Blog

April 5, 2010

Dentistry above the gum line

Posted under: Cosmetic Dentistry, Dentist Highlands Ranch, Denver Dentist, Denver SEO Company, Denver Web Design, Highlands Ranch Dentist, Ken Caryl Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver — Dr. James DeLapp @ 11:30 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryDentistry above the gum line (Supragingival Dentistry)

With the advent of new dental materials our Denver and Highlands Ranch dentists are able to place tooth filling margins above the gums.  In the past … most of the materials dentists worked with were cemented rather than bonded to the tooth.  Cementing a dental restoration requires more tooth surface area. Denver Dentists Dr. James DeLapp and Dr. H. Candace DeLapp provide family and cosmetic dental services for patients in the Lone Tree, Highlands Ranch, Castle Pines, Parker, Centennial, Greenwood Village and Denver Tech Center areas of Colorado.

Esthetic advantages of all ceramic (tooth colored) materials

Our Highlands Ranch and Denver area dentists use all ceramic materials expecially in the front part of the mouth.  On occasion  they may choose to use ceramic material on first molars is esthetics dictates. Circa (2010) their office tends to use more traditional metal based material on the second molars (the very back tooth for many patients).

Why traditional metal restorations are usefull for back teeth

One of the elements that is difficult to predict with certainity is how much force the patient exerts on their back teeth. For many it is readily apparent and for other it is less apparent.  For these patients we have found that a traditional PFM  or full metal dental crown “may” work best.

Bonded restorations leave more of your tooth left

In order to do a traditional crown more tooth structure is removed when compared to a bonded inlay or onlay.  In this manner we are able to “tooth bank” this virgin tooth structure that may be needed to a traditional dental crown at a later date.

Call our Denver and Highlands Ranch dentists for an appointment today

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

Thanks to Matt and Scott of

Denverfor their help with our websites and Blogs.  They can be reached by clicking on the following link Denver web design and SEO.

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.

February 1, 2010

Post-operative difficulties in dental extractions Dentists Denver

Posted under: Denver Dentist, Highlands Ranch dentist YouTube practice video, Lone Tree Dentist, Parker Dentist, denver seo — Dr. James DeLapp @ 7:12 am

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

Post operative difficulties with dental extractions

Denver and Highlands Ranch dentists Dr. James DeLapp and Dr. H. Candace DeLapp want their patients to be thoroughly informed their patients on un-common issues that can occur with ANY dental treatment. Most  post operative dental treatment is routine and uneventful.  Some are not. It is these small percentages that patients need to understand and accept as possible outcomes before treatment is started. Our Highlands Ranch dentists serve patients in the Lone Tree, Castle Pines, Centennial, Greenwood Village,Parker, Aurora and the Greater Denver Area.

Informed Consent for dental extractions

Informed consent for dental extractions can be accomplished a variety of ways.  First certainly in orally… letting yo know the common and uncommon consequences of dental surgery.  The second is written and the third in a combination of both.  Our Highlands Ranch dentist want to inform you of the common consequences of having a tooth taken out.  Those would include bleeding (obviously) pain (no kidding) possible infection for the most common consequences.  Less common consequences include dry socket…and … damage to adjacent teeth or filling. Uncommon but POSSIBLE consequences include sinus perforation ( a hole into the sunus where the root was) to numbnes of the lower lip… chin… or tongue.

Options for dental extraction

Obviously the first option is no treatment. A second might be some type or root canal or gum treatment.  Sometimes there is no”good” option other than extraction.  The key is “you” get to choose! You should know the consequences of treatment and NO treatment.  Then armed with this information you decide.

Call our Highlands Ranch dentists today

Please feel free to call out Highlands Ranch dne Denver dentists today and make an appointment today at (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.

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 11, 2009

Tartar discussed Dentists Highlands Ranch

Posted under: Dentist Highlands Ranch, Denver Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver — Dr. James DeLapp @ 7:09 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryTartar or Calculus Development on Teeth

Tartar or calculus is a mineral deposit that can form on teeth.  In a way it is “similar” to a stalagtite and stalagmite that form in caves. Highlands Ranch dentists Dr. James DeLapp and Dr. H. Candace DeLapp are called on at times to remove these deposits from their patients teeth. The doctors DeLapp also see patients in Lone Tree, Castle Pines, Parker, Castle Rock and Denver Metro area

How calculus is formed Highlands Ranch dentistry

Calculus is formed when “plaque” (that film on your teeth) has not been removed for a while.  The plaque is calcified in areas that are difficult to brush and by glands that secrete calcium heavy saliva.  The most typical areas for calculus to form is on the cheek side of the upper molars and behind the from teeth.

Case study

One of our Highlands Ranch dental patients who had never missed his 6-month cleaning schedule was delayed in returning to our office.  Despite his best efforts the calculus formed and can be seen below.  Obviously, the only one that can removed this deposit is a hygienist or a dentist.  It was successfully removed and the before and after pictures below.

Tartar Highlands Ranchclean tooth highlands ranch

Please call our Highland Ranch dentist today

Call our dental office today for an appointment at (303) 694-9740

October 5, 2009

Super gluing a dental crown (don’t do)

Posted under: Cosmetic Dentistry, Dentist Highlands Ranch, Parker Dentist — Dr. James DeLapp @ 8:13 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistrySuper gluing a dental crown (not recommended)

Having a dental crown or veneers fall off or become loose is annoying at best.  There are several reasons why dental crowns fall off or become loose. The purpose of this post is not to determine why this occurs but on how to temporary secure it until you can see your dentist. Parker Dentist Dr. James DeLapp and Dr. H. Candace DeLapp provide Family and Cosmetic dental services for their patients in the Highlands Ranch, Denver, Castle Pines, Centennial, Lone Tree, Greenwood Village and Ken Caryl area of metro Denver.

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

What to use (only “if” necessary)

As a general overview it is not recommended to use Super Glue or similar type adhesive to bond on a dental crown or filling. “If” you cannot see a dentist immediately(please try) here a a few more acceptable type of temporary adhesives you may consider using:

  • Temp cement found at grocery store or pharmacy
  • Denture adhesive
  • Toothpaste

With most of these materials you will only get intermittent adhesion at best. Your dental crown could still fall out or you could swallow or inhale it. As a general rule “do not sleep” with denture adhesive or toothpaste used as a temporary cement.  These “could/will” loosen and can be inhaled (very bad) or swallowed (not great either)! One of the more difficult elements for this is getting the crown aligned properly prior to temporary cementation.  Try it on and take it off several times before applying any temporary adhesive.  Remember your best choice is to have a dentist either temporary cement it or use a stronger cement. If you do not feel comfortable in doing this… do not try it!

What “NOT” to use

As a general rule… Super glue is NOT recommended for use. Getting glue on your fingers can bond the crown to your finger. It can be removed but it certainly can complicate the process. It can set too fast and the crown is high in the bite. It appears to our Parker dentist that more things can go wrong with this type of material than can go right!

Your best choice

Your best choice is to see your dentist as soon as possible. Cavities can get underneath crowns and this should be addressed or identified. Remember the above choices are stop-gaps only.  You will need to see your dentist ASAP to have you dental crown professionally cemented or attended to. Please feel free to contact us for an appointment at (303) 694-9740.

Thanks to

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

June 30, 2009

Fluoride varnish Dentist Highlands Ranch

Posted under: Dentist Highlands Ranch, Denver Dentist, Highlands Ranch Dentist, Lone Tree Dentist, Parker Dentist, Senior Dental Concerns, Xerostomia, dentist Denver — Dr. James DeLapp @ 7:00 pm

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

Our Highlands Ranch dentists, Dr. James DeLapp and Dr. H. Candace DeLapp have been very strong advocates of fluoride treatment for the past 25 years. Fluoride treatments in children has been the standard of care for children but fluoride treatment of the adult population if “finally” gaining acceptance. Our Highlands Ranch dentists have been providing fluoride treatment for their adult patients free of charge since 1982.Dr’s DeLapp serve patients in the Denver, Lone Tree, Castle Pines. Ken Caryl, Parker, and Greenwood Village areas.

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

Dentist Highlands Ranch

Root decay in the adult population Dentist Highlands Ranch

Decay in the traditional locations are still possible in the adult population.  However, adults are at risk for decay on the root surfaces of teeth.  Age… prescription medications can contribute to a decrease in saliva.  Decreasing saliva increases your risk of decay. Fluoride treatment can reduce your risk.

For more information of a variety Highlands Ranch dental care subjects please consult our dental care library by clicking on the following link Dentist Highlands Ranch

Please feel free to contact our Highlands Ranch dentist for an appointment today at (303) 694-9740.

Thanks to Scott and Matt of US Web Central an can be reached by clicking on the following link Denver SEO

June 7, 2009

Dentist Denver Repairing a cavity with MI Paste Dentist Highlands Ranch (303) 694-9740

Posted under: Dental Crowns, Dental Veneers, Dentist Highlands Ranch, Denver Dentist, Denver SEO Company, Douglas County Dentist, General Dentistry, Highlands Ranch Dentist, Highlands Ranch dentist YouTube practice video, Ken Caryl Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver, denver seo — Dr. James DeLapp @ 7:31 pm

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryRepairing a cavity with MI Paste Dentist Highlands Ranch

Dr. James DeLapp and Dr. H. Candace DeLapp (Highlands Ranch Dentists)have been using MI paste for the treatment of very early carious lesions (tooth cavity). If a beginning cavity is detected early the area “may” be treated successfully with MI Paste and in a certain number of cases we have seen radiographic evidence of tooth repair.  Our Highlands Ranch and Denver Dentist also serve patients in the Lone Tree, Castle Pines, Ken Caryl, Parker, Centennial, and Greenwood Village Colorado.

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

How MI paste works Dentist Denver

The theory on how MI paste works is calcium and fluoride in specific concentrations can, in certain (but not all) cases re-mineralize the tooth structure destroyed by bacteria that causes dental decay. Our Highlands Ranch dentists want to emphasis that the decay has to be “very”small. Traditional treatment of decay with a dental filling is common for the “routine “small and larger areas of decay. The area re-mineralized may or may not be susceptible to the carious process at a later date.  Home care consisting of brushing and flossing as well as diet control is an integral part of decreasing dental cavities.

Dental care library Highlands Ranch and Denver Dentist

Please feel free to visit our dental care libraryfor other information on dental care. included is topic about

To access our dental care library for information on other topics please click on the following link Highlands Ranch and dentist Denver

Call our Highlands Ranch and Denver dentist today

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

Thanks to

Scott Carvin  of US web Central.  He can be reached by clicking on the following link Denver SEO

May 14, 2009

New companion website Denver Implants Dentistry

Posted under: Dental Implants, Denver Dentist, Highlands Ranch dentist YouTube practice video, Ken Caryl Dentist, Lone Tree Dentist, Parker Dentist, dentist Denver — Dr. James DeLapp @ 8:15 am

Highlands Ranch Dentist, Denver Dentist, Parker Dentist, Ken Caryl Dentist, Lone Tree Dentist, Castle Pines DentistryDenver Dental Implants Dentist

Denver Implants Dentist Dr. James DeLapp and Dr. H. Candace DeLapp have developed a website devoted to dental implants.  It is a ten page site that summarizes important dental implant information.  If can be accessed by clicking on the following link Denver dental implants dentist The Dr.’s DeLapp provide dental implants services for their patients in Highlands Ranch Lone Tree, Castle Pines, Parker, Ken Caryl, Centennial and Greenwood Village Colorado.

to view our Denver and Highlands Ranch dental office please click the following link

Dentist Denver

In addition, Dr.’s DeLapp have comprehensive information on dental implants on another website.  This site has a dental care library that not only has information about dental implants but a variety of other dental procedures. It can be accessed by clicking on the following link Denver Dental Care Library.

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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.