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101 Union St N, Nashville, Tennessee 37201, US
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Laser Bacteria Reduction: one patient's story

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brooke cagle 120069

As far as my dental history goes, I've been pretty lucky. My parents always stressed the importance of taking care of my teeth and took me to the dentist on a regular basis. I never had to have braces and didn't even have a cavity for most of my 30s.

Then, as they say, "go big or go home": at 39, I had my first cavity. I didn't even know I had one until my tooth chipped over dinner. An immediate trip to the dentist revealed I not only had a cavity, but I would need a root canal and then a crown. I made it through both those things and thought it was over. I swore to myself I would do a better at staying on top of things and went on with my life.

From the day the crown was placed, it never felt "right": there was always an element of discomfort and my 24/7 awareness that it felt foreign and weird. After the first year, I started feeling more discomfort. Around year two, I began to notice gum inflammation around the crown.  Unfortunately, the dentist who did the crown work had gone out of business, so I had to find a new dentist. Many of my downtown/east Nashville friends had recommended Downtown Dental.

Dr. Clark and his team were amazing from my first patient exam. Turns out I not only had a metal allergy to the original crown, but the deep placement of the crown had created significant gum infection. It wasn't the worst news, but as someone who is highly sensitive to antibiotics and tries to go the natural route whenever possible, I didn't look forward to the treatment that would clear up the infection/irritation. Enter "the laser".

I soon happily learned that dentists can use lasers for a host of incredible treatments: not only for bacterial reduction (in this case, for my gums), but for pain management/anesthesia, fillings, tooth contouring/cleaning, and even cold sores. My three laser treatments were quick, absolutely painless, and best of all, I didn't have to take any antibiotics.

The team at Downtown Dental is warm and wonderful, but even better than that, I'm thankful for a dentist who commits to painless technology as treatment versus standard pharmaceutical medication. Turns out there's a better way to do a lot of things without wreaking havoc on the body...even in dentistry.

-D. Carson, 41: Dickson, TN

Services

Prevention, Gum Health & Comfort

  • Cleanings & Gum Health: Gentle hygiene with laser therapy options to limit antibiotics.
  • Cavity Care: Conservative fillings/onlays that save healthy tooth.
  • Sensitivity & Emergency Relief: Same-day when possible.
  • Cold Sore & Ulcer Laser Treatment: Laser care for herpetic lesions/aphthous ulcers to reduce pain and speed healing.
  • Risk & Habits Review: Diet, saliva, myofunction, and mouth-breathing that elevate cavity/gum risk.
  • Homecare Plan: Simple, sustainable changes with measurable impact.

Restorative & Missing Teeth Replacement 

  • Conservative Cavity Care: Small, tooth-colored fillings that remove as little enamel as possible so your teeth last longer.
  • Inlays & Onlays First: Bonded inlays/onlays as our go-to over crowns, preserving far more natural tooth structure.
  • Enamel-Sparing Crowns: When crowns are truly needed, we design them to leave up to 50% more natural enamel than typical approaches.
  • Save-Your-Teeth Reconstruction: In severe wear or erosion, we rebuild and stabilize teeth that many offices would extract for full-arch implants, often avoiding full-mouth removal.
  • Full-Arch Implants When Needed: All-on-X-style implant solutions for cases that genuinely require extractions-never a one-size-fits-all default.
  • Bite-Tuned, Long-Lasting Results: Every restoration is calibrated to your bite to reduce fractures and the cycle of redoing dentistry every few years.

Bite, TMJ & Myofunction

  • Digital Bite Mapping & Calibration: Measure contacts and timing to stop chips, cracks, and “high” crowns.
  • Custom Day/Night Appliances: Designed to your ideal joint/muscle balance (beyond generic guards).
  • Myofunctional Therapy: Retrain tongue, lips, and breathing to reduce clenching, improve stability, and lower cavity/gum risk.
  • TMJ Care (Non-Surgical): Joint, muscles, teeth, airway/sleep, and posture considered together.

Airway, Sleep & Myofunction

  • Screening for Mouth-Breathing/Apnea: Identify sleep contributors to inflammation, decay, and grinding.
  • Oral Appliances and Myofunctional Therapy for Sleep Apnea: Plus collaboration with sleep/ENT partners.
  • Tongue-Tie Release (Frenectomy): When indicated, to support nasal breathing, speech, and oral function.

Orthodontics & Alignment (Adults & Teens)

  • Clear Aligners/Orthodontics: Improve alignment and function, timed to health and airway needs.
  • Relapse & Retention Planning: Stabilize muscles and bite so results last.

Kids & Growing Smiles

  • Early Growth & Airway Evaluation — Age-appropriate screening for nasal breathing, tongue posture, crowding, and sleep-related issues.
  • Myofunctional Support (Early Intervention) — Train healthy habits (nasal breathing, tongue posture, lip seal, chewing/swallow) to guide growth and reduce future problems.
  • Guided Orthodontics — When needed, we time orthodontic treatment to growth to expand space, correct crowding, and help them catch up if development is behind.
  • One Team, Clear Roadmap — We coordinate with parents on what to do now, what to watch, and when to act next.

Cosmetic & Facial Aesthetics

  • Prepless, conservative veneers: Transform your smile while preserving your natural enamel whenever possible.
  • Facially driven smile design & previews: Plan your smile around your face, lips, and profile-and use digital mockups/temporaries to try out your new look before anything is permanent.
  • Non-surgical "dental facelift": Improve facial support, fullness, and symmetry through thoughtful changes in bite and tooth position.
  • Additive cosmetic bonding: Repair chips and reshape worn edges without aggressive drilling.
  • Whitening & color harmony: Professional whitening and shade-matching that works with your natural teeth and restorations.
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Working Hours

Ready to stop by? View Downtown Dental’s office hours below.
Monday7:00 AM – 5:00 PM
Tuesday7:00 AM – 5:00 PM
Wednesday7:00 AM – 5:00 PM
Thursday7:00 AM – 5:00 PM
Friday7:00 AM – 3:00 PM
SaturdayClosed
SundayClosed
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Modern Care. Timeless Smiles.