Blog

February 15, 2010

Highlands Ranch Invisalign Removable Orthodontics

Posted under: Delta Dental Denver, Dental practice video, Dentist Highlands Ranch, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver — Dr. James DeLapp @ 10:58 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines Dentistry

How Invisalign works (303) 694-9740

Invisalign is one of several methods used to straighten teeth.  Highlands Ranch dentists, Dr. James DeLapp and Dr. H. Candace DeLappprovide this convenient method used to straighten teeth. Invisalign can be used in many cases but not all cases. Traditional braces with arch wires an brackets are needed in more complex orthodontic cases. Our office has embedded an Invisalign video that describes the process.  Please feel free to contact our Highlands Ranch Invisalign dentists today for a complimentary Invisalign consultation at (303) 694-9740.

Invisalign one of many choices for a better smile

Invisalign removable orthodonticsis one of many different methods used to make your smile more attractive.  The simplest of course would be to get your teeth cleaned on an appropriate basis.  For many patients this would be every six(6) months.  For other patients is can be as frequent as every two to  three months.

Cosmetic Dentistry in Highlands Ranch and Denver

There are many different options for cosmetic dentistry.  Some cases are quite simple while others are complex.  Complex cases involve a combination of Invisalign and some type of whitening or dental veneers. Let our Highlands Ranch dentists provide you with the information to decide which if any particular treatment would be good for you.

Denver Delta Dental “Premiere” “may” help pay for orthodontics

 Delta Dental or your other dental insurance “may” help pay for a portion of your orthodontics whether or not it is traditional orthodontics or Invisalign orthodontics. Typically these have life-time maximums available to you.  Check with your benefits officer to see if you are eligible.  If you can’t find out… give us a call and see if we can help you.

Call our Highlands Ranch dentists today

Please feel free to call our office today at (303) 694-9740.  Our office serves the Lone Tree, Parker, Castle Pines, Centennial, Denver Tech, Greenwood Village and Denver area.

Thanks to Matt and Scott of US Web Central for their help with our Blogs.  They can be reached by clicking on the following link Denver web design and SEO.

January 6, 2010

Antibiotic Prophylaxis for Posthetic Joints Denver Dentist

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, Medicine and Dentistry, Parker Dentist, dentist Denver — Dr. James DeLapp @ 8:06 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines Dentistry

Antibiotic Prophylaxis and Dental treatment of Patients with Joint Replacement

In the winter edition of the Journal of the Colorado Dental Association (2010) Thomas Greany DDS discussed antibiotic coverage for patients with total joint replacement. Denver Dentists Dr. James DeLapp and Dr. H. Candace DeLapp are seeing more and more patients in their practice who have had joint replacement.  What the “potential” worry is about is bacteria in the blood stream of a dental patient can infect the joint complicating its function. Their dental practice serves the Greater Denver area including Highlands Ranch, Lone Tree, Castle Pines, Parker, Ken Caryl, Aurora, and Greenwood Village areas

to view our dental practice video click the following link Denver Dentists dental practice video

Recommendation from 2002 for antibiotic coverage for dental treatment Denver Dentistry

In 2002 a panel of dentists, infectious disease specialists and surgeons reviewed literature to see if antibiotic prophylaxis in needed to prevent infections of prosthetic joints.  This panel concluded that prophylaxis is not indicated for patients with:

  • Pins
  • screws
  • plates
  • “most” (but not all) with total joint replacement

Recommendations for antibiotic pre-medication for joints include:

  • All total joint patients during the first two years following replacement
  • Immuno-compromised
  • immuno-suppressed
  • Co-morbidities
  • Previous joint infections
  • malnourishment
  • Hemophelia
  • HIV
  • Type ! diabetes
  • Malignancy

“New” Changes in the wind for antibiotic premedication?

The 2010  Greany  article sites a new opinion by Oswald and Gould in the Journal of Bone and Joint Surgery (2008)  that stated there is “no evidence to link prosthetic joint infections to dental procedures and none to prove that antibio0tic prophylaxis is effective” The question that needs to be asked is …what to do? Currently our Denver dentists will be following the ADA and American Academy of Orthpaedic Surgeons recommendations until they are updated by these groups. What we wish our patient to understand is the recommendation for antibiotic coverage for joint replacement “may” in time change.

Call our Denver dentists today and make an appointment

Please feel free to call and make an appointment with our Denver and Highlands Ranch dentists today.  The can be reached at (303) 694-9740

Thanks to Scott and Matt of US Web Central for their help with our Blogs.  They can be reached by clicking on the following link Denver web design and SEO

December 17, 2009

Extraction Bone Preservation Denver Dentist

Posted under: Dental Implants, Dental practice video, Dentist Highlands Ranch, Denver Dentist, Denver Web Design, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver, denver seo — Dr. James DeLapp @ 10:21 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryBone Preservation post tooth extraction

When a tooth is removed the bone that supported the tooth melts away.  In addition, in time, this melting away continues where the gun ridge becomes both shorter and narrower. Denver Dentists Dr. James DeLapp and Dr. H. Candace DeLapp want to preserve as much bone as possible for a variety of reasons described below. This Denver and Highlands Ranch dental office serves Lone Tree, Castle Pines, Parker, Aurora, Greenwood Village, Ken Caryl, and Centennial areas of Colorado.

Dental Implant Placement Denver Dentistry

One of the many criteria used by our Denver implants dentist are  the volume both height and width of the bone in the edentulous space (where the tooth is missing). Horowitz et al (2009) in Compendium of Continuing Education in Dentistrydescribes a study in which a synthetic bone was added to the extraction site. These authors used pure phase beta tricalcium phostpate to help preserve the ride volume after a tooth was extracted and prior to dental implant being placed. This bone augmentation preserved 91% of the bone volume when compared to 50% with out the augmentation.

to view our dental practice video click the following link Denver Dentists

A tooth or dental implant helps preserve bone

A tooth or dental implant helps preserve bone in the jaw.  There have been postulated may reasons why this occurs but the good news it does. If a tooth is extracted and bone augmentation is accomplished a dental implant needs to be placed in the next 6 months to one years or the bone will melt away again.  The key to remember is a tooth or dental implant keeps bone!

Call our Denver Dentist today for an appointment

Please feel free to call our office and make an appointment today.  The Dr.’s DeLapp can be reached at (303) 694-9740.  If you would like to send an e-mail please do so by clicking the following link Denver Dentistry

Thanks to Matt and Scott of US Web Central for their help with our websites and Blogs.  They can be reached by clicking on the following link Denver SEO and Web Design

November 18, 2009

Composite filling alternative to gum surgery Dentist Highlands Ranch and Denver

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, Denver SEO Company, Gum Disease, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, dentist Denver, denver seo — Dr. James DeLapp @ 7:40 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryComposite dental filling as an alternative to gum surgery

A Dental materials company VOCO has produced an dental filling material that can be placed on root surfaces of teeth that is pink in color.  Highlands Ranch dentists Dr. James DeLapp and Dr. H. Candace DeLapp see a potential use in situations where gingival recession or abfractions have exposed the root surface.   Placing a typical “white dental filling” makes the tooth look very long. Their office served the Denver, Lone Tree, Castle Rock, Castle Pines,Parker, Centennial, Greenwood Village and Highlands Ranch areas of Colorado.

to view our dental practice video click the following link Dentist Highlands Ranch Colorado

Alternative to the long tooth look

Being “long in tooth“  is a term used years ago to describe someone who was older.  The long tooth seen was from gingival recession and was frequently seen in older individuals. There are certain situations where some type of gum surgery may “mitigate” this look of being long in tooth. Adding gum back to a receded  area has not been perfected.

Prevention of the long tooth may be the key

While treating the long tooth with either a pink filling material or gum surgery… the key may be in prevention. Two of several causes of the long tooth relate to gum disease and occlusal disease or abfraction.  Early detection and treatment of gum disease is the best medicine.  Occlusal guards and orthodontics “may” help with the occlusal disease.

Please feel free to call our Highlands Ranch and Denver Dentist today

You can schedule an appointment by calling (303) 694-9740

Thanks to Matt and Scott of US Web Central for their help with our Blogs.  They can be reached by clicking on the following link Denver Web Design and SEO.

November 2, 2009

Crown Lengthening Highlands Ranch Dentistry

Posted under: Dental Crowns, Dental Implants, Dental practice video, Dentist Highlands Ranch, Denver SEO Company, Denver Web Design, Highlands Ranch Dentist, Periodontics — Dr. James DeLapp @ 7:41 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryCrown lengthening

A recent article in the ADA News discusses the thinking process dentist should go through when determining whether to do crown lengthening. Highlands Ranch dentists Dr. James DeLapp and H. Candace DeLapp look for cases where crown lengthening would be appropriate. In a review of the lecture and article of  Dr. Suzuki an Associate Dean at Temple University School of Dentistry stressed the importance of a review of the patients medical history and what is seen clinically.

to view our dental practice video click the following link

Dentistry in Highlands Ranch

Medical history of our Highlands Ranch Dental Patients

A review of your pertinent medical history is important before any crown lengthening is undertaken.  The procedure is a gum surgery in which more of the tooth root is exposed by removing a “little” of the bone around it. Medical history elements to consider include but are not limited to:

  • History of smoking
  • Drug or alcohol use
  • Blood pressure
  • Liver health
  • Lung health
  • Diabetes
  • arthritis
  • Other

(more…)

September 23, 2009

Fluoride prevents cavities Denver Dentist

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, dentist Denver — Dr. James DeLapp @ 10:09 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryFluoride prevents dental decay (cavities)

In 1901 Dr. Frederick McCay a Colorado Springs Colorado dentist is credited with the discovery that fluoride in the water could prevent cavities. What he found in the Colorado Springs area was that many of his patients has mottled enamel that was not very good looking but was free from decay. What was found was the well water in the area had high concentrations of fluoride. In the 1930’s and 1940’s he along with other researchers conducted epidemiological studies that pointed to fluoride as decreasing the rate of decay. The question became… could you get protection from fluoride and not get the ugly teeth (mottled enamel). Denver dentists Dr. James DeLapp and Dr. H. Candace DeLapp provide general and cosmetic dental services for their patients in the Highlands Ranch, Lone Tree, Castle Pines, Centennial, Greenwood Village and Ken Caryl area of the Denver Metro area.

To view our dental practice video click the following link Dentist Denver

Where fluoride in toothpastes all began

While the discovery of fluoride in the water decreased the risk of dental decay it was in Grand Rapids Michigan when the clinical trial of dietary fluoride supplements began.  At this time these researches investigated the use of fluoride compounds and their used in toothpaste for decreasing of  or preventing cavities.

How fluoride works

Fluoride works by combining with the calcium in the enamel to form a harder mineral.  This harder mineral is more resistant to the acids that the bacteria form that cause cavities.  The idea here being the harder the material the more resistant to demineralizatin from the  acids the bacteria produce.

Newer re-mineralizing toothpastes

MI paste in addition to the fluoride has calcium in in formulation. In very small areas of decay it is thought that the calcium can remineralize and early cavity.  Noticed how we used the term “early” cavity? Larger areas of decalcification do not remineralize at this time. Even small areas of decay are in most instance going to need a dental filling.

Call our Denver dentist today

Please feel free to contact our office today at (303) 694-9740 and schedule and appointment.  If you prefer to send us an e-mail click the following link Denver Dentist e-mail.

September 21, 2009

Diagnosis of Cavities (Decay)

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, General Dentistry, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, dentist Denver, denver seo — Dr. James DeLapp @ 7:43 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryDiagnosis of Cavities or Decay

There are many different methods used to diagnose cavities our Denver Dentists use in the practice of dentistry. G.V. Black the “Father of Modern Dentistry” was the first to describe the detection of dental cavities in the oral examination. around 1800..  His method consisted of cleaning and drying of the tooth and the use of the dental explorer that is still in use over 200 years later. Highlands Ranch dentists Dr. James DeLapp and Dr. H. Candace DeLapp provide general and cosmetic dentistry to their patients in the Denver, Lone Tree, Castle Pines, Parker, Centennial, Greenwood Village, and Highlands Ranch areas of the Denver Metro area.

to view our dental practice video click the following link Denver Dentist

History of dental x-rays

After Roentgen’s discovery of the x-ray… William J. Morton a  New York physician described that x-rays could be used to identify decay and in 1925 the bite-wing x-ray became the standard of identifying decay or cavities between teeth. Today digital radiography reduces the exposure to our patients by several times of the old traditional dental x-rays.

Modern methods of cavity or decay detection

The use of old school and new school techniques are still in use today.  Today the Diagnodent uses laser fluorescence absorption by bacterial by products in porous carious surfaces to identify cavities.  The Diagnodent can quantify the readings from 0 – 99.  Teeth that have initial lesions can be monitored and if stable in reading lower than “around”30 may be treated with fluoride.  If the cavity begins to increase in its number it may signal the need for a dental filling.

Call today for an appointment

Please feel free to call our Denver dentist today for an appointment at (303) 694-9740.

Thanks to

Thanks to Scott and Matt of US Web Central for their help with our Blogs.  They can be reached by clicking on the following link Denver SEO

September 9, 2009

Parkinson’s Disease and dentistry Dentist Highlands Ranch

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, Denver SEO Company, Highlands Ranch Dentist, Senior Dental Concerns, dentist Denver, denver seo — Dr. James DeLapp @ 7:49 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryParkinson’s Disease and Dentistry Dentist Highlands Ranch

Parkinson’s disease is a common disorder that afflicts many individuals world wide. Our Highlands Ranch Dentists have many patients who have some form of this illness.  For many it is a subtle illness and for other it is exceedingly debilitating. Dr. James DeLapp and Dr. H. Candace DeLapp also see patients from the Denver area.

to view our Highlands Ranch and Denver area dentist dental practice video click the following link

Dentist Highlands Ranch

Motor function and Parkinson’s Disease Dentist Highlands Ranch

The physical symptoms of Parkinson’s disease makes daily home care difficult for many. Eye-hand coordination and tongue and cheek control are several of the elements that make effective home care difficult.  Poor or compromised motor function affects approximately half of patients with Parkinson’s disease.

(more…)

July 23, 2009

Color in Dentistry Dentist Highlands Ranch

Posted under: Dental Crowns, Dental Veneers, Dental practice video, Dentist Highlands Ranch, Highlands Ranch Dentist, denver seo — Dr. James DeLapp @ 9:14 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryColor in Dentistry Dentist Highlands Ranch

There are so many different elements to consider when discussing color in dentistry that a simple Blog article cannot do it justice.  While white seems to be white it is not that simple. There are many different elements that are considered when looking at color including:

  • Value
  • Chroma
  • Hue
  • Translucency
  • Type of porcelain material
  • underlying tooth structure
  • lighting conditions
  • Other….?

Type of Porcelain material Dentist Highlands Ranch

Our Highlands Ranch dentist feels that type of material used can significantly affect the perception of color on dental work.  The most extreme difference is seen between Porcelain fused to metal crowns (PFM) and dental veneers. How they are made and how light reflects off the surface of the porcelain is different. More subtle differences are on occasion even seen between all-ceramic dental bridge and a dental veneer.

to visit our Highlands Ranch dental practice video click the following link Dentist Highlands Ranch

All ceramic bridges and porcelain dental veneers

Our Highlands Ranch dentist has seen very slight differences between all ceramic crowns and bridges and dental veneers. The good news is they are substantially better than that seen with PFM’s. The most difficulty is seen when dental restorations are sequenced over time as opposed to doing all at once.  Doing all at once reduces the risk of small color disharmony (not eliminate it).

Please feel free to contact our Highlands Ranch dentist and make an appointment today.  The can be reached at (303) 694-9740.

For additional information

If you would like additional information of a variety of dental subjects please feel free to visit our companion dental website. This dental care library can be accessed by clinking on the following link Dentist Highlands Ranch

Thanks to

Matt and Scott of US Web Central for their help in our Dental Blog.  They can be reached by clicking on the following link Denver SEO

July 20, 2009

Broken tooth Dentist Highlands Ranch

Posted under: Dental practice video, Dentist Highlands Ranch, Denver Dentist, Denver SEO Company, Highlands Ranch Dentist, denver seo — Dr. James DeLapp @ 3:16 pm

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryBroken tooth Dentist Highlands Ranch

Today our Highlands Ranch and Denver dentist saw a patient for their routine 6- month cleaning.  At their last visit it was recommended that and old dental fillingbe replaced that was breaking down and getting a cavity around and underneath it.  What our Highlands Ranch dentist found was now the tooth was slightly broken on the back side of the tooth. While there is no way to certainly say that this delay in treatment was the cause of the break it certainly can be suspected.

to view our Highlands Ranch dentists dental practice video click the following link

Dentist Highlands Ranch

“Delaying treatment a small or large risk”…. Highlands Ranch dentist

Our Highlands Ranch dentist just never knows if delaying treatment is going to result in just small problems or progress to larger problems. Dr. James DeLapp and Dr. H. Candace DeLapp have found that the best solution is to deal with a problem earlier than later.  In dentistry… more of the tooth is left after treating the tooth.  Delaying treatment frequently (but not always) results in less tooth structure to deal with.

Our recommendations is … “get it done sonner than later”

Please feel free to contact our Highlands Ranch and Denver Dentist at (303) 694-9740 for an appointment today.  If you would like to send an e-mail please click the following link Dentist Highlands Ranch

More dental care information

To view more dental care information please feel free to visit our companion dental website by clicking on the following link Dentist Highlands Ranch

Thanks

Thanks to Scott and Matt of US Web Central for their help with our dental Blogs and associate websites.  They can be reached by clicking on the following link Denve SEO

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Our Location

Directions

6660 Timberline Rd, Suite# 130
Highlands Ranch, Colorado 80130

Phone: 303.694.9740
Fax: 303.694.1304

Beautify your smile at Cottonwood Dental Group in Englewood, Colorado

6660 Timberline Rd. Suite# 130
Highlands Ranch, CO 80130

At Cottonwood Dental Group, we strive to provide the most comfortable dental experience for our patients; that’s why we offer sedation dentistry. Denver area patients and patients in Englewood, Centennial, Highlands Ranch, and Lone Tree can receive services involving crowns, dentures, and family dentistry.