We use the most advanced and high tech equipment on the market in order to offer our patients convenient services and cost-effective procedures.
We employ tools like the Intraoral Camera, and Ultrasonic Scaler, which allow our practice to provide the most advanced dental services you can find. Additional information about our high-tech dental procedures can be found in the links below.
For early detection and an accurate representation of your dental condition, the intraoral camera is a valuable tool to deliver maximum quality of care.
The intraoral camera is a compact, handheld video camera that is about the size of an electric toothbrush. For each new patient, we will cover the camera with a disposable plastic sheath in order to prevent cross-contamination. Then, we take magnified pictures of your teeth that are shown on a screen, so that both you and the dentist can take an in-depth look of the inside of your mouth. We can take pictures and print these images for future reference and even send them home with you, if needed. We can also record videos with the intraoral camera, so that we are able to spot problems like plaque deposits, tooth decay, and broken or missing fillings in real time.
The True Value of a Picture
Before the intraoral camera came onto the market, it was difficult to communicate the detrimental effects complications such as tooth decay and gingivitis can have on our teeth. With this modern tool, we are now able to provide patients with a visual of their own mouth that can show them their problem areas or potential areas of concern to focus on.
Benefits of the Intraoral Camera
- Detects dental health problems at their earliest stages, sometimes when they aren’t visible to the naked eye.
- Serves as an educational tool for the doctor AND the patient. It can be difficult for dentists to communicate the cause for concern and the reasoning behind advised treatment. Intraoral cameras allow doctors to show live, enlarged images of problem areas to the patient, helping the patient clearly see the issues dentists are concerned with.
- Offers visual proof to support insurance claims. The high-resolution images help bolster the patient’s case, saving time and hassle for all parties.
- Serves as a future reference in patient files, accurately tracking the progress and treatment changes over time
- Helps dentists diagnose oral health problems and accurately prescribe treatment via the advanced technological features. This is especially beneficial for issues that are hard to diagnose, such as vertical fractures.
The TRIOS Intraoral Scanner
Our specific intraoral scanner, the TRIOS model, is well equipped to deliver patient satisfaction in an efficient and effective manner. In all, it’s designed to shorten and enhance the time spent in the dentist’s chair.The TRIOS scanner is an ideal way to take impressions for any of these services:
Instead of messy, uncomfortable impression trays, TRIOS takes a quick series of pictures (scans) building a 3D digital replica of your teeth that can be immediately sent to the dental laboratory to start work! It increases the accuracy of the “impression” which increases quality, cutting down on the chance of remakes. Overall, this saves you time, money, and comfort.
If you want to learn more about how the intraoral scanner can benefit you and your treatment plan, request more information at your next visit!
Oral Cancer Detection
How prevalent is oral cancer? According to The Oral Cancer Foundation, close to 53,000 Americans will be diagnosed with oral or oropharyngeal cancer this year.
Often oral cancer can be present without pain or easily recognizable symptoms, and is only discovered when the cancer has spread to other locations, typically the lymph nodes. At this stage, it is difficult to treat because of its deep invasion into local structures. We cannot stress enough how crucial it is to attempt to identify oral cancer as early as possible.
Genetics can determine who is at risk for developing oral cancer, but research has shown more and more that lifestyle choices can also play a critical role. Use of tobacco and heavy alcohol consumption increases the risk of developing the disease by up to nine times. Prolonged sun exposure and a diet that lacks fruits and vegetables can also increase the risk of developing the disease.
Oral cancer typically affects patients over 40 years old; however, an unprecedented amount of young people are also developing this illness. The human papillomavirus, a sexually transmitted disease, is thought to be the culprit behind this shift. But, whether you are 55 or 25, regular oral cancer screenings are vital to your health.
How Do We Diagnose Oral Cancer?
The most straightforward way to identify oral cancer is by visual inspection. During your regular dental check-up, we will examine your mouth, lips, tongue and nearby areas. Dr. Brumbach may also do a manual inspection, feeling for lumps in your mouth and throat.
In addition to the visual and manual inspection, we also employ high tech tools to make detection of oral cancer easier. These tools use special light sources (lasers) and wavelengths to identify cancerous or precancerous cells.
What Are the Next Steps?
Most mouth sores or discolorations do not result in a cancer diagnosis. However, if we identify an area that we suspect could be potentially cancerous or precancerous, we will take a biopsy and send it to our laboratory for testing. Laboratory testing is the only definitive way to determine if the cells are cancerous.
As mentioned above, detecting oral cancer early is vital in increasing survival rates for this disease. Maintaining regular dental checkups and avoiding tobacco and excessive alcohol consumption are just a few small steps you can take in preventing the disease. We strive to utilize the most current and advanced technologies available in preventing and fighting this serious illness.
In addition to the safe and efficient removal of deposits on your teeth, ultrasonic scaling can provide that fresh, squeaky clean feeling that comes with a professional dental cleaning!
We were first introduced to ultrasonic tools back in the 1950’s; however, today, ultrasonic scaling has come a long way and is still utilized as one of the most effective ways to clean teeth. Dentists use these scalers to break up and flush away bacteria and hard deposits that normal tooth brushing can’t reach. Additionally, these tools can break up and remove stains, leaving your teeth not only looking cleaner, but whiter.
If you’ve had your teeth cleaned before, you’ve probably already encountered an ultrasonic scaler. Many dentists and dental hygienists utilize this tool because it is incredibly efficient at eliminating stain, plaque and calculus (tartar) buildup from the surface of the tooth. Removing plaque and tartar buildup also helps rid your mouth of harmful bacteria that can cause diseases such as gingivitis. This makes the ultrasonic scaler an effective tool in preventing gum disease.
How Do Ultrasonic Scalers Operate?
There are two principal types of ultrasonic scalers – piezoelectric and magnetostrictive. However, both function in the same manner, using electromagnetic forces that run through the unit and cause the tip to rapidly vibrate. The magnetostrictive scaler vibrates in an elliptical motion, and the piezoelectric scaler moves linearly. Because the vibration reaches speeds of about 25,000 to 45,000 times per second, it is considered “ultrasonic.”
Dentists and dental hygienists use the scaler’s tip to break up hard deposits on the surface of the tooth without causing structural damage to the tooth itself. Smaller, finer tips can be used on the more sensitive areas of the tooth, like the root. Because the ultrasonic scaler is so precise and efficient, it can quickly remove stains and plaque from the surface of the teeth, cutting down on the patient’s time in chair. However, because the tip vibrates so rapidly, we have to constantly rinse the mouth with water (a process called lavage) to keep the instrument cool.
Lavage also aids the ultrasonic scaling method by washing away the debris that comes from the deposit removal, and by producing cavitation. Cavitation is the formation of bubbles in the mouth which helps rid the mouth of bacteria by disturbing the bacteria’s environment and rupturing the bacteria’s cell walls. As an additional benefit, antimicrobials can be added to the lavage water.
Is Ultrasonic Scaling for You?
As mentioned above, if you’ve had your teeth cleaned at a dentist’s office, you’ve probably experienced an ultrasonic scaler and will continue to see this tool regularly at dental checkups. Teeth cleanings play an integral role in preventing gingivitis and periodontal disease, and we’ve found that a combination of ultrasonic scalers and manual hand scalers provide the most effective treatment for most patients.
Prior to cleaning, it is important to let us know what kind of dental treatments or surgeries you’ve had previously. Accommodations for veneers, implants, or sensitive areas can be made by using unique tips that are specifically made for these types of circumstances. Patients that have cardiac pacemakers should also notify us before any dental treatment begins.
Ultrasonic scaling has stood the test of time and is still one of the most efficacious and essential ways to prevent gum disease in modern dentistry.
It seems like lasers are used everywhere now – in your TV, in your phones, and now, inside of your mouth!
Laser dentistry is a minimally invasive treatment utilized in procedures. They can even help regenerate damaged nerves. As advancements in laser technology progresses, it is predicted that dentists will be able to utilize lasers in even more treatments.
How Do Lasers Work?
Lasers are extremely focused light beams. Used in surgical and dental procedures, the laser acts as a cutting instrument when applied to the tissue. When used in procedures such as teeth-whitening, the laser is a heat source that can emit light and enhance the effect of tooth-bleaching agents.
When Do Dentists Use Lasers?
Soft tissue treatments and detection of disease and decay are the main types of laser procedures that Dr. Brumbach uses.
Soft Tissue Procedures:
Lasers have many applications in soft tissue complications. Because of its precision, lasers can help treat gum disease by removing diseased tissue and killing harmful bacteria in places that traditional tools can’t reach, leaving behind healthy tissue. Treatments such as gum and bone tissue reattachment are made less painful and less likely to result in infection because the laser sterilizes the gums. Patients are also less likely to require sutures (stitches) as the laser can seal off the adjacent blood vessels. We utilize lasers in treating ulcers, canker sores, and cold sores as well.
When detecting oral disease, laser light can expose tiny pits and fissures on the surface of the tooth that are difficult for other instruments to find because of the size or location. Tartar that lies below the surface of the gum line, and diseased tissues can also be identified by lasers, assisting in oral cancer detection in its early stages.
Laser Decay Diagnosis:
Detecting tooth decay isn’t always a straightforward process. Thanks to advancements in technology, we can now utilize lasers to assist in the detection of cavities and tooth decay.
Cavity Diagnosis at Brumbach Family Dentistry: CariVu
Detecting tooth decay in its early stages is vital in preventing future complications, but what if you can’t even see the decay? Fortunately, laser technology has allowed us to detect decay that cannot be seen with the naked eye.
What is CariVu?
CariVu by DEXIS is a compact, portable caries detection device that uses patented transillumination technology to support the identification of occlusal, interproximal and recurrent carious lesions and cracks. Essentially, this device is a laser that passes light (near infrared in this case) through each tooth to detect cavities and structural damage/abnormalities, even between the teeth. It is similar to an x-ray for your teeth, but without the radiation exposure. This method is ideal for women and children as it is a radiation-free substitute for traditional x-rays.
“CariVu continues the long DEXIS tradition of providing intuitive, easy-to-use diagnostic tools for the dental community.”
What makes CariVu unique?
- Modern technology increases effectiveness and safety: Uses transillumination technology that makes enamel appear transparent while porous lesions trap and absorb light
- Indicates Important Health Issues: Allows the clinician to see through the tooth, exposing its structure and the development of any carious lesions. It is also great for early detection of these issues.
- Easy to read and interpret: CariVu images read like familiar X-ray images
- Eliminates Radiation Exposure: Uses non-ionizing radiation which is ideal for children, pregnant women and patients who are X‑ray averse
Why are Lasers So Important?
Improved dental hygiene, toothpaste that contains fluoride, and the use of fluoride in tap water make it more difficult for dentists to detect tooth decay than in the past. Fluoride actually hardens the tooth enamel so much that it can hide the signs and symptoms of decay beneath its surface. Sometimes it is so far beneath the surface that even traditional x-rays can’t identify its presence.
Benefits of laser technology include:
- Significantly improved early cavity discovery
- Reduction in the number of fillings that may be necessary to treat the cavity, also helping to potentially reduce the cost of treatment
- Lower instances of unnecessary inspection of teeth that may potentially have cavities
Before lasers were introduced in dentistry, x-rays and manual hand tools were used to discover cavities. With Carivu laser scanner technology, we can now detect potential problem areas and tooth decay with a 99% success rate. Now, every patient can benefit from earlier detection, lower instances of tooth structure loss, less time at the dentist office, and savings for your wallet.
Whether you’re having gum surgery or a root canal, you can expect an easier procedure and a shorter recovery time with the use of lasers. Laser dentistry is a convenient solution to many oral and dental problems and will be used in even more dental treatments in the future.
We have various kinds of advanced x-ray systems to suit everyone’s needs.
Digitally imaging teeth is faster and more convenient because digital images can be loaded straight to a computer instead of having to develop film. It can also capture other features such as bone mass and structure, and the quality of any implants.
Due to the digitization, these images and readings can be stored and kept for future use in a patient’s file, quickly sent to other necessary dental offices, and even to insurance companies to support claims. They can also be updated over time, allowing Dr. Brumbach to efficiently keep track of your oral health over time.
Another incredibly important benefit of digital x-rays is the reduced radiation. In fact, the Consumer Guide to Dentistry reports that due to the sensitivity of the digital x-ray sensors and bite plates, the radiation needed is 50-80% less than traditional radiograph x-rays. 
3D CBCT X-ray
Cone-beam computed tomography systems (CBCT) are a version of conventional computed tomography (CT) systems. Generally, this method is only used when traditional x-rays and exams are not sufficient. It is an x-ray device that revolves 360 degrees around the patient to collect several high-quality images. The design of the beam is, as it sounds, in the shape of a cone, which develops 3d x-rays instead of the classic two-dimensional versions. When the image is three-dimensional, it provides ample information that can help distinguish and decipher conditions that two-dimensional images cannot.
Additionally, the CBCT x-ray machine scans not only the mouth and teeth, but the ears, nose (sinuses), throat, jaw, and face as well. As such, this machine does deliver slightly higher amounts of radiation, although less than levels of other CT scans. Of course, Dr. Brumbach knows when this machine is necessary and will always use the safest and least invasive approach for each case. For more information and recommendations about minimizing risk and exposure to children, check out the guidelines from the FDA. 
Benefits of a 3D CBCT X-ray:
Due to the type of data collected and the area that a scan from this machine covers, the benefits are wide-reaching. In addition to traditional images of teeth alignment, it also helps with the preparation for dental implants, diagnosing cavities, root canals, and dental traumas. Even more, it can identify issues with the jaw, the face, and assess a cleft palette.
Because of the high-quality information obtained from this scan, patients will benefit from this kind of scan by reducing treatment time for conditions and achieving better outcomes from procedures.
When to Get a CBCT X-Ray
As mentioned above, this scan is only used as a “final resort” when conventional technology does not provide the extent of accurate information needed to achieve a predictable procedure or treatment.
Opportunities to use this method:
- Root Canal (endodontics)
- TMJ/TMD surgery
- Dental Implants
- Sleep Apnea
Dr. Brumbach will carefully examine each patient and discuss all the options available (including risks and benefits) for detection and treatment procedures before performing them.