Our

SERVICES

We Offer General, Emergency and Cosmetic Dental Services

Alpine Smiles is compassionate, friendly dental office in Flagstaff committed to providing radiant smiles. We offer a full range of general, emergency and cosmetic dental services in a relaxing, friendly environment. Dr. Pasut will tailor a treatment plan that’s exactly what you need. Your plan will be prioritized, taking into account your budget and your time. Schedule an appointment early before work or in the evening after your work day is done. Dr. Pasut’s comprehensive dental approach and exceptional skills guarantee outstanding results. 

Service Menu

crowns

If you're self-conscious about your smile due to cracked, broken, decayed or worn teeth, we can bring back your healthy, natural-looking smile with crowns. A filling can restore a small defect in a tooth, but a crown is the most durable, strongest way to restore a tooth with extensive damage, front or back for the long term. With all the materials and techniques modern dentistry has to offer, crowns can be totally natural looking.
Additional benefits of crowns are correcting bite problems, closing spaces between teeth, changing the angulations of teeth, and they can be used to replace missing teeth permanently, as part of a bridge, or over an implant.

bridges

What is a Fixed Bridge?

A bridge is a false tooth (or teeth) that attaches on teeth on either sides of the missing tooth or teeth. A fixed bridge is permanently joined onto the neighboring teeth (crowned teeth) and consists of three basic units: the false tooth or teeth (called a pontic) and two anchoring crowns . The style of bridge we suggest will depend upon the strength and health the anchoring teeth, as well as the location of the gap in relation to the rest of your teeth. If healthy adjacent teeth aren't available, a surgically-implanted metal post, known as a dental implant, may offer a solid alternative. For a bridge that replaces many teeth, we may recommend a removable partial denture or implant-supported bridge. With proper care, a fixed bridge may last at least 8 to10 years. Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.

missing teeth replaced

unsightly gaps are closed

A Stable Solution that Renews Your Smile

If you've lost teeth due to accident, injury, or gum disease, we can create a permanent bridge to restore your solid smile. A bridge not only fills the gap, but it also prevents repositioning of remaining teeth. It can also correct a misaligned bite, improve chewing function and speech articulation, and provide internal structure for the face to give you a more youthful appearance.

preventive care

Our preventive services create healthy smiles that will last a lifetime.

Regular comprehensive exams and professional cleanings will keep your smile clean and healthy. Dr. Pasut will thoroughly clean your teeth and screen for tooth decay, gum disease, oral cancer, and other harmful conditions. With regular cleanings every six months, we can detect oral problems early, when conservative treatment is an option. We will also teach you how to optimize your oral homecare routine, because daily care is vital to maintaining a fresh and healthy smile for life.

intra-oral camera in use

Periodontal Therapy

Plaque buildup around the gum line can lead to periodontal disease. This insidious infection causes persistent bad breath, gums that bleed easily, and gum recession. It can also contribute to the risk of stroke, heart attack, and complications for diabetics and pregnant women. Regular brushing, flossing, and preventive care visits with our hygienists help stave off periodontal disease, but should an infection occur, we can help. Rest assured periodontal disease is often reversible with professional therapy.

Scaling and Root Planing

Advanced gum disease sometimes requires the dentist to clean below the gum line to remove stubborn, crusty deposits called tartar or calculus, and to remove damage near the tooth root. This is done to prevent further damage and restore and stabilize the tooth. To minimize discomfort when treating periodontal disease, we administer a local anesthetic before scaling and root planing. We then use a small scaling instrument and/or an ultrasonic cleaning device, which emits a sonic vibration to remove tartar deposits from around and below the gum line. Patients will be monitored closely for the remainder of their life so that no more bone loss will occur.

Below is an illustration of the progression of periodontal disease.

Normal, healthy teeth and gums

Slight periodontal disease

Moderate periodontal disease

Advanced periodontal disease

Advanced periodontal disease - hopeless prognosis of the teeth

A Beautiful Alternative

Now Dr. Pasut has a great option for her patients who are missing teeth. Dental implants are a strong, beautiful alternative to bridges, partials or full dentures and will improve your smile and your lifestyle. will improve your smile and your lifestyle. They look, feel, and function like natural teeth because of a titanium anchor attached to the jawbone. Implants can also anchor bridges, partials, or full dentures to eliminate slipping.

After a thorough evaluation, Dr. Pasut can tell you whether you're a candidate for dental implants. They require adequate bone structure for placement. The first stage of the procedure involves oral surgery in which a titanium post is implanted into the jawbone for each missing tooth or for the new teeth that will anchor a bridge or denture. Nature will take its course, allowing your bone tissue to fuse with the titanium post. This creates a solid foundation; surprisely, our patient's only report minimal discomfort from the placement of the implant into their bone.

Once the implants are secured, Dr. Pasut will attach a handcrafted, permanent crown to each post. The restorations will match your natural teeth and blend seamlessly with your smile.

By imitating an entire natural tooth, from the root up, dental implants offer a prosthetic that closely mimics nature. Dental implant patients enjoy restored function, which allows a healthy diet of hard-to-chew foods. Speech may also improve. Strong and secure, your new smile will boost your confidence, enhance your appearance, and improve your quality of life.

multiple tooth implant

full implant replacement

A Stable Solution that Renews Your Smile

If you've lost teeth due to accident, injury, or gum disease, we can create a permanent bridge to restore your solid smile. A bridge not only fills the gap, but it also prevents repositioning of remaining teeth. It can also correct a misaligned bite, improve chewing function and speech articulation, and provide internal structure for the face to give you a more youthful appearance.

Transform your smile

In just two or three dental visits, Dr. Pasut can transform your smile with porcelain veneers. We apply porcelain facades to mask broken, crooked, or stained teeth, and they even hide unsightly gaps. Veneers are made of porcelain, so they do not easily stain, and they are very durable. We work with talented ceramists who can shape and shade the perfect veneers to enhance your image.

Traditional porcelain veneers require a small amount of enamel to be removed, they are permanent and non-reversible. Veneers made of porcelain typically look more natural and last longer then composite bondings. The process involves buffing the tooth, removing an extremely thin layer of the tooth to allow for the thickness of the veneer, an impression of the tooth, and final bonding of the veneer to the tooth with special cement. A special light is used to complete the process.

The other popular option in restorative cosmetic dentistry today are LUMINEERS®. LUMINEERS are different than a traditional veneer in the way they are manufactured and placed. LUMINEERS® is a brand of porcelain veneers. (DuraThins™ is another brand with similar properties and application.) A LUMINEERS restoration is as thin as a contact lens and placed over existing teeth without having to remove tooth structure. Like traditional porcelain veneers, LUMINEERS restorations are an excellent cosmetic solution for stained, chipped, discolored or misaligned teeth.

An ideal candidate for Lumineers must have enough remaining tooth surface on which to bond the LUMINEERS to ensure long-term results. Since Lumineers do not require the removal of tooth structure, they can be removed if circumstances require it.

Both veneers and Lumineers are made of thin, durable porcelain material and both can provide natural looking, long lasting results when prepared by an experienced, competent dentist. In order to determine which option is best for you, Dr. Pasut will consider a variety of circumstances, which include your unique dental history, your overall health, your personal desires and expectations, and her professional understanding of how your final results will meet your needs.

crooked teeth made straight

unsightly gaps are closed

Types of dentures

Dentures are generally classified as partial or full. Partial dentures are designed to replace a small section of teeth, and help prevent existing healthy natural teeth from shifting position; full dentures generally replace an entire set of teeth such as upper and lower dentures.

Many candidates for conventional dentures (also called immediate dentures) are able to wear the appliances immediately following removal of affected natural teeth.

Before immediate dentures are worn, Dr. Pasut takes a mold of the patient's mouth — specifically the jaws — in order for the dentures to be customized for the individual. The patient will be able to view the denture prior to final processing to change anything that he/she may not like about the shade, shape or position of their new teeth. Dr. Pasut recommends bringing in photos to show her and the laboratory tech what their teeth use to look like.

Partial dentures, also sometimes called overdentures, are designed to fit over a small section of implants or natural teeth. Partial dentures are characteristic by their pinkish gum-like plastic bases, on to which replacement teeth are attached. Small clasps are used to attach the denture to existing teeth. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect.

In some cases, a crown will be installed on an existing healthy tooth to facilitate a better hold for the clasp.

PARTIAL UPPER DENTURE

LOWER PARTIAL DENTURE

CONVENTIONAL FULL DENTURES

A Better Way to Straighten Teeth

Invisalign® is the invisible way to straighten your teeth without the use of conventional metal braces.

Invisalign uses a series of clear, removable custom-made aligners to move your teeth. It's a comfortable technology, because you avoid the mouth abrasions that can be caused by the metal and wires of conventional braces. It's also convenient, because you're likely to spend less time in our office getting adjustments.

Because you remove your Invisalign aligners before you eat or drink, you can enjoy your meals without worrying about getting food trapped in your teeth and you're not limited as to the foods you can eat. You'll also be able to keep your teeth and gums healthier because you remove the aligners to floss and brush.

Dr. Pasut will use Invisalign's 3-D computer imaging technology to design your complete treatment plan, from the initial teeth positioning to the desired final positioning. This means you'll be able to preview the estimated final position of your teeth before you start treatment.

Using this imaging information, Dr. Pasut will create custom-made aligners to move your teeth incrementally. You'll wear each aligner for about 2 weeks, typically visiting our office once every 6 weeks for progress reports.

Improve the Health of Your Mouth

Smile healthy

It's easy to see that a straight, well-aligned smile looks great. But that kind of smile often means it's also a healthy smile. So put yourself in a healthy state of mind, and take a look at the many benefits of a properly aligned smile.

Healthier gums

Signs of periodontal disease, such as swollen gums and redness, can surface due to teeth that are crowded or too widely spaced. Clinical studies have shown that when teeth are properly aligned, it helps the gums fit tighter around the teeth, which can lead to better periodontal health.

  1. Since the Invisalign system's greatest advantage is its ability to align teeth, your gum health may improve after Invisalign treatment.
  2. And since you can brush and floss normally with Invisalign, unlike with traditional braces, you can more easily prevent tooth decay and related periodontal disease.
Easier cleanings

One of the Invisalign system's best qualities is that it uses no metal bands, brackets, or wires that may trap food and plaque like traditional braces do. And since the removable nature of Invisalign allows you to maintain good oral hygiene habits, you may also reduce chances of plaque buildup, tooth decay, and periodontal disease.

Improved chewing and speech

When you leave incorrectly positioned teeth and jaws untreated, it can lead to speech difficulties and uncomfortable chewing issues. Invisalign treatment can improve both of these problems by giving you better-aligned teeth and jaws.

Maintain comfort and tooth structure

Misaligned teeth and jaws can result in abnormal stress. This can cause painful trauma to supporting bone and jaw joints. These issues can also cause abnormal wear on your teeth, which can trigger continued problems in the future.

Invisalign Gallery

BEFORE & AFTER

BEFORE & AFTER

BEFORE & AFTER

Is Invisalign right for you?

Please call 928-774-9553 today for an evaluation to see if Invisalign can help you.

Professional Whitening

Even the slightest improvement in your teeth can showcase your smile and make an exceptional difference in the way you look and feel. Dr. Pasut thinks the simplest dental procedure to accomplish this is professional whitening (bleaching).

At-home bleaching is a teeth whitening option that acquires approximately 10 minutes of your time at our office. We simply take an impression of your upper and lower teeth and our staff will fabricate custom mouthguards. We will then give you a whitening kit to whitening your teeth at your convenience in your home. Under this treatment, the patient places the carbamide peroxide gel into the mouthguard. Most patient's notice results from the whitening after one to three days. Total treatment time is 1-2 hours a day for about 5-7days.

Tooth Colored Fillings

If you're embarrassed about your smile because of decayed or discolored teeth, you may be a good candidate for composite fillings. Dr. Pasut prefers using white and Mercury free tooth colored restorations because they are durable and appear more natural. Amalgam (mercury, silver) fillings absorb moisture and expand and contract with heat and cold. As the filling ages it can fracture your tooth, which may then require a crown. Composite fillings offer a non-invasive way to improve your smile.

Tooth colored fillings can be made of porcelain or composite resin, which bonded directly to the teeth, restoring it to near its original strength and function. Both can be custom-colored to precisely match your teeth, so when porcelain or resin fillings are in place, they are extremely natural in appearance.

BEFORE & AFTER

BEFORE & AFTER

Sealants

The first step in maintaining a healthy mouth is preventing tooth decay, and sealants can offer major protection against cavities. Your teeth are covered with a sticky film of bacteria, called plaque. When you don't clean your teeth after eating, plaque bacteria use sugar and starch in food as a source of energy. The bacteria convert the sugar or starch into harmful acids that attack tooth enamel for as long as twenty minutes or more. Repeated attacks may cause the enamel to break down, resulting in cavities.

How does a sealant help prevent decay? A sealant is a plastic material that is usually applied to the chewing surfaces of the back teeth premolars and molars. This plastic resin bonds into the depressions and grooves (pits and fissures) of the chewing surfaces of back teeth. The sealant acts as a barrier, protecting enamel from plaque and acids.

Thorough brushing and flossing help remove food particles and plaque from smooth surfaces of teeth. But toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque. Sealants protect these vulnerable areas by "sealing out" plaque and food.

Is sealant application a complicated procedure? Sealants are easy for Dr. Pasut to apply, and it takes only a few minutes to seal each tooth. The teeth that will be sealed are cleaned. Then the chewing surfaces are roughened with an acid solution to help the sealant adhere to the tooth. The sealant is then 'painted' onto the tooth enamel, where it bonds directly to the tooth and hardens. Sometimes a special curing light is used to help the sealant harden.

As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing and usually last several years before a reapplication is needed. During your regular dental visits, your dentist will check the condition of the sealants and reapply them when necessary.

Sealants are just for kids, right?

The likelihood of developing pit and fissure decay begins early in life, so children and teenagers are obvious candidates. But adults can benefit from sealants as well.

Key ingredients in preventing tooth decay and maintaining a healthy mouth are twice-daily brushing with an ADA-accepted fluoride toothpaste; cleaning between the teeth daily with floss or interdental cleaners; eating a balanced diet and limiting snacks; and visiting your dentist regularly. Ask your dentist about whether sealants can put extra power behind your prevention program.

Will root canal therapy hurt?

Not with today's advanced analgesics and technology. In fact, the entire process can be so comfortable that many patients doze off. Oftentimes, root canal therapy can be completed in a single appointment. Dr. Pasut simply cleans out the diseased tooth, fill the inside of the tooth (canals) with a biologically-inert substance, seal it from further infection, and you're on your way. While some patients experience post-procedural soreness or slight tissue inflammation, these are controllable with over-the-counter analgesics. Follow-up care involves thorough home hygiene and regular dental visits for cleanings and check ups.

More Information about 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; pain and sensitivity are some of the first indications of a problem; but inside, a spreading infection can cause small pockets of pus to develop, leading 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.

Oral Surgery - Extractions

When a tooth cannot be saved, extraction (removal) of the tooth may be the only course of treatment. A x-ray allows Dr. Pasut to see a complete picture of the tooth or jaw. This is a great diagnostic tool to evaluate the bone for possible abscess, cysts, or tumors.

Most minor surgeries are performed at our office, but more complicated extractions Dr. Pasut will refer to a maxillofacial surgeon.

Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. Cold compresses applied to the outside cheek near the extraction area can help reduce any swelling and promote faster healing.

-->