Lilburn Dentist › Killian Hill Dental Care - Lilburn, GA

Dr. Gangwisch Portrait

Dr. Richard P. Gangwisch, D.D.S., M.A.G.D., A.B.G.D.
Board Certified General Dentist




What is Board Certified


  • 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. Hulsey Portrait

Dr. John D. Hulsey, D.M.D., F.A.G.D.




What is a Fellow of the AGD
  • 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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Porcelain Crowns

Porcelain Crowns Done By a Lawrenceville Dentist


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.

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Porcelain Veneers

Porcelain Veneers Done By a Lawrenceville Dentist


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.

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Porcelain Crown

Porcelain Crown Done By a Lawrenceville Dentist

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.

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Cosmetic Bonding

Cosmetic Bonding by a Dentist in Lawrenceville

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!

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Porcelain Veneers

Porcelain Laminates By a Dentist in Lawrenceville GA

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.

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Porcelain Veneers

Porcelain Laminates By a Dentist in Lawrenceville GA

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.

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Teeth Bleaching

Teeth Bleaching By a Dentist in Lawrenceville GA

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.

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Orthodontics and Bridges

Orthodontics and Bridges By a Dentist in Lawrenceville GA

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.

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Orthodontics and Bridges

Orthodontics and Bridges By a Dentist in Lawrenceville GA

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.

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Porcelain Veneers

Porcelain Laminates By a Dentist in Lawrenceville GA

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.

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  • Porcelain Crowns Done By a Lilburn Dentist
  • Porcelain Veneers Done By a Lilburn Dentist
  • Porcelain Crown Done By a Lilburn Dentist
  • Cosmetic Bonding by a Dentist in Lilburn
  • Porcelain Laminates By a Dentist in Lilburn GA
  • Porcelain Laminates By a Dentist in Lilburn GA
  • Teeth Bleaching By a Dentist in Lilburn GA
  • Orthodontics and Bridges By a Dentist in Lilburn GA
  • Orthodontics and Bridges By a Dentist in Lilburn GA
  • Porcelain Laminates By a Dentist in Lilburn GA

  • Read More Pin Retained Fillings
    Many times, teeth can be so broken down due to extreme decay or fracture that there is not enough tooth structure available to hold a filling in place. In most of these cases, a crown (cap) would be indicated. However, certain situations may call for a change in plans. Things like inability to afford a crown, an unstable gum situation, waiting to see if a recent root canal will work, or any situation where the long term progression (outlook) is questionable are all possible reasons to go with just a filling. When there is not enough tooth structure to hold a filling, then pin retention is indicated. Pins are tiny threaded screws that are placed about ½ millimeter into dentin. A pilot hole ever so slightly smaller than the pin is drilled into the tooth, then the pin is screwed into place. An amalgam (metal) or composite (tooth-colored) filling is then placed over the top. The pin is only used for retaining the filling on the tooth. It does not reinforce like a rebar does with concrete. Pins have been known to cause microcracks in the dentin, however, I have not seen a fracture of the underlying tooth structure that was severe enough to lose the tooth that was caused by the pin alone. Read More

  • Read More Gum Line Fillings
    The gum line (cervical area) is a common location for fillings to be needed. They can be needed due to decay, toothbrush abrasion, erosion, or abfraction. Cavities along the gum line are totally preventable with good oral hygiene on a daily basis. Toothbrush abrasion is another preventable reason for needing cervical fillings. Chemical erosion can dissolve tooth structure. It is most common on any exposed dentin since dentin is significantly softer than enamel and the gum line is where most of the exposed dentin will be. Chemical erosion can come from acidic foods or reflux of stomach acids. Abfraction is thought to be caused by tooth flexure from biting and chewing forces. It is postulated that tiny particles of tooth structure fracture off at the cervical area eventually getting deep enough that it would need to be repaired. There are two types of materials used to restore cervical defects — composite and glass ionomer. Glass ionomer is most helpful in individuals with a high cavity rate. The glass ionomer will leach fluoride into the surrounding tooth structure making those areas more decay resistant. Unfortunately, glass ionomers are not very wear resistant and need to be replaced frequently. The other material that is used for gum line fillings is composite, the one that is normally used for tooth-colored fillings. Since the composite doesn’t leach fluoride, it tends to get small cavities around its edges and must be replaced frequently. The best thing to do is prevention by gentle tooth brushing along the gum line on a daily basis. Read More

  • Read More What is a Crown Buildup?
    A crown buildup is essentially a large filling that is used to replace enough missing tooth structure to retain a crown (or cap). Most teeth that require a crown (or cap) are broken down due to a large cavity or fractured cusp. Depending on the amount of missing tooth structure, there are times that there is not enough tooth remaining above the gums to allow a crown to grab hold of. Even though a crown is glued on, there must still be enough tooth structure present to provide a friction fit since the glue is not strong enough to bear the brunt of one's bite. Teeth that have undergone root canal treatment usually need crown buildups. This is because by the time the inner surface is removed to provide access to the root canal space and the outer surface is removed to provide space for the porcelain, there is not much tooth structure left to retain a crown. There are different materials available for crown buildups: composite (tooth-colored filling material), amalgam, and glass ionomer. I prefer the glass ionomer because it leaches fluoride into the surrounding tooth structure. This makes the tooth more resistant to decay. This is an important feature since decay sneaking up under a crown can be its achilles heel. A crown that is placed on a properly constructed crown buildup should give a person decades of service. Read More

  • Read More Fear of the Dentist
    Fear of the dentist is a very common problem. It is not unusual for one to be somewhat apprehensive before one's dental appointment, however, a higher level of anxiety can be a result of a real dental phobia. Dental phobia can cause a person to avoid dental treatment. Many dental phobias start with a bad experience at the dentist, especially as a child. In our office, we never do any potentially painful treatment without first numbing the area. Since we are a sedation practice, we see a high number of dental phobic patients. The common source of their dental fears came from an experience where their dentist kept drilling on their tooth even though the individual indicated that it hurt. Another common problem comes from the patient delaying treatment until they are in extreme pain. Not only is it extremely difficult to get someone numb in that situation, but also even if you can get the tooth numb, just the experience alone can be enough to cause the patient to avoid further dental treatment. Read More

  • Read More Tips to Overcome One's Fear of the Dentist
    There are many ways to overcome one's fear of the dentist. First of all, don't wait until the tooth hurts. It makes it more difficult for the dentist to get you numb. Plus the pain leading up to the appointment can be associated with the dental visit itself. The dental appointment itself is really nothing to be fearful of as long as good local anesthetic technique is used to numb the area. Try to get a good night's sleep and avoid caffeinated drinks that could raise the anxiety level. For the novocaine injection, try to relax your muscles, especially your hands. Try this the next time you are in rush hour traffic and notice that your hands are tightly clasped to the steering wheel, consciously relax your grip and notice how the rest of your body will follow suit. Another trick is to find something on the ceiling to fixate on. We have televisions in our ceiling. This way patients can either watch cable TV or a serene aquarium movie to help keep their mind on things other than the injection. By flooding one's brain with visual stimuli and concentrating on relaxing the hands, the anesthetic injection experience can be minimized greatly. Once the initial numbness has been achieved, further injections can be done relatively pain free. The remainder of the appointment should be a piece of cake and should be fear free. Read More

  • Read More Oral Sedation for Dentistry
    Fear of dental treatment is very common. Some times, good anesthetic technique, behavior modification, and nitrous oxide (laughing gas) may not be enough for someone who is very fearful. Oral sedation comes to the rescue. It is important to get a good night's sleep before a dental appointment, but with dental phobics, that can be difficult to do. At our office, we use Ativan (lorazepam), a relatively long acting sedative. We prescribe two pills. One of those pills is taken before bedtime which helps a patient get a good night's sleep. The other pill is taken an hour before the appointment. Since Ativan is very long acting, there will still be some blood level left from the initial dose, thus providing for an extremely relaxed state once the dental appointment begins. Conscious sedation is very safe because the patient still has their protective reflexes and is able to respond to commands readily. However, they are extremely relaxed to the point that the sights, sounds, and vibrations associated with dental treatment are minimized immensely. The concept of time is altered so that the appointment seems to fly by and there is also an amnesic effect so that the patient has very little memory of the procedure. Afterwards, the patient is delightfully drowsy and will go home and have a very restful nap. Read More

 



 

Cosmetic Dentistry

Cosmetic Dentistry

Sedation Dentistry

Sedation Dentistry

Implant Dentistry

Implant Dentistry

Invisalign

Invisalign

Crowns and Bridges

Crowns and Bridges

Teeth Whitening

Teeth Whitening

Root Canals

Root Canals

Oral Surgery

Oral Surgery

Orthodontics

Orthodontics

Dentures

Dentures

Children's Dentistry

Children's Dentistry

Full Mouth Rehabilitation

Full Mouth Rehab
More About Our Services
What Our Patients Say About Us
What Does It Mean That My Dentist Is Board Certified?
Why Choose Us

Invisalign

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.


Teeth Bleaching

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.


VELScope

With over 30,000 new cases diagnosed each year, oral cancer has become the sixth deadliest cancer in the world. In fact, oral cancer claims the life of one American every hour.



 

You will be so happy that finding the right dentist for you and your family can be so easy!




For An Appointment Call:
 770-923-3966

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Emergency Dental Care

We offer same day dental emergency care. Call the office at Telephone Image 770-923-3966 to make an appointment


 
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    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 100
    Lilburn, GA 30047
    Call us at Telephone Image 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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