Holistic Family Dentistry

At Plancich Dental, we provide comprehensive, holistic care in a comfortable family friendly setting. We take great pride in being a family dentist in Tacoma. We offer the full spectrum of dental care in a comfortable environment designed to put our patients at ease because we understand many people, including children, don’t look forward to seeing the family dentist.

To help us better diagnose and treat dental problems, Plancich Dental has invested in the latest dentistry technology. Our digital x-ray system exposes you to 90-percent less radiation. Our laser cavity detector, cancer detectors and curing systems mean faster, more thorough exams and procedures.

We also use the dental operating microscope and computer imaging systems, which allow the precise details to be seen and captured. Our dental office utilizes the most up-to-date and state-of-the-art technology to insure a long lasting and natural result.

Dental Hygiene

After a comprehensive examination and determining our patient’s need, Dr. Plancich’s hygienist will utilize the latest techniques, equipment and knowledge to provide excellent preventative care. Our experienced hygiene team will work to improve your oral health, prevent gum disease, and increase the longevity of natural and reconstructed teeth. Together we can break the link between gum disease and other health problems.

Composite Restorations

Bonding or composite resin fillings are the solution for restoring decayed teeth, making aesthetic improvements, reshaping, and even changing the color of your teeth. Dr. Gregory Plancich will use the latest technology and highest quality materials to restore, sculpt, color, and shape your teeth to a natural and pleasing result.

Porcelain Onlays

Dental inlays and onlays are used when tooth damage is not extensive enough to use a crown but too extensive for a filling. The onlay covers and protects the tooth. Unlike fillings which tend to leave the tooth in a weaker state, the onlay restores a tooth to near original strength. The onlay covers the biting surface of the tooth which allows for a superior color match while maintaining a healthy and natural appearance.

Dental Implants

Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth. Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

Not everyone is a candidate for a dental implant, however. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. In all cases, dental implants require strict oral hygiene. Implants are so well designed that they mimic the look and feel of natural teeth. Implants are usually made of a synthetic yet biocompatible material like metal or ceramic.

Surgery is necessary to prepare the area for an implant and place the implant in the mouth. Following the procedure, a period of time is required for the implant to take hold and for bone tissue to build up and anchor the device. In some cases, metal posts are inserted into the implant during a follow-up procedure to connect the tooth.

Because implants require surgery, patients are administered anesthesia and, if necessary, antibiotics to stave off infection following the procedure. Like any restoration, implants require diligent oral hygiene and proper care to ensure they last a long time.

Root Canals

Root canals are tiny passageways that branch off from beneath the top of the tooth, coursing their way vertically downward, until they reach the tip of the root. All teeth have between one and four root canals.

Many tooth problems involve infections that spread to the pulp, which is the inner chamber of the tooth containing blood vessels, nerves and other tissues. When the infection becomes worse, it can begin affecting the roots. A traumatic injury to a tooth can also compromise the pulp, leading to similar problems.

A diseased inner tooth brings a host of problems including pain and sensitivity as the first indications of a problem. However, inside a spreading infection can cause small pockets of pus to develop, which can lead to an abscess. Root canal therapy is a remarkable treatment with a very high rate of success, and involves removing the diseased tissue, halting the spread of infection and restoring the healthy portion of the tooth. In fact, root canal therapy is designed to save a problem tooth; before the procedure was developed and gained acceptance, the only alternative for treating a diseased tooth was extraction.

Root canal therapy usually entails one to three visits. During the first visit, a small hole is drilled through the top of the tooth and into the inner chamber. Diseased tissue is removed, the inner chamber cleansed and disinfected, and the tiny canals reshaped. The cleansed chamber and canals are filled with an elastic material and medication designed to prevent infection. If necessary, the drilled hole is temporarily filled until a permanent seal is made with a crown.
Most patients who have root canal experience little or no discomfort or pain, and enjoy a restored tooth that can last almost as long as its healthy original.

Periodontal Treatment – Non Surgical

Periodontal Disease, also known as gum disease, infects the gum and bone supporting the teeth. If not treated properly, the disease can become severe enough that teeth are lost and bone is destroyed. The first step in treatment is a non-surgical approach which involves a special cleaning called scaling and root planning. A local anesthetic may be given to assist with the careful removal of plaque and tartar in the periodontal pockets. Periodontal disease will not go away on its own. Preventing and treating the disease in the early stages are the best options to keeping a healthy smile.

TMJ/TMD

People who grind their teeth can sometimes develop a serious problem with their jaw, which left untreated, can adversely affect the teeth, gums and bone structures of the mouth. One of the most common jaw disorders is related to a problem with the temporomandibular joint, the joint that connects your lower jaw to your skull, and allows your upper and lower jaw to open and close and facilitates chewing and speaking.

People with temporomandibular joint disorders (TMD) often have a clicking or popping sound when opening and closing their mouths. Such disorders are often accompanied by frequent headaches, neck aches, and in some cases, tooth sensitivity. Some treatments for TMD include muscle relaxants, aspirin, biofeedback, or wearing a small plastic appliance in the mouth during sleep.

Minor cases of TMD involve discomfort or pain in the jaw muscles. More serious conditions involve improperly aligned joints or dislocated jaws. The most extreme form of TMD involves an arthritic condition of the jaw joint. Traumatic injuries also can cause jaw dislocation. In these cases, jaw surgery may be required to correct the condition. Some jaw surgery can be performed arthroscopically.

Sleep Apnea Appliances

Coming soon.

Oral Cancer Screening

The early stages of oral cancer are usually not detected because oral cancer has little or no symptoms until it has advanced to later stages or spread to other parts of the body. Since only about half of the patients diagnosed will survive the next five years, it is important to detect the disease early.

We are proud to offer a new technology called Identafi® that detects the initial signs of oral cancer not visible to the naked eye. Identafi® is painless, using three distinct color light wavelengths to enhance and distinguish premalignant lesions.

Patients who should have an Enhanced Mucosal Examination include those who use tobacco or similar products; have intraoral piercings; have a history of cancer as a child; or have an area of concern noted during a routine exam.