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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Bad Breath Remedies (Part II of III)
The main source of bad breath is from sources other than the mouth. Once the sources have been eliminated, the bad breath tends to go away. In the mouth, taking care of gum disease or areas between the teeth that cause food impaction can go a long way in taking care of a halitosis problem. Another source of bad breath can be from the tongue. The surface of the tongue is covered with very tiny papillae. There are a lot of nooks and crannies that bacteria can harbor in and thus impart an unpleasant odor. There are mechanical tongue scrapers available to clean the surface of the tongue. You can also brush the tongue with you normal toothbrush. If you do that right after brushing the teeth, a small amount of toothpaste will be present on the brush, helping with the cleaning process. Let's say that all of the bases have been covered and bad breath is still present, then you can resort to mouthwashes. Mouthwashes come in two basic varieties, ones that mask the smell with strong aromatic compounds and those that are anti-bacterial. It is important to not overuse an anti-bacterial mouthwash, because that can upset the balance of the normal flora, and could cause an overgrowth of disease producing organics whose presence would be a whole lot worse than the bad breath that it was meant to correct. Read More - Read More
Bad Breath Remedies (Part III of III)
Bad breath can also be caused by eating and drinking certain foods and liquids. Eating garlic and onions are obvious offenders, but even eating meats can exacerbate unpleasant odor problems. High protein, low carb diets may be great for weight loss because it forces the body to burn off fat. During this process, the liver creates ketones in the blood causing a condition called ketoacidosis and gives the breath a fruity smell. Highly acidic drinks can lower the pH in the mouth allowing sulfur producing bacteria to flourish. This can impart a rotten egg smell. By simply rinsing with plain water can help restore the normal pH and cut down on the proliferation of this type of bacteria. One must be careful about breath mints. That's not to say that sucking on a simple breath mint after a big, Italian meal presents a problem, but a steady diet of the mints can keep a constant source of sugar which will help fuel bacteria in plaque that makes cavities and causes gum disease. A natural remedy for bad breath can be green tea after a meal. It has antioxidant properties and odor causing bacteria hate oxygen. Add a cinnamon stick to the tea and its essential oils will help combat the odor as well. Read More - Read More
Bleeding Gums
If you ever notice blood on your tooth brush after brushing your teeth, chances are that there is gum disease present. There should not be one drop of blood present on a brush or floss after use. These warning signs should be heeded earlier as opposed with later. Before you run to the dentist with bleeding gums, it is best to try a regimen of good oral hygiene first. Just simple but thorough brushing and flossing a couple of times a day can go a long way in stopping bleeding gums. I have actually had patients who have told me that they purposely did not floss because every time that they did, it made their gums bleed. What they didn't realize was that by not flossing, it left the bacterial plaque behind that is the cause of the bleeding in the first place. The patients were thinking that the mechanical cleaning with the floss was what was causing the bleeding to occur, whereas, it was actually the gum disease itself that caused the problem. It may still take a trip to the dentist for a professional cleaning for the bleeding to subside. But by doing the good home care ahead of time, it can be the first step toward eliminating gum disease in your mouth. Read More - Read More
Tooth Trauma (Part II of IV)
If a front tooth has been chipped in a fall, and there is no telltale red dot in the center of the tooth indicating an exposure of the nerve, then immediate treatment is not necessary. It's likely that the tooth would be very sensitive to cold, so cool liquids are best to be avoided. The tooth could also be painful to chew on. It is usually best to wait until your dental visit to rule out root fractures before attempting to chew on a traumatically chipped tooth. The teeth could also ache so a pain reliever with anti-inflammatory properties would be most helpful. Ibuprofen tends to work the best. Over-the-counter preparations come in 200mg tablets, so an adult could take as many as four tablets, for a total of 800mg per dose to stay comfortable. Once at the dental office, the dentist will x-ray the teeth, check for root fractures, and check for loose or displaced teeth. If the root is fractured, the tooth may or may not need to be removed. It depends on where the fracture is. The closer to the end of the root, the better the chance that the tooth could be saved. If there are any teeth that are loose, they may need to be splinted in place. This would be just like placing a cast on a broken arm to allow for undisturbed healing. Read More - Read More
Tooth Trauma (Part III of IV)
If a tooth has been displaced in a traumatic accident, as long as the x-ray doesn't show any root fractures, then the dentist can usually move the tooth back into its original position. Then, the tooth is usually splinted to the adjacent teeth during the healing period. This is done by attaching a wire to the front teeth with composite. Composite is the tooth colored filling material routinely used to fill cavities. When one of the teeth has been chipped, the primary focus tends to be on that tooth. However, in a traumatic injury to the mouth, it is not unusual to have multiple teeth having been injured. When a tooth fractures, then, the force of the blow is dissipated. Unfortunately, the intact teeth will transmit all of the energy of the insult directly onto the end of the root. The problem with this is that the end of the root is where the nerves and blood vessels enter the tooth. If the force is great enough, then the nerve and blood vessels can be severed. This will cause the nerve to die and will necessitate root canal treatment to save the tooth. It's hard for a dentist to tell right away whether a traumatically injured tooth may need root canal treatment. Many times, it takes up to six months before a dead nerve can be detected, and there are times that the damage will show up decades after the initial injury. Read More - Read More
Tooth Trauma (Part IV of IV)
When a front tooth has been chipped, there are a few options on restoring the tooth. If the chip is small enough, the area can be repaired by bonding tooth colored filling material to the enamel. I have many cases where that repair has lasted over ten plus years. Large defects are better repaired by covering with a porcelain crown. The porcelain is extremely durable and color-stable and can last decades. With children, when a majority of these injuries occur, it is better to do a tooth colored filling, even with large fractures. The main reason is that at least a millimeter and a half of tooth enamel needs to be removed from the tooth in order to get a good cosmetic result and in a child, the nerve in the center of the tooth is extremely large. Taking 1.5 mm of enamel in a patient of that age group can be enough to either expose the nerve or injure it enough that root canal treatment would be needed later on. Also, in a child, the tooth continues to erupt out of the gums, so as the child matures, the edge of the crown can become exposed which can be very unsightly. When a tooth colored filling is done to repair a fracture, it is expected that it will have to be repaired or redone many times during the patient's lifetime. 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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