Three areas. Done well.
Riverstone is a restorative and cosmetic dental practice. Most of what a general dentist does, we do; some specialty work, we refer out. Below is the actual list, with published fees on the fees page.
The work most general practices do quickly. We do it carefully.
Restorative dentistry is the practice of repairing teeth that have decayed, fractured, worn, or failed. Most of the work in a general dental practice is restorative work. The difference between a restoration that lasts a decade and one that fails in three years is almost always something subtle — margin preparation, occlusal adjustment, the choice of material, the second impression when the first is questionable. We schedule the time those things actually take.
Comprehensive new-patient examination
Ninety-minute appointment with full intraoral photography, digital x-rays, periodontal charting, occlusal evaluation, and a written treatment plan. The doctor examines you personally; the diagnosis is not delegated.
Hygiene and periodontal maintenance
Forty-five to sixty-minute cleaning with a hygienist who is given enough time to do the work properly. We do not deliver a fifteen-minute polish-and-go.
Composite fillings
Tooth-colored composite restorations placed with rubber-dam isolation when appropriate. Margin preparation and bonding protocol are the things that make composites last; we do them in full.
Onlays, inlays, and indirect restorations
Where a tooth has too much missing structure for a filling but does not yet need a full crown, an onlay or inlay is often the right answer. Most of these are done in porcelain, milled in-house with CEREC, and seated the same day.
Crowns
Full-coverage restorations in lithium disilicate, zirconia, or porcelain-fused-to-metal depending on the case. Most are CEREC same-day; some are sent to a Nashville lab when the case calls for it. The margins are prepared on a magnification loupe and refined under the operating microscope.
Full-mouth rehabilitation
For patients with widespread wear, decay, or failed prior dentistry, a coordinated full-mouth treatment plan rebuilds occlusion and aesthetics in stages. These cases are sequenced with diagnostic wax-ups, mock-ups, and provisional restorations before any definitive work begins.
We do not do pediatric dentistry, oral surgery, periodontal surgery, root canal therapy on molars, or surgical implant placement. For each, we have referral relationships in Nashville we trust and use.
Aesthetics is restorative work that also has to look right.
Most cosmetic dental work is restorative dental work — the materials are the same, the bonding protocol is the same, the longevity is the same. What changes is how visible the result is, and how much shape, contour, and shade matter. Cases that read as cosmetic typically begin with the same diagnostic process as restorative cases. We do not start cutting tooth structure for veneers without first agreeing on what the result is supposed to look like.
Porcelain veneers
Thin porcelain shells bonded to the front surfaces of teeth, designed to change shape, shade, length, or contour. Each case begins with a digital smile design, a wax-up, and a mock-up that lets you see and approve the result before any preparation begins.
Smile design and case planning
For larger cosmetic cases, the design phase happens before any treatment. Photography, digital design, and a try-in mock-up establish the result. The treatment phase only starts once the design is approved.
Cosmetic bonding
Direct composite restorations used to repair chips, close small spaces, or refine shape on individual teeth. A more conservative alternative to veneers when the case allows for it.
Professional whitening
In-office whitening for results in a single appointment, or custom take-home trays for gradual change. We do not sell whitening as a one-size-fits-all; some teeth respond well, some do not, and we say so before you start.
Replacement of older cosmetic work
Prior veneers, crowns, or composite work that has worn, stained, or failed at the margin. The replacement plan starts with a diagnosis of why the original failed; otherwise the new work fails the same way.
Aligner orthodontics and the restorative side of implant care.
Two areas that are often poorly handled in general practice — orthodontics and implant restoration — are real focus areas at Riverstone. Dr. Whitford holds Diamond+ Invisalign provider status and has completed several hundred cases. Implant restoration — the crown, bridge, or denture that sits on the implant — is done in-house, with surgical placement referred to a periodontist or oral surgeon we have worked with for years.
Invisalign clear-aligner therapy
Adult orthodontic treatment with clear aligners. Most cases are completed in twelve to eighteen months. Comprehensive cases — full-arch correction, complex bite work — are handled in-house; cases that would benefit from fixed appliances are referred.
Implant-supported crowns
A crown placed on an implant that has been surgically placed by a periodontist or oral surgeon. We coordinate the case from start to finish — the diagnostic phase, the surgical referral, and the restoration once the implant has integrated.
Implant-supported bridges
Multi-unit restorations supported by two or more implants, used to replace several missing teeth in a section.
Full-arch implant prosthetics
Fixed full-arch restorations supported by four to six implants. These are coordinated cases between Riverstone and a surgical specialist; the planning, design, and definitive prosthesis are done here.
Implant maintenance
Ongoing periodontal care for implants, including hygiene appointments designed for implant tissues rather than natural teeth.
Surgical implant placement, surgical extractions, sinus lifts, bone grafting, and periodontal surgery are all referred to specialists. The list of who we refer to is short and consistent; ask us at your first appointment.
Fee schedule is published.
The actual fees for the most common procedures, listed plainly. We are fee-for-service, and the schedule is the same for everyone.