What’s New at Austin Skyline Dental

Dear Valued Patients,

Greetings from the team at Austin Skyline Dental. We wish all of you health, prosperity, and enough rain as 2015 begins. We celebrated our 35th anniversary last December here atop One Highland Center and plan to keep providing your care for many years to follow.

We are pleased to announce the addition of Dr. Eric Broberg to our staff. He will join Dr. Kimball as an associate dentist. Dr. Broberg is a fine young gentleman that graduated from the University of Texas at Houston Dental Branch three years ago. He will greatly enhance our team.

I honor and credit my staff, including Dr. Kimball, for their part in extending my philosophy of individualized care. During these times of third party/insurance involvement, we still believe the two most important parties are you, and our collective staff. We know Dr. Broberg is of this same philosophy of patient centered and health focused dental care. While doctors Kimball and Broberg will be taking on most of the endodontic and surgical care we provide, I will continue a full speed restorative schedule. They will allow me to last longer and better focus on the three areas of dentistry I have grown to enjoy.

First, I am excited to announce the expansion of my services to include full treatment orthodontics. I am not becoming a specialist but, while retaining all aspects of my general/restorative practice, will be treating simple orthodontic cases with brackets, arch wires and functional appliances. There will certainly still be referrals to orthodontic specialists when appropriate but there are intrinsic advantages to treating what can be done well without referring out. Click on our website to discover how the orthodontic philosophy I have embraced varies from the philosophy most American orthodontists provide.

Second is my interest in upper airway resistance problems involved with snoring and sleep apnea. Working in conjunction with your physician, often an ENT or sleep medicine doctor, we can provide dental appliances that in most cases can replace the need of a CPAP. Though some of the time, the CPAP is still the better option, there is no question that dental appliances are far more user friendly. Your physician and I will work out which is best in each case for each individual patient.

Finally, having enjoyed significant cosmetic successes over the decades, Cosmetic Dentistry will be my third area of focus. I will spend more time on larger, more complex cosmetic cases. We have finally found a predictable tooth whitening process that nicely supplements what our porcelain veneer lab can provide. Each case has an individual formula.

Dr. Kimball, Kris, Tricia, Lucinda, Michelle, Carol, Mandi and now Dr. Broberg make what I do possible. They are my greatest asset and we remain excited about being open five days a week, unlike most private care practices. With Broberg joining us, this coverage is better secured and might expand.
We now have appointment times up to 5:30 pm on Mondays. We will also strive for some Saturday hours if things develop…starting with your referrals!
We are accepting new patients and most value your word of mouth referrals. Treating your family and friends is an honor and we commit to work our best to serve each one of our patients with the highest of standards.

Dr. Parker

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Hygiene at the initial appointment?

It is our belief that we better serve our patients by recognizing a hygiene appointment to be one of treatment. The type of treatment our hygienists provide is either one of prevention, or one of therapy to treat inflammation, an actual state of disease. Besides not being licensed to diagnose, how could our administrative staff be able to know what type of therapy a new patient needs by phone or internet? We trust in the sequence of relationship, examination, diagnosis, treatment planning, consultation and only then treatment. We believe in taking enough time to do a good job.

Outside of children and adolescents, we do not see it as appropriate to have our patients’ teeth and soft tissue “cleaned” at the initial appointment. Our adult new patients come in with all levels of gum health or disease. These various levels of health or disease properly require proportionate levels of care.   Factor in, as well, how any given patient these days might choose to influence their plan of care with such topics as local anesthesia or sedation. Proper planning is important.

Some entering patients have had such negative experiences with hygiene that local anesthesia is preferred, with or without sedation. This is one of the most frequently benefited topics for a more comfortable delivery of our services. This entire discovery and consultation process can occur promptly enough. Most often, our better informed patient is scheduled for the correct level of hygiene care in only a few days.

During the exam, each patient will be shown the landmarks of gum pocket measurement and share in establishing their periodontal health status. While most adults just need prevention, about 25% require soft tissue or periodontal maintenance, while another 5-10% are better situated by being referred to a periodontist. This referral obviously needs close discussion with a lot of patient input. From our instruction, offered in the demonstration concerning pocket depths between their teeth and gums, our patients are better able to comprehend and make decisions. This elevation of our patient’s dental I.Q. will go further in maintaining periodontal health over their lifetime than any one, initial appointment cleaning.

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Force, the Other Dental Adversary

Besides bacterial decay, the other most common adversary to our teeth is force. In addition to the obvious dilemma of an accidental, traumatic blow to our teeth, the forces of clenching or grinding over time will eventually also cause damage. Bruxism is the term applied to the grinding or rubbing of teeth across one another. Bruxism always damages, only in different ways.

The high incidence and predictability of this self-imposed damage makes bruxism and clenching a high focus in our practice here at Austin Skyline Dental. A high percentage of those bruxing away, either during sleep or subconsciously while stressing through portions of the day, are unaware of the process until it is grossly evident. Our doctors and staff routinely screen our patients for early detection of this insidious process.

Some bruxers and clenchers develop muscle fatigue or stress headaches, while others break down in the temporomandibular joint (TMJ). This often manifests with clicking or popping at the hinge of the jaw. Not uncommon is the uneven wear on the anterior teeth, causing unsightly, shorter teeth. Too often the fracture of posterior teeth is also a result of bruxism. Lastly is breakdown of the supportive soft and hard tissue around the teeth. Gum recession and “V” shaped notches on the cheekward necks of the teeth termed abfractions result from the damaging horizontal forces from bruxism.

Since we can’t stop our patients from bruxing, distributing these otherwise harmful forces is the goal of treatment. Protective splints or “guards” are very conservative and cost effective. When indicated, an equilibration or reshaping of the bite to better distribute force is recommended. Know you will be evaluated for this aspect of risk when becoming a patient in this practice.

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Austin Skyline Dental

314 Highland Mall Blvd, Ste 500
Austin, TX 78752

(512) 452-9547 phone
(512) 452-7943 fax

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Office Hours

Monday, Tuesday, Thursday
Wednesday & Friday