Restorative & Esthetic Dentist
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Restorative & Esthetic Dentist
While we are essentially a general dentistry practice, we do specialize in restorative and esthetic dental care including veneers, implants, crown and bridge work, cosmetic bonding, tooth replacement and smile makeovers. In addition to a wide variety of cosmetic dental procedures, Dr. Troxel has expertise in creating the most natural looking and comfortable cosmetic dentures - either full or partial dentures for an incredibly natural smile.

We also have technologically advanced systems for periodontal health diagnosis and services that believe elimination of gum disease to be the cornerstone of dental health. Our focus is predominantly a non surgical approach and has been successful in helping thousands of patients control the disease process. We work with only the very best specialists and dental laboratories to create services outcomes that are second to none.

We strive to establish a lasting relationship as partners with our patients where we work together to create a lifetime of oral health.
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Comprehensive Dentistry means taking the time to understand your teeth and mouth as a whole, rather than one specific tooth or issue.
At the same time, we use a functional approach by also considering your whole body health and life circumstances.
As we welcome you into our practice, we look forward to taking a generous amount of time listening and learning about your concerns, health goals and circumstances.
We find that when we fully understand what you want to accomplish, both long and short-term, we are better able to help you create a plan that fits your personal goals.
Comprehensive Dentistry
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Comprehensive Dentistry basically means taking the "Big Picture" into account.
At Key Smiles, in Big Pine Key Florida, we find it very valuable for you as a patient to understand your teeth and mouth as a whole, rather than one specific tooth or issue.
We start by committing a generous amount of time to understanding your concerns, priorities and personal visions for your health.
Through this process we hope to help you gather all the information necessary to arrive at a decision that will serve you well for the years to come.
Dry Mouth
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Reduced saliva flow, which causes dry mouth, can damage mouth tissue, cause dental decay and contribute to bad breath.
Why is Saliva Important?
Saliva lubricates and protects your mouth from infection by bacteria.
It also coats your teeth and protects them from acids that can cause decay.
Saliva helps with swallowing and chewing food.
Some of the common problems associated with dry mouth include a constant sore throat, burning sensation, problems speaking, difficulty swallowing, hoarseness or dry nasal passages.
Nutritional Support
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Nutrients that boost the immune system, build collagen in the periodontal ligaments, and decrease inflammation can help battle gum disease.
Coenzyme Q10 is an enzyme involved in energy production.
Although present in food, CoQ10 is not considered a vitamin.
The body is able to make it from raw materials contained in food.
However, our bodies require more as we grow older because we are unable to produce enough to meet our needs.
Studies have shown that taking 50 to 100 mg per day often halted the deterioration of the gums.
Microscopic Monitoring
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Microscopic monitoring of bacteria associated with periodontal disease | We are the only office in the Florida Keys that Provide Microscopic Monitoring.
Because periodontal (gum) disease is a bacterial infection, we routinely sample all our patients for the presence of disease-associated bacteria.
In this non-invasive procedure, the dentist or hygienist obtains a sample of the bacteria growing under your gum and observes it with the aid of a specially designed Phase Contrast Microscope.
This allows us to determine if a patient is harboring bacteria associated with periodontal disease.
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