General Dentistry Services in Rochester NY

Our practice can provide a wide range of general dentistry services for patients of any age, such as:

  • Beautiful cosmetic dentistry

    including porcelain veneers, porcelain crowns, cosmetic bonding and teeth whitening.

  • Tooth-colored fillings

    which are mercury-free. We will replace old, broken-down amalgam/metal fillings that contain traces of mercury with white fillings (composites) to restore your smile and teeth to a more natural look and feel.

  • Teeth Cleanings and Exams

    Our dental hygienists will remove plaque and debris and you will leave with smooth shiny teeth. They will thoroughly screen you for gum disease and advise you how to keep your mouth healthy for a lifetime. Our very low radiation digital xrays can check you teeth for cavities and periodontal disease.

  • Periodontal (gum) therapy

    to preserve your teeth, gums and bone that supports your teeth. Remember, with periodontal health and regular dental hygiene visits your teeth can last a lifetime.

  • Root canal therapy (endodontics)

    to treat tooth infections. This therapy is highly successful and usually can be completed in one visit.

  • Treatment of jaw clenching and grinding

    with a very successful appliance called an NTI-tss.

  • Headaches are often caused by dental problems

    . The NTI appliance is the only dental appliance with FDA approval for migraine headache treatment.

  • Dental implants

    to replace missing teeth. Dr Paul Schwedfeger has  been working with implants for over 20 years and have seen implants outlast compromised teeth.

  • Dental sealants

    for children to protect the permanent molars from decay

  • Partial Dentures and Complete Dentures

    to replace missing teeth

Since we are committed to delivering excellence in all phases of dentistry, it may be necessary to enlist the help of some of the best dental specialists available to achieve the results we require. Our emphasis is on preventive care and the long-term dental health of our patients. This can only be achieved with regular check-ups, regular hygiene visits and continued home oral health routines.

Common Dental Problems

Dental disease will affect all of us at some point in our lives. I have listed below many common dental problems that my patients have brought to my practice. I know you will find this advice useful.

Afraid To Go To The Dentist

Studies by the American Dental Association indicate that 50% of the population in the United States don’t see a dentist on a regular basis. Fear is one of the most common reasons we hear for this lack of care. Patients often tell us of bad experiences going to the dentist as a child. Many patients don’t realize how much dentistry has changed. First of all, the anesthetics are much improved, they act more quickly, last longer and do a much better job of eliminating all feeling in the tooth. We use a topical anesthetic to numb the area before the shot, and with smaller and thinner needles, the shots are virtually painless. Drill techniques have also improved greatly. While it is still necessary to sometimes use the “drill”, they have improved so much that the drilling time is greatly reduced. Many patients use tape or CD players with headphones to further relax during a dental procedure. If a patient says, ” I hate dentists “, let him or her know how much dentistry has changed, and is no longer a need for fear.

Morning Headache Pain, Neck Pain and Sore Jaw

Now, there is an effective method of preventing jaw and headache pain. Dr. Paul and Dr. Matt Schwedfeger use a device called an NTI-tss (Nociceptive Trigeminal Inhibition Tension Suppression System). Dr. Paul and Dr. Matt Schwedfeger can create, in one visit, a custom made NTI device. The tiny clear-plastic device fits over your top two front teeth. You only wear the NTI device while you sleep at night. It makes clenching virtually impossible. In a few days or weeks, your clenching reflex is suppressed. Morning headache pain, neck pain, sore jaw and other related pain associated with involuntary intense clenching usually begins to resolve and disappear.

Accidental Tooth Loss By Injury

  • If the tooth is loose, even extremely so, but is still attached in any way, leave it in place; do not remove it.
  • If it is out of the socket completely and unattached, but is still in the victim’s mouth, it is best to have the person hold it there, if possible, until a dentist can attempt re-implantation.
  • If it is out of the mouth, do not let it dry out. Handle it as little as possible. Do not attempt to disinfect the tooth or scrub it, or remove any tissue attached to it.
  • If it is recovered from the ground or other soiled area, rinse it off in lukewarm water. Preserve it in milk until a dentist is available. If milk is not available, lukewarm water will suffice.
  • Time out of the socket is critical in the long-term success of re-implantation. After 30 minutes, the success potential begins to decline. However, re-implantation is still possible after several hours, so the attempt can still be made even if the tooth has been out for a long period.

Dental Decay – “Cavities”

Fluoride has been a great benefit to patients of all ages in helping prevent dental decay. Regular brushing and flossing lowers the chance of developing “cavities”. However, the most decay-prone areas of the teeth are the grooves and depressions on the chewing surfaces of the back teeth, which require further preventive care.

To prevent decay, a plastic-like coating called a sealant should be painted on the chewing surfaces of all the back teeth. Studies have shown that sealants can reduce tooth decay by as much as 90% to 100%. The American Dental Association recommends sealants be placed as soon as the first adult teeth come in at age 6 or 7. Sealants should continue to be used as each adult back tooth comes into the mouth. All back teeth that need to be sealed are present by age 13. Sealant application is simple, fast and painless.

Gum Disease – The Silent Killer of Teeth

The American Dental Association says that over 75% of all adults have or will have some form of gum disease. With statistics like this, it is important that all health providers are aware of the signs and can make the proper recommendations to the patient.

Gum disease, or more commonly called “periodontal disease”, is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.

The first stage is called “gingivitis” and is characterized by gum tissue that is red, puffy and bleeds easily when touched with a toothbrush, floss or dental instrument.

The second, third, and fourth stages are initial, moderate and advanced “periodontal disease”, respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. Additional signs of advanced gum disease are swelling of the gums, pus oozing around the teeth, bad breath, receding gums and looseness of the teeth. The treatment is more involved at these stages, usually consisting of a special cleaning with anesthetic and sometimes gum surgery.

Patient Concern About AIDS

A recent survey of dental patients showed that infection control was #1 on their list of concerns about dental care. Some patients have even stopped going to the dentist because of their fears.

Fortunately, trips to the dentist have never been safer. The case in Florida where the patient was apparently infected with the AIDS virus by her dentist is the only such case out of tens of millions of dental treatments performed since the introduction of the virus. The Center for Disease Control still does not know the method of infection.

Even one case is too many. The dental profession has responded by adopting “universal precautions”. These involve sterilizing all instruments in dry-heat ovens or steam autoclaves to kill any bacteria or viruses. Disposable items are used whenever possible. The chance of contracting an infection in the dental chair is extremely remote, but the chance of losing one’s teeth because of lack of proper dental care is extremely likely. We should not let our patients’ unfounded fears lead them into real problems.

Discolored Teeth

For over 100 years, dentistry has restored teeth primarily with a material made of mercury and silver. It has done its job well, although we have had to live with it’s weaknesses. Those weaknesses consist of cracking teeth due to the expansion of the material, and restorations turning black as the silver material corrodes.

Now, we have many ways to provide tooth-colored restorations. We can use adhesives to bond tooth parts that look and act like teeth. We can provide a bright, healthy and strong smile with these exciting new techniques in adhesive dentistry.

Dry Mouth

Many seniors today have retained their own teeth, avoiding the trauma of removable dentures. Many are on medications creating dryness of the mouth as a side effect. Without the natural benefit of saliva to decrease bacterial action, we see an increase of cavities on the root surfaces of these patients.

Anyone on a medication causing a dry mouth effect should be encouraged to see their dentist for regular dental cleanings and topical fluoride rinses.

Pregnancy & Dental Problems

Many mothers have experienced gum disease, dental pain and/or tooth extraction during or shortly after pregnancy. This is often seen as being a “normal” side effect of being pregnant. Dental disease, which is an infection of the teeth and/or gums, is not “normal” for any patient.

There are three basic things that happen during pregnancy which make the patient more susceptible to dental disease. First, hormonal changes may make the gums more susceptible to gum disease. Second, pregnant women tend to eat smaller, more frequent meals, exposing their teeth and gums to sugar and acids more often. Third, the cravings for “junk foods” and inadequate oral hygiene pose an increased threat to the teeth and gums.

Pregnant women should be advised to schedule a dental evaluation and receive preventive dental care. Personalized oral hygiene instruction should also be given to fight disease and promote overall good health for the mother and her baby.

Missing Teeth

“Well, you know Doc, it’s only a back tooth. No one will see it so I’ll just get rid of it. It’s not going to make a difference”.

The plain truth is that it will make a difference. The loss of just a single tooth can set a course that can destroy the entire mouth. “Well, if that’s true, tell me more. I sure don’t want to lose the front ones that I smile with”.

Teeth will drift and tip into a space that is created by missing teeth. Just like two gears of a car that are not properly aligned, pretty soon you’ve got a whole lot of problems.

“Well I don’t like that. What can I do?” If it sounds like I’ve heard this conversation a few times, you’re right. If I’m going to keep a patient happy, I need to provide options at this point.

One of the options would be an implant. This is the replacement of a tooth with a false root that is surgically placed. It is often followed by the careful construction of a crown which replaces the missing tooth, to prevent teeth from shifting and thereby avoiding further tooth loss.

Bad Breath (Halitosis)

While bad breath might be a symptom of some other disorder, it most likely stems from dental decay and periodontitis (gum disease).

Periodontitis is a disease affecting gums and bone that support the teeth, and it results from inadequate tooth brushing and flossing. In this disease, the irritated gums pull away from the teeth and form pockets between the teeth and the gums. These pockets fill with bacteria and pus and give off a foul odor.

Patients with bad breath should be referred for a complete dental evaluation. If gum disease and/or dental decay is diagnosed, it can be treated readily. The patient will no longer have an infection in his or her mouth and he or she will no longer have the embarrassment of bad breath.

As always, if YOU have any question about a dental problem that bothers you, don’t hesitate to ask. I have access to an excellent support group of dentists and dental specialists in the Rochester area. Please call  me (585.385.2033) or email me at drpaul@villagesmiles.com

Thank you,

Dr. Paul and Dr. Matthew Schwedfeger


Through Dr. Schwedfeger’s work, I definitely enjoy smiling and laughing much more.

— Nancy K. Webster, NY

More Testimonials

"Ever since I was a child, I was embarrassed by my smile. The best thing I've ever done for myself is to have veneers done at Village Smiles. Your first impression is your smile - I love mine now." -- Katie F. ~ Pittsford, NY
"After being hesitant about having veneers, I finally went forward and it was one of the best decisions I ever made. I continue to receive compliments on my smile. Dr. Schwedfeger and his staff were great. I just wish I had the veneers done sooner!!" -- Brad K. Rochester, NY
"People comment on how great my teeth look all of the time. You have turned a self-proclaimed “ugly duckling” into a beautiful, confident swan, and thank you just doesn’t seem to be enough." -- Heather G. ~ Pittsford, NY
"Dr. Schwedfeger is an artist in his trade who truly cares about his patients. He did laser surgery to raise my daughters gum line. She was thrilled with the results and kept mentioning how amazed she was that it didn't hurt. She hasn't stopped smiling since!" -- Wendy D. East Rochester, NY
"I can’t thank you for all you have done for me. My new teeth look and feel great! I don’t think I have smiled this much in years!! Your staff and your work will always get the highest recommendations from me." -- Chris P. ~ Penfield, NY