Service Offerings


Visiting your dental hygienist is an important part of maintaining or improving your oral and overall health. Your dental hygienist is an oral health professional whose area of expertise focuses on preventative oral healthcare. Our dental hygienists work with Dr. Caffey-Earle and associates to provide optimal oral healthcare to our patients. Good oral and dental hygiene can help you avoid cavities and tooth decay. Routine x-rays, cleanings and exams by your doctors are necessary in catching and preventing tooth decay.

We recommend cleanings 2 times per year with x-rays and doctor exam to be completed at least once per year. The hygienist will give oral hygiene instructions and recommend if fluoride or sealants are necessary. Dental sealants are an excellent way to prevent cavities. The biting surface of our teeth is one of the most susceptible surfaces prone to decay. These surfaces have deep grooves, pits and fissures which makes it very difficult to thoroughly clean. By sealing this part of the tooth with a flowable resin material, it prevents bacteria from being able to access, grow and cause tooth decay. Fluoride helps prevent cavities in children and adults by making the outer surface of your teeth (enamel) more resistant to acid attacks that cause tooth decay.

We would love to partner with you to maintain a healthy, cavity-free smile.


Cosmetic dentistry is aimed at creating a positive change to your teeth and to your smile. From subtle changes to major repairs, we can perform a variety of procedures to improve your smile. If you have stained, broken or uneven teeth, cosmetic dentistry will help. Dr Caffey-Earle and associates strive to provide the utmost in personal care and to deliver positive, lasting results that are designed to make you look good and improve your oral health. Whether you come to us for minor smile enhancements like reshaping of teeth, tooth-colored fillings to close minor spacing, dental crowns or full mouth restorations our goal is to make your smile dreams a reality.

Teeth Whitening

We provide several different systems to help our patients obtain the smile they are trying to achieve. From our in-office Zoom bleaching to our Opalescence Go trays that you can take with you, our systems are designed to meet your needs. Ask our team members about how you can achieve your white smile.

Opalescence Go®

Sold as a single tray or mini-kit, Opalescence Go is a tray that has pre-loaded bleaching agent that is placed on the arch the patient would like to whiten.  You remove the carrier tray and leave the bleaching agent on the teeth for about 30 minutes.  The agent is then removed by rinsing or normal brushing after you have left the office.  Available in 10% (melon) or 15% (mint) hydrogen peroxide.

Sheer White!® Whitening Film

Applied the same way as over-the-counter Crest Whitestrips, Sheer White Strips have a higher concentration (20% Carbamide Peroxide) of bleaching agent.  Over-the-counter brands range in concentration from 5% to 8% of hydrogen peroxide.  These strips are applied to the front of the teeth and left for 1-2 hours during the day or 8 hours overnight.


The professional teeth whitening product is Philips Zoom Quickpro.  This product is applied directly to the teeth by the hygienist/assistant.  This bleaching option is great for patients who have sensitive teeth or have had sensitivity with other bleaching systems.  The whitening agent is hydrogen peroxide at 20%.  It is applied in approximately 5-10 minutes and is kept on the teeth for 30 minutes after leaving the office.  It can be brushed off normally for a whiter smile.   This product whitens your teeth up to 4 shades.

Custom Whitening Trays

This product is made by 3M ESPE White and Brite Tooth Whitening System. These are custom made trays that the patient takes home to whiten their teeth. Gel is placed in the custom-made tray using the supplied syringes and placed in the mouth. These trays are worn for 1-2 hours per application. A total of 6 syringes are provided with the trays. The whitening agent is 22% carbamide peroxide.


This is our in-office whitening system that whitens your teeth using LED light technology. It will whiten your teeth up to 8 shades in one treatment. This appointment is scheduled for 2 hours and you will leave with take-home trays for touch-up whitening. The whitening agent is 25% hydrogen peroxide gel that is light activated.


Do you have a space that is visible when you smile? Confidence is an important part of your self-esteem, and we want to help you get your confidence back. There are several options available to replace a missing tooth: implant, bridge, or removable partial denture. Each option is dependent upon a variety of factors, and you will need to consult with your dentist to determine your best option.


A dental implant is a permanent and effective way to fill gaps in your smile created by missing teeth. A dental implant is a titanium post that serves as a replacement tooth root. Implants are placed into your jaw bone to provide a strong foundation for an individual tooth, an implant-supported bridge, or a denture. Implants are often the first choice compared to other options because they enable you to maintain the integrity of adjacent teeth. Dental implant patients are all ages, and may be the right choice for anyone missing one, multiple, or even all of their teeth due to injury, defects, disease, or decay. They can even be an option for adolescents after puberty when the jaw stops growing, which is typically around 16 years old for girls and 18 years old for boys. Dr. Caffey-Earle and associates can determine if dental implants are right for you after a consultation that looks at your needs and considers your dental and medical health.


A dental bridge literally bridges the gap created by one or more missing teeth. Bridges are cemented to the natural teeth surrounding the empty space. One or more missing teeth can adversely affect the appearance and functionality of your smile. Missing teeth can cause a change in bite, shifting of teeth, TMJ pain, speech problems, increased risk of periodontal disease and a risk for decay. A bridge restores your bite and helps maintain position of adjacent teeth. You can carry on with normal daily activities and not have to worry about it coming loose or falling out. Smiles by Design offer a range of handcrafted dental bridges, from porcelain fused-to- metal to Lava and Zirconia bridges. Dr. Caffey- Earle and associates will describe in detail the steps involved in the process and can advise you on which type of bridge is best for you and your smile.


Missing teeth can greatly affect your ability to speak, eat and smile. Our team offers a variety of denture options to give your mouth full function again. Full dentures are replacement teeth that help the facial and jaw muscles work properly so that you can eat, speak, and smile normally. Dentures are made out of a plastic base that supports fabricated teeth. The base is shaded to match your gum tissue and the teeth are usually made out of porcelain or plastic. Dentures are made to match the structure and form of your individual mouth and will help to maintain the look and structure/integrity of your face. Partial dentures are a great solution if you are missing one ore multiple teeth. The partial denture fills the spaces in your smile and helps make talking and eating easier. Removable partial dentures usually have replacement teeth fixed to an acrylic base that matches the color of your gums. The acrylic base may cover a metal framework. Partial dentures often have some form of clasp that attach to your natural teeth. This holds the denture in place. Dr. Caffey-Earle and associates will help you decide which denture option best fits your esthetic and functional needs.


Just about everyone snores occasionally, but if snoring happens frequently, it can affect the quantity and quality of your sleep and your partner’s. Snoring can lead to poor sleep and daytime fatigue, irritability, and increased health problems. Snoring is noisy breathing during sleep. While you sleep, the muscles of your throat relax, your tongue falls backward, and your throat becomes narrow and “floppy”. When you cannot move air freely through your nose and throat the surrounding tissues vibrate and create the familiar snoring sound. There are effective treatments to help get a better night’s sleep. Dr. Caffey-Earle and associates offer a mouth-piece (oral-appliance) that can be worn at night to aid in reduction of snoring. Our appliance works by advancing your lower jaw. This opens up the airway and repositions the tongue enabling a more open airway. Ask us about our Snore Guard so you and your loved one can be sleeping soon.

Occlusal Guard / NightGuard

Clenching and grinding your teeth can cause damage to your smile. People can clench and grind without being aware of it. During waking hours, most people are aware that they’re doing it and can control it. Most people are totally unaware that they clench and grind their teeth at night. That is, until they wake up with the suggestive sore jaw and a dull headache. Often their partner informs them of the sounds of their nightly grinding. Chronic grinding (ie. “bruxing”) and clenching can cause detrimental effects on dental health.Untreated grinding can cause:

  • the enamel to become worn down,
  • tooth sensitivity,
  • cracked or broken teeth,
  • loose teeth, and
  • teeth more susceptible to decay

Clenching can cause pain/headaches and receding gums. Nightguards immediately prevent further damage to the teeth. They fit snug between the upper and lower sets of teeth to keep them from touching. Most guards are made out of an acrylic material. It is easy to find multiple options for guards at a local pharmacy and should only be used for immediate relief but are not recommended for long-term use. Molds that are created individually by professional dentists are the best choice. They are adjusted for your individual bite and checked at recall appointments. Let us help you keep your smile healthy and you pain-free.


Invisalign is an orthodontic treatment approved by the FDA that is a virtually invisible method to straighten your teeth without conventional metal braces. With Invisalign, a custom-molded set of transparent, removable aligners will progressively reposition your teeth. You can simply remove the aligners before eating, brushing, flossing or before drinking anything that might stain the aligners. Patients do not experience the mouth abrasions caused by metal and wires, and the aligners are easy to clean. Invisalign was created as an orthodontic treatment for both teenagers and adults wishing to straighten their teeth with a more cosmetic option. Your treatment length depends on the amount of movement necessary to acquire our treatment goals. Treatment can range anywhere from 5 months to 2 years. You’ll change aligners every two weeks until we have reached our desired results. Typically, you will visit us every 4-6 weeks. The dental issues that Invisalign can correct are spacing, crowding, underbite, overbite and minor crossbites. If you have been considering straighten your teeth, don’t wait any longer. Call for an appointment today .

Wisdom Teeth

Third molars are commonly referred to as wisdom teeth. They are usually the last teeth to develop and are located in back of your mouth, behind your 2nd molars. Their development is usually completed between the middle teenage years and early twenties. Most patients’ jaws are too small to accommodate 4 wisdom teeth. When inadequate space prevents the teeth from erupting, they are referred to as impacted. This indicates their inability to erupt into the proper position for chewing and cleaning. If you do not have enough room in your mouth for your third molars to fully erupt, a number of problems can happen. Some of these include: infection, cyst formation, possible crowding, and damage to adjacent teeth. Impacted wisdom teeth should be removed before their root structure is fully developed. Problems tend to occur with increasing frequency after the roots are formed. This is usually after the age of 30. We will need to see you for a consultation to determine if you will benefit from wisdom tooth removal. A special x-ray of your mouth and jaws called a panoramic x-ray will be taken to determine if your wisdom teeth are impacted, if there is room for them to erupt, and how difficult it will be to have them removed. As with all procedures done at Smiles by Design, the patient’s comfort is of utmost importance. We do offer a full range of sedation options for wisdom tooth removal ranging from nitrous oxide sedation to IV anesthesia. Call today for an evaluation.



We are pleased to be able to offer a skincare line that matches our level of quality. Rodan + Fields® is redefining the future of anti-aging skincare. Founded by Dr. Katie Rodan and Dr. Kathy Fields, world-renowned dermatologists and creators of Proactiv® Solution, Rodan + Fields is a premium skincare brand built on a legacy of innovative dermatology-based skincare products backed by clinically proven results. This skincare product line was added because Dr. Caffey-Earle and her staff believe in the benefits of it. Having used many of the products that are available, we felt compelled to offer the revolutionary benefits to our patients

Which regimen is right for you?

Select the Get Started link below. Please be sure to complete the last step of the questionnaire which asks for your name and email address. This will send Dr. Caffey-Earle a copy of the doctors’ recommendations and will enable her to answer any questions you might have regarding your path to smoother/brighter skin.

Talk to your dentist about your options, and she can answer any questions you have and what will work best for you.

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