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Family Dentistry

Family Dentistry Chester Springs PA

The best way to avoid big problems down the road is to take care of your whole smile — teeth, gums, and jaw — right from the start. Smile Care Family Dentistry in Chester Springs PA makes it easy with years of experience and a caring, relaxed atmosphere that makes coming in for preventive dental care a pleasure.

Family Dentistry

Family dentistry is a special pleasure for us at Smile Care Family Dentistry. We enjoy being able to take care of your entire family. Our family-oriented practice can also be a time-saver for you, since you can bring everyone to the same place at once.

Dr. Parveen Sultana and Dr. Angela Gruber enjoys family dentistry because she is particularly aware of the importance of giving children a solid foundation of good dental habits that will keep their smiles at their best for their whole lives.

If you’re a new parent, you should plan to bring your child in for his or her dental appointment at one year old — most toddlers have baby teeth by then, and there’s no better time to start your child with good dental habits that will last for a lifetime.

At your child’s first visit at one year, Dr. Parveen Sultana or Dr. Angela Gruber will check the growth sequence of his or her teeth and talk to you about how you can protect your child’s dental health through good hygiene and proper nutrition. After that, you should bring your child in for regular check-ups every six months.

Root Canals

Every tooth has a soft inner core made of nerves and blood vessels. This inner layer is called the pulp. The pulp can get infected if it’s exposed because of a large cavity, a broken tooth, or a broken filling. The pulp can also get infected because of injury to the tooth (whether you can see it or not,) or when a gum line infection spreads to the tooth.

The roots of your teeth have narrow channels called canals. Because the pulp extends downward through these canals toward the jaw bone, an infection of the pulp can be very serious and spread easily. A root canal protects your teeth, gums, and jaw by removing the infected tissue.

What happens during a root canal

We can usually take care of a root canal during a single visit. As always, your comfort is paramount; we’ll give you a local anesthetic to make sure the area is completely numb. We then drill a small hole to reach the pulp. We’ll remove the pulp and completely clean and disinfect your tooth. We then add medication to the inside of the tooth and fill it with a manufactured replacement pulp to keep it from getting infected in the future. We’ll give you a temporary filling to seal the tooth, and then follow that up with a protective crown.

You should experience minimal discomfort, if any, and should be able to eat and drink normally with no pain shortly after your crown is put in place.


When a tooth can’t be saved, it needs to be extracted to preserve the health of the rest of your mouth. You’re probably aware that a deep cavity or infection that can’t be treated with a root canal requires an extraction. There are other reasons for extraction that you may be less familiar with, such as advanced gum disease, broken teeth, or even crowding caused by extra teeth. Dr. Parveen Sultana or Dr. Angela Gruber may also recommend an extraction before orthodontic work, or to improve the fit of dentures or partial dentures.

Fortunately, an extraction is no longer a procedure to fear. At Wilshire Smile Studio, your comfort is a priority. We offer a range of sedation techniques and numbing agents to make sure we suit your needs. We can provide local anesthetic injections, nitrous oxide, or full sedation, depending on your preferences and Dr. Elyassi’s recommendations.

Wisdom tooth extractions

Many times, wisdom teeth, the final set of molars to emerge, are no problem at all; you just need to take a little extra care to make sure you reach them when you brush and floss. However, sometimes there isn’t enough space in the jaw for the wisdom teeth to come out. When that is the case, the wisdom teeth can become impacted, which means they are trapped by the jaw, gums, and surrounding teeth and are unable to grow properly.

Impacted wisdom teeth can be very painful and are extremely vulnerable to infection. They can also cause bleeding and swelling of the gums and crowding of the other teeth, pushing them out of proper alignment. Impacted wisdom teeth can even cause bad breath and headaches.

Dr. Parveen Sultana or Dr. Angela Gruber can consult with you on whether a wisdom tooth extraction is right for you — it’s often better to go ahead and do them early, before the roots have fully bonded with the jawbone, and stop problems before they start.

What should I expect when I have a tooth extracted?

As always, your health and comfort are our top priorities. First, Dr. Parveen Sultana or Dr. Angela Gruber will take X-rays of your mouth to make sure he has a clear understanding of your case. Then he will explain what needs to be done and give you a chance to ask questions about why he recommends an extraction and what will happen during the procedure itself. Dr. Parveen Sultana or Dr. Angela Gruber will also talk about your options for anesthetics or sedation. You may prefer just a local (and highly effective) anesthetic, or you may decide you would rather have an intravenous injection and be fully sedated. Most patients recover in just a day or two.

How should I take care of my mouth after I have a tooth extracted?

After a your procedure, it’s normal to experience mild discomfort and swelling. You can help alleviate that by using an ice pack for about 20 minutes after the tooth is pulled. You may also experience some light bleeding. It will help to put some pressure on the area. Try rolling up some gauze, putting it over the empty socket, and biting down. Make sure you feel some pressure when you bite down, and leave the gauze in for about 45 minutes. If you prefer, you can try putting a moistened tea bag over the area instead. For the first two days, you shouldn’t drink through a straw or spit, and you absolutely must not smoke. Avoid hard or crunchy food like nuts and popcorn for the first few days as well.

After 24 hours of your procedure, you can start rinsing the area with warm salt water. You can also brush the area gently with a soft-bristle brush. And, of course, you should carefully follow the instructions for any antibiotics that Dr. Parveen Sultana or Dr. Angela Gruber prescribes for you. Be sure to read the label and ask your pharmacist if you have any questions.

Porcelain crowns

Crowns, also known as caps, fit over an entire tooth to restore (or improve) its original appearance. When a filling won’t help the strengthen a tooth enough, or when a cavity is too large for a filling to be useful, Dr. Parveen Sultana or Dr. Angela Gruber may recommend a crown for you.

Metal-free porcelain crowns are becoming more and more widely used by experienced dentists because they work well and patients are usually highly satisfied with them.

Porcelain crowns feel more comfortable and natural in your mouth, are the easiest to match to the color of your natural teeth, and are easier to keep clean than other types of crowns. Because porcelain crowns have a tighter seal around the tooth than other types of crowns, plaque and bacteria are less likely to become trapped along their edges. That means they are also less likely to irritate the gums or foster gum disease.

You’ll also appreciate the fact that porcelain crowns require less drilling and have better strength and durability. They’re less likely to chip, and less likely to cause wear on the surfaces of adjoining teeth.

What should I expect when I have a crown placed?

As a rule, you’ll come in for two appointments. First, we’ll take a mold of the tooth that will get the crown. We’ll use this mold to make a temporary crown to protect your tooth between your first and second appointments. We’ll administer your choice of anesthetic and then remove any decay and reshape your tooth, if necessary.

We’ll make a second, very precise impression of your tooth to send to the lab. Dr. Parveen Sultana or Dr. Angela Gruber will put your temporary protective crown in place and then send detailed instructions to the lab so that they can use the mold to create a unique, custom-designed tooth that will fit you perfectly.

During the second appointment, we’ll remove your temporary crown and clean and inspect your tooth to make sure your permanent crown will fit perfectly — we’ll even take an X-ray to ensure that your fit is perfect. Once you approve the color match of your crown to the rest of your teeth, we will cement your crown to your tooth permanently.

As long as you take good care of your teeth, your crown can last for a decade or more.

Dental Emergencies Life doesn’t always cooperate with scheduled appointments. Dr. Parveen Sultana or Dr. Angela Gruber and her staff are always available if you have questions or concerns. But just in case, here are some pointers on how to handle some of the most common emergencies so you’ll know what you can do until you can get into the office.

Call Emergency Dentist Chester Springs PA (484) 348-1800