Lake Como, New Jersey
Treatments & Clinical Services
Explore options for repairing teeth, replacing missing teeth, improving your smile, and understanding your oral health. Learn what each service involves and discuss which options may suit your needs with Dr. Piela.
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Showing 31 services
Biomimetic Dentistry
Restorations designed to imitate natural tooth structure, flexibility, and strength while preserving maximum healthy enamel.
Safe Mercury / Silver Amalgam Filling Removal
Evaluation of existing silver-colored fillings and discussion of replacement when appropriate, with training by Dr. Hal Huggins and IAOMT.
Zirconia & Ceramic Crowns
High-strength, metal-free ceramic crown options crafted for durable tooth restoration and natural aesthetics.
Metal-Free Ceramic Bridges
Durable ceramic bridge solutions for replacing missing teeth without metal frameworks.
Metal-Free Inlays & Onlays
Conservative ceramic puzzle-piece restorations that rebuild damaged tooth cusps without full crowns.
BPA-Free Biocompatible Composite & White Fillings
We offer BPA-free biocompatible ceramic composite and tooth-colored white fillings. Material selection is tailored to your tooth and individual needs.
Jawbone & Extraction Site Evaluation
Evaluation of concerns involving the jawbone or previous extraction sites, with findings and options discussed individually.
Zirconia Metal-Free Ceramic Implants (SDS)
A metal-free ceramic option for replacing missing teeth, featuring SDS natural zirconia ceramic implants.
Bone Grafting & Ridge Preservation
Bone grafting options to support the jawbone where needed for a planned dental procedure.
Tooth Extraction
Tooth removal when necessary, with treatment planning and aftercare tailored to your needs.
Sleep Apnea & Airway Dentistry
Oral appliance therapy, Vivos DNA appliances, and airway-focused dental solutions evaluated with sleep medicine physicians.
Vivos DNA Sleep Apnea Appliances
Non-surgical removable oral appliances designed to help expand narrow dental arches and support airway volume.
Comprehensive Spark Aligner Treatment
Comprehensive Spark clear aligner treatment using BPA-free material to gently straighten teeth and optimize bite balance.
Dental Arch Expansion Therapy
Evaluation of dental arch width and expansion options where appropriate for the patient's age, anatomy, and treatment goals.
Porcelain Veneers
Porcelain veneers to improve the appearance of selected teeth, with preparation and suitability assessed individually.
Ozone / Oxygen Administration
Learn about the practice's use of ozone / oxygen administration as an adjunct to selected dental treatments.
Platelet-Rich Fibrin (PRF)
Platelet-rich fibrin prepared from a patient's own blood may be used to support healing during selected dental procedures.
Aromatherapy & Comfort Support
Optional calming aromatherapy and soothing office ambiance designed to support a peaceful dental visit.
Digital Impressions & Intraoral Scanning
Comfortable 3D digital impressions that replace traditional messy impression trays for crowns, aligners, and treatment planning.
Laser Dentistry & Laser-Assisted Oral Surgery
Laser treatment and laser-assisted oral surgery using focused light energy for precise, gentle tissue management.
Ridge Modification
Reshaping or rebuilding areas of the jaw ridge as part of planning for dental implants.
Full & Partial Dentures
Explore options for replacing several or all missing teeth, including full, partial, and implant-retained dentures where appropriate.
Digital X-Rays & 3D CBCT Imaging
Imaging that helps evaluate teeth and jawbone and plan treatment when clinically appropriate.
Oral Cancer Screening
An examination for unusual changes in the mouth, with further evaluation or referral when needed.
Oral Health & Overall Health
Learn how the practice considers your dental health alongside your medical history and broader health concerns.
Root Canal Alternatives
Discuss options for a damaged or painful tooth, with an individualized assessment of whether conservative treatment is appropriate.
Myofunctional Orthodontic Appliances
Explore appliance options that consider tooth alignment, oral habits, and function.
NightLase for Snoring & Mouth-Breathing Concerns
Learn about NightLase, a laser treatment offered by the practice for snoring and mouth-breathing concerns.
Holistic Cleaning & Preventive Care
Preventive dental cleaning within a whole-person approach to oral health.
Homeopathic & Herbal Protocols
Discuss the practice's homeopathic and herbal approaches alongside your dental-care questions.
Mercury- & Fluoride-Free Dentistry
Learn about our practice's mercury- and fluoride-free approach and available dental materials.
Questions about a specific treatment?
Dr. Piela discusses treatment options, biocompatible materials, and personal considerations thoroughly during your visit.