Meet Our Doctors
Dr. Richard P. Gangwisch, D.D.S., M.A.G.D., A.B.G.D.
Board Certified
General Dentist
- Doctor of Dental Surgery degree, Ohio State University
- Clinical Assistant Professor, Augusta University Dental College of Georgia
- Former Dental Officer, U.S. Navy
- Former Clinical Instructor of Operative Dentistry, Emory University School of Dentistry
- Fellowship and Mastership, Academy of General Dentistry
- Lifelong Learning and Service Recognition Award (twice), Academy of General Dentistry
- Diplomate of American Board of General Dentistry (Board Certified General Dentist)
- Pierre Fauchard Academy Award for Teaching Excellence
- Member, American Academy of Cosmetic Dentistry
- Published Author, Journal of Cosmetic Dentistry
- Volunteer Dentist, Ben Massell Dental Clinic
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Dr. John D. Hulsey, D.M.D., F.A.G.D.
- Doctor of Dental Medicine degree, Medical University of South Carolina
- General Practice Dental Residency, East Carolina University
- Fellowship, Academy of General Dentistry
- Bachelor of Science in Biology, Emory University
- Volunteer Dentist, Ben Massell Dental Clinic since 2003
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Before and After Pictures
Porcelain Crowns
About This Case
This patient's teeth have been destroyed by grinding his teeth together. Dr. Gangwisch, was able to bring his teeth back to life with all porcelain crowns and give him an absolutely dazzling smile.
Porcelain Veneers
About This Case
This patient did not like the spaces between her front teeth. Her choices were to do Invisalign orthodontics or to cover the issue with porcelain veneers. This patient decided on porcelain veneers and Dr. Gangwisch was able to give her a stunningly beautiful smile.
Porcelain Crown
About This Case
This patient bumped her front tooth when she was a child. The tooth darkened dramatically over the years. Dr. Gangwisch was able to restore her smile to its original beauty.
Cosmetic Bonding
About This Case
This patient suffered from fluorosis of the teeth. Since she was only in high school, Lawrenceville dentist Dr. Gangwisch treated her with conservative bonding. Now she has no problem smiling wide!
Porcelain Veneers
About This Case
This patient was born with front teeth that were malformed called peg lateral incisors. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
Porcelain Veneers
About This Case
This patient had taken an antibiotic called tetracycline when she was younger which darkened her teeth dramatically. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now she isn't shy about smiling anymore.
Teeth Bleaching
About This Case
This patient was unhappy with the dullness of her teeth. Using a very gentle, at-home bleaching approach, Dr. Gangwisch was able to give her the radiant smile that she had always wanted.
Orthodontics and Bridges
About This Case
This patient was born missing his two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved his teeth and built bridges to replace his missing teeth.
Orthodontics and Bridges
About This Case
This patient was born missing her two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved her teeth and built Maryland (bonded) bridges to replace her missing teeth giving her a beautiful smile.
Porcelain Veneers
About This Case
This patient was dissatisfied with the space between his two front teeth. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
News
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Filling Children's Teeth (Part VIII)
When a cavity has extended into the nerve of a baby tooth and the nerve is still healthy, it is best to save the tooth. When a nerve is exposed in an adult tooth, normally a root canal would be performed. However, since a baby tooth will only be in a child’s mouth for a few years, there is no need to do an expensive treatment like a root canal. A procedure called a vital pulpotomy is recommended. In a pulpotomy, the top portion of the nerve is removed leaving only the remnants inside the roots behind. The remaining nerve stump is treated with a medication to stop the bleeding. The most commonly used medicament is formocresol, although ferric sulfate, calcium hydroxide, or mineral trioxide aggregate have also been tried with varying success. Formocresol will not only stop any bleeding, but also mummifies the tissue effectively sterilizing it and keeping the underlying nerve alive and vital. The area is then covered with a base such as zinc oxide and eugenol, calcium hydroxide, or glass ionomer. Read More - Read More
Filling Children's Teeth (Part IX)
When a nerve has been exposed on a baby tooth, that usually means that there was a sizable cavity. Since baby teeth are so small, large cavities can make it difficult to retain fillings for any length of time. Therefore, it is best to place crowns over those type of teeth. Since baby teeth will be coming out in a few years, it is best to not put an expensive porcelain crown on it. The recommended procedure is to place a crown made of stainless steel. These crowns come pre-formed so they do not have to be custom made. They come in various sizes. The dentist will remove the outer layer of the tooth, then try on different sizes until one is found that fits. The stainless steel is thin enough that it can be modified with special pliers if needed to get a better fit. The crown is then cemented into place with the same cement used for adult crowns. Although this technique is not ideal for long term, it works well in the interim for baby teeth and keeps the costs down significantly. Read More - Read More
Orthodontic Evaluation during Dental Exam
An orthodontic evaluation during routine dental examination is very important for children. In many cases, early treatment of orthodontic problems can make subsequent phases much easier, less expensive, or may even eliminate the need for further treatment. Many parents think that one has to wait until all of the baby teeth come out and the permanent teeth are in before starting orthodontic treatment, however, many problems - such as lack of space or crossbites - can be corrected early while there are still baby teeth present. The results can be much more stable when done early. The muscle tone of the lips, cheeks, and tongue are still in a states of flux in a young child. The muscle tone usually doesn’t become set for life until all of the permanent teeth come in. That gives a little window of time that the size of the jaw can be changed and the result will be relatively stable, whereas, doing it later in will have a high rate of relapse. Read More - Read More
Ecotopic Eruption
Ectopic eruption is where a permanent tooth is in an eruptive path that is out of line with the norm. The most common example is that of wisdom teeth. Since there is not very much room for them to come in normally, it is extremely common for the wisdom teeth to be directed in all sorts of directions. The usual corrective procedure for that is removal of the wisdom teeth. A common occurrence of ectopic eruption is when the permanent lower incisors erupt too far on the tongue side. It kind of looks like shark teeth with them in two little rows. I have had many a frantic patient rush their child into my office to show me that problem. I have found that if the baby teeth are extremely mobile, they can be allowed to come out naturally. However, if not, I recommend extracting the offending baby tooth or teeth. By doing that at the proper time, the tongue will push the permanent teeth forward into their natural place without the need for expensive orthodontic treatment. Read More - Read More
Ectopic Eruption (Part II)
Another common situation where a permanent tooth is not in its normal path of eruption is when the first molars (six year molars) are attempting to come in too far forward thus resorbing the roots of the baby tooth that is ahead of it. If this situation is allowed to continue, then it will cause the baby tooth to be lost prematurely. The offending permanent molar will then erupt too far forward, thus leaving no room for the bicuspid to erupt later. I have found that by pushing the molar back before the baby tooth is lost, then the baby tooth can be retained until its normal time to come out. The procedure is call distalization. I connect orthodontic bands on a couple of molar teeth and connect them to a spring. I then bond a hook on the chewing surface of the offending tooth and engage the spring. This pushes the tooth back into its normal position. I remove the spring and allow the tooth to erupt normally. The process takes from two to four months. Read More - Read More
Home Care for Your Child's Teeth (Part I)
Young children do not have the manual dexterity to brush and floss their teeth on their own. Therefore, you must take a toothbrush to their teeth at least twice a day. When my kids were small, I would sit down in the bathroom and have them lay their heads back into my lap. That gave me plenty of access to all of their teeth. It would only take a half a minute to scrub their pearly whites. As they got older, I could have them tilt their heads back from the standing position. Once the last set of baby molars come in, you must start flossing their teeth. You only need to floss between the molars since those areas are prone to decay and will be around for number of years. You can use regular floss or you can use a floss-pick, the little “U”-shaped device that holds a short piece of floss taut and has a handle to hold on to. For children, it is best to get the floss-pick that have safety handles so that there are no sharp ends to injure your child. Read More
Services Offered
What Our Patients Say About Us
What Does It Mean That My Dentist Is Board Certified?
Why Choose Us
Invisalign can help improve your smile! At Killian Hill Dental Care in Lilburn, Invisalign is recommended as a way to straighten your teeth without braces.
Take-Home Teeth Whitening
Busy? On the go? No, problem, with take-home whitening trays you can improve the quality of your smile anytime, anywhere.
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Emergency
Dental Care
We offer same day dental emergency care. Call the office
at 
770-923-3966 to make an appointment
Testimonials
Office Hours
Monday
9:00 AM
5:00 PM
Tuesday
8:00 AM
6:00 PM
Wednesday
7:00 AM
3:00 PM
Thursday
9:00 AM
5:00 PM
Friday
7:00 AM
3:00 PM
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At Killian Hill Dental Care, Lilburn Dentists Dr. Gangwisch and Dr. Hulsey, serving the surrounding communities of Lilburn, Lawrenceville, Snellville, Stone Mountain, Grayson, Loganville, Duluth, Norcross, Lithonia, and the metropolitan Atlanta area, provides dentistry for the entire family. These dentists in Lilburn GA offer sedation dentistry, full-mouth reconstruction, extreme makeover, reconstructive dentistry, Lumineers®, porcelain veneers, porcelain crowns, dental implants, and dental bonding.
Killian Hill Dental Care
912 Killian Hill Rd., Suite 100Lilburn, GA 30047
Call us at
770-923-3966 for more information.Dental Professionals of Georgia, PC
*Disclaimer: results are not guaranteed, may not be permanent, and can vary per individual.
Killian Hill Dental Care welcomes patients with disabilities. If you need an accommodation to receive dental services, we
would be happy to provide one. Please contact us at 770-923-3966 or
accommodation@mydentalmail.com to let us know how we may be of
assistance.
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