Family Dental Services

We understand that for some, professional dental care can bring a little anxiety. No need to worry! We are EXTREMELY gentle dentists for children and adults. At New Hampshire Family Dentistry we provide gentle, refined dental services in Manchester, NH.
Your satisfaction with all aspects of your visit with us is of the utmost importance; please tell us how we can make your visit more relaxing.

How do teeth become infected?

Deep cavities allow germs to get into the pulp chamber. These germs cause infection, and the pulp dies. The pus from the infection eventually builds up at the root tip and makes a hole in the bone. This is called an abscess.

A blow to a tooth may also cause the pulp to die and then become infected. An infected tooth will never heal on its own, and as it gets worse, it will continue to be a source of infection that weakens your immune system. This can affect your entire body.

This damage to the bone and the swelling inside the bone can also be excruciatingly painful, and even life-threatening. Years ago, an infected tooth would have to be extracted, but today, we can save your tooth with root canal treatment.


To treat a cavity we will remove the decayed portion of the tooth and then “fill” the area on the tooth where the decayed material needs to be replaced. Fillings are also used to repair cracked or broken teeth, and teeth that have been worn down from misuse (such as from nail-biting or tooth grinding).

Dental Cleanings | Periodontal care

Good oral hygiene is important, not only for looks, but for general health as well. Poor oral hygiene can lead to a variety of dental and medical problems such as gum disease, infection, bone loss, heart disease, strokes and more. Regular checkups and cleanings can prevent these problems as well as provide you with good oral hygiene. There are many reasons to have routine care. Some of these are:

  1. To Maintain Good Oral Health
    Your dental hygienist will help to ensure that you are maintaining your good oral health by visual examination and comparing your previous dental checkups. If you are falling off track with your oral hygiene he / she will help put you back on the right path.
  2. To Prevent or detect Gum Disease
    Gum disease is an infection in the gum tissues and bone that keep your teeth in place and is one of the leading causes of adult tooth loss. If diagnosed early, it can be treated and reversed. If treatment is not received, a more serious and advanced stage of gum disease may follow. Regular dental cleanings and checkups, flossing daily and brushing twice a day are key factors in preventing gum disease.
  3. To Help you Keep Your Teeth
    Since gum disease is one of the leading causes of tooth loss in adults, regular dental checkups and cleanings, brushing and flossing are vital to keeping as many teeth as you can. Keeping your teeth means better chewing function and ultimately, better health.
  4. To Detect Dental Problems Early
    Your dentist and hygienist will be able to detect any early signs of problems with your teeth or gums. Early detection of cavities, broken fillings and gum disease are easily treatable. If these problems go untreated, root canals, gum surgery and removal of teeth could become the only treatment options available.
  5. To Prevent or Detect Oral Cancer
    According to The Oral Cancer Foundation, someone dies from oral cancer every hour of every day in the United States alone. When you have your dental cleaning, your dentist is also screening you for oral cancer, which is highly curable if diagnosed early.
  6. To Use Your Dental Insurance Plan
    Dental insurance plans usually pay for all or most of the cost of dental cleanings and checkups every six months. Take advantage of this and save a lot of money in the long run by avoiding costly dental procedures that can result from poor oral hygiene.
  7. To Help Maintain Good Physical Health
    Recent studies have linked heart attacks and strokes to gum disease, resulting from poor oral hygiene. A dental cleaning every 6 months helps to keep your teeth and gums healthy and could possibly reduce your risk of heart disease and strokes.
  8. To Create a Treatment Plan
    If your dentist diagnoses any problems in your mouth, he /she will most likely give you a treatment plan. This treatment plan should have the cost of each procedure that you will need, so that you can discuss financial arrangements with the front office.
  9. To Have a Bright and White Smile
    Your dental hygienist can remove most tobacco, coffee and tea stains. During your cleaning, your hygienist will also polish your teeth to a beautiful shine. The result? A whiter and brighter smile!
  10. To Prevent Bad Breath
    Dental studies show that about 85 percent of people with persistent bad breath, also known as halitosis have a dental problem that is to blame. Good oral hygiene is essential in preventing bad breath. Regular checkups and cleanings are the best way to make sure that you are maintaining good oral hygiene.

Return to top

Extractions – Extracting a Single Tooth

To make the entire extraction procedure comfortable for you, the first thing your dentist will do is make sure you’re thoroughly numb. Your dentist will use instruments called elevators and forceps to remove the tooth.

Elevators are placed next to the tooth and are used to gently roll the tooth out of the socket. Forceps are used to more firmly grip the tooth. Though you’ll continue to feel pressure when a tooth is removed, you shouldn’t feel any pain. If you do, let your dentist know. He will stop and give you more anesthetic.

Nobody enjoys having a tooth removed, but using modern dental techniques, it should be a comfortable procedure.


Dental veneers, also referred to as laminates, are ultra thin, cosmetic, composite facings made for anterior (front) teeth, used to change the shape, color and size of the teeth. Composite veneers, also known as dental bonding, can be completed in one visit, making the desired changes immediate. Porcelain veneers are stronger and less likely to stain, with more options for shading. These are made in a lab and require two visits.


Crowns are used to strengthen and improve the shape, size or color of teeth. They can support broken, cracked, previously root canalled teeth or weak teeth or those with large fillings. Crowns provide a smooth, strong, attractively contoured surface for stained, misshapen or otherwise abnormal teeth. These are made of porcelain or porcelain shells fused to a metal base for strength.

Bridges & Dentures

A bridge replaces missing teeth. Teeth adjacent to the area of missing teeth are crowned and used as anchors to support the restorations.

Root Canals

When the nerve of a tooth becomes infected, root canal treatment can save the tooth. How do you know if you have an infected tooth?

Some of the signs are heat and cold sensitivity, swelling and pain, or a bad taste in your mouth. Or, you may experience no symptoms at all and not realize that you have a dental problem.

The white outside portion of a tooth is called the enamel. Inside the enamel is another hard layer, the dentin. There’s a small chamber at the center of the dentin called the pulp chamber. Inside the pulp chamber is the tooth pulp, a soft tissue made up of nerves, arteries, and veins. The pulp extends from the pulp chamber all the way to the tip of the root through a narrow channel called the root canal.

In general, teeth in the front of the mouth have only one canal, while teeth in the back have two, three or four root canals.

Return to top

Call (603) 625-1877 now, we will respond as soon as possible.

At New Hampshire Family Dentistry, we want our patients to feel better as soon as possible, which is why we provide same-day emergency dental treatment for a number of dental problems and injuries.

Call us if you have any dental emergency, including:

  • Lost or broken teeth
  • Objects stuck between teeth
  • Chipped or lost dentures
  • Loose or missing crown
  • Severe toothache
  • Gum soreness, burning, or bleeding
  • Broken bridge
  • Continued bleeding after an extraction

What to do if you have a toothache?
A toothache is a common dental emergency. In the event of this problem, rinse the mouth out with warm water to clean it out. Gently use dental floss or an inter-dental cleaner to ensure that there is no food or other debris caught between the teeth.

Never put aspirin or any other painkiller against the gums near the aching tooth; it may burn the gum tissue. If the pain persists, please contact us!

What to do if you have a broken tooth?
Rinse your mouth with warm water to clean the area. Use cold compresses on the area to keep any swelling down. Call your dentist immediately. This is a dental emergency that is best dealt with by a dental professional, such as Dr. Johnson, Dr. Sparks or Dr. Mandera.

What to do for a bitten lip or tongue?
Clean the area gently with a cloth and apply cold compresses to reduce any swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

What to do if objects get caught between the teeth?
Try to gently remove the object with dental floss; avoid cutting the gums. Never use a sharp instrument to remove any object that is stuck between your teeth. If you can’t dislodge the object using dental floss, contact your dentist. Call New Hampshire Family Dentistry at our Manchester office to tend to issues such as this one.

What to do if a tooth came out from the denture or a denture is broken?
Many senior citizens are using full or partial dentures and have one or more teeth protected by crowns (caps). Dentures are removable oral prosthetic devices that replace missing teeth. A crown is a porcelain and gold tooth replica that is fastened over a damaged tooth to protect it and restore its natural appearance. Both dentures and crowns can cause dental emergencies for both seniors and non-seniors alike.

Dentures are more common in senior citizens because they were more likely to first encounter dental problems at a time when extraction was the treatment of choice for dental pain. After many teeth are extracted, dentures are a common method of replacing them.

The most likely dental emergency for denture wearers is a chipped denture tooth or one that has broken off. If you have a spare denture (all denture wearers should have one), use it until you can go to the dentist and have it fixed.

If your whole denture breaks in half, use your spare and visit your dentist immediately. Some people may attempt to use glue to repair it, but it is very unpredictable, and generally not strong enough to hold the denture together.

In the last 25 to 30 years, there has been a concerted effort by the dental profession to save teeth when possible using root canal therapy or with treatment of the gums. Modern dental treatment will reduce the need for dentures, allowing most people to keep their own teeth for a lifetime.

What to do if a crown (cap) came out or is loose?
Crowns are required to rebuild teeth that have been worn down, broken, have had root canal therapy, or have had multiple dental repairs over many years. Crowns are precision made and cemented on top of the tooth. If a crown is loose, see a dentist immediately. It may indicate that decay is present under it. If not attended right away, the tooth might start hurting. You may even lose the tooth.

Occasionally, the crown comes off. This leaves the tooth unprotected, and often sensitive. You can temporarily remedy this problem by using temporary dental cement found at the drug store, and carefully re-cementing the crown. This may not be necessary if you can get to the dentist within a day or two. Never wait more than a few days to get a crown re-cemented. Teeth move and shift very quickly without the crown in place. Sometimes it is not possible to reuse the crown if the teeth have shifted significantly, requiring the dentist to make a new crown.

Return to top

For all family dental services in Manchester, NH, including emergency dental problems, call us at (603) 625-1877.