Meet Our Doctors
Dr. Richard P. Gangwisch, D.D.S., M.A.G.D., A.B.G.D.
Board Certified
General Dentist
- Doctor of Dental Surgery degree, Ohio State University
- Clinical Assistant Professor, Augusta University Dental College of Georgia
- Former Dental Officer, U.S. Navy
- Former Clinical Instructor of Operative Dentistry, Emory University School of Dentistry
- Fellowship and Mastership, Academy of General Dentistry
- Lifelong Learning and Service Recognition Award (twice), Academy of General Dentistry
- Diplomate of American Board of General Dentistry (Board Certified General Dentist)
- Pierre Fauchard Academy Award for Teaching Excellence
- Member, American Academy of Cosmetic Dentistry
- Published Author, Journal of Cosmetic Dentistry
- Volunteer Dentist, Ben Massell Dental Clinic
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Dr. John D. Hulsey, D.M.D., F.A.G.D.
- Doctor of Dental Medicine degree, Medical University of South Carolina
- General Practice Dental Residency, East Carolina University
- Fellowship, Academy of General Dentistry
- Bachelor of Science in Biology, Emory University
- Volunteer Dentist, Ben Massell Dental Clinic since 2003
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Before and After Pictures
Porcelain Crowns
About This Case
This patient's teeth have been destroyed by grinding his teeth together. Dr. Gangwisch, was able to bring his teeth back to life with all porcelain crowns and give him an absolutely dazzling smile.
Porcelain Veneers
About This Case
This patient did not like the spaces between her front teeth. Her choices were to do Invisalign orthodontics or to cover the issue with porcelain veneers. This patient decided on porcelain veneers and Dr. Gangwisch was able to give her a stunningly beautiful smile.
Porcelain Crown
About This Case
This patient bumped her front tooth when she was a child. The tooth darkened dramatically over the years. Dr. Gangwisch was able to restore her smile to its original beauty.
Cosmetic Bonding
About This Case
This patient suffered from fluorosis of the teeth. Since she was only in high school, Lawrenceville dentist Dr. Gangwisch treated her with conservative bonding. Now she has no problem smiling wide!
Porcelain Veneers
About This Case
This patient was born with front teeth that were malformed called peg lateral incisors. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
Porcelain Veneers
About This Case
This patient had taken an antibiotic called tetracycline when she was younger which darkened her teeth dramatically. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now she isn't shy about smiling anymore.
Teeth Bleaching
About This Case
This patient was unhappy with the dullness of her teeth. Using a very gentle, at-home bleaching approach, Dr. Gangwisch was able to give her the radiant smile that she had always wanted.
Orthodontics and Bridges
About This Case
This patient was born missing his two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved his teeth and built bridges to replace his missing teeth.
Orthodontics and Bridges
About This Case
This patient was born missing her two lateral incisors. Lawrenceville dentist Dr. Gangwisch placed orthodontically moved her teeth and built Maryland (bonded) bridges to replace her missing teeth giving her a beautiful smile.
Porcelain Veneers
About This Case
This patient was dissatisfied with the space between his two front teeth. Lawrenceville dentist Dr. Gangwisch placed porcelain laminates over those teeth and now they look just like his natural teeth.
News
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Getting Used to New Dentures
Once new dentures have been delivered, there can be a big learning curve on getting them to function properly. For those who have not had dentures before, it can be a huge adjustment. Chewing power is greatly diminished from the natural teeth. Foods that are extremely hard must be avoided so as to not crack the plastic. Food should be cut into smaller pieces and should be distributed to both sides of the mouth so that the denture does not get dislodged during function. One must learn to manipulate the cheek, lip, and tongue muscles in order to keep the suction seal intact and (especially on the lower) to keep it in place while chewing. The dentures are kept in place by a thin layer of saliva which helps maintain a suction to keep an upper denture from falling. But moving ones lips the wrong way can cause the denture to lose suction. Food will taste different because plastic is covering the roof of the mouth which insulates it from temperature and changes the appeal of food. Speech will also have to be re-learned, especially "s" sounds. It is helpful to go into a room alone and repeat "Mississippi" over and over again until an "s" can be easily articulated. Read More - Read More
Sore Spots in Dentures
Sore spots under dentures can be extremely aggravating. They are caused by an area of extra pressure consistently rubbing against the oral mucosa. It causes a tell-tale ulceration of the tissue. Even the tiniest ulcer can make the whole denture feel extremely uncomfortable to wear. Just like a pair of shoes. An area of the shoe that is ill-fitting to the foot and slips and slides with every footstep, it can rub an area raw in a very short amount of time. When a sore spot occurs under a denture, it is always best to get to your dentist for an adjustment. Don't try to fight through it as it can only make the problem worse. In the interim, you can place a salve that contains a local anesthetic onto the sore. I usually recommend Orabase with Benzocaine. A tiny dot of that will numb the area and stick to the tissue for up to a few hours. It is important to wear the denture for 24 hours before your dental appointment. If it is left out for a significant amount of time, then the area could heal and be difficult for the dentist to spot. When the denture has been worn the day before, the dentist will be able to see exactly where the sore spot is. This way he can mark the exact location and grind on the offending area of the denture. By relieving that area, it allows the pressure of chewing to be spread over a large area thus allowing the sore spot to heal. Read More - Read More
Relining Dentures
Over the years, dentures will become looser and looser. This is not because the denture is changing but because the gums are shrinking. Alveolar bone (the bone that holds the teeth in) is very labile bone. That means that it is constantly changing to meet the current conditions. This is an important property due to the constant changes in the forces while chewing with natural teeth. However, the sole purpose of alveolar bone is to hold the teeth in, so once a tooth is removed, it thinks that its job is done and begins to resorb. When the teeth are first lost, there is usually a fair amount of bone left behind, unless there was severe periodontal (gum) disease present. However, as time goes on, the bone will continue to erode until eventually, there will not be much left. Since the bone shrinks, dentures must be periodically relined. To reline a denture, impression material is placed into the actual denture to make a mold of the changed gums. A technician will then grind out the old plastic and process new plastic to perfectly match the present situation. This is a much less expensive way to make an old set of dentures fit as good as new, and avoids the great expense of an entirely new set. Read More - Read More
Denture Adhesives
A good fitting denture along with an adequate amount of saliva will usually allow a denture to fit well without the use of denture adhesives. However, over time, the gums will naturally shrink and thus the dentures will begin to loosen. The better thing to do is to go to your dentist for a reline. An impression is made of the new gums and new plastic is processed into place giving the denture a fit that is as good as new. In the interim, denture adhesive can be used, but it should not be relied on as ill-fitting dentures can be a source of chronic irritation that could possibly lead to malignancy. Another reason that denture adhesive may be needed is very flat gum ridges. If there is not enough bone present to resist the lateral forces of chewing, the denture could become continually dislodged. There are a number of varieties of denture adhesives, mostly pastes, powders, and wafers. All types seem to work reasonably well, although pastes should only be used sparingly because they tend to be very thick in viscosity and could throw off the proper fit of the denture. Read More - Read More
Bad Breath, Causes
It may not be the "Heartbreak of Halitosis", but bad breath can make social situations awkward. There is a myriad of causes of bad breath. Just because the air goes through the mouth does not mean that the source of the odor comes from the oral cavity. In addition to the mouth, bad breath can stem from the sinuses, lungs, stomach, or it can even have a systemic origin. In Atlanta, due to the great amount of pollen and allergens floating in the air, post nasal drip is the most common source of bad breath. The drippings will collect in the pharynx or larynx and will cause a malodor to the breath. Lung infections such as bronchitis can also be a source. Regurgitation of stomach contents will impart a rather noxious aroma. Systemic problems such as diabetes can change the breath odor also. Ketoacidosis caused by a sugar imbalance will impart a fruity, but not necessarily pleasant scent to the breath. As far as the mouth is concerned, gum disease and food impaction are the major sources of halitosis. Read More - Read More
Bad Breath Remedies (Part I of III)
Bad breath can be caused by many sources: sinuses, lungs, stomach, mouth, and systemic disease. The main remedy for bad breath is not by masking it with potent mouthwashes, but by attacking the problem at the source. Sinus issues can be alleviated by a series of allergy shots and by use of decongestant/antihistamine preparations. Lung problems can be helped by proper diagnosis and handling any infection that may be present. For stomach issues, there are a number of good medications available over-the-counter that can ease acid reflux. Systemic problems such as diabetes should be treated through good medical care from one's physician. A thorough medical examination is a great first step to rule out other sources before tackling issues with the mouth. After a complete medical exam from a physician, the dentist will examine the mouth and look for issues of gum disease or food impaction. Gum disease starts by forming pockets between the gums and the teeth. Food and bacteria can become trapped in these pockets and cause a foul odor. Open contacts between teeth can also trap food. If that has not been thoroughly cleaned out, bad breath can occur. In these situations, the dentist will recommend treatment to eliminate gum disease or to close the gaps by restoring the contact between the offending teeth. 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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