Frequently Asked Questions (FAQs)

The answer is yes! Our dental office is currently accepting new patients, and we proudly offer a wide range of dental services, including the following:

• Preventive diagnostics and cleanings
• Restorative dental services, including tooth-colored fillings and crowns
• Cosmetic dental services, including teeth whitening and veneers
• Tooth replacement services, including dental implants, dentures, and implant-supported dentures
• Sedation dentistry, including nitrous oxide, oral sedation, and IV sedation

Our experienced dental team can’t wait to meet you! Our goal is your dental health, comfort, and satisfaction.

Looking for Winston-Salem Dentistry?

If you and your family need quality, caring dental care, we would love to welcome you to Blake Nelson, DDS Cosmetic, Implant & Sedation Dentistry! We accept new patients and look forward to helping you reach optimal oral health.

Contact our dental office at (336) 760-1277 to schedule an appointment.

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

Absolutely—yes! We welcome patients of all ages to our Winston-Salem dental office. From toddlers to seniors, Dr. Nelson offers an extensive range of services and has the skills and expertise to care for every smile.

Into Retirement and Beyond

We understand that our senior patients have unique needs and may be planning on how to maintain their smiles in retirement. We're here to help!

Here are some of the treatments Dr. Nelson offers that may suit the needs of our senior patients:

• Preventive teeth cleanings, exams, and x-rays
• Gum disease treatment
• Tooth-colored fillings
• Dental crowns and bridges
• Root canal treatment
• Tooth extraction
• Dental implants
• Bone grafting
• Full and partial dentures
• Implant-supported dentures

When you're proactive about taking care of your treatment needs early on, you can enjoy maintaining your healthy and beautiful smile with simple preventive dental visits into the future. We can help you plan ahead for a comfortable retirement. 

Are You Looking for a Family Dentist in Winston-Salem You Can Trust?

Look no further than Blake Nelson, DDS! We accept new patients and would love to be your dental home. We even offer a full range of dental sedation options for patients who feel anxious about their dental care. 

Talk with a friendly team member at (336) 760-1277 to schedule an appointment. 

Yes!

Brushing can remove most of the plaque in your mouth, but the plaque in between your teeth can only be removed with flossing. Removing this in-between plaque is essential to prevent cavities and promote gum health.  

Yes, we recommend fluoride for most patients.

There are many ways to protect the teeth with fluoride, including in-office fluoride varnish treatment, toothpaste, and fluoridated mouth rinses. Dr. Nelson will assess your fluoride exposure and risk of cavities and recommend a customized prevention plan for you. 

When it comes to patient comfort, we do everything possible.

Our office employs multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly, so you can choose the best treatment for you. 

Most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

• Calming nitrous oxide (laughing gas). For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 
• Stress-free sedation dentistry. Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

As a general rule, most people should see their dentist every six months for a professional cleaning and checkup. However, based on certain oral health conditions and needs, some require more frequent attention.

Patients with a history of gum disease, weakened enamel, or orthodontic appliances may be advised to visit the dentist every three to four months.

Why Are Dental Visits Important?

Regular dental visits are essential for maintaining a healthy smile. Even with a committed brushing and flossing routine, plaque and tartar can build up in hard-to-reach areas, leading to decay or inflammation. Professional cleanings remove these deposits, reducing the risk and severity of cavities, gum disease, and other long-term issues like dental misalignment and bruxism.

Skipping dental visits can allow small problems to escalate, potentially leading to costly or invasive treatments. By staying consistent with checkups, you can maintain a bright, healthy smile and address any concerns early.

Finding the Best Dentist in Winston-Salem, NC

If you’re looking for a caring and experienced dentist in Winston-Salem to recommend a schedule for routine checkups and cleanings based specifically on the state of your oral health, contact Dr. Blake Nelson, DDS, and our excellent team to schedule an appointment!

If it’s been more than six months since your last visit to the dentist, now is the perfect time!

We accept and file all dental insurance policies.

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.

Financial plans are available. 

We offer financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay).

We also offer discounts to patients without dental insurance or for those who prefer to pay in cash. 

We accept all forms of payment.

We accept cash, credit card, check, and insurance as forms of payment. 

Dental sealants are beneficial at all ages.

Studies show that dental sealants can protect all back teeth from cavities, regardless of the patient’s age. 

Children are covered by dental insurance. 

In almost all cases, children can have their sealants covered by dental insurance. 

For adults, a sealant is cheaper than a filling!

Unfortunately, dental insurances usually do not cover dental sealants in patients over the age of 18. However, we encourage all patients to consider dental sealants as they are less expensive than needing a filling on the tooth later because it wasn’t protected. 

Fluoride is beneficial at all ages

Studies show that fluoride is effective at preventing dental decay at all ages. Whether a patient is 5 years old or 90 years old, fluoride could be beneficial to help keep their mouth healthy and cavity-free!

• Children are covered by dental insurance. In almost all cases, children’s in-office fluoride varnish treatments are covered by insurance.  
• For adults, fluoride is cheaper than a filling! Unfortunately, dental insurances usually do not cover fluoride applications in patients over the age of 18. However, we encourage all patients to consider fluoride as it is less expensive than needing a filling later on because the teeth weren’t optimally protected.

Sleep apnea signs and symptoms that you may experience

• Feeling tired, even after a full night’s sleep
• Difficulty staying awake during the day
• Irritability
• Fatigue
• Dry mouth upon waking
• Morning headaches
• Tooth grinding

Sleep apnea signs and symptoms that your bed partner may notice while you sleep

• Snoring
• Pausing in breathing
• Gasping for breath

Signs and symptoms your dentist may observe

Did you know that your dentist may recognize signs of sleep apnea during your routine dental exam?  Because sleep apnea is often associated with tooth grinding and enlarged oral soft tissue structures, your dentist may discuss whether you are experiencing other signs and symptoms of sleep apnea and refer you to your physician.  

• Tooth wear (shortening of teeth)
• Tooth fractures or cracks
• Enlarged tonsils, soft palate, tongue, or uvula
• Smaller lower jaw

Sugar and acids feed the cavity-causing bacteria, which ultimately leads to a cavity

Cavities are caused by too much sugar and acid. Sugar feeds the bacteria in your mouth which make an acid byproduct.   Acid can slowly dissolve your teeth and make them weaker, eventually creating holes in your teeth which are called cavities.  

We make sure you’re healthy at every dental cleaning visit. 

Dr. Nelson will always make sure your mouth is healthy at each cleaning visit. During the exam, the doctor will evaluate all of your tissues in your mouth as well as your neck and face to make sure they have no signs of oral cancer. 

We’re passionate about patient care, and provide oral cancer screenings at no cost. 

Oral cancer screenings are one of the most important things that your dentist and dental hygienist can do for you. We take great pride in providing this service at no additional cost during your routine cleaning and exam.  

There are multiple excellent toothbrush options depending on what you're looking for:

Manual toothbrushes

If you are using a manual toothbrush, then we recommend one with soft bristles with gentle circular motions.

Electric toothbrushes

Electric toothbrushes have been scientifically proven to be more effective than manual brushes, as they remove more plaque and debris. Currently, Sonicare and Oral B brands are the best. We are happy to recommend an electric toothbrush at your next cleaning visit!

For residents of Winston-Salem, NC, Blake Nelson, DDS, is an excellent choice for preventive, cosmetic, and restorative dentistry. Dr. Nelson and his team are committed to providing high-quality, patient-centered care in a comfortable and welcoming environment. Here are a few reasons why patients trust Dr. Blake Nelson, DDS, and our team for their oral health needs:

• Experience and expertise — Since graduating top of his class from UNC-Chapel Hill Dental School, Dr. Nelson has gained extensive experience in all aspects of dentistry and remains committed to staying up-to-date with the latest advancements in the field. This allows our practice to offer a full range of preventive, cosmetic, and restorative dental procedures, ensuring that every patient receives the best possible care.
• State-of-the-art technology — Our practice is equipped with state-of-the-art dental technology, allowing for the most precise, efficient, and comfortable diagnosis and treatment. 
• Patient-centered care — Our team understands that each patient’s needs and goals are unique. This is why we take the time to listen to your concerns, answer every question, and develop a customized treatment plan that aligns with your needs and vision for your smile. 
• Comprehensive services — Blake Nelson, DDS, offers a full range of cosmetic, general, and restorative dental services. This means all your dental needs can be met under one roof!

Finding the Best Dental Office in Winston-Salem, NC

If you’re in Winston-Salem and looking for a dental practice with experience, expertise, and a patient-first approach to ensuring optimal oral health throughout our community, contact Dr. Blake Nelson and the outstanding Blake Nelson DDS team to schedule a consultation!

Our dentist's office in Winston-Salem, NC, is at 3066 Trenwest Drive, between Bethesda and Hawthorne Roads. We are across the street from Bailey & Thomas P.A. and next door to Zoe's Family Restaurant.

Near our location, you'll discover fabulous dining, spas, and plenty of opportunities for shopping. We're near Arigato Japanese Steak & Seafood House and the family-friendly Goody's Grill. In addition, you'll find Medical Park Hospital right around the corner.

If you're coming to see our Winston-Salem, NC dentist from nearby Clemmons or Lewisville, NC, we recommend taking US 421 South to 67 East. From there, make a left on Hawthorn and another left onto Trenwest Drive. You'll find us on the right.

Our dentists offer comprehensive dental services for patients of all ages and often care for entire families. Besides general dentistry, we are the go-to practice for many advanced services, including but not limited to:

• Cosmetic dentistry
• Sedation dentistry
• Tooth replacement
• Sleep apnea therapy
• Bone grafting

Contact Your Dentist in 27103 Today

Are you looking to establish dentistry in the area? Has it been a while since your last checkup and teeth cleaning? We are happy to accept new patients and families into our Winston-Salem, NC, dental practice. Reach out to a friendly team member to get started.

Blake Nelson, DDS, is located at 3066 Trenwest Drive in Winston-Salem, NC, about four miles outside of downtown. We've been proudly serving the surrounding Piedmont Triad area since 1978.

Families from the nearby communities of West Salem, Ardmore, Hanes, and West Oaks have put their trust in use for over four decades, as Dr. Nelson and his team offer the wide range of dental services patients need to achieve and maintain healthy, happy, and beautiful smiles.

State-of-the-Art Dental Care

Dr. Nelson has equipped our Winston-Salem dental office with advanced technology that streamlines dental procedures, making them more comfortable and efficient for our patients. 

Leading-edge technology also allows Dr. Nelson to provide comprehensive dentistry, like dental implants, from start to finish without the need for specialists. We make it easy for busy families to receive all their dental care in one convenient location. 

Comfortable Sedation Dentistry

We also understand that dental visits may cause anxiety for some patients. Dr. Nelson has personal experience with this himself, which is why he offers multiple options for dental sedation, including being one of only a few dentists licensed to provide intravenous (IV) sedation. We want to ensure that you receive the dental care you need in a comfortable setting.

Contact our team at (336) 760-1277 if you're looking for an exceptional dentist in Winston-Salem. We're accepting new patients!

OSA is often, but not always, found in patients with increased body mass index (BMI), enlarged tonsils, small chin, nasal congestion, and patients with medical histories that include high blood pressure, heart failure, and type 2 diabetes. 

Sleep apnea is associated with reduction in sleep quality and leads to daytime drowsiness, fatigue, and irritability.  More importantly, sleep apnea can significantly impact your health and is associated with:

• Heart problems (such as heart attack and stroke)
• Increased blood pressure
• Liver problems
• Types 2 diabetes
• Complications during general anesthesia

Dental Implants in Winston Salem

If you are curious about the costs, maintenance, and more information about Dental Implants then visit our dental implants service page.

Our office accepts and files all dental insurance policies. 

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.

Financial plans are available. 

We offer in-office 6-month interest free financing plans and third-party 3-year financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay). 

We also offer discounts to patients without dental insurance or for those who prefer to pay in cash. 

Anyone with missing or newly extracted teeth can benefit from dental implants. They offer numerous benefits compared to traditional tooth replacement options, such as dentures or bridges. But implants also require certain planning and preparation, so we will ensure you're a good candidate for this treatment to replace missing teeth.

Four Key Benefits of Dental Implants in Winston-Salem

• Improved Appearance – Dental implants enhance your smile because they look and feel like natural teeth. Our dentists custom-make your implant's restoration portion to match your natural teeth.
• Superior Comfort – Unlike traditional dentures, dental implants are anchored to the jawbone, so they don't slip or move around in the mouth. This can improve your comfort and make it easier to eat and speak.
• Better Oral Health – Dental implants don't require the removal of healthy tooth structure, as is the case with bridges. This means that adjacent teeth are not compromised, and the implant can help prevent bone loss in the jaw.
• Improved Function – Dental implants are designed to fuse with your jawbone so that you can eat, speak, and smile confidently. They are solid and durable and can last many years with proper care. You treat them like natural teeth with regular brushing, flossing, and dental check-ups.

We encourage you to set up a consultation with Dr. Nelson to learn if dental implants are the right choice for your dental needs.

Schedule a consultation!

Schedule a consultation with Dr. Nelson at our Winston-Salem office. All treatment options will be explained to you after careful evaluation, diagnosis, and planning. 

Decide if a dental implant is the best choice for you. 

Our doctors will listen to your goals and customize a plan that fits your needs, budget, and lifestyle. After hearing all of your options, you can decide if a dental implant, or alternative treatment option, is best for you. 

Please visit our page on dental implants to learn more! 

Cost of Dental Implants at Blake Nelson, DDS:

The fee for a dental implant at our office is $2027.  After your dental implant is placed, you will likely require a dental implant abutment to attach a dental crown to your new implant.  Some patients may require a dental extraction or bone graft prior to the procedure.  

Dental Implant: $2027
Dental Implant Crown: $1387
Custom Implant Abutment: $949

Dental Bone Graft: $405
Simple Dental Extraction: $250

A dental implant is a small screw that is supported by your jaw bone, similar to how the roots of your natural teeth are supported by your bone.  

What is a dental implant used for?

A dental implant is a treatment to permanently replace a missing tooth or missing teeth or to make dentures more secure.

Dental examination: 

• During a dental exam, Dr. Nelson will determine whether you would benefit from dental implants.

X-ray evaluation: 

Our doctors will carefully examine your teeth and x-rays. Only the latest, low-dose diagnostic tools will be used to evaluate your specific situation.

The dental implant procedure is modified to your circumstances:

• If you have a failing tooth, then the tooth will be removed and bone grafted.
• After a healing process, the dental implant will be placed.
• A mold is then made so that the replacement tooth can be fabricated by an excellent Winston-Salem based dental laboratory technician.
• The replacement tooth is attached to the implant in a painless process that does not require numbing.
• The dental implant tooth can then be used to bite, eat your normal foods, and smile!

Are you looking to replace a missing tooth in Winston Salem?  Or maybe to help make your dentures fit more securely? There are many reasons why dental implants might be the best treatment option for you!

High success rate. 

Dental implants have a very high success rate of over 95%.

Permanent tooth replacement.

Dental implants are a permanent restoration for single to multiple teeth.

Won’t come out. 

Dental implants will not come out when eating or talking.

You can chew again.

You can chew anything with your dental implant that you can with natural teeth.

Maintain them just like your natural teeth. 

Dental implants require brushing and flossing, just like you would take care of your natural teeth. 

Very esthetic. 

The crown (the part that is visible in the mouth) is made of the same tooth-colored material that dentists use for crowns or veneers and will match your natural teeth.

Can’t get cavities. 

Dental implants are made of high-quality materials that cannot get dental decay.

Protect adjacent tooth structures. 

Dental implants prevent the recession of natural bone and gum tissue.

Don’t need to treat adjacent teeth. 

Unlike dental bridges, dental implants don’t require modifications or treatment to your adjacent teeth.

There are many reasons to request laughing gas at your next visit:

An excellent option to reduce nervousness

Laughing gas could be a great option for you if you are nervous about dental care.

A way to reduce a severe gag reflex 

Nitrous oxide can also help reduce severe gag reflex, and is a great option for patients who have difficulties taking dental x-rays. 

Wears off by the time you leave the office

Unlike moderate sedation, the effects of nitrous oxide wear off within minutes, and you are free to go about your day normally afterward.

Won’t affect your memory

You will still have a memory of the procedure, but nitrous oxide will make your overall experience more pleasant.

Please visit our page on sedation dentistry to learn more!

Yes, our office specializes in treating nervous patients.

Dr. Nelson understands how stressful dental care can be, and he prioritizes a comfortable, painless experience. Like many people, Dr. Nelson has a lot of unpleasant memories of dental work as a child.   From the age of 4 to 18, he had just about every dental treatment procedure from fillings to crowns to extractions. 

Sedation dentistry is one of Dr. Nelson’s passions and one of the main reasons he became a dentist.

Because of his personal experience, Dr. Nelson is committed to prioritizing patient comfort.  Dr. Nelson is extremely motivated to provide dental care with a high level of compassion to patients with dental anxiety like himself. Dr. Nelson loves promoting oral health, relieving patient’s dental pain, and restoring healthy, beautiful smiles. 

We are a great office for patients who are nervous about their upcoming appointment.

As one of the only general dentists in the Winston-Salem and Piedmont Triad area with a moderate sedation dentistry license, Dr. Nelson is able to guarantee stress-free care to even the most nervous patients. 

When it comes to patient comfort, we do everything possible.

Our office employs multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly, so you can choose the best treatment for you. 

Most effective, pain-free, and up-to-date numbing techniques. 

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

• Calming nitrous oxide (laughing gas). For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 
• Stress-free sedation dentistry. Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Sedation dentistry is a stress-free experience for the nervous patient.

Patients who are nervous or anxious about their dental visit are encouraged to consider sedation dentistry.

If you elect to have moderate sedation dentistry for your dental procedure, you are guaranteed to have a stress-free experience with no memory of the procedure. In fact, most patients say that going to the dentist was never easier!

Other benefits of sedation dentistry:

• Comfortable
• Pain-free
• Elimination of all dental anxiety
• No memory of the procedure
• Elimination gag reflex
• Very safe and effective
• Enables all treatment to be completed in one visit

Please visit our page on sedation dentistry to learn more!

We will work with your dental insurance company 

Most dental insurances will cover sedation dentistry.  Our office will work your insurance company to estimate what your dental insurance will cover towards your fee.  At this time, our office is not accepting new patients for dental sedation with Medicaid.

Dental Sedation Fees 

The sedation dental fee ranges depending on the amount of time required to complete your dental treatment.  Interest-free six month payment plans are available.  

• Simple Dental Sedation Case (15 minutes of dental sedation or less): $400
• Moderate Dental Sedation Case (1 hour of dental sedation): $475
• Complex Dental Sedation Case (2 hours of dental sedation or more): $550+

Our office uses multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly so you can choose the best treatment for you. 

We have the most effective, pain-free, and up-to-date numbing techniques.

 During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer sedation dentistry in Winston-Salem 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Nervous about dental treatment?  You came to the right place!

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia.  

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind.

Stress-Free Sedation Dentistry  

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Root canals can be stressful, but are sometimes necessary to stop pain and infection.  We make sure the procedure is comfortable for you using the following steps:

Most effective, pain-free, and up-to-date numbing techniques

During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. In fact, most patients say that going to the dentist was never easier!

Calming nitrous oxide (laughing gas)

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on dental sedation to learn more! 

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing.  We utilize the latest and most effective techniques for anesthesia.  

Calming nitrous oxide (laughing gas): 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

If you are nervous about having your tooth extracted, you've come to the right place!  We have multiple options to make sure your procedure is comfortable and stress-free.  

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia to keep you comfortable.

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide, or laughing gas, will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free Sedation Dentistry 

Dr. Nelson is one of the only general dentists in the Winston-Salem area who is trained and licensed in all forms of sedation dentistry.  Patients are always given the option of choosing dental sedation during their procedures to guarantee a stress-free experience. In fact, most people say that going to the dentist was never easier and that they have no memory of the procedure at all! 

At this time, Dr. Nelson prefers to have his crowns made at our local Winston-Salem Dental lab, as their crowns are extremely esthetic and have a perfect fit.  

Some dental offices make same-day crowns using an in-office milling machine.  One advantage of same-day crowns is it saves the patient a visit.  At this time, Dr. Nelson prefers to send all of his crowns to our Winston-Salem based dental laboratory.  Though patients will need an additional office visit, we've found our lab-made crowns have excellent craftsmanship and superior esthetics.  An expertly trained, highly skilled, and experienced dental laboratory technician will customize your crown for your mouth.  Though in-office milling machines can also make quality crowns, Dr. Nelson tells his patients that he would want a lab-made crown for his own mouth and would want the same for his patients!

Yes, our office has a digital scanner to take digital impressions.

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally. Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

The fee for a dental crown at our office is $1387.  For more information on crowns at our office, click the link here.  

Crowns are predictable and reliable.

If Dr. Nelson recommends a crown for one of your teeth, that treatment option is the most predictable and longest-lasting choice for that tooth.

They are made from the strongest materials. 

Dental Crowns cover the entire chewing surface of the tooth with a very strong material that is highly resistant to fracture or chipping. This means you can enjoy your favorite foods without worry.

Our dental crowns are very esthetic. 

Dental crowns are also very esthetic and are indistinguishable from other natural teeth. They are also more resistant to staining which allows you to smile with confidence.

They feel just like your natural tooth. 

Dental crowns feel the same to your tongue and lips because they replicate the natural anatomy of your natural tooth.

Crowns are maintained just like your natural teeth. 

Brushing and flossing are performed in the same manner as with natural teeth.

Crowns provide protection from future decay. 

The tooth is much more resistant to dental decay and cavities because the crown material cannot be decayed by bacteria.

Our office uses multiple techniques to help keep you at ease while in the dental chair. We will discuss all of our options with you thoroughly so you can choose the best treatment for you. 

We have the most effective, pain-free, and up-to-date numbing techniques.

 During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available. 

For patients with anxiety, nitrous oxide or “laughing gas” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer sedation dentistry in Winston-Salem 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

A dental crown can be made of many different materials.  We will choose the most esthetic option for you. We'll choose the best material for your mouth. There are many crown materials available. 

Beautiful tooth-colored materials are our most popular. 

There are tooth-colored crown materials, such as porcelain and zirconia, that will match the natural shade of your tooth perfectly.

Gold is also available (upon patient request). 

Gold can also be a treatment option for the back teeth if the patient requests it. Some gold restorations can last over 70 years!

A dental crown is a tooth-shaped cap that our dentists place over a damaged or weakened tooth to restore its shape, size, strength, and functionality. We use crowns for serious tooth damage and problems such as a misshapen tooth or one with cracks, severe decay, discolorations, or failing dental fillings.

What Are Dental Crowns Made Of?

Dental crowns can be made from various materials, including porcelain, ceramic, metal, or a combination of these materials. Our team will recommend the material ideal for your tooth's location, the extent of its damage, and patient preferences and budgetary priorities.

The Dental Crown Process in Winston-Salem

Getting a dental crown typically involves two visits to our dental office in Winston-Salem. During the first visit, we prepare your tooth by removing any decay or damaged portions, then we take an impression of the tooth so your new crown will be a good match.

While the permanent crown is being made in a dental laboratory, your dentist in Winston-Salem will place a temporary crown over the prepared tooth to protect it. Once the permanent crown is ready, you return to our dental office so we can put the permanent crown, ensuring a good fit before we cement it on permanently.

A dental crown can last for many years with proper care and maintenance. We recommend brushing and flossing regularly and avoiding hard or sticky foods to prevent crown dislodgement or damage. Regular dental checkups and cleanings are also essential for the health and longevity of the crown and your remaining tooth.

The dental crown process requires two visits.  During your first appointment, the tooth will be shaped to allow the crown to fit.  Then, an impression (mold of your mouth) will be made.  Our office takes digital impressions, meaning no mess and no more gagging!  Instead of using the traditional impression trays with impression material, a small wand is used to scan your mouth and create a digital impression.  After the impression, Dr. Nelson will choose the perfect shade to match your tooth and send all of the information to our dental lab where an esthetic, customized crown will be fabricated.  

During your second appointment, the crown will be cemented.  After making sure the crown fits and matches your adjacent teeth perfectly, Dr. Nelson will use adhesive to permanently attach the crown to your natural tooth.  Then, we will check your bite and make any needing adjustments to ensure everything feels perfect.  

Save the crown and pieces

If your crown falls out, save the crown or crown pieces. Even if they cannot be put back in, they can assist our office in making a temporary crown.

Schedule with our Winston-Salem office ASAP

Make an appointment as quickly as possible. Teeth can shift in a matter of days which can cause the crown not to fit and require adjustment

We will try to glue your old crown back on

Our office will do everything in our power to recement or rebond the crown back on the tooth. This is the best-case scenario as it is quick and cheap. 

If your old crown is not salvageable, we will make a new one

Sometimes decay is present underneath the crown or the tooth has fractured underneath the crown. In these cases, Dr. Nelson will determine if a new crown has to be fabricated or if the tooth is savable. You will be presented with treatment options and will be able to decide the best course of treatment for you with recommendations from Dr. Nelson

There are many reasons why a dental crown or "cap" may be an excellent treatment option for you. Crowns can be used to protect your tooth, to fix a problem (such as a chip or a cavity), or to improve the appearance of your tooth.

A protective cap for your tooth

A dental crown is a protective covering or “cap” that covers the entire tooth. Dental crowns can make teeth stronger and replace any missing tooth structure.  

Reasons your dentist may recommend a crown:

• When a back tooth is cracked
• When a tooth has large areas of decay or cavities
• When a front tooth has a large chip in it
• To protect a tooth after root canal treatment
• To improve the shape or shade of your tooth

Please visit our page on dental crowns to learn more!

Yes, we are happy to schedule a same-day emergency visit. 

We will rearrange our schedule so you can be seen on the same day. Call our office at (336) 760-1277 today!

Visit our page on emergency dental treatment to learn more.

Yes, we will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering dental pain can be. Dr. Nelson is committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

Visit our page on emergency dental treatment to learn more.

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

We will give you the best treatment options for your chipped teeth. 

Dr. Nelson will diagnose the type of chip or fracture and advise you on the best treatment options.

 Possible treatment options for cracked or chipped teeth include:

• Smoothing of the chip
• Restoration with a tooth-colored filling or composite
• Crown
• Veneer

Root Canal in Winston Salem

The fee for a root canal depends on the tooth that is being treated.  The cost ranges from $894-$1250.  As always, we will work with your dental insurance to get your maximum benefit and offer interest-free payments to ensure you can afford your treatment.  

Emergency Dentistry in Winston Salem

Your dental insurance should cover emergency dental visits and we will work with your insurance to estimate the out-of-pocket cost.  Most emergency dental visits are $118 consisting of an emergency exam ($84) and dental x-ray ($34).  

A lost filling can leave your tooth prone to further damage, sensitivity, or an infection. So, it is important to contact your dentist for a repair as soon as you can, even if you're not feeling any discomfort. 

Sometimes, when a filling falls out, it can cause discomfort or sensitivity in your tooth. If this is the case, you'll want to seek treatment quickly because it will also provide relief. 

If you're unsure if your condition is an emergency, please contact our team, and we'll assess your condition over the phone to determine if you need immediate attention. Typically, taking care of a broken or lost restoration sooner rather than later is important so you don't experience further damage to your tooth or dental health. 

If It's a Dental Emergency in Winston-Salem, We Can Help!

Some of the common tooth emergencies that Dr. Nelson and his team handle are:

• Knocked-out teeth
• Broken or chipped teeth
• Lost or broken fillings, crowns, or bridges
• Cracked dentures
• Toothaches or infected teeth

Be sure to contact our team right away at (336) 760-1277 if you're struggling with a tooth emergency in Winston-Salem. We will go above and beyond to ensure that you get back on the path to wellness as soon as possible.

Minor injuries from sharp foods like chips, bones, or forks often heal on their own within a couple of days. However, if the wound is deep, continues bleeding after 10-15 minutes of applied pressure, or shows signs of infection—swelling, pus, or worsening pain—you should contact a dentist.

Optimizing Oral Healing

To aid healing, rinse your mouth with warm salt water to reduce bacteria and irritation. Avoid acidic, spicy, or crunchy foods that could worsen the injury. If there’s discomfort, over-the-counter pain relievers and cold compresses can help.

If the wound doesn't improve within a few days, or if you develop fever, swelling, or difficulty swallowing, seek professional help. While most minor oral injuries heal on their own, persistent pain, bleeding, or infection risk makes a dental visit worthwhile. When in doubt, your dentist can determine whether you need treatment.

If you accidentally stab your gums or the roof of your mouth while eating, it’s usually not a dental emergency and heals fairly quickly. In some cases, however, these punctures do require some attention.

A Caring and Reliable Emergency Dentist in Winston-Salem, NC

If you’re looking for an experienced emergency dentist in Winston-Salem to ensure that you and your family receive timely, top-quality emergency dental care when you need it most, contact the friendly and helpful Dr. Blake Nelson, DDS team today to schedule an appointment!

Jaw pain or TMD (Temporomandibular disorder) can be caused by issues with the jaw bone, disc, or muscles.

Bone-Related TMD

The temporal bone (the socket part) and the mandible (the ball part) can develop degenerative diseases that are very similar to other joints in the body such as the knee.

• Osteoarthritis: This is a degenerative condition caused by use and wear over time. The cartilage which separates the two bones wears away and causes the bones to rub together. This creates inflammation, pain, damage to the bones, and loss of motion.
• Rheumatoid arthritis: The outcomes are similar to osteoarthritis, but instead of wear causing the damage, the joint is attacked by your own body's immune system.
• Post-traumatic osteoarthritis: This can happen rapidly or slowly following a traumatic injury to the lower jaw.

Disc-Related TMD

A normal TMJ joint has a disc of cartilage that separates the two bones of the joint and allows the bones to slide easily against each other. However, the disc can become dislodged, inflamed, or stuck in place.

• Signs and symptoms of disc-related issues include popping, clicking, lockjaw, and pain when opening and closing your jaw.

Muscle-Related TMD

Each side of your face has 4 main muscles that work together to open and close your jaw. They are the temporalis, masseter, lateral pterygoid and medial pterygoid.

• These muscles can become inflamed, injured, or damaged. 
• Muscle pain is often mistaken for pain in the TMJ itself. It is important to properly diagnose the issue to determine the proper treatment.
• If you have muscle inflammation or damage, opening or closing your mouth can become difficult or painful.
• Muscle issues can also be mistaken for headaches, especially if the headaches are most severe in the mornings.

TMJ Treatment in Winston-Salem

To learn more about TMD/TMJ treatment visit our TMJ Treatment service page.

Facial swelling is often one of the telltale signs of a tooth infection. It's a good idea to see your dentist as soon as possible if you're experiencing swelling. 

Once your tooth has been treated, your dentist may prescribe antibiotics to help combat the infection, and you should see your swelling start to reduce about 24 to 48 hours later. 

You can also help reduce facial swelling with a cold compress and by taking an anti-inflammatory like Ibuprofen. Contact your Winston-Salem dentist right away if your swelling is not subsiding.

We're Here When You Need Us Most!  

If you or a loved one is experiencing tooth pain, facial swelling, or a dental emergency, we're here to help! We make every effort to get emergency dental patients into our schedule as soon as possible so we can eliminate their discomfort and restore their smiles. Dr. Nelson provides same-day treatment in emergencies whenever it's possible.  

Call Us If You Have A Tooth Infection

If you think you may have a tooth infection, it's important not to delay seeking treatment because the condition will not resolve on its own. In fact, the decay and bacteria causing your infection can work their way further into your tooth if it's not treated and result in tooth loss.

If you are nervous about your emergency dental needs, you are in the right place!

Our office specializes in treating nervous patients. Dr. Nelson has extensive training in sedation dentistry and can offer services ranging from painless injection techniques, laughing gas, and oral sedation, to IV sedation.  

TMD stands for Temporomandibular Disorder. This term encompasses all of the possible issues that can arise with the structures of these joints. These issues fall into three main categories: bone disorders, disc disorders, and muscle disorders. You may have a combination of issues with multiple parts at the same time. 

Are you having a TMJ-related dental emergency? 

We are passionate about helping. Please don’t hesitate to call (336) 760-1277 to schedule an appointment today.

We will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering TMJ pain can be. Dr. Nelson is committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

We are happy to schedule a same-day emergency TMJ evaluation. 

We will do our best to rearrange our schedule so you can be seen on the same day that you call.

Come to the office ASAP: 

Call our office ASAP and place the tooth or tooth fragments in cold milk.

The sooner, the better: 

Immediate treatment in the dental office improves outcomes and increases the chances of saving the tooth.

Splinting of injured teeth: 

At our office, the teeth will be temporarily splinted (glued) together in a very simple process. This allows your body to heal the injured teeth in the appropriate location.

Temporary replacement of missing teeth: 

If the teeth cannot be saved, then our office will make you a temporary device that can restore your smile until the final treatment can begin.

Save the crown and pieces

If your crown falls out, save the crown or crown pieces. Even if they cannot be put back in, they can assist our office in making a temporary crown.

Schedule with our Winston-Salem office ASAP

Make an appointment as quickly as possible. Teeth can shift in a matter of days which can cause the crown not to fit and require adjustment

We will try to glue your old crown back on

Our office will do everything in our power to recement or rebond the crown back on the tooth. This is the best-case scenario as it is quick and cheap. 

If your old crown is not salvageable, we will make a new one

Sometimes decay is present underneath the crown or the tooth has fractured underneath the crown. In these cases, Dr. Nelson will determine if a new crown has to be fabricated or if the tooth is savable. You will be presented with treatment options and will be able to decide the best course of treatment for you with recommendations from Dr. Nelson

The goal of cosmetic dentistry is to achieve the beautiful smile you've always wanted through state-of-the-art dental technology.

We can assess and address all areas of concern with your smile including:

• Stained teeth
• Chipped teeth
• Spaces or gaps between teeth
• Crowded teeth that overlap
• Worn teeth
• Undersized teeth

Schedule a personalized consultation. 

After a personalized consultation with Dr. Nelson at our modern Winston-Salem office, you will be able to decide which cosmetic dental procedures are best for you.  

Create the smile you’ve always wanted that you can afford. 

We will work with you to create the smile of your dreams with the most conservative and affordable treatment. We offer in-house payment plans and work with all insurances so cost never has to be a barrier to treatment.

Please visit our page on cosmetic dentistry to learn more!

Yes, our office has a digital scanner to take digital impressions.

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally. Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

We only use the most esthetic filling materials. 

If you need a filling to fix a cavity, then our skilled doctors will match your tooth with the proper shade of composite (tooth-colored) filling material. With the modern and high-quality tooth-colored filling materials that we use, our fillings are almost unnoticeable.

Please visit our page on tooth-colored fillings to learn more! 

At Blake Nelson, DDS the fee for a dental veneer is $1387 per tooth.  Most patients decide to place dental veneers on either two, four, or six front teeth to transform their smile.   

Reach Out To Book Your Veneers Consultation

Do you think porcelain veneers in Winston-Salem, NC could benefits your smile? Visit our services pages to learn more about porcelain veneers and cosmetic dentistry.

The cost of cosmetic dentistry depends on the recommended dental procedures.  Common cosmetic dental procedures include dental whitening, porcelain veneers, cosmetic dental crowns, dental bridges,  tooth colored fillings, or dental implants.  To learn more about cosmetic dentistry, visit our services page here.

• Dental Whitening Trays: $351 per tray
• Porcelain Veneers: $1387 per tooth 
• Cosmetic Dental Crowns: $1258 per crown
• Dental Bridge: $4161 
• Tooth Colored Fillings: $207-$378
• Dental Implant: $2027

Our office offers multiple cosmetic dental procedures including:

• Dental veneers
• Dental bonding
• Tooth-colored fillings
• Tooth colored crowns
• Tooth whitening
• Dental implants 

The color or shade of veneers can be customized for each patient’s wishes. The excellent, local Winston-Salem dental labs create customized veneers for each patient’s desires.

Reduced Staining and Discoloration Over Time

High-quality porcelain stains at a much lower rate than natural teeth, composite fillings, or older crown materials.

Conservative Treatment

Veneers often remove less than .5mm of tooth material and sometimes none at all. This keeps your natural teeth stronger and allows the veneers to last for a long time.

Biology  

Porcelain has been used for a long time in dentistry and has a long track record of being well tolerated by the gum tissue in patients. There is no metal involved in the process so the potential for an allergic reaction is almost zero.

Crowns are predictable and reliable.

If Dr. Nelson recommends a crown for one of your teeth, that treatment option is the most predictable and longest-lasting choice for that tooth.

They are made from the strongest materials. 

Dental Crowns cover the entire chewing surface of the tooth with a very strong material that is highly resistant to fracture or chipping. This means you can enjoy your favorite foods without worry.

Our dental crowns are very esthetic. 

Dental crowns are also very esthetic and are indistinguishable from other natural teeth. They are also more resistant to staining which allows you to smile with confidence.

They feel just like your natural tooth. 

Dental crowns feel the same to your tongue and lips because they replicate the natural anatomy of your natural tooth.

Crowns are maintained just like your natural teeth. 

Brushing and flossing are performed in the same manner as with natural teeth.

Crowns provide protection from future decay. 

The tooth is much more resistant to dental decay and cavities because the crown material cannot be decayed by bacteria.

Your dentist may recommend a filling to fix a cavity, chip, or discoloration on your tooth.

Dental decay

A tooth can decay due to many reasons. Dental decay is caused by bacteria that soften and weaken the tooth structure and can even create holes in teeth. Dental decay can be painlessly removed, and the missing tooth structure can be replaced with a tooth-colored filling. 

Chipped or missing tooth structure

If your teeth have been chipped, a tooth-colored filling can be placed to replace the missing tooth structure. 

An old filling that has gone bad 

With time, your existing fillings can chip, crack, or even have cavities from beneath them. Your dentist will examine your existing fillings and can replace them with new ones if indicated. 

We only use the best materials for our patients. Dr. Nelson uses the top materials available to restore the shape, function, and color of teeth.

Dissatisfied with the color of your teeth

Dental veneers can improve the color or staining of front teeth, especially in patients who have tried dental bleaching (whitening) and are not satisfied with the results.

Dental wear or grinding

Over the years, grinding of teeth can slowly reduce the height of a patient’s front teeth. Porcelain veneers can increase the height of a patient’s front teeth to the original form and function before the teeth were worn down.

Chipped, broken, or traumatized front teeth

Previous trauma to teeth can often create an unaesthetic appearance. Teeth can turn grey or dark years after the trauma. Often, the old crowns or fillings that were placed at the time of the trauma no longer match the adjacent teeth. Dental veneers can be used to create a beautiful, natural smile for all front teeth.

Small tooth size 

Many patients are born with smaller than average teeth. Often, this occurs on the top teeth called lateral incisors. Dental veneers can correct and size discrepancies and give you the smile you have always wanted.

Spaces between teeth

Spacing can also be corrected with orthodontics or braces but it is often preferable and quicker to close the spaces with porcelain veneers.

Please visit our page on dental veneers to learn more!

Yes! We can make your dental implant match your adjacent natural teeth by using the most esthetic techniques.  

Experienced dentists who provide esthetic and comfortable care. 

Drs. Benton and Nelson are experts at restorative dentistry and implants. They have many years of experience at replacing missing teeth in the mouth.

The best materials at a local Winston-Salem dental lab. 

While dental implants can be made by labs anywhere in the world, Drs. Benton and Nelson work with a local lab right here in the Winston-Salem area. Using a local lab ensures Drs. Benton and Nelson that they have an experienced technician who they know, and guarantees that the lab will use the strongest and most esthetic materials.

Dr. Nelson may recommend an occlusal guard if he is noticing signs of grinding, tooth wear, or TMJ pain. A custom-made occlusal guard at our office is $642.  To learn more about occlusal guards and TMJ, visit our service page.  

There are multiple causes, and stress makes it worse. Multiple causes of TMJ pain can be present. In short, it can be caused by problems with your joint, your bone or your muscles. Stress often exacerbates TMJ symptoms.  

Please visit our page on TMJ pain to learn more! 

Jaw pain or TMD (Temporomandibular disorder) can be caused by issues with the jaw bone, disc, or muscles.

Bone-Related TMD

The temporal bone (the socket part) and the mandible (the ball part) can develop degenerative diseases that are very similar to other joints in the body such as the knee.

• Osteoarthritis: This is a degenerative condition caused by use and wear over time. The cartilage which separates the two bones wears away and causes the bones to rub together. This creates inflammation, pain, damage to the bones, and loss of motion.
• Rheumatoid arthritis: The outcomes are similar to osteoarthritis, but instead of wear causing the damage, the joint is attacked by your own body's immune system.
• Post-traumatic osteoarthritis: This can happen rapidly or slowly following a traumatic injury to the lower jaw.

Disc-Related TMD

A normal TMJ joint has a disc of cartilage that separates the two bones of the joint and allows the bones to slide easily against each other. However, the disc can become dislodged, inflamed, or stuck in place.

• Signs and symptoms of disc-related issues include popping, clicking, lockjaw, and pain when opening and closing your jaw.

Muscle-Related TMD

Each side of your face has 4 main muscles that work together to open and close your jaw. They are the temporalis, masseter, lateral pterygoid and medial pterygoid.

• These muscles can become inflamed, injured, or damaged. 
• Muscle pain is often mistaken for pain in the TMJ itself. It is important to properly diagnose the issue to determine the proper treatment.
• If you have muscle inflammation or damage, opening or closing your mouth can become difficult or painful.
• Muscle issues can also be mistaken for headaches, especially if the headaches are most severe in the mornings.

TMJ Treatment in Winston-Salem

To learn more about TMD/TMJ treatment visit our TMJ Treatment service page.

TMD stands for Temporomandibular Disorder. This term encompasses all of the possible issues that can arise with the structures of these joints. These issues fall into three main categories: bone disorders, disc disorders, and muscle disorders. You may have a combination of issues with multiple parts at the same time. 

TMJ

The TMJ is the actual joint that connects your skull (temporal bone) to your lower jawbone (mandible). You have two TMJs on either side of your head located just in front of your ear canal. If you place your fingers next to your ear and open and close your jaw you can feel the joint rotating and occasionally popping. 

Are you having a TMJ-related dental emergency? 

We are passionate about helping. Please don’t hesitate to call (336) 760-1277 to schedule an appointment today.

We will see emergency patients who are new to our office. 

We understand how uncomfortable and life-altering TMJ pain can be. Dr. Nelson is committed to helping all patients in the Winston-Salem and Piedmont Triad area. We will see all emergencies, even if you are not patients of record at our office. 

We are happy to schedule a same-day emergency TMJ evaluation. 

We will do our best to rearrange our schedule so you can be seen on the same day that you call.

Some patients are able to keep their wisdom teeth their entire lives, but many benefit from their removal. 

We check your wisdom teeth at every cleaning visit. 

Just like the check for cavities and gum disease, Dr. Nelson will always evaluate your wisdom teeth at your cleaning visits. 

For some, removal is not needed. 

Though some lucky people are missing their wisdom teeth, most people have 4 that begin erupting (coming into the mouth) around age 17. Occasionally, patients will have enough room to let their wisdom teeth come in without complications.

For most, removal is the best option. 

Most people would benefit from the removal of their wisdom teeth to prevent future complications. If this is the case, Dr. Nelson will talk to you about the removal process. 

The cost of wisdom tooth removal depends on whether the tooth is in the mouth (erupted) or trapped in the jawbone (unerupted).  Most patients elect to be sedated during wisdom teeth removal.  To learn more about wisdom teeth removal or dental sedation, visit our services pages. 

• Removal of erupted wisdom tooth: $295 per tooth
• Removal of unerupted wisdom tooth: $358-453 per tooth

Signs such as pain, swelling, and soreness may be a sign that it's time to have your wisdom teeth removed.

Pain

Persistent pain coming from one or both sides of the jaw behind your last visible molar.

Swelling

Swelling in your lower jaw without any obvious cause may be an indication that it's time to have your wisdom teeth out.

Soreness 

Chronic soreness behind the last visible tooth that lasts for a few days then goes away only to come back a couple of months later.

Partial eruption

You can see part of your wisdom tooth poking through the gums, but it does not come in fully.

Impaction

Your dentist tells you that your wisdom teeth are “impacted." This term means that your wisdom teeth will not come in normally because they are stuck in bone, against other teeth, or gum tissue.

Please visit our page on wisdom teeth to learn more! 

Wisdom teeth are the molars in the very back of your jaw.

Most people have four wisdom teeth, located the furthest back in their jaw.  Another term for wisdom teeth is "third molars" as they are the third set of permanent molars in adults, typically coming in between ages 16-21 years.  

Scheduling the procedure: 

If Drs. Benton or Nelson determine that you could benefit from wisdom tooth extraction, it is recommended that you have the procedure either at our office or at an oral surgeon. Our office will work with you to schedule the procedure at the most convenient time. 

Painless numbing techniques and optional sedation: 

The area is numbed with local anesthesia.  Many patients will also elect be sedated for the wisdom tooth removal procedure.

Gentle removal: 

The tooth is gently removed. The site is then cleaned of all infected or inflamed tissue. The area is rinsed thoroughly with sterile saline to remove the most harmful bacteria that were residing close to the wisdom tooth.

Fast, easy recovery: 

You will recover with a customized healing protocol that includes antibiotics, pain medicine, and anti-inflammatory medicines.

In the past, dentures have gotten a bad reputation as a tooth replacement option. However, today’s dentures are much more natural-looking and comfortable. There are many benefits to wearing dentures in Winston-Salem, NC.

Why You Should Consider Dentures

Missing teeth can hamper your ability to eat and talk, so you should consider the following benefits of dentures:

• Comfort – You can wear dentures and not even know you have them.
• Performance – Today’s dentures perform like natural teeth and allow you to eat what you want and chew all your favorite foods.
• A natural smile – With dentures, you will no longer have to worry about gaps in your teeth.
• Support for your face – Without dentures, your missing teeth will cause your face to sag, making you look older. Dentures give you the support you need to look younger and feel more confident.
• Decrease in bone loss – If you have missing teeth, you will begin to lose bone structure in your jaw. Dentures can decrease bone loss.
• Cleaning – Dentures are easy to take out and clean, improving your oral hygiene.
• Cost-effectiveness – Dentures are an affordable option for you.

Are You Interested in Affordable Dentures in Winston-Salem?

If you want more information on dentures, contact Blake Nelson, DDS today. Our professional staff is ready to help with all your dental needs.

If you and your dentist have discussed the options for your missing teeth, and dentures are a viable option, you may be wondering how our office can customize your dentures and make them look as natural and aesthetically pleasing as possible.

What Are My Customization Options?

Fortunately, there are several ways we can make your dentures unique to your mouth, including the following:

• Tooth color or shade – Your tooth color is unique to you, and we can work with you to choose the most natural-looking shade for your dentures.
• Tooth shape – We want the shape of your dentures to fit your mouth so that we will talk to you about the appropriate tooth shape for your individual set of dentures.
• Tooth size – The size of your dentures is essential, so we will help you choose the best tooth size for your mouth.
• Tooth position or alignment – It’s vital that the teeth in your dentures are positioned correctly to ensure the best look for your smile.

Do You Need Affordable Dentures in Winston-Salem, NC?

Your total satisfaction is our goal at Blake Nelson, DDS. If you or someone you know is interested in talking to our staff about customizable dentures, please get in touch with us today!

If you have missing teeth and think you may be a candidate for dentures, it’s safe to say you will have questions about the process, and you might be somewhat nervous. When considering affordable dentures in Winston-Salem, NC, we know you have many options, but at Blake Nelson, DDS, we want to talk to you and help you create an individual treatment plan that focuses on you and your best smile.

Why Blake Nelson, DDS for Dentures in Winston-Salem?

There are several reasons why you should consider our office for your dentures.

• We take the time to listen to what you want and then build a personalized treatment plan to help you achieve a natural-looking smile.
• We work closely with a local lab of talented clinicians to create perfect dentures for you.
• We can guarantee a faster process because we know the lab clinicians; we can easily discuss your needs with them.
• We will give you the strongest, most aesthetically pleasing dentures you can get anywhere. There is no such thing as one-size-fits-all when it comes to your dentures.

Are You Interested in Learning More?

If you are ready to talk to someone about your customized smile and how we can help you with dentures, please get in touch with our office for more information. We are excited to help you achieve your best smile ever!

Denture relines involve shaping or "relining" where your denture touches your jaw to improve its fit 

Denture relines are indicated if you’ve had teeth removed recently.

Sometimes dentures need a procedure called a reline. This is commonly needed if extractions were completed within a few months of getting your denture, as your bone and gum tissue will remodel and change shape slightly. This remodeling can cause your new dentures to become loose over time. 

A simple reline procedure can improve the fit of your denture. 

The reline can be performed by our office which customizes the inside of your denture. This is much cheaper and quicker than designing a new set of dentures. The good news is that the aesthetic aspects of the dentures are unchanged during this process. 

You will maintain them just as you would your regular dentures. The dentures need to be cleaned and removed at night just like normal dentures.

Ensure the implant connection stays strong and secure with regular check-ups. 

The implant and denture “snap” together through a rubber ring that is in the inside of the denture. This ring can be customized to different strengths depending on your preferences. By design, this ring will wear out in 1-2 years. These rings are very easy and cheap to replace and can be done at our office in as little as 30 seconds. 

A full upper or lower denture costs $1919.  If your denture is supported by dental implants to improve the fit and stability, the fee is $3108.  

• Upper Denture: $11919
• Upper Implant Supported Denture: $3108
• Lower Denture: $1919
• Lower Implant Supported Denture: $3108

The fee for an implant supported denture depends on how many dental implants are required to support your prosthesis.  Upper dentures usually require four dental implants while lower dentures usually only require two dental implants.  As always, we will work with your dental insurance and offer payment plans to help you fit your dental treatment into your family's budget.  To learn more about dental implants, dentures, or implant supported dentures, visit our services page.

• Upper Implant Supported Denture: $3108
• Lower Implant Supported Denture: $3108
• Dental Implant: $2027 per implant

If you have loose dentures, you are not alone. It is a very common issue that affects millions of Americans. After evaluation by Dr. Nelson, you will be presented with treatment options that may include a denture reline, new dentures, or dentures supported by implants.

Adjustments and reline procedures: 

Loose dentures can often be addressed by adjusting them, or with a special procedure called a denture reline. 

Consider upgrading to an implant retained denture:

 Dr. Nelson has extensive training and experience with dental implants to help retain dentures. An implant-retained denture will solve your issues and stay in place while you chew, talk, and smile!

Please visit our page on loose dentures to learn more!

Better chewing ability: 

Dentures that are not displaced by harder foods will give you the function and confidence to enjoy more foods. Dental implants create a secure connection between your jaws and dentures.

More confidence speaking and smiling: 

Many patients worry about dentures dislodging when talking or speaking in public. Dental implants will give you the confidence to know that your dentures will not move when talking, eating, or smiling.

Preservation of bone: 

Implants stimulate your bone just like natural teeth which retain the bone of your jaw.

Affordable and quick: 

Often, your existing dentures can be used to attach to your new dental implants which saves time and money.

Ease of removal: 

The dentures can be removed at night for easy cleaning of the dentures.

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing.  We utilize the latest and most effective techniques for anesthesia.  

Calming nitrous oxide (laughing gas): 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

An upgraded denture that's secured with dental implants so it won't budge!

An implant supported denture, also known as an overdenture, is one of the best ways to restore your ability to speak, chew, and smile without worrying about your denture loosening.  Implant supported dentures are customized dentures that "snap" onto a dental implant to ensure a secure fit that won't become displaced.  Patients with implant supported dentures often remark that they are able to eat foods like steak, corn on the cob, and apples again! 

Evaluation of current dentures. 

If current dentures are satisfactory, then they can be used. If they are not, then new dentures are made by our expert Winston-Salem based dental lab.

Simple and fast placement of dental implants. 

The dental implants are placed during a simple, fast, and comfortable procedure.

Attachment of dental implants to dentures. 

After a short healing process, the dental implants are attached to the dentures with special connections.

Customization of retention strength. 

The strength of the connection between the denture and dental implants can be customized for your specific needs and strength desires. The connections can be so strong that patients sometimes have trouble removing them! We will make sure this does not happen to your custom implant retained denture.

We only use the most esthetic filling materials. 

If you need a filling to fix a cavity, then our skilled doctors will match your tooth with the proper shade of composite (tooth-colored) filling material. With the modern and high-quality tooth-colored filling materials that we use, our fillings are almost unnoticeable.

Please visit our page on tooth-colored fillings to learn more! 

The fee for a dental filling ranges from $207-$378 depending on how many tooth surfaces the filling will replace.  

• Bonding
• Restorations
• Composites

During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. 

Calming nitrous oxide (laughing gas) is available 

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

We offer stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Preparing the tooth for the filling

Once the decay is removed, Dr. Nelson prepares the tooth with a special kind of glue that seals the filling material to the tooth. This creates a seamless transition from tooth to filling material which prevents leakage and staining. 

Placing the Tooth-Colored Filling Material

The composite material can be shaped and adapted to fill in the exact contour of the natural tooth. These high-quality materials come in many different shades to match the exact color of your tooth. This allows you to smile and chew with confidence.

As Good as New

A completed tooth-colored restoration will have the same look, feel, and function as the original natural tooth. It is the most conservative and natural method to keep your teeth healthy for the rest of your life.

Your dentist may recommend a filling to fix a cavity, chip, or discoloration on your tooth.

Dental decay

A tooth can decay due to many reasons. Dental decay is caused by bacteria that soften and weaken the tooth structure and can even create holes in teeth. Dental decay can be painlessly removed, and the missing tooth structure can be replaced with a tooth-colored filling. 

Chipped or missing tooth structure

If your teeth have been chipped, a tooth-colored filling can be placed to replace the missing tooth structure. 

An old filling that has gone bad 

With time, your existing fillings can chip, crack, or even have cavities from beneath them. Your dentist will examine your existing fillings and can replace them with new ones if indicated. 

We only use the best materials for our patients. Dr. Nelson uses the top materials available to restore the shape, function, and color of teeth.

Yes! Today's digital x-rays are very safe and emit 80 percent less radiation than film x-rays we used in the past. You might actually receive more radiation from spending a day outside in the sun. 

Not only are they safer, but digital x-rays are integral in helping your dentist in Winston-Salem protect your oral health and well-being because they provide an internal look at problems the naked eye may miss. 

Dr. Nelson recommends that we take bite-wing x-rays once per year. These x-rays provide a baseline of your teeth's health and help him identify common issues like tooth decay early on. When we detect tooth decay or gum disease as early as possible, we can often treat the concerns with less invasive and less costly treatment procedures. 

Panoramic and 3-D X-Rays

A panoramic x-ray provides a complete view of your teeth, jawbone, and sinuses. We typically recommend updating this x-ray every five years unless it's needed for oral surgery or orthodontic treatment. 

3-D images are ideal for helping Dr. Nelson diagnose and plan for implant dentistry. When we can plan a surgery ahead of time, it allows the procedure to go smoothly on the day of surgery. 

If you have questions or concerns about dental x-rays, contact your dentist's office in Winston-Salem for more information. 

Dental x-rays are essential to find dental decay, examine gum health, and find potential issues at their earliest stages

Dental Decay

To look for dental decay in between teeth that cannot be seen by looking in the mouth until the decay is very large.

Gum and Bone Health

To visualize the health of the bone that surrounds the tooth and to detect harmful bone loss caused by gum disease.

Nerve Issues 

To detect problems with the nerve of your tooth that could become very painful if untreated

To Find Problems at the Earliest Stage  

To find dental decay in its early stages. When dental decay or cavities are discovered sooner, more conservative treatment can be performed which dramatically reduces the time and cost of treatment.

Only the lowest possible dose for our patients: 

Our modern Winston-Salem office utilizes digital x-rays to make your experience safer, faster, more efficient, and to ensure the lowest possible doses for you and your family.

Our office’s x-ray promise: 

Our office will only recommend the x-rays that are appropriate and absolutely necessary. For patients who rarely have dental issues, we will take less frequent x-rays than normal. Just like other medical screening procedures, patients have different risks and that is reflected in the x-rays that we prescribe.

Please visit our page on digital x-rays to learn more!

Less than old “film” dental x-rays: 

Digital x-rays have 50% less radiation than traditional film-based x-rays.

Less than a cross-country flight: 

A flight from Los Angeles to New York City has 40 times the radiation exposure than a single digital dental x-ray.

Less than a day on the earth: 

A single day of background radiation from living on the Earth is the equivalent of 2 digital dental x-rays.

Less than a bunch of bananas: 

Eating 50 bananas is equivalent to one digital dental x-ray.

Less than a chest x-ray: 

A medical chest x-ray is equivalent to 100 digital dental x-rays.

Less than a mammogram: 

A mammogram is equivalent to 800 dental x-rays.

Less than a medical CT scan: 

A full-body medical CT scan is equivalent to 6,000 digital dental x-rays.

There are several types of dental x-rays that the dentist may recommend in order to appropriately assess your mouth.  

Different dental X-rays look for different dental issues such as between-teeth cavities, tooth roots, jaws, and sinuses.  

Bitewing X-Rays:

Look for cavities between the teeth or where the teeth are touching

Periapical X-Rays:

Visualize the entire root of a single tooth

Panoramic X-rays:

Capture the entire lower third of the face to assess all teeth, jaws, and sinuses

CBCT X-rays:

Have multiple uses including panoramic x-rays, 3-D x-rays and extra oral bitewing x-rays.  

Digital dental X-rays are faster, more clear, and have less radiation than traditional dental X-rays.

Faster appointments: 

The digital x-rays are immediately available on the computer which saves time developing x-rays.

More comfortable:

Modern sensors are smaller and easier to use.

Higher resolution:

Our digital sensors are the top-of-the-line and have the best resolution available in the market. This allows Drs. Benton and Nelson to accurately diagnose any dental issue so that it is treated as early as possible. If a dental problem is detected early, then it is more likely to be treated by a faster, cheaper, and more comfortable treatment. An example would be finding a cavity early and fixing it with a filling instead of a root canal.

Patient engagement: 

Because the X-rays can be shown at full size on a computer monitor, Dr. Nelson can educate and engage you about your dental health

Less radiation:

Digital X-rays require less than half the radiation exposure that traditional dental X-rays use.  

Yes, our office has a digital scanner to take digital impressions.

In the past, if you needed a dental impression (mold of your mouth) to make a dental crown, bridge, or assess your bite, it required taking a traditional impression.  This process involved goopy impression material and impression trays, and patients often disliked the experience for being messy, time-consuming, and causing gagging!  Now, we have a digital scanner for impressions.  For a digital impression, a small wand is used to scan the mouth and create a model of your teeth digitally. Dr. Nelson and patients alike have loved the new technology as it is much more comfortable and accurate! 

A dental bridge that replaces one missing tooth costs $4161 and a dental bridge that replaces two adjacent missing teeth costs $5548.  To learn more about dental bridges, dental insurance, or payment plans, visit our service page.  

There are many dental bridge materials available. Dr. Nelson will choose the best option and strongest material for your mouth.

Beautiful tooth-colored materials (most popular):

Zirconia is the most popular material that will match the natural shade of your tooth perfectly. 

Gold (upon patient request): 

Gold can also be a treatment option for the back teeth if the patient requests it. 

A dental bridge is a type of dental treatment that permanently replaces a missing tooth or teeth that is very similar to a dental crown or "cap" that is designed to cover multiple teeth.  

Dental implants are an alternative to dental bridges 

Dental implants are another great alternative to replace missing teeth. Dr. Nelson will discuss which option they would recommend for your specific situation. They will help you decide the best treatment for your mouth and smile.

What are some advantages of dental bridges over implants?

Dental bridges are a faster treatment option: Dental bridges can be completed more quickly than implants in most cases. 

Some patients are not ideal candidates for dental implants. In situations where dental implants are contraindicated, a dental bridge is a better option. These patients include:

• Younger patients (less than 21 years old) who are still growing
• Patients who have had radiation or chemotherapy for oral cancer
• Patients who have taken high-dose of bone drugs (bisphosphonates)

You can have your dental bridge in two simple visits. 

After you have decided on dental bridge treatment after consultation with Dr. Nelson, the process usually takes two appointments. 

First visit: 

Readying the mouth for a dental bridge. During the first appointment, the teeth on either side are prepared to accept the bridge. The areas will be numbed so you are very comfortable during the procedure and a mold will be made of the area. A temporary bridge will then be fabricated and fitted to your mouth so that you can smile and chew with confidence while your bridge is being made at a dental lab. A skilled dental technician will then fabricate a dental bridge based on photos, shades, models, and instructions from our office. 

Second visit: 

Permanently place the dental bridge in your mouth. You will return for a quick and easy appointment where the temporary bridge will be removed and the final permanent dental bridge will be cemented. You will have an opportunity to view the final bridge in your mouth before it is cemented. 

Excellent treatment option for missing teeth: 

Dental bridges have been in use for over 50 years, and are an excellent replacement option for missing teeth.

Permanent replacement of teeth: 

Dental bridges provide a “fixed” replacement for missing teeth. They stay in place during speaking, eating, and brushing.

Very esthetic: 

Dental bridges look and feel like natural teeth.

High-quality, strong materials: 

Dental bridges are made with zirconia, which is a high- quality, cosmetic material fabricated by master technicians right here in Winston-Salem.

Customized to your smile: 

The size, shape, and color of dental bridges are customized for your specific situation so you have a natural look and feel.

Please visit our page on dental bridges to learn more! 

If you have one or more missing teeth: 

You could benefit from a dental bridge if you have one or more missing teeth with a natural tooth or implant on each side.

If you desire a permanent replacement of the tooth: 

Dental bridges are permanent, meaning that they cannot be taken out like a partial denture can. 

We accept and file all dental insurances

Our office provides excellent care at an affordable price. We accept and file all dental insurance policies and will fight on your behalf so that you receive the maximum benefit.  Though we are not an in-network provider with any insurance company, we will estimate your insurance coverage and out-of-pocket responsibility prior to treatment.

Financial plans are available 

We offer financing plans that allow you to fit your needs into your budget.

Discounts for patients without dental insurance (cash pay)

We also offer discounts for patients who do not have dental insurance or who prefer to pay with cash.  

Schedule a consultation at our Winston-Salem office. 

Call our Winston-Salem office to schedule your exam and consultation. It is very important for Dr. Nelson to conduct a full exam before the placement of porcelain veneers. The exam will help determine whether porcelain veneers are the best treatment for you. Alternatives to veneers that will still provide excellent esthetic results include orthodontics or small tooth-colored fillings.

See a “mock-up” of what your teeth would look like with veneers. 

Photos and molds of your teeth will be taken to best plan for the veneers. In most cases, you can see a “mock-up” of what the new veneers would look like in your mouth. This is accomplished in just a few minutes without anesthesia or drilling. If you like how they look and feel, then this can be communicated with the lab when they create your porcelain veneers.

At Blake Nelson, DDS the fee for a dental veneer is $1387 per tooth.  Most patients decide to place dental veneers on either two, four, or six front teeth to transform their smile.   

Reach Out To Book Your Veneers Consultation

Do you think porcelain veneers in Winston-Salem, NC could benefits your smile? Visit our services pages to learn more about porcelain veneers and cosmetic dentistry.

The color or shade of veneers can be customized for each patient’s wishes. The excellent, local Winston-Salem dental labs create customized veneers for each patient’s desires.

Reduced Staining and Discoloration Over Time

High-quality porcelain stains at a much lower rate than natural teeth, composite fillings, or older crown materials.

Conservative Treatment

Veneers often remove less than .5mm of tooth material and sometimes none at all. This keeps your natural teeth stronger and allows the veneers to last for a long time.

Biology  

Porcelain has been used for a long time in dentistry and has a long track record of being well tolerated by the gum tissue in patients. There is no metal involved in the process so the potential for an allergic reaction is almost zero.

You can have your veneers in two simple visits. 

First visit: 

Preparation of the teeth and making “temporary” veneers. In the first visit, the teeth are prepared and molds of the mouth are made to send to the master dental technicians. You will leave that day in “temporary” veneers that will look very similar to what your final smile will be!

Second visit: 

Attach your custom porcelain veneers to your teeth. You will later return to the office to have your custom porcelain veneers attached to your teeth with a very durable and strong resin adhesive. The final step is to live your life with your new smile! 

Dissatisfied with the color of your teeth

Dental veneers can improve the color or staining of front teeth, especially in patients who have tried dental bleaching (whitening) and are not satisfied with the results.

Dental wear or grinding

Over the years, grinding of teeth can slowly reduce the height of a patient’s front teeth. Porcelain veneers can increase the height of a patient’s front teeth to the original form and function before the teeth were worn down.

Chipped, broken, or traumatized front teeth

Previous trauma to teeth can often create an unaesthetic appearance. Teeth can turn grey or dark years after the trauma. Often, the old crowns or fillings that were placed at the time of the trauma no longer match the adjacent teeth. Dental veneers can be used to create a beautiful, natural smile for all front teeth.

Small tooth size 

Many patients are born with smaller than average teeth. Often, this occurs on the top teeth called lateral incisors. Dental veneers can correct and size discrepancies and give you the smile you have always wanted.

Spaces between teeth

Spacing can also be corrected with orthodontics or braces but it is often preferable and quicker to close the spaces with porcelain veneers.

Please visit our page on dental veneers to learn more!

Some patients are able to keep their wisdom teeth their entire lives, but many benefit from their removal. 

We check your wisdom teeth at every cleaning visit. 

Just like the check for cavities and gum disease, Dr. Nelson will always evaluate your wisdom teeth at your cleaning visits. 

For some, removal is not needed. 

Though some lucky people are missing their wisdom teeth, most people have 4 that begin erupting (coming into the mouth) around age 17. Occasionally, patients will have enough room to let their wisdom teeth come in without complications.

For most, removal is the best option. 

Most people would benefit from the removal of their wisdom teeth to prevent future complications. If this is the case, Dr. Nelson will talk to you about the removal process. 

A dental bone graft is sometimes recommended after the removal of a tooth to preserve the surrounding bone.  The cost of a dental bone graft at our office is $405.  

The cost of wisdom tooth removal depends on whether the tooth is in the mouth (erupted) or trapped in the jawbone (unerupted).  Most patients elect to be sedated during wisdom teeth removal.  To learn more about wisdom teeth removal or dental sedation, visit our services pages. 

• Removal of erupted wisdom tooth: $295 per tooth
• Removal of unerupted wisdom tooth: $358-453 per tooth

Painless numbing techniques.

During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. 

Quick, comfortable, and predictable treatment. 

Our office has all of the latest equipment and your procedure will be completed in a quick, comfortable, and predictable manner.

Medications to stay pain-free while recovering. 

We will give you the best medications in a customized pain-control protocol to stay comfortable after the procedure. Our team will also review how to take care of your mouth in the days following extractions.

Calming nitrous oxide (laughing gas).

 For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry. 

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on extractions to learn more!

We have many temporary options to replace your tooth.

Before any extraction procedure, Dr. Nelson will explain all of your treatment options to replace your tooth. We will provide both temporary and permanent replacement choices for function and aesthetics.

We offer same-day tooth replacement so you can go home with a smile.  

If desired, you will be able to go home with a temporary replacement tooth the same day as the procedure, so you can always smile with confidence!

If you are nervous about having your tooth extracted, you've come to the right place!  We have multiple options to make sure your procedure is comfortable and stress-free.  

Most Effective, Pain-Free, and Up-to-Date Numbing Techniques

During any treatment, Dr. Nelson prides himself on using state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia to keep you comfortable.

Calming Nitrous Oxide (Laughing Gas)

For patients with anxiety, nitrous oxide, or laughing gas, will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free Sedation Dentistry 

Dr. Nelson is one of the only general dentists in the Winston-Salem area who is trained and licensed in all forms of sedation dentistry.  Patients are always given the option of choosing dental sedation during their procedures to guarantee a stress-free experience. In fact, most people say that going to the dentist was never easier and that they have no memory of the procedure at all! 

A bone graft will keep your tissues healthy and enable you to pursue tooth replacement options.

A way to preserve surrounding structures 

A bone graft or “socket preservation” is a simple procedure that can be performed to maintain the architecture of your natural bone. The process allows your body to rebuild bone to replace the lost tooth.

Improve outcomes with a replacement tooth 

Dr. Nelson is highly trained in different bone grafting procedures to ensure that you have the support to receive a dental implant or bridge in the future.  Placing a bone graft at the time of extraction is the easiest and most effective opportunity to preserve your bone and gum tissue.

A dental bone graft is sometimes recommended after the removal of a tooth to preserve the surrounding bone.  The cost of a dental bone graft at our office is $405.  

There are several reasons your dentist may recommend a bone graft:

• Preparation for a dental implant during tooth extraction
• Restoration of bone from previous trauma to the teeth or jaws
• Support of existing teeth and gum tissue

A bone graft will preserve natural bone and improve the success of your dental implant.

Preserve natural bone

Bone grafting can be a very valuable service if you have missing teeth, bone, or gum tissue.

Regenerate bone that has been lost 

The goal of any bone grafting procedure is to preserve your body's natural bone or regain bone that has been lost.

Support for Teeth, Implants, Gums, and Facial Appearance 

The bone of your jaws is very important, as these structures support your teeth, implants, gums, and facial appearance and enable your speaking and chewing functions.  

A dental bone graft is a simple procedure where a bone graft, in the form of a sand-like material, is gently added to your jaw in an area where bone is needed.  Your own cells recognize the bone graft and grow natural bone around the site.  There are many reasons your dentist may recommend a bone graft, including to preserve bone after a dental extraction or to prepare a site for a dental implant

Bone grafting may sound scary, but it's a simple procedure that only takes minutes 

Most bone grafting procedures are completed during the extraction of a tooth or during the placement of a dental implant. This simple, painless procedure often only takes a few extra minutes to place the bone graft material in the extraction site so that your body maintains the bone needed for you to function and smile.

Your own cells use the graft material to grow new, healthy bone

After the bone graft is placed, your cells will use the graft material to create new, healthy, living bone!

A bone graft will keep your tissues healthy and enable you to pursue tooth replacement options.

A way to preserve surrounding structures 

A bone graft or “socket preservation” is a simple procedure that can be performed to maintain the architecture of your natural bone. The process allows your body to rebuild bone to replace the lost tooth.

Improve outcomes with a replacement tooth 

Dr. Nelson is highly trained in different bone grafting procedures to ensure that you have the support to receive a dental implant or bridge in the future.  Placing a bone graft at the time of extraction is the easiest and most effective opportunity to preserve your bone and gum tissue.

Yes, most dental issues don’t become painful until they’re severe. 

Cavities don’t hurt until they are large

Cavities don't hurt until they reach the deepest part of your tooth (the nerve). However, once they reach the nerve, you might need a root canal instead of a simple filling, which could have been done when the cavity was smaller.

Gum disease doesn’t hurt, either

Gum disease typically involves painless destruction of gum and supporting gum structures. Gum disease usually doesn’t hurt until it becomes so severe that your teeth are loose. 

Please visit our page on gum disease to learn more! 

There are many benefits to undergoing gum disease treatment, also known as periodontal therapy:

• Prevent losing teeth later in life
• Improve bad breath
• Healthier appearance of gum tissue
• Avoid dentures and partials
• Lowers risk of heart attack and stroke
• Regain the ability to clean your teeth and gums at home

For most, every 6 months is ideal.

Patients with healthy gums and teeth should visit the dentist for a cleaning and exam every 6 months.

For some, more frequent cleanings are necessary.

If it has been a while since your last cleaning or if you are diagnosed with gum disease, then you may be advised to come more often. Once your gums are healthy, you can be moved to a regular 6-month schedule.

Please visit our page on gum disease treatment to learn more!

We evaluate your gums at every cleaning appointment. Dr. Nelson always evaluates their patients for gum disease during their cleaning appointments in their Winston-Salem office. Their entire dental team is trained to evaluate for signs of gum disease.

Other factors that could be signs of gum disease include:

• Bad breath
• Chronically bleeding gums
• Gum recession
• Mobile or loose teeth
• Tobacco use
• Lack of regular dental cleanings

Plaque is a biofilm: 

Plaque is the collection of bacteria that can build-up on teeth within minutes. The bacteria gather together and form a complex network called a biofilm. You can probably feel plaque on your teeth if you forget to brush in the morning. Fortunately, routine brushing and flossing can remove plaque fairly easily.

Calculus is hardened plaque:

Calculus is plaque that stays on your teeth for a long enough period of time to become hardened with minerals. This is what you may have felt being removed during part of your routine dental cleaning. Calculus removal is one of the most important reasons to come to your routine cleanings because it cannot be removed with a toothbrush or floss. The buildup of calculus over time can cause severe issues such as inflammation and gum disease.

Periodontal disease is a progressive disease caused by an infection in your gums and tissues that hold your teeth in place. Periodontal disease can cause bad breath, loose teeth, lost teeth, and gum recession. 

There are multiple excellent toothbrush options depending on what you're looking for:

Manual toothbrushes

If you are using a manual toothbrush, then we recommend one with soft bristles with gentle circular motions.

Electric toothbrushes

Electric toothbrushes have been scientifically proven to be more effective than manual brushes, as they remove more plaque and debris. Currently, Sonicare and Oral B brands are the best. We are happy to recommend an electric toothbrush at your next cleaning visit!

Root Canal in Winston Salem

The fee for a root canal depends on the tooth that is being treated.  The cost ranges from $894-$1250.  As always, we will work with your dental insurance to get your maximum benefit and offer interest-free payments to ensure you can afford your treatment.  

Eliminate pain:

Root canals relieve toothache pain!

Remove harmful bacteria: 

Root canals remove painful and dangerous bacteria that have entered your body through your tooth.

Save your natural teeth: 

Root canals save your natural tooth by avoiding tooth removal.

Quick and painless: 

Root canals can be done quickly and painlessly.

A cheaper and faster alternative to implants and bridges: 

Root canals and subsequent dental crowns are often cheaper and faster than removal of tooth and replacement with a dental implant or dental bridge.

Heal long-standing infections: 

Root canals allow your body to heal chronic infections which can raise your risk of heart attack and stroke.

Please visit our page on root canals to learn more! 

Root canals can be stressful, but are sometimes necessary to stop pain and infection.  We make sure the procedure is comfortable for you using the following steps:

Most effective, pain-free, and up-to-date numbing techniques

During any treatment, Dr. Nelson uses state-of-the-art techniques to deliver painless numbing. We utilize the latest and most effective techniques for anesthesia. In fact, most patients say that going to the dentist was never easier!

Calming nitrous oxide (laughing gas)

For patients with anxiety, nitrous oxide, or “laughing gas,” will help eliminate nervousness and promote a more calm, tranquil state of mind. 

Stress-free sedation dentistry

Dr. Nelson is one of the only general dentists in the Winston-Salem and Piedmont Triad area who is trained and licensed in all forms of sedation dentistry. Patients are always given the option to choose dental sedation during their procedures to guarantee a stress-free experience. In fact, most patients say that going to the dentist was never easier and that they have no memory of the procedure at all!

Please visit our page on dental sedation to learn more! 

A root canal is a dental procedure where the dental nerve (located within the root of a tooth) is gently removed and the inside of the tooth is cleaned to remove infection and eliminate pain.  

Careful Diagnosis

A root canal is only performed after careful diagnosis and examination of your tooth. Drs. Benton and Nelson will decide if root canal therapy is your best treatment option.

Painless Numbing Techniques

The tooth will be numbed with the most painless, effective, and up-to-date local anesthesia techniques. This will eliminate any tooth pain that you may be feeling and will allow the root canal therapy to take place comfortably. 

Removal of Any Existing Decay or Fractures

Any existing decay or fractures will be removed.

Gentle Cleaning and Rinsing  

When a tooth requires a root canal, the inner portion, the nerve, is infected with bacteria. These bacteria are the source of the pain and infection. The nerve chamber is thoroughly cleaned and the bacteria are removed with gentle instruments and rinsing.

Sealing Off of the Nerve Chamber to Prevent Future Infection  

The nerve chamber is sealed to prevent any additional bacterial growth. The root canal therapy is protected with a filling or crown to prevent any additional bacteria from your mouth from entering the tooth.

Following Root Canal Treatment

You brush, floss, and eat as normal with your restored tooth PAIN-FREE.

Pain

Pain or discomfort in a tooth from a deep cavity can be resolved with a root canal.

Infection

Infection can form in your teeth or jaw from a deep cavity or from a long-standing dental trauma.  A root canal will help to eliminate the infection to bring your mouth back to optimal health.  

Trauma

Trauma to a tooth from a fall or accident can cause damage to the root of the tooth.  A root canal can treat the area by treating the damaged nerve.  

Yes, we recommend fluoride for most patients.

There are many ways to protect the teeth with fluoride, including in-office fluoride varnish treatment, toothpaste, and fluoridated mouth rinses. Dr. Nelson will assess your fluoride exposure and risk of cavities and recommend a customized prevention plan for you. 

Yes, we love children!

Our office focuses on family dentistry in Winston Salem, meaning we are passionate about providing care to your entire family. When it comes to building lifelong positive oral health habits, children's dentistry is a great way to start.

We make children's dental visits fun.

During the dental appointment, we will do our best to make your child’s visit as enjoyable as possible. From calling our instruments “Mr. Thirsty” to prizes at the end of the appointment, we focus on making the dentist fun for the whole family!

Dental sealants are beneficial at all ages.

Studies show that dental sealants can protect all back teeth from cavities, regardless of the patient’s age. 

Children are covered by dental insurance. 

In almost all cases, children can have their sealants covered by dental insurance. 

For adults, a sealant is cheaper than a filling!

Unfortunately, dental insurances usually do not cover dental sealants in patients over the age of 18. However, we encourage all patients to consider dental sealants as they are less expensive than needing a filling on the tooth later because it wasn’t protected. 

Fluoride is beneficial at all ages

Studies show that fluoride is effective at preventing dental decay at all ages. Whether a patient is 5 years old or 90 years old, fluoride could be beneficial to help keep their mouth healthy and cavity-free!

• Children are covered by dental insurance. In almost all cases, children’s in-office fluoride varnish treatments are covered by insurance.  
• For adults, fluoride is cheaper than a filling! Unfortunately, dental insurances usually do not cover fluoride applications in patients over the age of 18. However, we encourage all patients to consider fluoride as it is less expensive than needing a filling later on because the teeth weren’t optimally protected.

Bacteria and plaque can’t get into the tooth

Dental sealants bacteria and plaque from being able to access the deep grooves and pits that exist on your back teeth.

Sealants Reduce cavy risk by up to 80%

Studies have shown that chewing surface cavities can be reduced by up to 80%.

Quick, easy, and non-invasive

Dental sealants are quick and easy to apply. This simple non-invasive procedure only takes a few minutes and can be completed at your cleaning visits.

Your child should visit the dentist within 6 months of their first tooth coming in

The American Academy of Pediatric Dentistry recommends a year one dental visit or bringing your child to the office within 6 months of their first tooth erupting. 

The first visits are all about promoting oral health and checking development

Before age 3, your child probably will not be able to cooperate for a dental cleaning. However, it is still very important to take them to the dentist.

We will focus on discussing ways to promote oral health and prevent decay, such as with a healthy diet and good oral hygiene. We will also examine your child’s teeth to make sure there are no cavities and everything is developing normally.