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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Preparing the Gums for Dentures
Constructing a new set of dentures is not always as straight forward as taking a quick impression of one’s mouth. First, the dentist must check the tissues for any pathology. It is certainly not a good idea to build a denture over a tumor or cancer. The next thing to check is the condition of the ridges of the gums themselves. If there is inadequate bone to allow for good retention and stability of a denture, then a bone graft may need to be considered. Artificial bone substitutes, cadaver bone, or pieces of the patient’s own bone can be placed under the gums surgically to add enough bulk to comfortably wear a denture. If there are bumps of bone called tori or severe bony undercuts that rigid plastic could not snap around, then they need to be surgically removed. The dentist peels a flap of gum tissue that is over the bony prominence and grinds the offending piece of bone off and smooth the area. In other cases, there could be flabby, moveable tissue or even extra folds of gums which would make a denture unstable. This would also have to be surgically removed. By properly preparing a good gum foundation, a very well fitting set of dentures can be constructed. Read More - Read More
Drug Addiction in Dentistry
Dentists deal with patients in pain every working day. It is our goal to alleviate as much suffering as possible. As part of the process, many times a pain reliever must be prescribed. Although there are some extremely effective anti-inflammatories available for mild to moderate pain, many times, a narcotic pain reliever may be the only type strong enough to relieve the dental pain. Unfortunately, overuse of narcotic pain relievers can lead to addiction. In addition to the pain relieving aspects of narcotics, they also produce euphoria. This can lead to a learned reward experience and can cause a craving to relive the same feeling even after the need for pain control is gone. As more doses are taken, a tolerance is progressively built up, meaning that higher doses are required to achieve the same effect. Dentists need to be aware of patients who experience “pain” with visible source and require heavy doses of narcotics to relieve that “pain”. With the advent of computer networks, dentists now have the ability to check online to see if a particular patient is a “drug seeker”. This allows a dentist to have the piece of mind in prescribing narcotics to provide his patients with proper and adequate pain control. Read More - Read More
Floss
Floss is an important part of a daily oral hygiene program. A toothbrush will reach the sides and chewing surfaces of the teeth, it can not fit in between the teeth. This is where floss comes into play. Just imagine floss as being a bristle from a toothbrush and with it you scrub the plaque off from between the teeth. Dental plaque is a collection of sticky bacteria that is essentially invisible. It takes the sugar that you eat and produces acids which leaches the calcium from your teeth causing cavities and produces exotoxins which causes an inflammatory response leading to gum disease. This layer of plaque requires about 24 hours to organize and do its dirty work. By getting the floss cleaning between the teeth daily, cavities and gum disease can be greatly reduced. The key to flossing is to make sure that the floss is wrapped around the tooth and then the tooth is scrubbed along its side. It’s a common misperception that the floss merely needs too be placed in between the teeth to be effective, however, floss has no magical properties and must be properly manipulated in order to remove the layer of bacterial dental plaque. Read More - Read More
Floss (Part II)
Flossing you teeth on a daily basis is just as important as toothbrushing. To floss, you need to saw the strand of floss between the teeth, then scrub the tooth surfaces to remove the sticky dental plaque. To manipulate the floss, for the upper teeth, I like to wrap the floss around my index fingers then use my thumbs to do the scrubbing. For the lower, again I like to wrap the floss around my index fingers, but I will manipulate the the floss with my middle fingers. It is important to keep the thumbs (for the upper) and middle fingers (for the lower) very close to the teeth that you are cleaning. That way, the proper pressure can be applied in the correct direction in order to do an efficient job of plaque removal. If the fingers aren’t close enough to the teeth, then you will move a lot of floss and do very little work. As far as type of floss, either waxed or unwaxed are fine. It is just a matter of personal preference. If properly used, both do an adequate job. For those who have difficulty reaching their hands into the back of the mouth, there are little floss picks that are readily available at grocery stores and pharmacies that make it much easier to access and clean the molar teeth. Read More - Read More
Toothbrushes
Soft Bristle Toothbrush Toothbrushing is a vital part of daily oral hygiene to help prevent cavities and gum disease. Choosing the toothbrush that is right for you is an important part of the process. Toothbrushes come in a variety of shapes, sizes, and styles. Head size is important to make sure that all areas of the mouth are accessible. The larger the head of a toothbrush, the more efficient it will be in cleaning the teeth. However, trying to get the sides of the upper molars can be a challenge for some. When you open your mouth wide, the coronoid process of the jaw bone will drop down right next to the upper molars making it a very tight fit. By closing the mouth halfway and moving the jaw to the side will many times allow enough room to get a brush with a bigger head all of the way back into the mouth. The bristles should be no firmer than the “soft” variety. Plaque is actually not that difficult to remove, so a medium or hard brush is not necessary. Use of too stiff a brush can cause damage to the tooth enamel and the gums which can necessitate fillings and gum grafts. Read More - Read More
Toothbrushes (Part II)
In my previous blog, I discussed head size and bristle stiffness of toothbrushes. Toothbrushes can come in a variety of shapes. It can be helpful to have the type that has rounded bristles. Most bristles are made of nylon so they don’t soften when they gets wet like the natural bristles do. Mom always told us to go into the bathroom and scrub our teeth real hard and thorough. Brushing thoroughly is important. Brushing hard was fine for the old days when the natural bristles would soften in saliva, but since the nylon bristles don’t soften, we must be very judicious in the amount of pressure that we use. Only the tips of the bristles do the cleaning work, so a toothbrush whose bristles are all bent and frayed is ready for the trash can or the household cleaning bucket. Another important aspect of choosing a toothbrush is to look for the American Dental Association seal of approval. The ADA puts dental products through stringent, independent testing to make sure that a manufacturer’s claims are valid. This way, you can be sure that whatever it says on the packaging has been verified and is safe for you and your family to use. 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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