using local anesthetic. Once the anesthetic takes effect, we will thoroughly clean the root surfaces and deep periodontal pockets to remove plaque, tartar, and bacteria.

+ Sealants

A sealant is a thin, plastic coating applied to the chewing surface of molars, premolars and any deep grooves (called pits and fissures) of teeth. More than 75% of dental decay begins in these deep grooves. Teeth with these conditions are hard to clean and are very susceptible to decay. A sealant protects the tooth by sealing deep grooves, creating a smooth, easy to clean surface. Sealants can protect teeth from decay for many years, but need to be checked for wear and chipping at regular dental visits.

Read More Children and teenagers – As soon as the six-year molars (the first permanent back teeth) appear or any time throughout the cavity prone years of 6-16.

Adults – Tooth surfaces without decay that have deep grooves or depressions.

Baby teeth – Occasionally done if teeth have deep grooves or depressions and child is cavity prone.

What do sealants involve?

Sealants are easily applied by your dentist or dental hygienist and the process takes only a couple of minutes per tooth.

The teeth to be sealed are thoroughly cleaned and then surrounded with cotton to keep the area dry. A special solution is applied to the enamel surface to help the sealant bond to the teeth. The teeth are then rinsed and dried. Sealant material is carefully painted onto the enamel surface to cover the deep grooves or depressions. Depending on the type of sealant used, the material will either harden automatically or with a special curing light.

+ Sedation Dentistry

Many people avoid going to the dentist because of fear and anxiety. These fears can keep patients from getting much needed dental work completed or keep them from making their routine maintenance and cleaning visits. This can effect the individual’s oral health care when it is not regularly addressed by a professional. With sedation dentistry, a dental visit will no longer be a frightening or uncomfortable experience.

Read More Sedation dentistry allows a patient to relax and have a pleasurable experience at the dentist, instead of one based off of fear and anxiety. Sedation can be used for anything from routine cleanings to multiple procedures, such as veneers, root canals, or extensive cosmetic work.

Sedation dentistry does not mean that the patient will be unconscious. The oral sedation medication we use helps to reduce the anxiety level and relax the patient to the point where he or she will be in a state similar to sleep and will feel no anxiety during the treatment. We also offer a moderate sedation with nitrous oxide (laughing gas) which will bring about a state of complete relaxation. A local anesthetic is also administered so that there will be no pain.

+ Teeth Whitening

Teeth whitening (or bleaching) is a simple, non-invasive dental treatment used to change the color of natural tooth enamel and is an ideal way to enhance the beauty of your smile.

Read More Because having whiter teeth has now become the number one aesthetic concern of most patients, there are a number of ways to whiten teeth. The most popular method is using a home teeth whitening system that will whiten teeth dramatically. Since teeth whitening only works on natural tooth enamel, it is important to evaluate replacement of any old fillings, crowns, etc. Replacement of any restorations will be done after bleaching so they will match the newly bleached teeth.

Teeth whitening is not permanent. A touch-up maybe needed every several years, and more often if you smoke, drink coffee, tea, or wine.

Reasons for teeth whitening:
  • Fluorosis (excessive fluoridation during tooth development).
  • Normal wear of outer tooth layer.
  • Stained teeth due to medications (tetracycline, etc.).
  • Yellow, brown stained teeth.
What does teeth whitening involve?

This type of teeth whitening usually requires two visits. At the first appointment, impressions (molds) will be made of your teeth to create custom, clear plastic, trays.

At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary. The trays are worn with special whitening solution either twice a day for 30 minutes or overnight for a couple of weeks depending on the degree of staining and desired level of whitening. It is normal to experience tooth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.

+ Veneers

Porcelain veneers are applied to the front of your teeth in order to improve teeth that are discolored, worn, chipped, or misaligned. Veneers are thin shells of porcelain that are bonded to the front side of teeth to change the color, shape, size, or length of a tooth. They do an excellent job of resisting stains and reflecting light similarly to how your own teeth reflect light.

Read More Our dentist would suggest porcelain veneers to improve teeth that are discolored, worn down, chipped, or broken. They can also be used to fix teeth that are misaligned, uneven, or irregularly shaped. Porcelain veneers can be applied to close gaps between teeth as well.

You will sit down with the dentist to explain how you expect your teeth to look at the end of this process. The dentist will explain to you what your options are and if dental veneers are appropriate for you. He may take X-rays and make an impression of your teeth. The dentist will prepare your tooth for its veneer by removing a small portion of enamel from the surface of your tooth to make room for it. There may be a need for local anesthesia while this is being done. He will then make a model of your tooth which will be sent to a dental laboratory.

Your veneer will be constructed there and once the dentist receives it, he will make sure that your veneers are the correct fit and color. The dentist will fix the veneer until it has the proper fit and appearance. Next your teeth will be cleaned and polished and the veneer will be placed onto your tooth using special cement. A light will be held over your tooth to quickly harden the cement. Finally, the dentist will remove excess cement and check your occlusion. You will leave our office with a brand new smile and return for a follow-up in order to check that everything is still well.

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Bristol, VA Office 1740 Euclid Ave.
Bristol VA 24201

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Blountville, TN Office 1990 Hwy 394
Suite J
Blountville TN 37617
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