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Repairs minor imperfections
If you have a slight imperfection in your teeth, bonding can be a simple way to improve your smile.

Bonding can repair teeth that –

  • are stained
  • are chipped
  • are crooked
  • have minor gaps

And in some cases, bonding can repair a cavity with a natural-looking, tooth-colored restoration.

Advantages of bonding
Bonding can be a quick procedure, often done in just an hour or two.

Many bonding procedures can be performed without anesthesia.

It can be less expensive than a crown or veneer.

To prepare a tooth for bonding, we clean off any plaque and tartar.

We choose a shade that matches your natural tooth color.

The tooth needs to be dry, so we may use a rubber dam to isolate it.

To begin, we use a mild etching solution to condition the tooth surface. This helps the bonding agent adhere to your tooth.

We then apply the bonding material and harden it with a special curing light.

We add another layer of resin, and again, harden it with the curing light. We may do this several times until we reach the proper thickness.

Once all layers have been placed, we sculpt them to the desired shape.

We check your bite to make sure your tooth functions properly.

Finally, we polish your tooth to a smooth and beautiful finish. With proper care, the bonding material should last between 3 and 10 years.

Bonding can be a good way to repair minor problems and give you a beautiful smile.

3-Unit Bridge Procedure

Three-unit bridge replaces missing teeth
When a tooth is missing, a three-unit bridge can be a good choice for replacing it. In a three-unit bridge, an artificial tooth is connected on each end to crowns. The crowns are placed over the neighboring teeth to hold the bridge in place.

A three-unit bridge can be made of gold, porcelain, or porcelain fused-to-metal.

Placing a three-unit bridge
When we first find periodontal disease, we treat it with scaling and root planing to remove plaque, tartar and bacteria from beneath your gumline.

We use the handpiece to remove any decay and shape the teeth that will support the bridge. Then we take an impression of your teeth. A model of your mouth is made from this impression, and then the lab uses the model to create a bridge that precisely fits your teeth and bite. In the meantime, we often place a temporary bridge.

On your next visit, we remove the temporary bridge and begin a series of steps to confirm the fit of your new bridge. We try in the final bridge and check the fit and your bite. When everything is right, we cement or bond the bridge in place.

Removing plaque below the gumline
This treatment disrupts the growth of the bacteria, but some bacteria remain and may settle back into the pocket where they reproduce. In fact, the number of bacteria doubles every time they reproduce, reaching destructive levels in as few as 90 days.

The benefits of a three-unit bridge
Three-unit bridges have several advantages. They:

  • Replace teeth for biting and chewing
  • Assist in clear speech
  • Help prevent teeth from shifting
  • Are supported by crowns that can serve as restorations for neighboring teeth that have damage or decay

When you need to replace a missing tooth, a three-unit bridge can be a functional, good-looking solution.

Advantages of Indirect Resin

It used to be that we primarily used silver amalgam to restore damaged or decayed portions of your teeth. Unfortunately, amalgam fillings can be unsightly, and in the long run, they may not be the best, most cost-effective solution.

Amalgam fillings can expand with age or undergo metal fatigue and break down, losing their seal and allowing decay to develop on the tooth underneath. Also, amalgam fillings can fracture as they age, which breaks the protective seal and can lead to decay. They can also weaken your tooth and make it more vulnerable to breakage; a cracked or broken tooth often requires a crown. Additionally, the metal in amalgam fillings can cause unsightly dark gray stains on the teeth and gums. Fortunately, we have a healthier, more attractive option called resin onlays.

The advantages of resin onlays
There are many advantages to restoring teeth with resin onlays.

  • Because they are bonded tightly to the natural tooth structure, resin onlays can restore your teeth to nearly their original strength.
  • We can remove less of your natural tooth when we place a resin onlay, so it remains stronger and less likely to crack or break. This means it will be less likely that your tooth will require a crown in the future.
  • Resin onlays are healthier for your gums, since their tooth-colored margins allow us to place them above the gumline.
  • Because they often contain fluoride, resin onlays may also prevent new decay at the edges of the fillings.
  • And resin onlays don’t just offer health benefits—they also look great. We closely match the color of the resin to the color of your teeth, so the onlays blend in beautifully and can really brighten your smile.

Whether you replace just one or all of your fillings with resin onlays, you’ll be amazed at their natural, beautiful appearance, and you’ll be delighted by the difference they’ll make in your smile.

“I am having to get use to smiling with my mouth open again.”

My right front tooth became more crooked with age.  I considered braces.  After talking with Dr. Kote and finding I had a break in my two front teeth I started thinking of caps.  Dr. Kote did a wax up to show me how my teeth would look.  I couldn’t believe how straight my teeth could be despite the crowding.  The shade is also so natural, yet flattering white.

I have smiled with my mouth closed, not to expose my front crooked tooth for a long time.  I am having to get use to smiling with my mouth open again.  I am very pleased with the professional, friendly process by Dr. Kote and his staff.  I am even more pleased with the results my confident smile shows.

~Clara Sue Hammontree

(before and after photos coming soon)

Emergency Dental Care

toothStethescopeEmergency Care Info

Emergency dental care is an important part of our patient services. Dr. Kote makes it a priority to deal with dental emergencies promptly to ensure proper care and comfort. If you experience an injury to the mouth, teeth, gums, or any severe pain or discomfort, please immediately contact our dental office at (865) 984-6193 to schedule an appointment.

If your emergency occurs when our Maryville dental office is closed and you are a patient of record, call (865) 984-6193 and listen for instructions.

What constitutes a dental emergency?

If it hurts, it is an emergency. This is because even injuries that seem small can affect the living tissues inside the teeth. Any perceived damage to the tooth, whether it hurts or not, should also be reported. Chips or fractures of the teeth can affect the living tissue inside the tooth causing additional problems in the future. Dental emergencies also include any conditions that cause swelling or bleeding.

Self-Care Instructions for common dental emergencies:

First, thoroughly rinse your mouth with warm water. Use dental floss to remove any lodged food. If your mouth is swollen, apply a cold compress to the outside of your mouth or cheek. Never put aspirin or any other painkiller against the gums near the aching tooth because it may burn the gum tissue. See your dentist as soon as possible.
Save any pieces. Rinse the mouth using warm water; rinse any broken pieces. If there’s bleeding, apply a piece of gauze to the area for about 10 minutes or until the bleeding stops. Apply a cold compress to the outside of the mouth, cheek, or lip near the broken/chipped tooth to keep any swelling down and relieve pain. See your dentist as soon as possible.
Retrieve the tooth, hold it by the crown (the part that is usually exposed in the mouth), and rinse off the tooth root with water if it’s dirty. Do not scrub it or remove any attached tissue fragments. If possible, try to put the tooth back in place. Make sure it’s facing the right way. Never force it into the socket. If it’s not possible to reinsert the tooth in the socket, put the tooth in a small container of milk (or cup of water that contains a pinch of table salt, if milk is not available) or a product containing cell growth medium, such as Save-a-Tooth. In all cases, see your dentist as quickly as possible. Knocked out teeth with the highest chances of being saved are those seen by the dentist and returned to their socket within 1 hour of being knocked out.
See your dentist right away. Until you reach your dentist’s office, to relieve pain, apply a cold compress to the outside of the mouth or cheek in the affected area. Take an over-the-counter pain reliever (such as Tylenol or Advil) if needed.
First, try using dental floss to very gently and carefully remove the object. If you can’t get the object out, see your dentist. Never use a pin or other sharp object to poke at the stuck object. These instruments can cut your gums or scratch your tooth surface.
If the temporary crown comes off for more that a few hours, the tooth can shift so that the new crown made by the dentist might not fit properly. The best thing to do is to go back to the dentist to get it re-cemented so bring the old temporary crown with you. In the meantime, put it back yourself. If possible, slip the crown back over the tooth. Before doing so, coat the inner surface with an over-the-counter dental cement, toothpaste, or denture adhesive, to help hold the crown in place.
As a temporary measure, stick a piece of sugarless gum into the cavity (sugar-filled gum will cause pain) or use an over-the-counter dental cement. See your dentist as soon as possible.
If the crown falls off, make an appointment to see your dentist as soon as possible and bring the crown with you. If you can’t get to the dentist right away and the tooth is causing pain, use a cotton swab to apply a little clove oil to the sensitive area (clove oil can be purchased at your local drug store or in the spice aisle of your grocery store). If possible, slip the crown back over the tooth. Before doing so, coat the inner surface with an over-the-counter dental cement, toothpaste, or denture adhesive, to help hold the crown in place. Do not use super glue!

Abscesses are infections that occur around the root of a tooth or in the space between the teeth and gums. Abscesses are a serious condition that can damage tissue and surrounding teeth, with the infection possibly spreading to other parts of the body if left untreated.

Because of the serious oral health and general health problems that can result from an abscess, see your dentist as soon as possible if you discover a pimple-like swelling on your gum that usually is painful. In the meantime, to ease the pain and draw the pus toward the surface, try rinsing your mouth with a mild salt water solution (1/2 teaspoon of table salt in 8 ounces of water) several times a day.

Injuries to the soft tissues, which include the tongue, cheeks, gums, and lips, can result in bleeding. To control the bleeding, here’s what to do:

Rinse your mouth with a mild salt-water solution.
Use a moistened piece of gauze or tea bag to apply pressure to the bleeding site. Hold in place for 15 to 20 minutes.
To both control bleeding and relieve pain, hold a cold compress to the outside of the mouth or cheek in the affected area for 5 to 10 minutes.
If the bleeding doesn’t stop, see your dentist right away or go to a hospital emergency room. Continue to apply pressure on the bleeding site with the gauze until you can be seen and treated.



Here are some funny comics…



Our Views

Here is another fine view from one of our seats…


My Teeth Feel Fine, Do I Still Need To See A Dentist?

Your teeth may feel fine, but it’s still important to see the dentist regularly because problems can exist without you knowing. Your smile’s appearance is important, and your dentist can help keep your smile healthy and looking beautiful. With so many advances in dentistry, you no longer have to settle for stained, chipped, missing, or misshapen teeth. Today’s dentists offer many treatment choices that can help you smile with confidence, including:

  • Professional teeth whitening
  • Fillings that mimic the appearance of natural teeth
  • Tooth replacement and full smile makeovers

What Is A Filling?

A filling is a synthetic material that your dentist uses to fill a cavity after all of the tooth decay has been removed. Fillings do not generally hurt because your dentist will numb your mouth with an anesthetic. Fillings are made from a variety of different materials, including composites, gold, or ceramic. If you need a filling, be sure to talk to your doctor about what type is best for you and your teeth.

What Is A Cavity?

A cavity is a small hole that forms inside the tooth because of tooth decay. Cavities are formed when plaque build up on the outside of the tooth combines with sugars and starches in the food you eat. This produces an acid that can eat away the enamel on your tooth. If a cavity is left untreated, it can lead to more serious oral health problems. Cavities can be prevented by remembering to brush your teeth at least three times a day and floss between teeth at least once.