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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Mouthguards
The use of mouthguards in athletics has significantly reduced accidental fracturing of teeth, reduced morbidity of many orofacial injuries and even possibly lessening the number of concussions. Mouthguards were first mandated for boxing in the 1920s. By the 1960s, their use became mandatory for high school and college football. Mouthguards are currently made with polyvinyl chloride or polyurethane. They can be custom made by a dentist or at home with the “boil and bite” variety. The NCAA currently requires mouthguard use in four sports: ice hockey, field hockey, lacrosse and football. The American Dental Association recommends mouthguards for 29 sports. Studies have shown that the frequency of orofacial injuries and fractured teeth in individuals who do not wear a mouthguard is from 1.6 to almost 2 times higher. As far as concussion prevention, the studies are inconclusive because concussions can happen without a blow to the jaw. However, it would be very logical to think that the cushioning effect of a mouthguard could reduce the number of concussions involving mouth trauma. Read More - Read More
Repairing Chipped Teeth
A chipped front tooth can be a very unsettling thing for a person of any age. Before the bonding era, the tooth would have to be whittled and a crown (cap) placed. Now, front teeth can be restored to the point where the repair is virtually imperceptible. The tooth is first cleaned up and any rough edges are smoothed. A long bevel is prepared on the enamel surface to increase the amount of enamel that is available for bonding. Then, an acid solution is applied to the surfaces. After rinsing, thousands of microscopic crevasses are present. Although they are very tiny, these areas allow for a liquid plastic to be flowed into these crevasses then hardened with an intense light source. This alone is adequate to retain the repair in place for a number of years. A composite (tooth-colored filling material) is then color matched with the remaining tooth. It is built up in multi-colored increments in order to mimic nature. Each layer is light hardened, then it’s time to contour and polish the restoration. The resulting filling looks great when it is finished. With proper care, this repair can last five to ten-plus years. Since it is not as durable as porcelain, one must be careful not to bite on hard things with it. The tooth may eventually require a crown, but repairing a chipped front tooth with a bonded filling can be a conservative, less-expensive alternative. Read More - Read More
Toothbrush Abrasion
As a dentist it is my moral and ethical obligation to tell my patients to brush their teeth. It is always a pleasure to see patients who take good care of their teeth. It is especially gratifying when we see a patient whose home care was far from sterling, but has gotten on the wagon and started brushing regularly. The problem is that some people get too much of a good thing. By being over-zealous with the toothbrush, one can damage their teeth and gums. We used to be taught to brush as hard as we could. That is reminiscent of the good old days when the bristles were made of natural materials. Once these bristles came in contact with saliva, they would soften, thus, more force could be applied without causing damage. Now the bristles are made of nylon which doesn’t soften when moistened. Therefore, vigorous scrubbing with a toothbrush can wear away gums and tooth. The gums will first recede due to the abrasion which can cause tooth sensitivity at the exposed root. Next, since the dentin (inner layer of the tooth) is much softer than enamel and it is now exposed to the brush because of the receded gums, it will wear away in a saucer like fashion at the gum line. This will require a filling to correct the damage. The better thing is prevention. Don’t overdo it on the force placed on a toothbrush. Plaque is not that difficult to remove with gentle brushing. Read More - Read More
Sealants
Sealants are coatings that are placed on the chewing surfaces of teeth. Their placement can save literally thousands of dollars over the course of a lifetime. To place a sealant, the dentist or assistant will clean all of the plaque off the tooth. This can be done with a traditional prophy cup, just like one used when getting ones teeth cleaned, or by air abrasion, kind of like a mini-sandblaster. Then, an acid solution is placed in the chewing surface. This will etch the enamel surface of the tooth. The enamel has a frosty appearance but microscopically, there are huge crevasses created when the acid dissolves away some of the mineral content of the tooth surface. It is this microscopic layer that is responsible for the retention of sealants. At this point, the acid is thoroughly rinsed off and a liquid plastic is flowed over the surface. An extremely intense light beam is placed over the area which hardens the plastic. The liquid has flowed into the microscopic crevasses and is not hardened in such a way that the sealant “adheres” to the tooth. Sealants are used only on the chewing surfaces to seal the tiny pits and fissures that are very susceptible to cavities. It will not seal in between the teeth or at the gum line. By placing sealants at an early age when the teeth are most susceptible to decay, it can help prevent cavities. Once a cavity is in place, it will have to be maintained over a person's lifetime, necessitating multiple re-fills and many dollars spent. That is why it is best to place the sealants on children. Read More - Read More
How Does a Porcelain Laminate Stay in Place?
Porcelain laminate veneers are a wonderful way to conservatively change the shape and color of teeth with a durable long-lasting restoration. The laminates are extremely thin (thinner than finger nails) veneers of porcelain. They are held in place by a bonding resin cement. The word “bonding” is somewhat of a misnomer as there is very little true adhesion involved. The enamel surfaces of the teeth and the inside surface of the porcelain are etched with an acid solution. This creates microscopic crevasses in those surfaces. A liquid plastic is flowed over these areas and filters down into the tiny crevasses. The plastic is then hardened with the rest of the cement with an intense light source. A silanating agent that has double bonds for porcelain and the resin cement will provide some mild adhesion for that interface and the new generation dentin bonding agents will also help adhere to areas where the dentin , the inner layer of the tooth, shows through. The resin cement can also help with the color of the tooth. The cement is naturally translucent, however, different agents can be added that can change the color and the opacity of the laminate, thus masking any problems with the underlying teeth. Read More - Read More
Parulis
A parulis is commonly called a “gum boil”. It is caused by an infection around a tooth root that has expanded to the point that it has burrowed through the outer layer of the bone and has begun to seep into the mouth. This tooth infection can be started by a deep cavity, or fracture of the tooth, or by a severe gum pocket that has caught some food in it. With infections, the body tries to ward off the onslaught of bacteria by sending an army full of white blood cells to the area. As these white blood cells and bacterial sludge collect, they will put pressure on the surrounding tissues, in this case bone. Since bone is very sturdy, initially, the infection will put pressure on nerve endings causing much pain. As the pressure builds, the bone will begin to erode. At this point, the bone has been weakened and begins to expand. The resulting pus will find the weakest point and break through the bone. At this point, there is usually major relief of pain since the pressure has been relieved inside the bone. Just because the pressure has been relieved doesn’t mean that the saga is over. The source of the problem must be addressed, that means either doing root canal treatment, gum treatment, or extraction. 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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