Extractionslittle boy smiling with toothbrush

Extractions are performed on:

  • Decayed teeth– When the decay has progressed so far that the tooth cannot be restored.
  • Over-retained teeth– These are baby teeth have not been lost naturally and are blocking the eruption of the new permanent tooth.
  • Orthodontic recommendations– Both primary and permanent teeth.


Amalgam Restorations (Silver Fillings)

Reasons for the use of Amalgam:

  • Parental request to restore a tooth with amalgam vs resin (white filling)
  • Cooperation limits the ability to place a resin restoration


Resin Restorations (White Fillings)happy little boy

Reasons for the use of Resin:

  • Allows for more conservative tooth preparation
  • Aesthetically pleasing


Stainless Steel Crowns

Indications for Stainless Steel Crowns:

Primary Teeth

  • A restoration fractured and the durability of placing another restoration is questionable
  • When decay involves multiple surfaces of the tooth and the durability of a restoration would be very questionable
  • Decalcification located along the gum line around the tooth

Permanent Teeth

  • Hypoplasia (abnormal enamel formation) involving much of the tooth structure
  • Decay involving most of the crown structure of the tooth leaving too little tooth structure to support a restoration


Bonded Resin Crown for the Front Teeth


  • Multiples surfaces of decay on a front tooth
  • Improved esthetics


Space Maintainersthree children jumping


  • Unilateral – Band and Loop space maintainer done to maintain space for an adult tooth if a baby tooth was removed prematurely usually due to decay
  • Bilateral – Lower lingual holding arch or Nance space maintainer. These types of space maintainers are done when multiple baby teeth have been removed due to decay and space is needed to be maintained for the future permanent teeth.



A dental compound is polished on a tooth to remove or lessen a superficial discoloration. Success depends on the type and extent of discoloration. More intrinsic or deeper discolorations are more difficult to remove using micro-abrasion. When tooth discolorations are more intrinsic other types of dental procedures such as bonding or veneers may be a consideration.


Oral Surgery

We provide oral surgery (extractions) services except for extraction of wisdom teeth and other special surgical needs. For those procedures we have referring relationships with several excellent local oral surgery offices.


Complete Dental Oral Rehabilitation

Occasionally there may be reasons why treatment may not be able to be done in the office and in these cases dental treatment would be completed at Apple Hill Surgical Center with the use of general anesthesia. A few reasons why treatment would be recommended to be done under general anesthesia would be:

  • The patient has special needs or a medical history that requires comprehensive treatment in one visit.
  • The parent wishes to have all dental work done in one visit.
  • The patient is very young and creating possible challenges completing dental treatment in the office.


Preventative Services:three kids smiling in the park

Services typically provided:

  • Dental prophylaxis (scaling and polishing)
  • Fluoride treatments
  • Diagnostic radiographs (x-rays)
  • Oral examination
  • Education in proper brushing and flossing techniques
  • Sealants