Meet Our Doctors
Dr. Richard P. Gangwisch, D.D.S., M.A.G.D., A.B.G.D.
Board Certified
General Dentist
- Doctor of Dental Surgery degree, Ohio State University
- Clinical Assistant Professor, Augusta University Dental College of Georgia
- Former Dental Officer, U.S. Navy
- Former Clinical Instructor of Operative Dentistry, Emory University School of Dentistry
- Fellowship and Mastership, Academy of General Dentistry
- Lifelong Learning and Service Recognition award, Academy of General Dentistry
- Diplomate of American Board of General Dentistry (Board Certified General Dentist)
- Member, American Academy of Cosmetic Dentistry
- Published Author, Journal of Cosmetic Dentistry
- Volunteer Dentist, Ben Massell Dental Clinic
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Dr. John D. Hulsey, D.M.D., F.A.G.D.
- Doctor of Dental Medicine degree, Medical University of South Carolina
- General Practice Dental Residency, East Carolina University
- Fellowship, Academy of General Dentistry
- Bachelor of Science in Biology, Emory University
- Volunteer Dentist, Ben Massell Dental Clinic since 2003
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Before and After Pictures
Porcelain Crowns
About This Case
This patient's teeth have been destroyed by grinding his teeth together. Dr. Gangwisch, was able to bring his teeth back to life with all porcelain crowns and give him an absolutely dazzling smile.
Porcelain Veneers
About This Case
This patient did not like the spaces between her front teeth. Her choices were to do Invisalign orthodontics or to cover the issue with porcelain veneers. This patient decided on porcelain veneers and Dr. Gangwisch was able to give her a stunningly beautiful smile.
Porcelain Crown
About This Case
This patient bumped her front tooth when she was a child. The tooth darkened dramatically over the years. Dr. Gangwisch was able to restore her smile to its original beauty.
Cosmetic Bonding
About This Case
This patient suffered from fluorosis of the teeth. Since she was only in high school, Lawrenceville dentist Dr. Gangwisch treated her with conservative bonding. Now she has no problem smiling wide!
Porcelain Veneers
About This Case
This patient was born with front teeth that were malformed called peg lateral incisors. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
Porcelain Veneers
About This Case
This patient had taken an antibiotic called tetracycline when she was younger which darkened her teeth dramatically. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now she isn't shy about smiling anymore.
Teeth Bleaching
About This Case
This patient was unhappy with the dullness of her teeth. Using a very gentle, at-home bleaching approach, Dr. Gangwisch was able to give her the radiant smile that she had always wanted.
Orthodontics and Bridges
About This Case
This patient was born missing his two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved his teeth and built bridges to replace his missing teeth.
Orthodontics and Bridges
About This Case
This patient was born missing her two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved her teeth and built Maryland (bonded) bridges to replace her missing teeth giving her a beautiful smile.
Porcelain Veneers
About This Case
This patient was dissatisfied with the space between his two front teeth. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
News
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Abfraction
No — abfraction has nothing to do with those pesky arithmetic problems that we solved in school. It is a phenomenon that happens along the cervical area of a tooth. The cervical area is along the gum line. An abfraction lesion is a “V” shaped notch in the tooth that forms along the gum line. It was previously thought that these cavitations were caused by overly aggressive tooth brushing or by leeching out through chemical erosion, it is now postulated that forces of the bite will cause the tooth to flex causing tiny cracks to form over the years eventually forming the classic “V” furrow. There are no studies at this time which prove beyond a shadow of a doubt that these wedge formations were caused by biting forces, however, it comes the closest to explaining a phenomenon that can’t be caused by tooth brushing alone. These cavitations can be observed for a while, but they should be restored before they get too deep. By rounding out the “V” shaped notch during the cavity preparation, biting forces will be more evenly distributed, helping to slow the process. Due to tooth flexion during chewing, fillings placed in these areas tend to need to be replaced more often. Read More - Read More
Snoring
Snoring can be a very irritating problem that can put a strain on relationships. However, snoring can be a sign of the much more serious malady called sleep apnea. Not all snorers have sleep apnea, therefore, it is important to have the condition checked by a physician to be certain that it is not a serious problem. Even if sleep apnea is not present, snoring can be very annoying, even going so far as causing marital problems. Sufferers have even woken themselves up during a deep sleep due to their snoring. There are some solutions available that can be done without the need of a professional: lose weight, change to a different sleep position, and avoid things like alcohol, sedatives, or caffeine before bedtime. There are some surgical solutions that can help. Radio frequency waves can be used to shrink the tissue of the soft palate or a laser-assisted uvuloplasty can be done to remove the uvula. It has been found that holding the mandible (lower jaw) forward during sleep can help some people to stop snoring. In our office, we can construct an anti-snoring appliance, but only after a patient has been checked by a physician to rule out sleep apnea. Read More - Read More
Sleep Apnea
Sleep apnea can be a potentially life threatening condition. Unlike simple snoring, a sufferer of sleep apnea will stop breathing for as much as a minute to a minute and a half. This can happen many times during the night. As a result, the person will awaken in order to restart the breathing process. This causes sleep deprivation leading to lack of alertness and drowsiness during the day. It is important that cases of sleep apnea be diagnosed by a physician. If there is airway obstruction, many times, surgical procedures can be performed to alleviate the problem. A C-PAP (continuous positive airway pressure) machine may be prescribed. A specially fitted nosepiece is worn at night during sleep. It helps to keep the airway open, prevent snoring, and stops interruptions in breathing. There are some sufferers who can be helped with oral appliances that bring the mandible (lower jaw) forward, helping to open the airway. It can be helpful for those who have difficulty wearing a C-PAP machine at night. A physician should make the decision as to whether to try the oral appliance or not. If so, our office can construct an appliance to see if it alleviates the problem. Read More - Read More
Sore Spots on Dentures
You’re all excited about your new dentures, and then, boom — the dreaded denture sore appears. Even the best fitting denture available can fall victim to a sore spot. It’s a nature of the beast. Dentures are constructed to sit on movable tissue. When an impression of the gums is taken, every effort is made to move the tissue wherever possible to compensate for the problem. But there is no way to predict exactly how the tissue will move during function. Once the denture has been placed and the wearer chews food, the gum tissue will move against the hard plastic. If there is an area of the plastic that impinges on the tissue, then an area of chronic irritation will occur. This area eventually ulcerates leaving behind a very painful area. If you have a denture sore, it is a very easy thing to correct. Make an appointment with your dentist and make sure that you wear the denture for 24 hours before your appointment. This way, the dentist can see the exact area of irritation and relieve a very small portion of the denture to alleviate the problem. If the area is too tender to wear for that 24 hour period, then go to the pharmacy and get an oral anesthetic such as Orabase with benzocaine and place it on the sore spot. Removing the dentures before the appointment allows the body to have time to heal the wound then the dentist would be only guessing as to where the problem is. One final word on denture sores — any denture sore that does not disappear after adjustments or non-wear of the denture should be biopsied to rule out malignancy. Read More - Read More
Root Canal Irrigants
When a dentist does a root canal, he opens up the tooth to expose its inner contents and cleans out all remnants of the nerve and any necrotic tissue. Removing all organic deposits is tantamount in allowing for a good final seal. Any left over pieces of debris will contaminate the filling material and cause it to leak and fail prematurely. An irrigating solution is important to not only help flush debris from the canal during the cleaning process, but to also provide final disinfection of the canal before it is filled. Sodium hypochlorite, the main ingredient in common household bleach, makes an ideal irrigating solution. It will emulsify living tissue so that it can easily be flushed from the canals. This is especially important when working in canals that have lots of nooks and crannies for vital and non-vital tissues to hide. When an oxygenating agent is added it will bubble out hiding debris that cannot be mechanically removed with the thin files that the dentist uses to clean and shape the canals. It is important that the irrigant stay within the confines of the root canal space so as to not cause peripheral tissue damage. Once the irrigant has done its job, it is dried up with points of absorbent paper, but it still has the residual effect of disinfection before the root canals are filled. Read More - Read More
Dental Posts
Once root canal treatment has been performed then the tooth must be restored. Root canals are usually performed on teeth that are quite broken down and therefore must be built up to have enough tooth structure available to hold onto a crown. In order to retain the core buildup, many times a post must be placed inside the root canal. This is done by removing a portion of the root canal filling material (the part closest to the tip of the root is left to seal the end) and drilling out the proper size to accept the post (no need to worry about the drilling — remember there is no nerve in a root canal tooth). Then, the dentist chooses one of two types — a cast post and core or a prefabricated post. The cast post and core has advantages in that the core buildup is made as one piece with the post so there is no way for the two to separate. A disadvantage is that it must be fabricated outside of the mouth and therefore cannot be cemented on the same day, however, other provisions must be made to build up the tooth. Some prefabricated posts are metal and some of the newer ones are made of carbon fiber composite. The newer carbon fiber ones have a little bit of give to them and they look promising on possibly reducing root fractures in teeth with posts. Read More
Services Offered
What Our Patients Say About Us
What Does It Mean That My Dentist Is Board Certified?
Why Choose Us
Invisalign can help improve your smile! At Killian Hill Dental Care in Lilburn, Invisalign is recommended as a way to straighten your teeth without braces.
Take-Home Teeth Whitening
Busy? On the go? No, problem, with take-home whitening trays you can improve the quality of your smile anytime, anywhere.
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Emergency
Dental Care
We offer same day dental emergency care. Call the office
at 
770-923-3966 to make an appointment
Testimonials
Office Hours
Monday
9:00 AM
5:00 PM
Tuesday
8:00 AM
6:00 PM
Wednesday
7:00 AM
3:00 PM
Thursday
9:00 AM
5:00 PM
Friday
7:00 AM
3:00 PM
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At Killian Hill Dental Care, Lilburn Dentists Dr. Gangwisch and Dr. Hulsey, serving the surrounding communities of Lilburn, Lawrenceville, Snellville, Stone Mountain, Grayson, Loganville, Duluth, Norcross, Lithonia, and the metropolitan Atlanta area, provides dentistry for the entire family. These dentists in Lilburn GA offer sedation dentistry, full-mouth reconstruction, extreme makeover, reconstructive dentistry, Lumineers®, porcelain veneers, porcelain crowns, dental implants, and dental bonding.
Killian Hill Dental Care
912 Killian Hill Rd., Suite 100Lilburn, GA 30047
Call us at
770-923-3966 for more information.Dental Professionals of Georgia, PC
*Disclaimer: results are not guaranteed, may not be permanent, and can vary per individual.
Killian Hill Dental Care welcomes patients with disabilities. If you need an accommodation to receive dental services, we
would be happy to provide one. Please contact us at 770-923-3966 or
accommodation@mydentalmail.com to let us know how we may be of
assistance.
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