Benton & Nelson DDS

Frequently Asked Questions (FAQs)

How can we help you?

You can find answers to some common questions below. Feel free to call us at (336) 760-1277 if you have a question that isn't listed here!

General

Yes, we will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering dental pain can be. Drs. Benton and Nelson are committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

Visit our page on emergency dental treatment to learn more.

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large. 

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either. 

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

 

There are many reasons to request laughing gas at your next visit:

An excellent option to reduce nervousness

Laughing gas could be a great option for you if you are nervous about dental care.

A way to reduce a severe gag reflex 

Nitrous oxide can also help reduce severe gag reflex, and is a great option for patients who have difficulties taking dental x-rays. 

Wears off by the time you leave the office

Unlike moderate sedation, the effects of nitrous oxide wear off within minutes, and you are free to go about your day normally afterward.

Won’t affect your memory

You will still have a memory of the procedure, but nitrous oxide will make your overall experience more pleasant.

Please visit our page on sedation dentistry to learn more!

Yes!

Brushing can remove most of the plaque in your mouth, but the plaque in between your teeth can only be removed with flossing. Removing this in-between plaque is essential to prevent cavities and promote gum health.  

Yes, we recommend fluoride for most patients.

There are many ways to protect the teeth with fluoride, including in-office fluoride varnish treatment, toothpaste, and fluoridated mouth rinses. Drs. Benton and Nelson will assess your fluoride exposure and risk of cavities and recommend a customized prevention plan for you. 

Yes, our office specializes in treating nervous patients.

Dr. Nelson understands how stressful dental care can be, and he prioritizes a comfortable, painless experience. Like many people, Dr. Nelson has a lot of unpleasant memories of dental work as a child.   From the age of 4 to 18, he had just about every dental treatment procedure from fillings to crowns to extractions. 

Sedation dentistry is one of Dr. Nelson’s passions and one of the main reasons he became a dentist.

Because of his personal experience, Dr. Nelson is committed to prioritizing patient comfort.  Dr. Nelson is extremely motivated to provide dental care with a high level of compassion to patients with dental anxiety like himself. Dr. Nelson loves promoting oral health, relieving patient’s dental pain, and restoring healthy, beautiful smiles. 

We are a great office for patients who are nervous about their upcoming appointment.

As one of the only general dentists in the Winston-Salem and Piedmont Triad area with a moderate sedation dentistry license, Dr. Nelson is able to guarantee stress-free care to even the most nervous patients. 

Yes, we love children!

Our office focuses on family dentistry in Winston Salem, meaning we are passionate about providing care to your entire family. When it comes to building lifelong positive oral health habits, children's dentistry is a great way to start.

We make children's dental visits fun.

During the dental appointment, we will do our best to make your child’s visit as enjoyable as possible. From calling our instruments “Mr. Thirsty” to prizes at the end of the appointment, we focus on making the dentist fun for the whole family!

When it comes to patient comfort, we do everything possible.

Our office employs multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly, so you can choose the best treatment for you. 

Most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

  • Calming nitrous oxide (laughing gas). For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 
  • Stress-free sedation dentistry. Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Sedation dentistry is a stress-free experience for the nervous patient.

Patients who are nervous or anxious about their dental visit are encouraged to consider sedation dentistry.

If you elect to have moderate sedation dentistry for your dental procedure, you are guaranteed to have a stress-free experience with no memory of the procedure. In fact, most patients say that going to the dentist was never easier!

Other benefits of sedation dentistry:

  • Comfortable
  • Pain-free
  • Elimination of all dental anxiety
  • No memory of the procedure
  • Elimination gag reflex
  • Very safe and effective
  • Enables all treatment to be completed in one visit

Please visit our page on sedation dentistry to learn more!

We will work with your dental insurance company 

Most dental insurances will cover sedation dentistry.  Our office will work your insurance company to estimate what your dental insurance will cover towards your fee.  At this time, our office is not accepting new patients for dental sedation with Medicaid.

Dental Sedation Fees 

The sedation dental fee ranges depending on the amount of time required to complete your dental treatment.  Interest-free six month payment plans are available.  

  • Simple Dental Sedation Case (15 minutes of dental sedation or less): $368
  • Moderate Dental Sedation Case (1 hour of dental sedation): $421
  • Complex Dental Sedation Case (2 hours of dental sedation or more): $474

 

We accept and file all dental insurance policies.

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.

Financial plans are available. 

We offer financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay).

We also offer discounts to patients without dental insurance or for those who prefer to pay in cash. 

We accept all forms of payment.

We accept cash, credit card, check, and insurance as forms of payment. 

Dental sealants are beneficial at all ages.

Studies show that dental sealants can protect all back teeth from cavities, regardless of the patient’s age. 

Children are covered by dental insurance. 

In almost all cases, children can have their sealants covered by dental insurance. 

For adults, a sealant is cheaper than a filling!

Unfortunately, dental insurances usually do not cover dental sealants in patients over the age of 18. However, we encourage all patients to consider dental sealants as they are less expensive than needing a filling on the tooth later because it wasn’t protected. 

Fluoride is beneficial at all ages

Studies show that fluoride is effective at preventing dental decay at all ages. Whether a patient is 5 years old or 90 years old, fluoride could be beneficial to help keep their mouth healthy and cavity-free!

  • Children are covered by dental insurance. In almost all cases, children’s in-office fluoride varnish treatments are covered by insurance.  
  • For adults, fluoride is cheaper than a filling! Unfortunately, dental insurances usually do not cover fluoride applications in patients over the age of 18. However, we encourage all patients to consider fluoride as it is less expensive than needing a filling later on because the teeth weren’t optimally protected.

If you have loose dentures, you are not alone. It is a very common issue that affects millions of Americans. After evaluation by Drs. Benton and Nelson, you will be presented with treatment options that may include a denture reline, new dentures, or dentures supported by implants.

Adjustments and reline procedures: 

Loose dentures can often be addressed by adjusting them, or with a special procedure called a denture reline. 

Consider upgrading to an implant retained denture:

 Dr. Nelson has extensive training and experience with dental implants to help retain dentures. An implant retained denture will solve your issues and stay in place while you chew, talk, and smile!

Please visit our page on loose dentures to learn more!

What do crowns do for you as a patient? 

Crowns are predictable and reliable.

If Dr. Benton or Dr. Nelson recommend a crown for one of your teeth, that treatment option is the most predictable and longest-lasting choice for that tooth.

They are made from the strongest materials

Dental Crowns cover the entire chewing surface of the tooth with a very strong material that is highly resistant to fracture or chipping. This means you can enjoy your favorite foods without worry.

Our dental crowns are very esthetic. 

Dental crowns are also very esthetic and are indistinguishable from other natural teeth. They are also more resistant to staining which allows you to smile with confidence.

They feel just like your natural tooth. 

Dental crowns feel the same to your tongue and lips because they replicate the natural anatomy of your natural tooth.

Crowns are maintained just like your natural teeth. 

Brushing and flossing are performed in the same manner as with natural teeth.

Crown provide protection from future decay. 

The tooth is much more resistant to dental decay and cavities because the crown material cannot be decayed by bacteria.

Sugar and acids feed the cavity-causing bacteria, which ultimately leads to a cavity

Cavities are caused by too much sugar and acid. Sugar feeds the bacteria in your mouth which make an acid byproduct.   Acid can slowly dissolve your teeth and make them weaker, eventually creating holes in your teeth which are called cavities.  

We make sure you’re healthy at every dental cleaning visit. 

Drs. Benton and Nelson will always make sure your mouth is healthy at each cleaning visit. During the exam, the doctor will evaluate all of your tissues in your mouth as well as your neck and face to make sure they have no signs of oral cancer. 

We’re passionate about patient care, and provide oral cancer screenings at no cost. 

Oral cancer screenings are one of the most important things that your dentist and dental hygienist can do for you. We take great pride in providing this service at no additional cost during your routine cleaning and exam.  

There are multiple excellent toothbrush options depending on what you're looking for:

Manual toothbrushes

If you are using a manual toothbrush, then we recommend one with soft bristles with gentle circular motions.

Electric toothbrushes

Electric toothbrushes have been scientifically proven to be more effective than manual brushes, as they remove more plaque and debris. Currently, Sonicare and Oral B brands are the best. We are happy to recommend an electric toothbrush at your next cleaning visit!

Are you looking to replace a missing tooth in Winston Salem?  Or maybe to help make your dentures fit more securely? There are many reasons why dental implants might be the best treatment option for you!

High success rate. 

Dental implants have a very high success rate of over 95%.

Permanent tooth replacement.

Dental implants are a permanent restoration for single to multiple teeth.

Won’t come out. 

Dental implants will not come out when eating or talking.

You can chew again.

You can chew anything with your dental implant that you can with natural teeth.

Maintain them just like your natural teeth. 

Dental implants require brushing and flossing, just like you would take care of your natural teeth. 

Very esthetic. 

The crown (the part that is visible in the mouth) is made of the same tooth-colored material that dentists use for crowns or veneers and will match your natural teeth.

Can’t get cavities. 

Dental implants are made of high-quality materials that cannot get dental decay.

Protect adjacent tooth structures. 

Dental implants prevent the recession of natural bone and gum tissue.

Don’t need to treat adjacent teeth. 

Unlike dental bridges, dental implants don’t require modifications or treatment to your adjacent teeth.

Your child should visit the dentist within 6 months of their first tooth coming in

The American Academy of Pediatric Dentistry recommends a year one dental visit or bringing your child to the office within 6 months of their first tooth erupting. 

The first visits are all about promoting oral health and checking development

Before age 3, your child probably will not be able to cooperate for a dental cleaning. However, it is still very important to take them to the dentist.

We will focus on discussing ways to promote oral health and prevent decay, such as with a healthy diet and good oral hygiene. We will also examine your child’s teeth to make sure there are no cavities and everything is developing normally. 

There are many reasons why you may consider dental veneers.

Dissatisfied with the color of your teeth:

Dental veneers can improve the color or staining of front teeth, especially in patients who have tried dental bleaching (whitening) and are not satisfied with the results.

Dental wear or grinding: 

Over the years, grinding of teeth can slowly reduce the height of a patient’s front teeth. Porcelain veneers can increase the height of a patient’s front teeth to the original form and function before the teeth were worn down.

Chipped, broken, or traumatized front teeth:

Previous trauma to teeth can often create an unaesthetic appearance. Teeth can turn grey or dark years after the trauma. Often, the old crowns or fillings that were placed at the time of the trauma no longer match the adjacent teeth. Dental veneers can be used to create a beautiful, natural smile for all front teeth.

Small tooth size: 

Many patients are born with smaller than average teeth. Often, this occurs on the top teeth called lateral incisors. Dental veneers can correct and size discrepancies and give you the smile you have always wanted.

Spaces between teeth:

Spacing can also be corrected with orthodontics or braces but it is often preferable and quicker to close the spaces with porcelain veneers.

Please visit our page on dental veneers to learn more!

Sedation Dentistry

There are many reasons to request laughing gas at your next visit:

An excellent option to reduce nervousness

Laughing gas could be a great option for you if you are nervous about dental care.

A way to reduce a severe gag reflex 

Nitrous oxide can also help reduce severe gag reflex, and is a great option for patients who have difficulties taking dental x-rays. 

Wears off by the time you leave the office

Unlike moderate sedation, the effects of nitrous oxide wear off within minutes, and you are free to go about your day normally afterward.

Won’t affect your memory

You will still have a memory of the procedure, but nitrous oxide will make your overall experience more pleasant.

Please visit our page on sedation dentistry to learn more!

Yes, our office specializes in treating nervous patients.

Dr. Nelson understands how stressful dental care can be, and he prioritizes a comfortable, painless experience. Like many people, Dr. Nelson has a lot of unpleasant memories of dental work as a child.   From the age of 4 to 18, he had just about every dental treatment procedure from fillings to crowns to extractions. 

Sedation dentistry is one of Dr. Nelson’s passions and one of the main reasons he became a dentist.

Because of his personal experience, Dr. Nelson is committed to prioritizing patient comfort.  Dr. Nelson is extremely motivated to provide dental care with a high level of compassion to patients with dental anxiety like himself. Dr. Nelson loves promoting oral health, relieving patient’s dental pain, and restoring healthy, beautiful smiles. 

We are a great office for patients who are nervous about their upcoming appointment.

As one of the only general dentists in the Winston-Salem and Piedmont Triad area with a moderate sedation dentistry license, Dr. Nelson is able to guarantee stress-free care to even the most nervous patients. 

When it comes to patient comfort, we do everything possible.

Our office employs multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly, so you can choose the best treatment for you. 

Most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

  • Calming nitrous oxide (laughing gas). For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 
  • Stress-free sedation dentistry. Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Sedation dentistry is a stress-free experience for the nervous patient.

Patients who are nervous or anxious about their dental visit are encouraged to consider sedation dentistry.

If you elect to have moderate sedation dentistry for your dental procedure, you are guaranteed to have a stress-free experience with no memory of the procedure. In fact, most patients say that going to the dentist was never easier!

Other benefits of sedation dentistry:

  • Comfortable
  • Pain-free
  • Elimination of all dental anxiety
  • No memory of the procedure
  • Elimination gag reflex
  • Very safe and effective
  • Enables all treatment to be completed in one visit

Please visit our page on sedation dentistry to learn more!

We will work with your dental insurance company 

Most dental insurances will cover sedation dentistry.  Our office will work your insurance company to estimate what your dental insurance will cover towards your fee.  At this time, our office is not accepting new patients for dental sedation with Medicaid.

Dental Sedation Fees 

The sedation dental fee ranges depending on the amount of time required to complete your dental treatment.  Interest-free six month payment plans are available.  

  • Simple Dental Sedation Case (15 minutes of dental sedation or less): $368
  • Moderate Dental Sedation Case (1 hour of dental sedation): $421
  • Complex Dental Sedation Case (2 hours of dental sedation or more): $474

 

Our office uses multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly so you can choose the best treatment for you. 

We have the most effective, pain-free, and up-to-date numbing techniques.

 During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer sedation dentistry in Winston Salem 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Nervous about dental treatment?  You came to the right place!

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia.  

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind.

Stress-Free Sedation Dentistry  

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Root canals can be stressful, but are sometimes necessary to stop pain and infection.  We make sure the procedure is comfortable for you using the following steps:

Most effective, pain-free, and up-to-date numbing techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. In fact, most patients say that going to the dentist was never easier!

Calming nitrous oxide (laughing gas)

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on dental sedation to learn more! 

Most effective, pain-free, and up-to-date numbing techniques: 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing.  We utilize the latest and most effective techniques for anesthesia.  

Calming nitrous oxide (laughing gas): 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

We have the most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

If you are nervous about having your tooth extracted, you've come to the right place!  We have multiple options to make sure your procedure is comfortable and stress-free.  

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia to keep you comfortable.

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide, or laughing gas, will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free Sedation Dentistry 

Dr. Nelson is one of the only general dentists in the Winston-Salem area who is trained and licensed in all forms of sedation dentistry.  Patients are always given the option of choosing dental sedation during their procedures to guarantee a stress-free experience.  In fact, most people say that going to the dentist was never easier and that they have no memory of the procedure at all! 

Crowns

At this time, Dr. Nelson prefers to have his crowns made at our local Winston-Salem Dental lab, as their crowns are extremely esthetic and have a perfect fit.  

Some dental offices make same-day crowns using an in-office milling machine.  One advantage of same-day crowns is it saves the patient a visit.  At this time, Dr. Nelson prefers to send all of his crowns to our Winston-Salem based dental laboratory.  Though patients will need an additional office visit, we've found our lab-made crowns have excellent craftsmanship and superior esthetics.  An expertly trained, highly skilled, and experienced dental laboratory technician will customize your crown for your mouth.  Though in-office milling machines can also make quality crowns, Dr. Nelson tells his patients that he would want a lab-made crown for his own mouth and would want the same for his patients!

Yes, our office has a digital scanner to take digital impressions

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally.  Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

The fee for a dental crown at our office is $1258.  For more information on crowns at our office, click the link here.  

What do crowns do for you as a patient? 

Crowns are predictable and reliable.

If Dr. Benton or Dr. Nelson recommend a crown for one of your teeth, that treatment option is the most predictable and longest-lasting choice for that tooth.

They are made from the strongest materials

Dental Crowns cover the entire chewing surface of the tooth with a very strong material that is highly resistant to fracture or chipping. This means you can enjoy your favorite foods without worry.

Our dental crowns are very esthetic. 

Dental crowns are also very esthetic and are indistinguishable from other natural teeth. They are also more resistant to staining which allows you to smile with confidence.

They feel just like your natural tooth. 

Dental crowns feel the same to your tongue and lips because they replicate the natural anatomy of your natural tooth.

Crowns are maintained just like your natural teeth. 

Brushing and flossing are performed in the same manner as with natural teeth.

Crown provide protection from future decay. 

The tooth is much more resistant to dental decay and cavities because the crown material cannot be decayed by bacteria.

Our office uses multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly so you can choose the best treatment for you. 

We have the most effective, pain-free, and up-to-date numbing techniques.

 During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer sedation dentistry in Winston Salem 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

A dental crown can be made of many different materials.  We will choose the most esthetic option for you.

We'll choose the best material for your mouth. There are many crown materials available. 


Beautiful tooth-colored materials are our most popular. 

There are tooth-colored crown materials, such as porcelain and zirconia, that will match the natural shade of your tooth perfectly.


Gold is also available (upon patient request). 

Gold can also be a treatment option for the back teeth if the patient requests it. Some gold restorations can last over 70 years!

A reliable procedure to protect your tooth

A dental crown is a "cap" that covers your tooth.  A dental crown can be recommended to repair a chipped, cracked, or decayed tooth.  A dental crown can also be used to correct a tooth's shape or shade.  Dental crowns are made to blend perfectly with your natural teeth.  

The dental crown process requires two visits.  During your first appointment, the tooth will be shaped to allow the crown to fit.  Then, an impression (mold of your mouth) will be made.  Our office takes digital impressions, meaning no mess and no more gagging!  Instead of using the traditional impression trays with impression material, a small wand is used to scan your mouth and create a digital impression.  After the impression, Dr. Nelson will choose the perfect shade to match your tooth and send all of the information to our dental lab where an esthetic, customized crown will be fabricated.  

During your second appointment, the crown will be cemented.  After making sure the crown fits and matches your adjacent teeth perfectly, Dr. Nelson will use adhesive to permanently attach the crown to your natural tooth.  Then, we will check your bite and make any needing adjustments to ensure everything feels perfect.  

Temporary or Permanent Crown Fell Out (Debonded)

Save the crown and pieces: 

If your crown falls out, save the crown or crown pieces. Even if they cannot be put back in, they can assist our office in making a temporary crown

Schedule with our Winston-Salem office ASAP: 

Make an appointment as quickly as possible. Teeth can shift in a matter of days which can cause the crown not to fit and require adjustment

We will try to glue your old crown back on: 

Our office will do everything in our power to recement or rebond the crown back on the tooth. This is the best-case scenario as it is quick and cheap. 

If your old crown is not salvageable, we will make a new one. 

Sometimes decay is present underneath the crown or the tooth has fractured underneath the crown. In these cases, Drs. Benton or Nelson will determine if a new crown has to be fabricated or if the tooth is savable. You will be presented with treatment options and will be able to decide the best course of treatment for you with recommendations from Drs. Benton or Nelson.

There are many reasons why a dental crown or "cap" may be an excellent treatment option for you. Crowns can be used to protect your tooth, to fix a problem (such as a chip or a cavity), or to improve the appearance of your tooth.

A protective cap for your tooth

A dental crown is a protective covering or “cap” that covers the entire tooth. Dental crowns can make teeth stronger and replace any missing tooth structure.  

Reasons your dentist may recommend a crown:

  • When a back tooth is cracked
  • When a tooth has large areas of decay or cavities
  • When a front tooth has a large chip in it
  • To protect a tooth after root canal treatment
  • To improve the shape or shade of your tooth

Please visit our page on dental crowns to learn more!

Emergency Dentistry

Yes, we are happy to schedule a same-day emergency visit. 

We will rearrange our schedule so you can be seen on the same day. Call our office at (336) 760-1277 today!

Visit our page on emergency dental treatment to learn more.

Yes, we will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering dental pain can be. Drs. Benton and Nelson are committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

Visit our page on emergency dental treatment to learn more.

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large. 

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either. 

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

 

We will give you the best treatment options for your chipped teeth. 

Drs. Benton and Nelson will diagnose the type of chip or fracture and advise you on the best treatment options.

 Possible treatment options of cracked or chipped teeth include:

  • Smoothing of the chip
  • Restoration with a tooth-colored filling or composite
  • Crown
  • Veneer

Root Canal in Winston Salem

The fee for a root canal depends on the tooth that is being treated.  The cost ranges from $800-$1000.  As always, we will work with your dental insurance to get your maximum benefit and offer interest-free payments to ensure you can afford your treatment.  

Emergency Dentistry in Winston Salem

Your dental insurance should cover emergency dental visits and we will work with your insurance to estimate the out-of-pocket cost.  Most emergency dental visits are $106 consisting of an emergency exam ($76) and dental x-ray ($30).  

 

Jaw pain or TMD (Temporomandibular disorder) can be caused by issues with the jaw bone, disc, or muscles.

Bone-Related TMD

The temporal bone (the socket part) and the mandible (the ball part) can develop degenerative diseases that are very similar to other joints in the body such as the knee.

  • Osteoarthritis: This is a degenerative condition caused by use and wear over time. The cartilage which separates the two bones wears away and causes the bones to rub together. This creates inflammation, pain, damage to the bones, and loss of motion.
  • Rheumatoid arthritis: The outcomes are similar to osteoarthritis, but instead of wear causing the damage, the joint is attacked by your own body's immune system.
  • Post-traumatic osteoarthritis: This can happen rapidly or slowly following a traumatic injury to the lower jaw.

Disc-Related TMD

A normal TMJ joint has a disc of cartilage that separates the two bones of the joint and allows the bones to slide easily against each other. However, the disc can become dislodged, inflamed, or stuck in place.

  • Signs and symptoms of disc-related issues include popping, clicking, lockjaw, and pain when opening and closing your jaw.

Muscle-Related TMD

Each side of your face has 4 main muscles that work together to open and close your jaw. They are the temporalis, masseter, lateral pterygoid and medial pterygoid.

  • These muscles can become inflamed, injured, or damaged. 
  • Muscle pain is often mistaken for pain in the TMJ itself. It is important to properly diagnose the issue to determine the proper treatment.
  • If you have muscle inflammation or damage, opening or closing your mouth can become difficult or painful.
  • Muscle issues can also be mistaken for headaches, especially if the headaches are most severe in the mornings.

TMJ Treatment in Winston Salem

To learn more about TMD/TMJ treatment visit our TMJ Treatment service page.

If you are nervous about your emergency dental needs, you are in the right place.  

Our office specializes in treating nervous patients.  Dr, Nelson has extensive training in sedation dentistry, and can offer services ranging from painless injection techniques, laughing gas, oral sedation, to IV sedation.  

TMD

TMD stands for Temporomandibular Disorder. This term encompasses all of the possible issues that can arise with the structures of these joints. These issues fall into three main categories: bone disorders, disc disorders, and muscle disorders. You may have a combination of issues with multiple parts at the same time. 

Are you having a TMJ-related dental emergency? 

We are passionate about helping. Please don’t hesitate to call (336) 760-1277 to schedule an appointment today.

We will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering TMJ pain can be. Dr. Benton and Dr. Nelson are committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

We are happy to schedule a same-day emergency TMJ evaluations. 

We will do our best to rearrange our schedule so you can be seen on the same day that you call.

Come to the office ASAP: 

Call our office ASAP and place the tooth or tooth fragments in cold milk.

The sooner, the better: 

Immediate treatment in the dental office improves outcomes and increases the chances of saving the tooth.

Splinting of injured teeth: 

At our office, the teeth will be temporarily splinted (glued) together in a very simple process. This allows your body to heal the injured teeth in the appropriate location.

Temporary replacement of missing teeth: 

If the teeth cannot be saved, then our office will make you a temporary device that can restore your smile until the final treatment can begin.

Temporary or Permanent Crown Fell Out (Debonded)

Save the crown and pieces: 

If your crown falls out, save the crown or crown pieces. Even if they cannot be put back in, they can assist our office in making a temporary crown

Schedule with our Winston-Salem office ASAP: 

Make an appointment as quickly as possible. Teeth can shift in a matter of days which can cause the crown not to fit and require adjustment

We will try to glue your old crown back on: 

Our office will do everything in our power to recement or rebond the crown back on the tooth. This is the best-case scenario as it is quick and cheap. 

If your old crown is not salvageable, we will make a new one. 

Sometimes decay is present underneath the crown or the tooth has fractured underneath the crown. In these cases, Drs. Benton or Nelson will determine if a new crown has to be fabricated or if the tooth is savable. You will be presented with treatment options and will be able to decide the best course of treatment for you with recommendations from Drs. Benton or Nelson.

Occlusal splint (night guard)

The most common treatment to begin with is an occlusal splint. This is a special type of night guard that you wear while sleeping. There are many different types and styles of splints that are designed for different causes of your pain. Once your doctor determines the appropriate type of splint for your issue, then they will take molds of your teeth so our local Winston-Salem dental lab can fabricate a custom splint.

Physical therapy

Many times physical therapy can help alleviate symptoms of TMD. Physical therapy can include stretching, exercise, and massages for the joint.

Occlusal Equilibration (Bite Adjustment)

Sometimes TMD symptoms are exacerbated by your teeth not fitting together appropriately. The doctor can make tiny, precise adjustments to your bite, known as an occlusal equilibration, which can help alleviate symptoms. 

Palliative Care (Preventive or Protective Care)

The doctor will discuss your history of symptoms and determine the best palliative or preventive care regimen for you. This can include stretching exercises, prescription medications (pain relievers, anti-inflammatory, or muscle relaxing medications), and avoidance of certain jaw movements. 

Dental Implants

Dental Implants in Winston Salem

If you are curious about the costs, maintenance, and more information about Dental Implants then visit our dental implants service page.

Our office accepts and files all dental insurance policies. 

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.

Financial plans are available. 

We offer in-office 6-month interest free financing plans and third-party 3-year financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay). 

We also offer discounts to patients without dental insurance or for those who prefer to pay in cash. 

Yes, our office has a digital scanner to take digital impressions

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally.  Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

You could benefit from dental implants if any of the following applies to you:

  • One or more missing teeth
  • Tired of keeping up with partial dentures
  • Trouble chewing food due to missing teeth
  • Failing dental bridge

Schedule a consultation! 

Schedule a consultation with Drs. Benton or Nelson at our Winston-Salem office. All treatment options will be explained to you after careful evaluation, diagnosis, and planning. 

Decide if a dental implant is the best choice for you. 

Our doctors will listen to your goals and customize a plan that fits your needs, budget, and lifestyle. After hearing all of your options, you can decide if a dental implant, or alternative treatment option, is best for you. 

Please visit our page on dental implants to learn more! 

Our office dental implant fees:

The fee for a dental implant at our office is $1838.  After your dental implant is placed, you will likely require a dental implant abutment to attach a dental crown to your new implant.  Some patients may require a dental extraction or bone graft prior to the procedure.  

Dental Implant: $1838
Dental Implant Crown: $1258
Custom Implant Abutment: $861


Dental Bone Graft: $368
Simple Dental Extraction: $164

The fee for an implant supported denture depends on how many dental implants are required to support your prosthesis.  Upper dentures usually require four dental implants while lower dentures usually only require two dental implants.  As always, we will work with your dental insurance and offer payment plans to help you fit your dental treatment into your family's budget.  To learn more about dental implants, dentures, or implant supported dentures, visit our services page.

  • Upper Implant Supported Denture: $2800
  • Lower Implant Supported Denture: $2800
  • Dental Implant: $1838 per implant

 

Nervous about dental treatment?  You came to the right place!

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia.  

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind.

Stress-Free Sedation Dentistry  

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

A dental implant is a small screw that is supported by your jaw bone, similar to how the roots of your natural teeth are supported by your bone.  

What is a dental implant used for?

A dental implant is a treatment to permanently replace a missing tooth or missing teeth or to make dentures more secure.

 

An upgraded denture that's secured with dental implants so it won't budge!

An implant supported denture, also known as an overdenture, is one of the best ways to restore your ability to speak, chew, and smile without worrying about your denture loosening.  Implant supported dentures are customized dentures that "snap" onto a dental implant to ensure a secure fit that won't become displaced.  Patients with implant supported dentures often remark that they are able to eat foods like steak, corn on the cob, and apples again! 

Dental examination: 

  • During a dental exam, Drs. Benton or Nelson will determine whether you would benefit from dental implants.

X-ray evaluation: 

Our doctors will carefully examine your teeth and x-rays. Only the latest, low-dose diagnostic tools will be used to evaluate your specific situation.

The dental implant procedure is modified to your circumstances:

  • If you have a failing tooth, then the tooth will be removed and bone grafted.
  • After a healing process, the dental implant will be placed.
  • A mold is then made so that the replacement tooth can be fabricated by an excellent Winston-Salem based dental laboratory technician.
  • The replacement tooth is attached to the implant in a painless process that does not require numbing.
  • The dental implant tooth can then be used to bite, eat your normal foods, and smile!

Evaluation of current dentures. 

If current dentures are satisfactory, then they can be used. If they are not, then new dentures are made by our expert Winston-Salem based dental lab.

Simple and fast placement of dental implants. 

The dental implants are placed during a simple, fast, and comfortable procedure.

Attachment of dental implants to dentures. 

After a short healing process, the dental implants are attached to the dentures with special connections.

Customization of retention strength. 

The strength of the connection between the denture and dental implants can be customized for your specific needs and strength desires. The connections can be so strong that patients sometimes have trouble removing them! We will make sure this does not happen to your custom implant retained denture.

Are you looking to replace a missing tooth in Winston Salem?  Or maybe to help make your dentures fit more securely? There are many reasons why dental implants might be the best treatment option for you!

High success rate. 

Dental implants have a very high success rate of over 95%.

Permanent tooth replacement.

Dental implants are a permanent restoration for single to multiple teeth.

Won’t come out. 

Dental implants will not come out when eating or talking.

You can chew again.

You can chew anything with your dental implant that you can with natural teeth.

Maintain them just like your natural teeth. 

Dental implants require brushing and flossing, just like you would take care of your natural teeth. 

Very esthetic. 

The crown (the part that is visible in the mouth) is made of the same tooth-colored material that dentists use for crowns or veneers and will match your natural teeth.

Can’t get cavities. 

Dental implants are made of high-quality materials that cannot get dental decay.

Protect adjacent tooth structures. 

Dental implants prevent the recession of natural bone and gum tissue.

Don’t need to treat adjacent teeth. 

Unlike dental bridges, dental implants don’t require modifications or treatment to your adjacent teeth.

Yes!  We can make your dental implant match your adjacent natural teeth by using the most esthetic techniques.  

Experienced dentists who provide esthetic and comfortable care. 

Drs. Benton and Nelson are experts at restorative dentistry and implants. They have many years of experience at replacing missing teeth in the mouth.

The best materials at a local Winston-Salem dental lab. 

While dental implants can be made by labs anywhere in the world, Drs. Benton and Nelson work with a local lab right here in the Winston-Salem area. Using a local lab ensures Drs. Benton and Nelson that they have an experienced technician who they know, and guarantees that the lab will use the strongest and most esthetic materials.

Cosmetic Dentistry

The goal of cosmetic dentistry is to achieve the beautiful smile you've always wanted through state-of-the-art dental technology

We can assess and address all areas of concern with your smile including:

  • Stained teeth
  • Chipped teeth
  • Spaces or gaps between teeth
  • Crowded teeth that overlap
  • Worn teeth
  • Undersized teeth

Schedule a personalized consultation. 

After a personalized consultation with Drs. Benton or Nelson at our modern Winston-Salem office, you will be able to decide which cosmetic dental procedures are best for you.  

Create the smile you’ve always wanted that you can afford. 

We will work with you to create the smile of your dreams with the most conservative and affordable treatment. We offer in-house payment plans and work with all insurances so cost never has to be a barrier to treatment.

Please visit our page on cosmetic dentistry to learn more!

Yes, our office has a digital scanner to take digital impressions

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally.  Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

We only use the most esthetic filling materials. 

If you need a filling to fix a cavity, then our skilled doctors will match your tooth with the proper shade of composite (tooth-colored) filling material. With the modern and high-quality tooth-colored filling materials that we use, our fillings are almost unnoticeable.

Please visit our page on tooth-colored fillings to learn more! 

The fee for a dental veneer is $1258 per tooth.  Most patients decide to place dental veneers on either two, four, or six front teeth to transform their smile.   

Visit our services pages to learn more about porcelain veneers and cosmetic dentistry,  

The cost of cosmetic dentistry depends on the recommended dental procedures.  Common cosmetic dental procedures include dental whitening, porcelain veneers, cosmetic dental crowns, dental bridges,  tooth colored fillings, or dental implants.  To learn more about cosmetic dentistry, visit our services page. 

  • Dental Whitening Trays: $250 per tray
  • Porcelain Veneers: $1258 per tooth 
  • Cosmetic Dental Crowns: $1258 per crown
  • Dental Bridge: $3774 
  • Tooth Colored Fillings: $171-$343
  • Dental Implant: $1838

If you’re considering dental whitening, you’re not alone.  

Most people wish that their teeth were a brighter white than their natural shade.

Dental whitening is a way to a brighter, whiter smile. 

 Dental whitening, or dental bleaching, will help most people achieve a whiter tooth shade.  

It’s a great option to decrease stains.  

Whitening can be a great option for those heavy coffee and tea drinkers that have slowly built up staining on their teeth. 

Whitening is not as effective on internal stains. 

Dental bleaching does not work well on intrinsic staining, meaning discoloration coming from inside the tooth.  It probably won’t work to fix staining that is only present on one tooth due to a previous root canal or trauma. 

Our office offers multiple cosmetic dental procedures including:

  • Dental veners
  • Dental bonding
  • Tooth-colored fillings
  • Tooth colored crowns
  • Tooth whitening
  • Dental implants 

The color or shade of veneers can be customized for each patient’s wishes. The excellent, local Winston-Salem dental labs create customized veneers for each patient’s desires.

Reduced Staining and Discoloration Over Time

High-quality porcelain stains at a much lower rate than natural teeth, composite fillings, or older crown materials.

Conservative Treatment

Veneers often remove less than .5mm of tooth material and sometimes none at all. This keeps your natural teeth stronger and allows the veneers to last for a long time.

Biology  

Porcelain has been used for a long time in dentistry and has a long track record of being well tolerated by the gum tissue in patients. There is no metal involved in the process so the potential for an allergic reaction is almost zero.

What do crowns do for you as a patient? 

Crowns are predictable and reliable.

If Dr. Benton or Dr. Nelson recommend a crown for one of your teeth, that treatment option is the most predictable and longest-lasting choice for that tooth.

They are made from the strongest materials

Dental Crowns cover the entire chewing surface of the tooth with a very strong material that is highly resistant to fracture or chipping. This means you can enjoy your favorite foods without worry.

Our dental crowns are very esthetic. 

Dental crowns are also very esthetic and are indistinguishable from other natural teeth. They are also more resistant to staining which allows you to smile with confidence.

They feel just like your natural tooth. 

Dental crowns feel the same to your tongue and lips because they replicate the natural anatomy of your natural tooth.

Crowns are maintained just like your natural teeth. 

Brushing and flossing are performed in the same manner as with natural teeth.

Crown provide protection from future decay. 

The tooth is much more resistant to dental decay and cavities because the crown material cannot be decayed by bacteria.

Your dentist may recommend a filling to fix a cavity, chip, or discoloration on your tooth

Dental decay: 

A tooth can decay due to many reasons. Dental decay is caused by bacteria that soften and weakens the tooth structure and can even create holes in teeth. Dental decay can be painlessly removed, and the missing tooth structure can be replaced with a tooth-colored filling. 

Chipped or missing tooth structure: 

If your teeth have been chipped, a tooth-colored filling can be placed to replace missing tooth structure. 

An old filling that has gone bad: 

With time, your existing fillings can chip, crack, or even have cavities form beneath them. Your dentist will examine your existing fillings and can replace them with new ones if indicated. 

We only use the best materials for our patients. Drs. Benton and Nelson use the top materials available to restore the shape, function, and color of teeth.

There are many reasons why you may consider dental veneers.

Dissatisfied with the color of your teeth:

Dental veneers can improve the color or staining of front teeth, especially in patients who have tried dental bleaching (whitening) and are not satisfied with the results.

Dental wear or grinding: 

Over the years, grinding of teeth can slowly reduce the height of a patient’s front teeth. Porcelain veneers can increase the height of a patient’s front teeth to the original form and function before the teeth were worn down.

Chipped, broken, or traumatized front teeth:

Previous trauma to teeth can often create an unaesthetic appearance. Teeth can turn grey or dark years after the trauma. Often, the old crowns or fillings that were placed at the time of the trauma no longer match the adjacent teeth. Dental veneers can be used to create a beautiful, natural smile for all front teeth.

Small tooth size: 

Many patients are born with smaller than average teeth. Often, this occurs on the top teeth called lateral incisors. Dental veneers can correct and size discrepancies and give you the smile you have always wanted.

Spaces between teeth:

Spacing can also be corrected with orthodontics or braces but it is often preferable and quicker to close the spaces with porcelain veneers.

Please visit our page on dental veneers to learn more!

Yes!  We can make your dental implant match your adjacent natural teeth by using the most esthetic techniques.  

Experienced dentists who provide esthetic and comfortable care. 

Drs. Benton and Nelson are experts at restorative dentistry and implants. They have many years of experience at replacing missing teeth in the mouth.

The best materials at a local Winston-Salem dental lab. 

While dental implants can be made by labs anywhere in the world, Drs. Benton and Nelson work with a local lab right here in the Winston-Salem area. Using a local lab ensures Drs. Benton and Nelson that they have an experienced technician who they know, and guarantees that the lab will use the strongest and most esthetic materials.

No, whitening your teeth should not hurt.  

Short-term cold sensitivity is normal.

Whitening does not harm your teeth. However, it can make them sensitive to cold liquids in the short term. This sensitivity will go away with time. 

If you experience sensitivity, whiten less often. 

For patients who are more prone to cold sensitivity, we recommend whitening your teeth less often and for shorter periods of time. If you choose to have professional whitening or bleaching at our office, we will create a customized protocol based on your tooth sensitivity. 

Certain toothpastes can help. 

Certain kinds of toothpaste, such as Sensodyne, contain fluoride and potassium nitrate which helps decrease tooth sensitivity.

Please visit our page on cosmetic dentistry to learn more!

TMJ Treatment

Dr. Nelson may recommend an occlusal guard if he is noticing signs of grinding, tooth wear, or TMJ pain.  A custom-made occlusal guard at our office is $554.  To learn more about occlusal guards and TMJ, visit our service page.  

There are multiple causes, and stress makes it worse. Multiple causes of TMJ pain can be present. In short, it can be caused by problems with your joint, your bone or your muscles. Stress often exacerbates TMJ symptoms.  

Please visit our page on TMJ pain to learn more! 

Jaw pain or TMD (Temporomandibular disorder) can be caused by issues with the jaw bone, disc, or muscles.

Bone-Related TMD

The temporal bone (the socket part) and the mandible (the ball part) can develop degenerative diseases that are very similar to other joints in the body such as the knee.

  • Osteoarthritis: This is a degenerative condition caused by use and wear over time. The cartilage which separates the two bones wears away and causes the bones to rub together. This creates inflammation, pain, damage to the bones, and loss of motion.
  • Rheumatoid arthritis: The outcomes are similar to osteoarthritis, but instead of wear causing the damage, the joint is attacked by your own body's immune system.
  • Post-traumatic osteoarthritis: This can happen rapidly or slowly following a traumatic injury to the lower jaw.

Disc-Related TMD

A normal TMJ joint has a disc of cartilage that separates the two bones of the joint and allows the bones to slide easily against each other. However, the disc can become dislodged, inflamed, or stuck in place.

  • Signs and symptoms of disc-related issues include popping, clicking, lockjaw, and pain when opening and closing your jaw.

Muscle-Related TMD

Each side of your face has 4 main muscles that work together to open and close your jaw. They are the temporalis, masseter, lateral pterygoid and medial pterygoid.

  • These muscles can become inflamed, injured, or damaged. 
  • Muscle pain is often mistaken for pain in the TMJ itself. It is important to properly diagnose the issue to determine the proper treatment.
  • If you have muscle inflammation or damage, opening or closing your mouth can become difficult or painful.
  • Muscle issues can also be mistaken for headaches, especially if the headaches are most severe in the mornings.

TMJ Treatment in Winston Salem

To learn more about TMD/TMJ treatment visit our TMJ Treatment service page.

TMD

TMD stands for Temporomandibular Disorder. This term encompasses all of the possible issues that can arise with the structures of these joints. These issues fall into three main categories: bone disorders, disc disorders, and muscle disorders. You may have a combination of issues with multiple parts at the same time. 

TMJ

The TMJ is the actual joint that connects your skull (temporal bone) to your lower jawbone (mandible). You have two TMJs on either side of your head located just in front of your ear canal. If you place your fingers next to your ear and open and close your jaw you can feel the joint rotating and occasionally popping. 

 

Are you having a TMJ-related dental emergency? 

We are passionate about helping. Please don’t hesitate to call (336) 760-1277 to schedule an appointment today.

We will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering TMJ pain can be. Dr. Benton and Dr. Nelson are committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

We are happy to schedule a same-day emergency TMJ evaluations. 

We will do our best to rearrange our schedule so you can be seen on the same day that you call.

Occlusal splint (night guard)

The most common treatment to begin with is an occlusal splint. This is a special type of night guard that you wear while sleeping. There are many different types and styles of splints that are designed for different causes of your pain. Once your doctor determines the appropriate type of splint for your issue, then they will take molds of your teeth so our local Winston-Salem dental lab can fabricate a custom splint.

Physical therapy

Many times physical therapy can help alleviate symptoms of TMD. Physical therapy can include stretching, exercise, and massages for the joint.

Occlusal Equilibration (Bite Adjustment)

Sometimes TMD symptoms are exacerbated by your teeth not fitting together appropriately. The doctor can make tiny, precise adjustments to your bite, known as an occlusal equilibration, which can help alleviate symptoms. 

Palliative Care (Preventive or Protective Care)

The doctor will discuss your history of symptoms and determine the best palliative or preventive care regimen for you. This can include stretching exercises, prescription medications (pain relievers, anti-inflammatory, or muscle relaxing medications), and avoidance of certain jaw movements. 

Dental Whitening

No, dental whitening does not use bleach  

While whitening is commonly referred to as bleaching, the actual active ingredient is carbamide peroxide, which is a very safe and mild product. There is no bleach involved in any dental whitening product on the market.

Professional whitening is faster than over-the counter options.  You can see results in one to two whitening sessions.  

The advantage of prescription strength gel in custom whitening trays is that it is much quicker than over-the-counter versions. It depends on the level of stain that needs to be removed and the desired whiteness level, but results usually only take 3-4 weeks of wearing the trays each night. 

If you’re considering dental whitening, you’re not alone.  

Most people wish that their teeth were a brighter white than their natural shade.

Dental whitening is a way to a brighter, whiter smile. 

 Dental whitening, or dental bleaching, will help most people achieve a whiter tooth shade.  

It’s a great option to decrease stains.  

Whitening can be a great option for those heavy coffee and tea drinkers that have slowly built up staining on their teeth. 

Whitening is not as effective on internal stains. 

Dental bleaching does not work well on intrinsic staining, meaning discoloration coming from inside the tooth.  It probably won’t work to fix staining that is only present on one tooth due to a previous root canal or trauma. 

Call us, we'd be happy to help you achieve the smile you've been wanting!

Give our Winston-Salem office a call at (336)760-1277 and we can discuss the next steps to achieve the smile that you desire.

No, whitening your teeth should not hurt.  

Short-term cold sensitivity is normal.

Whitening does not harm your teeth. However, it can make them sensitive to cold liquids in the short term. This sensitivity will go away with time. 

If you experience sensitivity, whiten less often. 

For patients who are more prone to cold sensitivity, we recommend whitening your teeth less often and for shorter periods of time. If you choose to have professional whitening or bleaching at our office, we will create a customized protocol based on your tooth sensitivity. 

Certain toothpastes can help. 

Certain kinds of toothpaste, such as Sensodyne, contain fluoride and potassium nitrate which helps decrease tooth sensitivity.

Please visit our page on cosmetic dentistry to learn more!

Wisdom Teeth Removal

Some patients are able to keep their wisdom teeth their entire lives, but many benefit from their removal. 

We check your wisdom teeth at every cleaning visit. 

Just like the check for cavities and gum disease, Drs. Benton and Nelson will always evaluate your wisdom teeth at your cleaning visits. 

For some, removal is not needed. 

Though some lucky people are missing their wisdom teeth, most people have 4 that begin erupting (coming into the mouth) around age 17. Occasionally, patients will have enough room to let their wisdom teeth come in without complications.

For most, removal is the best option. 

Most people would benefit from the removal of their wisdom teeth to prevent future complications. If this is the case, Drs. Benton and Nelson will talk to you about the removal process. 

The cost of wisdom tooth removal depends on whether the tooth is in the mouth (erupted) or trapped in the jawbone (unerupted).  Most patients elect to be sedated during wisdom teeth removal.  To learn more about wisdom teeth removal or dental sedation, visit our services pages. 

  • Removal of erupted wisdom tooth: $246 per tooth
  • Removal of unerupted wisdom tooth: $324-410 per tooth
  • Intravenous (IV) dental sedation: $421

 

Damage to nearby teeth: 

Impacted wisdom teeth can damage adjacent teeth by running into them as they attempt to come in your mouth. Bone can be lost around adjacent teeth which weakens the support those teeth have.

Changes to teeth alignment: 

When wisdom teeth erupt, they push into the adjacent teeth and can cause teeth to become crooked or maligned. For this reason, many orthodontists will recommend wisdom tooth removal shortly after braces treatment is completed. 

Cyst formation:

 Cysts can form around impacted wisdom teeth that are trapped in the bone or gums which can destroy teeth and jaw bone.

Gum disease in adjacent teeth: 

Gum disease (periodontal disease) can develop around the second molars due to impacted wisdom teeth because proper hygiene and cleaning cannot take place.

Infections (pericoronitis): 

Infections can develop around wisdom teeth. Infections can range from very minor that resolve on their own to very severe that require hospitalization and surgery.

Pain: 

Pain can develop if food debris or bacteria can access wisdom teeth sites.

Prone to cavities or gum disease in the future: 

Symptom-free (non-painful) wisdom teeth can still harbor disease or cause a major problem later in life. Wisdom teeth are the last tooth in the mouth and are exceedingly difficult to clean properly. As a result, these teeth are very prone to get cavities or gum disease in the future. 

Signs such as pain, swelling, and soreness may be a sign that it's time to have your wisdom teeth removed

Pain:

Persistent pain coming from one or both sides of the jaw behind your last visible molar.

Swelling: 

Swelling in your lower jaw without any obvious cause may be an indication that it's time to have your wisdom teeth out.

Soreness: 

Chronic soreness behind the last visible tooth that lasts for a few days then goes away only to come back a couple of months later.

Partial eruption: 

You can see part of your wisdom tooth poking through the gums, but it does not come in fully.

Impaction: 

Your dentist tells you that your wisdom teeth are “impacted." This term means that your wisdom teeth will not come in normally because they are stuck in bone, against other teeth, or gum tissue.

Please visit our page on wisdom teeth to learn more! 

 

Wisdom teeth are the molars in the very back of your jaw 

Most people have four wisdom teeth, located the furthest back in their jaw.  Another term for wisdom teeth is "third molars" as they are the third set of permanent molars in adults, typically coming in between ages 16-21 years.  

Scheduling the procedure: 

If Drs. Benton or Nelson determine that you could benefit from wisdom tooth extraction, it is recommended that you have the procedure either at our office or at an oral surgeon. Our office will work with you to schedule the procedure at the most convenient time. 

Painless numbing techniques and optional sedation: 

The area is numbed with local anesthesia.  Many patients will also elect be sedated for the wisdom tooth removal procedure.

Gentle removal: 

The tooth is gently removed. The site is then cleaned of all infected or inflamed tissue. The area is rinsed thoroughly with sterile saline to remove the most harmful bacteria that were residing close to the wisdom tooth.

Fast, easy recovery: 

You will recover with a customized healing protocol that includes antibiotics, pain medicine, and anti-inflammatory medicines.

Implant Supported Dentures

Denture relines involve shaping or "relining" where your denture touches your jaw to improve its fit 

Denture relines are indicated if you’ve had teeth removed recently.

Sometimes dentures need a procedure called a reline. This is commonly needed if extractions were completed within a few months of getting your denture, as your bone and gum tissue will remodel and change shape slightly. This remodeling can cause your new dentures to become loose over time. 

A simple reline procedure can improve the fit of your denture. 

The reline can be performed by our office which customizes the inside of your denture. This is much cheaper and quicker than designing a new set of dentures. The good news is that esthetic aspects of the dentures are unchanged during this process. 

You will maintain them just as you would your regular dentures. The dentures need to be cleaned and removed at night just like normal dentures.

Ensure the implant connection stays strong and secure with regular check-ups. 

The implant and denture “snap” together through a rubber ring that is in the inside of the denture. This ring can be customized to different strengths depending on your preferences. By design, this ring will wear out in 1-2 years. These rings are very easy and cheap to replace and can be done at our office in as little as 30 seconds. 

A full upper or lower denture costs $1700.  If your denture is supported by dental implants to improve the fit and stability, the fee is $2800.  

  • Upper Denture: $1700
  • Upper Implant Supported Denture: $2800
  • Lower Denture: $1700
  • Lower Implant Supported Denture: $2800

The fee for an implant supported denture depends on how many dental implants are required to support your prosthesis.  Upper dentures usually require four dental implants while lower dentures usually only require two dental implants.  As always, we will work with your dental insurance and offer payment plans to help you fit your dental treatment into your family's budget.  To learn more about dental implants, dentures, or implant supported dentures, visit our services page.

  • Upper Implant Supported Denture: $2800
  • Lower Implant Supported Denture: $2800
  • Dental Implant: $1838 per implant

 

An implant supported denture is an "upgraded" denture that snaps onto dental implants.  An implant supported denture is superior to a conventional denture as it fits more securely and will not become accidentally dislodged during speaking or eating.  

The fee for an implant supported upper or lower denture at our office is $2800.

If you have loose dentures, you are not alone. It is a very common issue that affects millions of Americans. After evaluation by Drs. Benton and Nelson, you will be presented with treatment options that may include a denture reline, new dentures, or dentures supported by implants.

Adjustments and reline procedures: 

Loose dentures can often be addressed by adjusting them, or with a special procedure called a denture reline. 

Consider upgrading to an implant retained denture:

 Dr. Nelson has extensive training and experience with dental implants to help retain dentures. An implant retained denture will solve your issues and stay in place while you chew, talk, and smile!

Please visit our page on loose dentures to learn more!

Better chewing ability: 

Dentures that are not displaced by harder foods will give you the function and confidence to enjoy more foods. Dental implants create a secure connection between your jaws and dentures.

More confidence speaking and smiling: 

Many patients worry about dentures dislodging when talking or speaking in public. Dental implants will give you the confidence to know that your dentures will not move when talking, eating, or smiling.

Preservation of bone: 

Implants stimulate your bone just like natural teeth which retain the bone of your jaw.

Affordable and quick

Often, your existing dentures can be used to attach to your new dental implants which saves time and money.

Ease of removal: 

The dentures can be removed at night for easy cleaning of the dentures.

Most effective, pain-free, and up-to-date numbing techniques: 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing.  We utilize the latest and most effective techniques for anesthesia.  

Calming nitrous oxide (laughing gas): 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

An upgraded denture that's secured with dental implants so it won't budge!

An implant supported denture, also known as an overdenture, is one of the best ways to restore your ability to speak, chew, and smile without worrying about your denture loosening.  Implant supported dentures are customized dentures that "snap" onto a dental implant to ensure a secure fit that won't become displaced.  Patients with implant supported dentures often remark that they are able to eat foods like steak, corn on the cob, and apples again! 

Evaluation of current dentures. 

If current dentures are satisfactory, then they can be used. If they are not, then new dentures are made by our expert Winston-Salem based dental lab.

Simple and fast placement of dental implants. 

The dental implants are placed during a simple, fast, and comfortable procedure.

Attachment of dental implants to dentures. 

After a short healing process, the dental implants are attached to the dentures with special connections.

Customization of retention strength. 

The strength of the connection between the denture and dental implants can be customized for your specific needs and strength desires. The connections can be so strong that patients sometimes have trouble removing them! We will make sure this does not happen to your custom implant retained denture.

Tooth-Colored Fillings

We only use the most esthetic filling materials. 

If you need a filling to fix a cavity, then our skilled doctors will match your tooth with the proper shade of composite (tooth-colored) filling material. With the modern and high-quality tooth-colored filling materials that we use, our fillings are almost unnoticeable.

Please visit our page on tooth-colored fillings to learn more! 

The fee for a dental filling ranges from $171-$343 depending on how many tooth surfaces the filling will replace.  

We have the most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Preparing the tooth for the filling

Once the decay is removed, Dr. Benton and Dr. Nelson prepare the tooth with a special kind of glue that seals the filling material to the tooth. This creates a seamless transition from tooth to filling material which prevents leakage and staining. 

Placing the Tooth-Colored Filling Material

The composite material can be shaped and adapted to fill in the exact contour of the natural tooth. These high-quality materials come in many different shades to match the exact color of your tooth. This allows you to smile and chew with confidence.

As Good as New

A completed tooth-colored restoration will have the same look, feel and function as the original natural tooth. It is the most conservative and natural method to keep your teeth healthy for the rest of your life.

Your dentist may recommend a filling to fix a cavity, chip, or discoloration on your tooth

Dental decay: 

A tooth can decay due to many reasons. Dental decay is caused by bacteria that soften and weakens the tooth structure and can even create holes in teeth. Dental decay can be painlessly removed, and the missing tooth structure can be replaced with a tooth-colored filling. 

Chipped or missing tooth structure: 

If your teeth have been chipped, a tooth-colored filling can be placed to replace missing tooth structure. 

An old filling that has gone bad: 

With time, your existing fillings can chip, crack, or even have cavities form beneath them. Your dentist will examine your existing fillings and can replace them with new ones if indicated. 

We only use the best materials for our patients. Drs. Benton and Nelson use the top materials available to restore the shape, function, and color of teeth.

Digital Dental X-Rays

Dental x-rays are essential to find dental decay, examine gum health, and find potential issues at their earliest stages

Dental Decay

To look for dental decay in between teeth that cannot be seen by looking in the mouth until the decay is very large.

Gum and Bone Health

To visualize the health of the bone that surrounds the tooth and to detect harmful bone loss caused by gum disease.

Nerve Issues 

To detect problems with the nerve of your tooth that could become very painful if untreated

To Find Problems at the Earliest Stage  

To find dental decay in its early stages. When dental decay or cavities are discovered sooner, more conservative treatment can be performed which dramatically reduces the time and cost of treatment.

Only the lowest possible dose for our patients: 

Our modern Winston-Salem office utilizes digital x-rays to make your experience safer, faster, more efficient, and to ensure the lowest possible doses for you and your family.

Our office’s x-ray promise: 

Our office will only recommend the x-rays that are appropriate and absolutely necessary. For patients who rarely have dental issues, we will take less frequent x-rays than normal. Just like other medical screening procedures, patients have different risks and that is reflected in the x-rays that we prescribe.

Please visit our page on digital x-rays to learn more!

Less than old “film” dental x-rays: 

Digital x-rays have 50% less radiation than traditional film-based x-rays.

Less than a cross-country flight: 

A flight from Los Angeles to New York City has 40 times the radiation exposure than a single digital dental x-ray.

Less than a day on the earth: 

A single day of background radiation from living on the Earth is the equivalent of 2 digital dental x-rays.

Less than a bunch of bananas: 

Eating 50 bananas is equivalent to one digital dental x-ray.

Less than a chest x-ray: 

A medical chest x-ray is equivalent to 100 digital dental x-rays.

Less than a mammogram: 

A mammogram is equivalent to 800 dental x-rays.

Less than a medical CT scan: 

A full-body medical CT scan is equivalent to 6,000 digital dental x-rays.

There are several types of dental x-rays that the dentist may recommend in order to appropriately assess your mouth.  

Different dental X-rays look for different dental issues such as between-teeth cavities, tooth roots, jaws, and sinuses.  

Bitewing X-Rays:

Look for cavities between the teeth or where the teeth are touching

Periapical X-Rays:

Visualize the entire root of a single tooth

Panoramic X-rays:

Capture the entire lower third of the face to assess all teeth, jaws, and sinuses

CBCT X-rays:

Have multiple uses including panoramic x-rays, 3-D x-rays and extra oral bitewing x-rays.  

Digital dental x-rays are faster, more clear, and have less radiation than traditional dental x-rays.

Faster appointments: 

The digital x-rays are immediately available on the computer which saves time developing x-rays.

More comfortable:

Modern sensors are smaller and easier to use.

Higher resolution:

Our digital sensors are the top-of-the-line and have the best resolution available in the market. This allows Drs. Benton and Nelson to accurately diagnose any dental issue so that it is treated as early as possible. If a dental problem is detected early, then it is more likely to be treated by a faster, cheaper, and more comfortable treatment. An example would be finding a cavity early and fixing it with a filling instead of a root canal.

Patient engagement: 

Because the x-rays can be shown at full size on a computer monitor, Drs. Benton and Dr. Nelson are able to educate and engage you about your dental health

Less radiation:

Digital x-rays require less than half the radiation exposure that traditional dental x-rays use.  

Sleep Apnea

After a person is diagnosed with sleep apnea, there are multiple ways to approach treatment depending on the cause. 

Treatment options can include:

  • Healthy lifestyle changes including diet and exercise
  • Dental sleep apnea appliance
  • CPAP (continuous positive airway pressure) breathing device

If you have been diagnosed with obstructive sleep apnea, you could benefit from a dental sleep apnea device, sometimes referred to as a snore guard.  If your physician determines that you are a candidate, Dr. Nelson can fabricate the appliance for you to wear at night.  Many patients prefer dental sleep apnea devices over CPAP breathing devices as they are smaller, more discrete, and silent.  There are two main types of dental sleep apnea devices: mandibular repositioning devices and tongue retaining devices. 

Mandibular repositioning sleep apnea device 

A mandibular repositioning device is a type of dental appliance worn during sleep that positions the lower jaw forward to help keep the airway open.  Dr. Nelson prefers mandibular repositioning devices for treating obstructive sleep apnea. 

Sleep apnea signs and symptoms that you may experience

  • Feeling tired, even after a full night’s sleep
  • Difficulty staying awake during the day
  • Irritability
  • Fatigue
  • Dry mouth upon waking
  • Morning headaches
  • Tooth grinding

Sleep apnea signs and symptoms that your bed partner may notice while you sleep

  • Snoring
  • Pausing in breathing
  • Gasping for breath

Signs and symptoms your dentist may observe

Did you know that your dentist may recognize signs of sleep apnea during your routine dental exam?  Because sleep apnea is often associated with tooth grinding and enlarged oral soft tissue structures, your dentist may discuss whether you are experiencing other signs and symptoms of sleep apnea and refer you to your physician.  

  • Tooth wear (shortening of teeth)
  • Tooth fractures or cracks
  • Enlarged tonsils, soft palate, tongue, or uvula
  • Smaller lower jaw

Obstructive sleep apnea (OSA) is a form of sleep apnea caused by the soft tissues of the throat (soft palate, uvula, tonsils, tongue, etc) relaxing and narrowing the airway during sleep.  Obstructive sleep apnea is the most common form of sleep apnea and can be managed, with the recommendation of your physician, with a dental sleep apnea appliance.

Sleep apnea is a disorder where breathing pauses periodically during sleep.  This cessation in breathing causes a drop in your body’s oxygen level.  When your brain detects that your oxygen levels are decreasing, it signals your body to wake-up to resume regular breathing.  Though these wake-ups are brief and usually not remembered, they interrupt the sleep cycle and decrease sleep quality, leading to daytime drowsiness. 

OSA is often, but not always, found in patients with increased body mass index (BMI), enlarged tonsils, small chin, nasal congestion, and patients with medical histories that include high blood pressure, heart failure, and type 2 diabetes. 

Sleep apnea is associated with reduction in sleep quality and leads to daytime drowsiness, fatigue, and irritability.  More importantly, sleep apnea can significantly impact your health and is associated with:

  • Heart problems (such as heart attack and stroke)
  • Increased blood pressure
  • Liver problems
  • Types 2 diabetes
  • Complications during general anesthesia

Dentures

A full upper or lower denture costs $1700.  If your denture is supported by dental implants to improve the fit and stability, the fee is $2800.  

  • Upper Denture: $1700
  • Upper Implant Supported Denture: $2800
  • Lower Denture: $1700
  • Lower Implant Supported Denture: $2800

The fee for an implant supported denture depends on how many dental implants are required to support your prosthesis.  Upper dentures usually require four dental implants while lower dentures usually only require two dental implants.  As always, we will work with your dental insurance and offer payment plans to help you fit your dental treatment into your family's budget.  To learn more about dental implants, dentures, or implant supported dentures, visit our services page.

  • Upper Implant Supported Denture: $2800
  • Lower Implant Supported Denture: $2800
  • Dental Implant: $1838 per implant

 

An implant supported denture is an "upgraded" denture that snaps onto dental implants.  An implant supported denture is superior to a conventional denture as it fits more securely and will not become accidentally dislodged during speaking or eating.  

The fee for an implant supported upper or lower denture at our office is $2800.

If you have loose dentures, you are not alone. It is a very common issue that affects millions of Americans. After evaluation by Drs. Benton and Nelson, you will be presented with treatment options that may include a denture reline, new dentures, or dentures supported by implants.

Adjustments and reline procedures: 

Loose dentures can often be addressed by adjusting them, or with a special procedure called a denture reline. 

Consider upgrading to an implant retained denture:

 Dr. Nelson has extensive training and experience with dental implants to help retain dentures. An implant retained denture will solve your issues and stay in place while you chew, talk, and smile!

Please visit our page on loose dentures to learn more!

Better chewing ability: 

Dentures that are not displaced by harder foods will give you the function and confidence to enjoy more foods. Dental implants create a secure connection between your jaws and dentures.

More confidence speaking and smiling: 

Many patients worry about dentures dislodging when talking or speaking in public. Dental implants will give you the confidence to know that your dentures will not move when talking, eating, or smiling.

Preservation of bone: 

Implants stimulate your bone just like natural teeth which retain the bone of your jaw.

Affordable and quick

Often, your existing dentures can be used to attach to your new dental implants which saves time and money.

Ease of removal: 

The dentures can be removed at night for easy cleaning of the dentures.

They're a reliable option to replace missing teeth. 

Dentures can benefit patients who have lost teeth over the years due to many different factors. The great news is that dentures are a great option to replace teeth, bone, and gum tissue that have been lost over the years. 

You can take back your ability to talk, eat, and smile. 

Losing teeth can affect your ability to talk, eat your favorite foods, and change the appearance of your face but the good news is that dentures can be the solution!

Everything can be customized. It is important for all of these elements to be precisely customized for you because every mouth, tooth, and face is unique!

  • Tooth color or shade
  • Tooth shape (length and width)
  • Tooth size
  • Tooth position or alignment

Please visit our page on dentures to learn more!

Most effective, pain-free, and up-to-date numbing techniques: 

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing.  We utilize the latest and most effective techniques for anesthesia.  

Calming nitrous oxide (laughing gas): 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

An upgraded denture that's secured with dental implants so it won't budge!

An implant supported denture, also known as an overdenture, is one of the best ways to restore your ability to speak, chew, and smile without worrying about your denture loosening.  Implant supported dentures are customized dentures that "snap" onto a dental implant to ensure a secure fit that won't become displaced.  Patients with implant supported dentures often remark that they are able to eat foods like steak, corn on the cob, and apples again! 

We take time to listen to your desires to make the most esthetic denture with the best lab technicians

Top lab technicians here in Winston-Salem:

Our office uses an excellent, Winston-Salem based dental lab with experienced and talented clinicians. Using a local Winston-Salem lab increases the speed of the process, enables the doctors to discuss their vision with lab technicians who they know, and guarantees that the lab will use the strongest and most esthetic materials.

Our office never makes “one-size-fits” all dentures:

 We customize every aspect of the denture process to fit you! Our goal is to create a denture that is indistinguishable in appearance from beautiful, natural teeth.

Dental Bridges

Yes, our office has a digital scanner to take digital impressions

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally.  Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

A dental bridge that replaces one missing tooth costs $3774 and a dental bridge that replaces two adjacent missing teeth costs $5032.  To learn more about dental bridges, dental insurance, or payment plans, visit our service page.  

There are many dental bridge materials available. Drs. Benton and Nelson will choose the best option and strongest material for your mouth.

Beautiful tooth-colored materials (most popular):

Zirconia is the most popular material that will match the natural shade of your tooth perfectly. 

Gold (upon patient request): 

Gold can also be a treatment option for the back teeth if the patient requests it. 

A dental bridge is a type of dental treatment that permanently replaces a missing tooth or teeth that is very similar to a dental crown or "cap" that is designed to cover multiple teeth.  

Dental implants are an alternative to dental bridges 

Dental implants are another great alternative to replace missing teeth. Dr. Benton and Dr. Nelson will discuss which option they would recommend for your specific situation. They will help you decide the best treatment for your mouth and smile.

What are some advantages of dental bridges over implants?

Dental bridges are a faster treatment option: Dental bridges can be completed more quickly than implants in most cases. 

Some patients are not ideal candidates for dental implants. In situations where dental implants are contraindicated, a dental bridge is a better option. These patients include:

  • Younger patients (less than 21 years old) who are still growing
  • Patients who have had radiation or chemotherapy for oral cancer
  • Patients who have taken high-dose of bone drugs (bisphosphonates)

You can have your dental bridge in two simple visits. 

After you have decided on dental bridge treatment after consultation with Drs. Benton or Nelson, the process usually takes two appointments. 

First visit: 

Readying the mouth for a dental bridge. During the first appointment, the teeth on either side are prepared to accept the bridge. The areas will be numbed so you are very comfortable during the procedure and a mold will be made of the area. A temporary bridge will then be fabricated and fitted to your mouth so that you can smile and chew with confidence while your bridge is being made at a dental lab. A skilled dental technician will then fabricate a dental bridge based on photos, shades, models, and instructions from our office. 

Second visit: 

Permanently place the dental bridge in your mouth. You will return for a quick and easy appointment where the temporary bridge will be removed and the final permanent dental bridge will be cemented. You will have an opportunity to view the final bridge in your mouth before it is cemented. 

Excellent treatment option for missing teeth: 

Dental bridges have been in use for over 50 years, and are an excellent replacement option for missing teeth.

Permanent replacement of teeth: 

Dental bridges provide a “fixed” replacement for missing teeth. They stay in place during speaking, eating, and brushing.

Very esthetic: 

Dental bridges look and feel like natural teeth.

High-quality, strong materials: 

Dental bridges are made with zirconia, which is a high- quality, cosmetic material fabricated by master technicians right here in Winston-Salem.

Customized to your smile: 

The size, shape, and color of dental bridges are customized for your specific situation so you have a natural look and feel.

Please visit our page on dental bridges to learn more! 

If you have one or more missing teeth: 

You could benefit from a dental bridge if you have one or more missing teeth with a natural tooth or implant on each side.

If you desire a permanent replacement of the tooth: 

Dental bridges are permanent, meaning that they cannot be taken out like a partial denture can. 

Porcelain Veneers

We accept and file all dental insurances

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.  Though we are not an in-network provider with any insurance company, we will estimate your insurance coverage and out-of-pocket responsibility prior to treatment.

Financial plans are available 

We offer financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay)

We also offer discounts for patients who do not have dental insurance or who prefer to pay with cash.  

Schedule a consultation at our Winston-Salem office. 

Call our Winston-Salem office to schedule your exam and consultation. It is very important for Dr. Benton and Dr. Nelson to conduct a full exam before the placement of porcelain veneers. The exam will help determine whether porcelain veneers are the best treatment for you. Alternatives to veneers that will still provide excellent esthetic results include orthodontics or small tooth-colored fillings.

See a “mock-up” of what your teeth would look like with veneers. 

Photos and molds of your teeth will be taken to best plan for the veneers. In most cases, you can see a “mock-up” of what the new veneers would look like in your mouth. This is accomplished in just a few minutes without anesthesia or drilling. If you like how they look and feel, then this can be communicated with the lab when they create your porcelain veneers.

The fee for a dental veneer is $1258 per tooth.  Most patients decide to place dental veneers on either two, four, or six front teeth to transform their smile.   

Visit our services pages to learn more about porcelain veneers and cosmetic dentistry,  

The color or shade of veneers can be customized for each patient’s wishes. The excellent, local Winston-Salem dental labs create customized veneers for each patient’s desires.

Reduced Staining and Discoloration Over Time

High-quality porcelain stains at a much lower rate than natural teeth, composite fillings, or older crown materials.

Conservative Treatment

Veneers often remove less than .5mm of tooth material and sometimes none at all. This keeps your natural teeth stronger and allows the veneers to last for a long time.

Biology  

Porcelain has been used for a long time in dentistry and has a long track record of being well tolerated by the gum tissue in patients. There is no metal involved in the process so the potential for an allergic reaction is almost zero.

You can have your veneers in two simple visits. 

First visit: 

Preparation of the teeth and making “temporary” veneers. In the first visit, the teeth are prepared and molds of the mouth are made to send to the master dental technicians. You will leave that day in “temporary” veneers that will look very similar to what your final smile will be!

Second visit: 

Attach your custom porcelain veneers to your teeth. You will later return to the office to have your custom porcelain veneers attached to your teeth with a very durable and strong resin adhesive. The final step is to live your life with your new smile! 

There are many reasons why you may consider dental veneers.

Dissatisfied with the color of your teeth:

Dental veneers can improve the color or staining of front teeth, especially in patients who have tried dental bleaching (whitening) and are not satisfied with the results.

Dental wear or grinding: 

Over the years, grinding of teeth can slowly reduce the height of a patient’s front teeth. Porcelain veneers can increase the height of a patient’s front teeth to the original form and function before the teeth were worn down.

Chipped, broken, or traumatized front teeth:

Previous trauma to teeth can often create an unaesthetic appearance. Teeth can turn grey or dark years after the trauma. Often, the old crowns or fillings that were placed at the time of the trauma no longer match the adjacent teeth. Dental veneers can be used to create a beautiful, natural smile for all front teeth.

Small tooth size: 

Many patients are born with smaller than average teeth. Often, this occurs on the top teeth called lateral incisors. Dental veneers can correct and size discrepancies and give you the smile you have always wanted.

Spaces between teeth:

Spacing can also be corrected with orthodontics or braces but it is often preferable and quicker to close the spaces with porcelain veneers.

Please visit our page on dental veneers to learn more!

Tooth Extractions

Some patients are able to keep their wisdom teeth their entire lives, but many benefit from their removal. 

We check your wisdom teeth at every cleaning visit. 

Just like the check for cavities and gum disease, Drs. Benton and Nelson will always evaluate your wisdom teeth at your cleaning visits. 

For some, removal is not needed. 

Though some lucky people are missing their wisdom teeth, most people have 4 that begin erupting (coming into the mouth) around age 17. Occasionally, patients will have enough room to let their wisdom teeth come in without complications.

For most, removal is the best option. 

Most people would benefit from the removal of their wisdom teeth to prevent future complications. If this is the case, Drs. Benton and Nelson will talk to you about the removal process. 

A dental bone graft is sometimes recommended after the removal of a tooth to preserve the surrounding bone.  The cost of a dental bone graft at our office is $368.  

The cost of wisdom tooth removal depends on whether the tooth is in the mouth (erupted) or trapped in the jawbone (unerupted).  Most patients elect to be sedated during wisdom teeth removal.  To learn more about wisdom teeth removal or dental sedation, visit our services pages. 

  • Removal of erupted wisdom tooth: $246 per tooth
  • Removal of unerupted wisdom tooth: $324-410 per tooth
  • Intravenous (IV) dental sedation: $421

 

Painless numbing techniques.

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. 

Quick, comfortable, and predictable treatment. 

Our office has all of the latest equipment and your procedure will be completed in a quick, comfortable, and predictable manner.

Medications to stay pain-free while recovering. 

We will give you the best medications in a customized pain-control protocol to stay comfortable after the procedure. Our team will also review how to take care of your mouth in the days following extractions.

Calming nitrous oxide (laughing gas).

 For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry. 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on extractions to learn more!

We have many temporary options to replace your tooth.

Before any extraction procedure, Drs. Benton and Nelson will explain all of your treatment options to replace your tooth. We will provide both temporary and permanent replacement choices for function and esthetics.

We offer same-day tooth replacement so you can go home with a smile.  

If desired, you will be able to go home with a temporary replacement tooth the same day as the procedure, so you can always smile with confidence!

If you are nervous about having your tooth extracted, you've come to the right place!  We have multiple options to make sure your procedure is comfortable and stress-free.  

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia to keep you comfortable.

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide, or laughing gas, will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free Sedation Dentistry 

Dr. Nelson is one of the only general dentists in the Winston-Salem area who is trained and licensed in all forms of sedation dentistry.  Patients are always given the option of choosing dental sedation during their procedures to guarantee a stress-free experience.  In fact, most people say that going to the dentist was never easier and that they have no memory of the procedure at all! 

A bone graft will keep your tissues healthy and enable you to pursue tooth replacement options.

A way to preserve surrounding structures 

A bone graft or “socket preservation” is a simple procedure that can be performed to maintain the architecture of your natural bone. The process allows your body to rebuild bone to replace the lost tooth.

Improve outcomes with a replacement tooth 

Dr. Nelson is highly trained in different bone grafting procedures to ensure that you have the support to receive a dental implant or bridge in the future.  Placing a bone graft at the time of extraction is the easiest and most effective opportunity to preserve your bone and gum tissue.

Bone Grafting

A dental bone graft is sometimes recommended after the removal of a tooth to preserve the surrounding bone.  The cost of a dental bone graft at our office is $368.  

There are several reasons your dentist may recommend a bone graft:

  • Preparation for a dental implant during tooth extraction
  • Restoration of bone from previous trauma to the teeth or jaws
  • Support of existing teeth and gum tissue

A bone graft will preserve natural bone and improve the success of your dental implant.

Preserve natural bone

Bone grafting can be a very valuable service if you have missing teeth, bone, or gum tissue.

Regenerate bone that has been lost 

The goal of any bone grafting procedure is to preserve your body's natural bone or regain bone that has been lost.

Support for Teeth, Implants, Gums, and Facial Appearance 

The bone of your jaws is very important, as these structures support your teeth, implants, gums, and facial appearance and enable your speaking and chewing functions.  

A dental bone graft is a simple procedure where a bone graft, in the form of a sand-like material, is gently added to your jaw in an area where bone is needed.  Your own cells recognize the bone graft and grow natural bone around the site.  There are many reasons your dentist may recommend a bone graft, including to preserve bone after a dental extraction or to prepare a site for a dental implant

Bone grafting may sound scary, but it's a simple procedure that only takes minutes 

Most bone grafting procedures are completed during the extraction of a tooth or during the placement of a dental implant. This simple, painless procedure often only takes a few extra minutes to place the bone graft material in the extraction site so that your body maintains the bone needed for you to function and smile.

Your own cells use the graft material to grow new, healthy bone

After the bone graft is placed, your cells will use the graft material to create new, healthy, living bone!

A bone graft will keep your tissues healthy and enable you to pursue tooth replacement options.

A way to preserve surrounding structures 

A bone graft or “socket preservation” is a simple procedure that can be performed to maintain the architecture of your natural bone. The process allows your body to rebuild bone to replace the lost tooth.

Improve outcomes with a replacement tooth 

Dr. Nelson is highly trained in different bone grafting procedures to ensure that you have the support to receive a dental implant or bridge in the future.  Placing a bone graft at the time of extraction is the easiest and most effective opportunity to preserve your bone and gum tissue.

Gum Disease Treatment

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large. 

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either. 

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

 

There are many benefits to undergoing gum disease treatment, also known as periodontal therapy:

  • Prevent losing teeth later in life
  • Improve bad breath
  • Healthier appearance of gum tissue
  • Avoid dentures and partials
  • Lowers risk of heart attack and stroke
  • Regain the ability to clean your teeth and gums at home

For most, every 6 months is ideal.

Patients with healthy gums and teeth should visit the dentist for a cleaning and exam every 6 months.

For some, more frequent cleanings are necessary.

If it has been a while since your last cleaning or if you are diagnosed with gum disease, then you may be advised to come more often. Once your gums are healthy, you can be moved to a regular 6-month schedule.

Please visit our page on gum disease treatment to learn more!

 

We evaluate your gums at every cleaning appointment. Dr. Benton and Dr. Nelson always evaluate their patients for gum disease during their cleaning appointments in their Winston-Salem office. Their entire dental team is trained to evaluate for signs of gum disease.

Other factors that could be signs of gum disease include:

  • Bad breath
  • Chronically bleeding gums
  • Gum recession
  • Mobile or loose teeth
  • Tobacco use
  • Lack of regular dental cleanings

Plaque is a biofilm: 

Plaque is the collection of bacteria that can build-up on teeth within minutes. The bacteria gather together and form a complex network called a biofilm. You can probably feel plaque on your teeth if you forget to brush in the morning. Fortunately, routine brushing and flossing can remove plaque fairly easily.

Calculus is hardened plaque:

Calculus is plaque that stays on your teeth for a long enough period of time to become hardened with minerals. This is what you may have felt being removed during part of your routine dental cleaning. Calculus removal is one of the most important reasons to come to your routine cleanings because it cannot be removed with a toothbrush or floss. The buildup of calculus over time can cause severe issues such as inflammation and gum disease.

Periodontal disease is a progressive disease caused by an infection in your gums and tissues that hold your teeth in place. Periodontal disease can cause bad breath, loose teeth, lost teeth, and gum recession. 

There are multiple excellent toothbrush options depending on what you're looking for:

Manual toothbrushes

If you are using a manual toothbrush, then we recommend one with soft bristles with gentle circular motions.

Electric toothbrushes

Electric toothbrushes have been scientifically proven to be more effective than manual brushes, as they remove more plaque and debris. Currently, Sonicare and Oral B brands are the best. We are happy to recommend an electric toothbrush at your next cleaning visit!

Root Canal Treatment

Root Canal in Winston Salem

The fee for a root canal depends on the tooth that is being treated.  The cost ranges from $800-$1000.  As always, we will work with your dental insurance to get your maximum benefit and offer interest-free payments to ensure you can afford your treatment.  

Eliminate pain:

Root canals relieve toothache pain!

Remove harmful bacteria: 

Root canals remove painful and dangerous bacteria that have entered your body through your tooth.

Save your natural teeth: 

Root canals save your natural tooth by avoiding tooth removal.

Quick and painless: 

Root canals can be done quickly and painlessly.

A cheaper and faster alternative to implants and bridges: 

Root canals and subsequent dental crowns are often cheaper and faster than removal of tooth and replacement with a dental implant or dental bridge.

Heal long-standing infections: 

Root canals allow your body to heal chronic infections which can raise your risk of heart attack and stroke.

Please visit our page on root canals to learn more! 

Root canals can be stressful, but are sometimes necessary to stop pain and infection.  We make sure the procedure is comfortable for you using the following steps:

Most effective, pain-free, and up-to-date numbing techniques

During any treatment, Drs. Nelson and Benton pride themselves on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. In fact, most patients say that going to the dentist was never easier!

Calming nitrous oxide (laughing gas)

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on dental sedation to learn more! 

A root canal is a dental procedure where the dental nerve (located within the root of a tooth) is gently removed and the inside of the tooth is cleaned to remove infection and eliminate pain.  

Careful Diagnosis

A root canal is only performed after careful diagnosis and examination of your tooth. Drs. Benton and Nelson will decide if root canal therapy is your best treatment option.

Painless Numbing Techniques

The tooth will be numbed with the most painless, effective, and up-to-date local anesthesia techniques. This will eliminate any tooth pain that you may be feeling and will allow the root canal therapy to take place comfortably. 

Removal of Any Existing Decay or Fractures

Any existing decay or fractures will be removed.

Gentle Cleaning and Rinsing  

When a tooth requires a root canal, the inner portion, the nerve, is infected with bacteria. These bacteria are the source of the pain and infection. The nerve chamber is thoroughly cleaned and the bacteria are removed with gentle instruments and rinsing.

Sealing Off of the Nerve Chamber to Prevent Future Infection  

The nerve chamber is sealed to prevent any additional bacterial growth. The root canal therapy is protected with a filling or crown to prevent any additional bacteria from your mouth entering the tooth.

Following Root Canal Treatment

You brush, floss and eat as normal with your restored tooth PAIN-FREE.

Pain

Pain or discomfort in a tooth from a deep cavity can be resolved with a root canal.

Infection

Infection can form in your teeth or jaw from a deep cavity or from a long-standing dental trauma.  A root canal will help to eliminate the infection to bring your mouth back to optimal health.  

Trauma

Trauma to a tooth from a fall or accident can cause damage to the root of the tooth.  A root canal can treat the area by treating the damaged nerve.  

Children's Dentistry

Yes, we recommend fluoride for most patients.

There are many ways to protect the teeth with fluoride, including in-office fluoride varnish treatment, toothpaste, and fluoridated mouth rinses. Drs. Benton and Nelson will assess your fluoride exposure and risk of cavities and recommend a customized prevention plan for you. 

Yes, we love children!

Our office focuses on family dentistry in Winston Salem, meaning we are passionate about providing care to your entire family. When it comes to building lifelong positive oral health habits, children's dentistry is a great way to start.

We make children's dental visits fun.

During the dental appointment, we will do our best to make your child’s visit as enjoyable as possible. From calling our instruments “Mr. Thirsty” to prizes at the end of the appointment, we focus on making the dentist fun for the whole family!

Dental sealants are beneficial at all ages.

Studies show that dental sealants can protect all back teeth from cavities, regardless of the patient’s age. 

Children are covered by dental insurance. 

In almost all cases, children can have their sealants covered by dental insurance. 

For adults, a sealant is cheaper than a filling!

Unfortunately, dental insurances usually do not cover dental sealants in patients over the age of 18. However, we encourage all patients to consider dental sealants as they are less expensive than needing a filling on the tooth later because it wasn’t protected. 

Fluoride is beneficial at all ages

Studies show that fluoride is effective at preventing dental decay at all ages. Whether a patient is 5 years old or 90 years old, fluoride could be beneficial to help keep their mouth healthy and cavity-free!

  • Children are covered by dental insurance. In almost all cases, children’s in-office fluoride varnish treatments are covered by insurance.  
  • For adults, fluoride is cheaper than a filling! Unfortunately, dental insurances usually do not cover fluoride applications in patients over the age of 18. However, we encourage all patients to consider fluoride as it is less expensive than needing a filling later on because the teeth weren’t optimally protected.

Bacteria and plaque can’t get into the tooth

Dental sealants bacteria and plaque from being able to access the deep grooves and pits that exist on your back teeth.

Sealants Reduce cavy risk by up to 80%

Studies have shown that chewing surface cavities can be reduced by up to 80%.

Quick, easy, and non-invasive

Dental sealants are quick and easy to apply. This simple non-invasive procedure only takes a few minutes and can be completed at your cleaning visits.

Call us at (336) 760-1277 to schedule your next appointment.
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