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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Gum Disease and Diabetes
There is a connection between periodontal (gum) disease and controlling a diabetic's blood sugar. A 1997 study of Pima Indians found that when gum disease was eradicated in diabetics, their blood sugar management improved. It is much easier for gum disease to gain a foothold because diabetics are more prone to infection. Thus, the two diseases feed off each other. It has been found that diabetics who have gum disease are more prone to high blood sugar levels. Due to the fact that this relationship exists, it becomes extremely important for a diabetic to perform very meticulous home care. They should get regular dental examinations at least twice a year along with a thorough professional cleaning. Some diabetics require even more frequent cleanings, maybe up to 4 times per year, accompanied occasionally by scaling and root planing (a very deep cleaning usually done with a local anesthetic). This can be very helpful in managing blood sugar levels in a diabetic. Read More - Read More
Alternatives for Porcelain Veneers
Porcelain laminate veneers are a fantastic way to create an utterly dazzling smile. Since a small amount of tooth structure generally must be removed, it is not a reverisable procedure. If the teeth themselves look good, and the cosmetic concern is the alignment, then there are other alternatives available to get a great smile. Invisible braces (for example, Invisalign®) are now available for many types of alignment problems. This way, the teeth can be straightened in such a way that there will be no changes in the front of the tooth surface. Therefore, it is a reversible procedure. Many a beautiful smile has been created by simple straightening and bleaching. The pros of the invisible braces approach are cost and reversibility. Fees tend to be about 60% less than porcelain laminates. The cons of invisible braces are retention and inability to mask stains. Once invisible braces have been completed, the teeth must be retained in their position by wearing a retainer each and every night. It's not as daunting a task as it sounds, but it still requires one to put the retainer in every night. If the teeth are stained in such a way that they cannot be adequately improved by bleaching alone, then porcelain laminates are usually the better alternative. Read More - Read More
Panoramic X-Rays
Pantomographic radiographs, panoramic x-rays for short, show a picture of the entire upper and lower jaws and the surrounding structures. They are an excellent tool for your dentist to find dental diseases in there early stages. One can see tumors while they are small and have caused minimal damage. Removal at that stage can be less debilitating, and, if cancerous, can greatly increase the survival rate. One can see impacted wisdom teeth and their relationship to major structures such as nerves and sinuses. They are great for an orthodontist to check root alignment and blunting of the roots The detail is not enough to spot cavities in their early stages. It is also not generally used to diagnose gum disease since the closeup x-rays give better detail. The amount of radiation is about the equivalent of a chest x-ray. It is not recommended on a routine basis, except for every third year. It can be an excellent screening tool to see things that don't normally show up on the routine x-rays such as failing root canals, root fractures, or cysts. The use of panoramic x-rays can help keep costs of dental treatment down due to being able to catch things in their early stages and can also save lives. Read More - Read More
Mercury in Dental Fillings
The element mercury in its pure form is toxic to humans. The good news is that when it is combined with silver into a compound called amalgam, it becomes inert. That makes it safe for using for dental filings. Using over 100 years of data, the American Dental Association has determined that it is safe for use. In fact, it is considered unethical for a dentist to recommend removing "mercury" fillings for health reasons. If a dentist tells you that you need all of your "poisonous" fillings replaced, it's time to run out the door. The newer tooth colored fillings are approved for use in back teeth. Although they don't last as long as the silver fillings, they are still a very reasonable alternative to the metal ones and they look great. The cost of amalgam fillings is about 20% less than tooth-colored. At Gangwisch Dental Group, we normally use the composite (tooth-colored) materials, however, we will place the amalgam ones upon request. Read More - Read More
Gum Grafting
Gum recession is a very common problem. It can cause cold sensitivity on the exposed roots. In severe cases, it can lead to bone loss causing the tooth to loosen and eventually loss of the entire tooth. The recession can be caused by improper tooth brushing, thin gum tissue, abnormal muscle pull, or trauma. The good news is that we now have surgical techniques that will allow the gum to be rebuilt close to the original level. The procedure involves harvesting a piece of gum tissue from the roof of the mouth, stripping the top layer of gum tissue in the affected area, then suturing the new piece in place. After a few weeks of healing, the tissue looks almost as good as the original. Aftercare is extremely important to keep the problem from recurring. Very careful use of a toothbrush in the area is a must. The procedure is usually performed by a periodontist, a specialist in treating the gums. If you going to have this procedure done, ask the surgeon to make a surgical stent to cover the roof of your mouth. This area can be extremely painful if left exposed. The feedback that I have had from my patients is that they have been extremely grateful that the roof of their mouth was covered. This made their healing time much more uneventful. Read More - Read More
Teeth Grinding
Teeth grinding is a very common problem. It's not unusual for someone to not be aware that they are even doing it. It is more common at night since during the day, most people can catch themselves in the act. Stress is the most common reason for grinding. While sleeping (called nocturnal bruxism), it becomes an outlet for the normal stresses involved in everyday life. Another cause can be an uneven bite and the body's reaction to try to even it out by subconsciously gnashing the teeth together in an attempt to even everything out. Untreated teeth grinding can cause pain in the jaw joint (temperomandibular joint) and the surrounding muscles. It can also lead to premature extreme tooth wear necessitating major dental reconstruction. To counter the problem, if the grinding is present during the daytime, I tell my patients to try to catch themselves doing it. If they find that they are clenching, then they should have "lips together, teeth apart". This has been very successful for many of my patients. However, most of the grinding problems occur at night. In that case, it is best to build a nightguard, a plastic mouthpiece, to help prevent any further damage from occurring. 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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