Exceptional Dentistry

Dubuque Cosmetic Dentistry Blog

Dubuque Dentist Dr. Berning AGD mastership award

June 22nd, 2015

Dubuque, IA Dentist Receives AGD Mastership Award

The Academy of General Dentistry (AGD) is pleased to announce that Dr. Kristen Berning, DDS, MAGD, of Dubuque, IA, received the AGD Mastership Award during the 2015 annual meeting, which took place June 18 to 21 in San Francisco.

agd mastership award, dubuque dentist, dr. berning

The Mastership Award is the AGD’s highest honor and one of the most respected designations within the profession. To earn this award, Dr. Berning passed the fellowship exam and completed 1,100 hours of dental continuing education in 16 specific categories, including at least 400 hands-on participation hours.

As a AGD Mastership Award recipient, Dr. Berning joins more than 2,200 active AGD Masters who have gone above and beyond the basic requirements to care for their patients’ oral health.  Only 1% of the 38,000 AGD members have achieved this coveted award.  It demonstrates a commitment to being well rounded in all areas of dentistry, in order to provide up-to-date and comprehensive dental care to our patients.

“This award requires an extraordinary amount of time and effort,” says AGD Immediate Past President W. Carter Brown, DMD, FAGD. “Dr. Berning should be commended for her unflagging commitment to continuing education, which allows her to provide the best possible dental care and oral health education to her patients.”

Dr. Berning graduated from the University of Iowa College of Dentistry in 2006 and currently practices dentistry with her father, Dr. Ted Murray, DDS, MAGD and her sister, Dr. Alexia Murray, at Exceptional Dentistry on 4200 Asbury Road in Dubuque, IA.   Her father achieved his AGD mastership award in 1995.  Our office demonstrates a commitment to the long term dental health of our patients through our pursuit of extensive continuing education.   

 

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Dubuque Dentist Dental Hygiene

June 4th, 2015

Welcome, Traci!

 Exceptional Dentistry, Dubuque Dentist, Update

We would like to introduce, Traci, a  dental hygienist and new team member in our Dubuque Office.   She joined our team in May and we are so happy to have her with us.

dubuque dentist

Traci began her career as a dental hygienist in 2008 after graduating from Madison Area Technical College. Prior to becoming a dental hygienist she graduated from the dental assisting program at Western Technical College. Traci joined our team in 2015 with over 7 years of experience working in the dental field. “My favorite part about being a dental hygienist is building a patient’s confidence. It is very gratifying to see patients sparkle with confidence after leaving the dental office knowing they achieved their desired smile. I’m very excited to be part of the Exceptional Dentistry team, working beside great dentists, and using leading edge technology.”  In her spare time she enjoys traveling, cooking, spending time with family and friends, and being active.

Traci has a very sweet personality and does a great job comforting her patients.  She is truly enthusiastic about her work, has excellent attention to detail, and enjoys always learning more.  She has a lot of experience working with all stages of gingivitis and periodontal disease, and she has helped many patients keep their teeth and improve their overall health.  Patients have already been complimenting her on her thorough care and kind approach!

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Dubuque Dental Implant Dentists

October 21st, 2014

Dubuque Dentists complete Dental Implant Education

 

Dr. Alexia Murray and Dr. Ted Murray each recently completed an intensive  one-year surgical Dental Implant Continuum  at the Misch International Implant Institute.  The continum consisted of over 100 hours of education, including lectures and many hands-on workshops.   Both Dr. Ted Murray are Dr. Alexia Murray are currently Misch Fellows as they attended an additional course at the Misch Institute and passed a written exam to earn fellowship status.

The Misch Institute was established in 1984 by Dr. Carl Misch to elevate the standard of care in implant dentistry.  Dr. Carl Misch and the Institute are world renown leaders in implant education.   Dr. Carl Misch has earned many postgraduate honors for his extensive research, publications, lectures, and patents.  He is well respected for his dedication to implant education.  He is the author of the #1, #2 and #4 bestselling books in the history of dentistry.  This year, Dr. Carl Misch received the 2014 Distinguished Service Award.  This is the highest honor conferred by the American Dental Association’s Board of Trustees.   The field of dentistry has benefitted and grown tremendously due to his exceptional wisdom and dedication.

Pictured below are Dr. Ted Murray, Dr. Carl Misch, and Dr. Alexia Murray:

Dental Implants

 

Dubuque Dental Implants

Dubuque Implant Dentist

 

What is a dental implant?

A dental implant is a replacement for a missing tooth.  It is usually made out of titanium and it is surgically placed into the bone where the missing tooth is.  Dental implants can be used to replace single teeth, multiple teeth, or as anchors for removable partial dentures or complete dentures.  Dental implants are considered the standard of care for replacing missing teeth.  They help to preserve the bone.  They look, feel, and function like natural teeth.

Dr. Ted Murray, Dr. Kristen Berning, and Dr. Alexia Murray at Exceptional Dentistry are committed to providing our patients the latest in dental implant treatment options.  Our office has an  i-CAT® Cone Beam 3D scanner used for implant treatment planning.  This system allows us to take crisp, clear 3D images of teeth, gums and underlying jaw structure, making it easier for us to diagnose dental conditions.

Pictured below is a dental implant case by Dr. Ted Murray:

20130208-094032

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Sedation Dentistry

September 18th, 2014

Dubuque Dentist- Sedation Dentistry

Dr. Ted Murray, a Dubuque Dentist, has been offering sedation dentistry for several years.  Sedation dentistry provides relief to people who have been avoiding the dentist for years– even decades– out of fear and anxiety.

Sedation dentistry is safe, effective and proving to be a smile-saver for millions of Americans.

Medical science is taking note of links between poor dental hygiene and serious illnesses– such as cardiovascular disease and even some cancers.   That is why it is so important for people in the Tri State area to know that they no longer have to fear dental treatment such as root canals, crowns, fillings, dental anesthetic, and deep cleanings.  Sedation dentistry allows a patient to relax during an appointment.  Once a patient is relaxed, many dental procedures can be completed.

Types of Sedation Dentistry

Both oral sedation and IV sedation are offered in our Dubuque Dental office.  Oral sedation involves taking a pill that will relax a person for the duration of his or her appointment.  IV sedation allows for the precise delivery of medication through an IV placed at the beginning of the appointment.  IV sedation is fast-acting and can be adjusted quickly according to the patient’s needs.

Charlie, pictured below, is a Certified Registered Nurse Anesthetist who provides IV sedation in our office.  He does a great job putting patients at ease for their dental appointments.

Sedation Dentistry

Once the patient is relaxed, Dr. Ted Murray is able to complete many dental procedures in one visit.  A sedated patient will have little to no memory of his or her appointment.

If anxiety is affecting your dental health or appearance, sedation dentistry may be the answer to making your smile dreams come true. Techniques used in sedation dentistry are safe and effective in eliminating dental anxiety.  Then you can relax completely and have a pain-free visit.

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Dubuque Dentist Welcomes New Team Member

September 10th, 2014

Welcome, Brittany!

We are excited to introduce, Brittany, a hygienist and new team member in our Dubuque Dental Office.   She joined our office in June and it was a seamless transition!

Dubuque Dentist welcomes new team member

Brittany worked her first four years in the dental community as a dental assistant. During this time, she took great pride in helping patients with their dental care. Those first years led her to branch out and find her true passion in dental hygiene. Brittany graduated from Hawkeye Community College in May 2014 with an associate of applied science degree in dental hygiene.  She feels extremely fortunate to join such an “exceptional” team that truly cares about their patient’s needs.  “I sincerely believe there is no better place for me to utilize my skills and work with the latest technology than Exceptional Dentistry.”  In her spare time, Brittany enjoys cheering on the New York Yankees and the Iowa Hawkeyes, being active, completing crafts, and spending time with family and friends.

We are excited to have Brittany as a member of our team.   She has a very kind, sweet, gentle demeanor and she genuinely cares for her patients.  She has a local anesthesia permit and can also administer nitrous oxide during appointments, if needed for patient comfort.  Brittany is also laser certified and can use the laser to complement treatment of gingivitis and periodontal disease.  She enjoys working with people of all ages.

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Dubuque Laser Dentist: Lip and Tongue Tie revision

July 15th, 2014

From a Mommy Dentist:  the challenge of breastfeeding tongue-tied babies

By Dr. Kristen Berning


Like many new moms, I thought breastfeeding would come naturally.

When my third baby, Ted, was born, I already had 2 years cumulative experience breastfeeding my other children.   I planned to exclusively breastfed Ted for at least 12 months.

When Ted was just one day old in the hospital, I knew something was different with breastfeeding.  I felt he was “chewing” instead of “sucking.”  The lactation consultants worked with me on encouraging a deeper latch:

tongue tied baby

  • I was told to use my finger to encourage him to stick his tongue out further.  But he couldn’t stick his tongue out very far.
  • I would wait for a wide opening before letting him latch.  But he didn’t open very wide.
  • I was told to use a nipple shield.  But that made the pain even worse since he was still “chewing,” and the plastic was pinching me where I had open cuts.
  • When his latch was shallow, I was told to break suction and try again to relatch.  But the latch-on was the worst part and I didn’t want to restart the feeding.  I just wanted to get it over with.  The toe-curling pain brought me to tears and I dreaded the next feeding.

I had cracked and bleeding nipples.  The lanolin and gel soothies weren’t helping enough.  I attended the breastfeeding support group when he was 3 weeks old and discussed the pain with the lactation consultants.   I was sitting near a sweet mom named Jessi.  Jessi suggested Ted might have a tongue-tie, as she experienced it with her daughter and had it clipped by an ENT physician.   The lactation consultants took a look at his tongue, but were not sure.  At Ted’s 3-week well child appointment, his pediatrician was also not sure.

I made a phone call and the ENT could not see Ted until the next week.

The next night, I felt shooting pains in my chest in between feedings.  With one arm clutched across my chest, and the other arm used to search Google, I read that it might be thrush- a yeast infection of the nipple and breast.  I looked inside Ted’s mouth and saw small white patches in his cheeks.  I went to the pediatrician’s night clinic to confirm the diagnosis of thrush.  Then I drove to the pharmacy in tears, to get our prescriptions.   The pain, the frustration, the thrush diagnosis—were pushing me over the edge.   But I didn’t want to stop breastfeeding.

I called the ENT doctor’s office the next morning, and politely but desperately asked if there was any way they could see us sooner due to the severe pain I was having.  They squeezed me in that day.

At our appointment, I explained to the doctor how I knew Ted’s latch was drastically different than my first 2 babies.   We discussed the procedure, I signed a consent form, and the nurses prepped the room for the frenotomy procedure.  Three-week-old Ted’s little body was placed onto the operating table, he was stabilized by a couple nurses, and the ENT clipped Ted’s lingual frenum with a surgical scissors.  Ted was immediately returned to me to breastfeed.  His latch was instantly better: deeper and less painful.  I was so relieved to have improvement.  My cracked nipples healed over the next week.

It took some time until the thrush was completely managed, but the frenotomy saved our breastfeeding relationship and I exclusively breastfed Ted for 13 months.

_____

Fast forward to when my 4th child, Clara, was born.  She latched on fairly well in the hospital and gained weight well.   I thought we were in the clear.

However, a few months passed and the initial soreness from breastfeeding was not going away.  Her latch was shallow, but not as bad as Ted’s.  She popped on and off the breast frequently and was gassy.  I had sore nipples and cracking again.  I was dreading each feeding as her latch rubbed on the open cracks causing awful, toe-curling pain.  I pumped several feedings (which also hurt) so my husband could bottle feed her and I could take a break from her poor latch.  I tried different nursing positions, used prescription APNO (Jack Newman’s all purpose nipple ointment), and did everything I knew to improve her shallow latch.  I also dealt with clogged ducts and developed mastitis, and was in the doctor’s office again, in tears.

upper lip tie, laser revision, laser frenectomy

I noticed Clara’s upper lip was often tucked in while nursing, and it did not flange.  In our local private Facebook group for breastfeeding mothers, a mom named Tricia mentioned difficulties breastfeeding due to a lip tie.  I had become aware of tongue-ties after my experience with Ted, but I was unsure how lip ties affected breastfeeding   I needed to find out more…

I learned that when a lip tie was present, a posterior tongue-tie was usually present.  A medical practitioner may be familiar with anterior tongue ties, however, posterior tongue-ties are not as visible to the untrained eye.  Clara also had a posterior tongue tie.

Lip and Tongue Tie Laser Revision

I engaged myself in learning about lip ties and tongue-ties as I had experienced so much of this myself with minimal local support.  Let me emphasize, I really appreciate and respect my local lactation consultants and pediatricians.  They are wonderful people and help so many of us!   They just were not (at that time) familiar enough with lip ties and posterior tongue-ties.

Lip and Tongue Tie Revision, Laser Revision

I learned there were both pediatric dentists and general dentists treating and releasing infant lip and tongue-ties with lasers.  I was using a laser almost daily in our Dubuque, Iowa dental practice and had done many laser frenectomies on older children and adults.  Dr. Mindy Hochgesang became my mentor and allowed me to observe the infant lip and tongue tie laser procedure.  I also spent a day observing Dr. Fred Margolis, a pediatric laser dentist.  I attended a course by Dr. Larry Kotlow, another pediatric laser dentist who has been doing this procedure for many years and has many published articles on the topic.  I soaked up as much information as I could from all of these experts.

As a passionate supporter of breastfeeding, this opened the door for me to “pay it forward.”  It was mom-to-mom support that sent me on this journey.  I could now give both mom-to-mom support and provider-to-mom support for breastfeeding dyads struggling with tongue and lip ties themselves.

My daughter Clara was my first infant patient.   I revised her lip tie and posterior tongue-tie, we did post-frenotomy care, we both healed, and we achieved a great breastfeeding relationship.

 

Our dental office has helped many moms and babies improve their breastfeeding relationship when lip and tongue-ties are present.  We have become passionate about helping identify lip ties and tongue-ties, treating them when needed, and providing ongoing support and resources for moms.  In the Tri-State area, we are lucky to have awesome lactation support in our local support groups and from our local International Board Certified Lactation Consultants (IBCLCs).

 

laser dentist, Iowa laser dentist, lip tie, tongue tie

Dr. Kristen Berning provides support for breastfeeding moms who are dealing with lip and tongue ties.  She uses a laser to perform lip and tongue tie revision, including posterior tongue ties.  Her office is located at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids & Dubuque, IA, Galena, IL and Madison, WI areas.  To schedule a consultation or ask questions about laser lip and tongue tie revision with Dr. Kristen Berning please call 563-556-2711 or contact us online.

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Welcome, Dr. Alexia Murray! New Dubuque Dentist

July 14th, 2014

This month at Exceptional Dentistry in Dubuque, Iowa, we are excited to announce the addition of a new Dubuque dentist!

Dr. Alexia Murray

New Dubuque Dentist, Dr. Alexia Murray

As a new Dubuque dentist, Dr. Alexia Murray is Dr. Ted Murray’s daughter and Dr. Kristen Berning’s sister.  This further emphasizes the “family” in family dentistry at our Dubuque dental office!  We now have three great Dubuque Dentists to provide general dentistry services to all ages of patients.

  Dr. Alexia graduated from the University of Iowa College of Dentistry in 2013.  Dr. Alexia Murray then joined a private practice in Kansas City while her fiancee, Ryan, completed a one year general dentistry residency also in the Kansas City area.

A little more about New Dubuque Dentist Dr. Alexia Murray…

She graduated from Wahlert High School in Dubuque and excelled in the classroom and athletics.  She was a varsity swimmer and state meet qualifier all 4 years.  She played 4 years of varsity soccer, won the state title 2  of her years,  and was a member of the Elite All State Soccer Team.  She then played Division I soccer at Loyola University Chicago.  Dr. Alexia Murray graduated summa cum laude from Loyola University Chicago and went on to receive her Doctorate of Dental Surgery degree from the University of Iowa College of Dentistry and Dental Clinics in 2013. She was one of nine graduating students in her class elected to be a member of Omicron Kappa Upsilon, a National Honorary Dental Society, which honors exemplary traits of character and scholastic achievement.

We are so excited she chose Dubuque as her home again, and that she will be helping us provide top-notch dental care.

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, or Dr. Alexia Murray please call 563-556-2711 or contact us online.

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Instant Orthodontics- Dubuque Cosmetic Dentist

January 15th, 2014

At Exceptional Dentistry in Dubuque, we are able to use cosmetic dentistry to provide instant orthodontics.

What is instant orthodontics?

In some cases there are spaces between the front teeth that a person does not like.  Looking to improve his or her smile, an individual may want this space to be closed.

Sometimes due to the occlusion (the way the top and bottom teeth fit together), it can be difficult to close the space with braces or Invisalign.  In other cases, some people do not want to spend 1-2 years doing orthodontic treatment.  They are excited about the option of closing this space in just one appointment!

Dental bonding using composite resin restorative material allows us to close the space between the teeth in 1 appointment. Dental bonding can sometimes be done without local anesthesia.  Other times, a light amount of local anesthesia is used to keep the patient comfortable, especially if work is being done at and below the gum tissue line.  A diode soft tissue laser is sometimes used to gently reshape the gum tissue to achieve the proper emergence profile.

Instant Orthodontics Before and After

The photo below demonstrates dental bonding that was done by Dr. Kristen Berning to achieve this instant orthodontics.  This was a teenage girl.  She and her mother were very happy with the result!

SB diastemma closure (1)

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, please call 563-556-2711 or contact us online.

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Using laughing gas or nitrous oxide with your Dubuque Dentist

August 7th, 2013

In our Dubuque dental office, Dr. Ted Murray and Dr. Kristen Berning and the Exceptional Dentistry team offer nitrous oxide, also known as laughing gas.   This is a great option for patients with dental anxiety, a strong gag reflex, and for young children having dental work for the first time.  Almost anyone who wants to relax more during his or her appointment can use nitrous oxide or laughing gas for anxiety relief.

 

Using laughing gas or nitrous oxide with your Dubuque Dentist

Nitrous Oxide Safety

Nitrous oxide is a blend of oxygen and nitrous oxide.  In our Dubuque dental office, we use the Safe Sedate Nitrous Oxide system.  The gas is delivered through a mask placed comfortably over the nose. The patient then relaxes, breathes normally through the nose, and the dental procedure takes place.  Nitrous oxide is a very safe and effective treatment for both children and adults.   While you wear the mask you feel calm and unconcerned.  At the end of the appointment, there is an oxygen flush and the nitroius oxide leaves your system quickly.   The mask is removed and recovery is immediate.

 

Types of appointments to use nitrous oxide or laughing gas

  • restorative appointments (crowns, fillings, root canals)
  • extraction or oral surgery appointments
  • professional cleaning appointments with the hygienist
  • during radiographs or dental impressions for patients with a strong gag reflex

Contraindications for using nitrous oxide

There are indications where nitrous oxide is not recommended:

  • For patients with very high dental fear, they may be better served using oral sedation.  This will allow the patient to experience a deeper level of sedation with little to no memory of the appointment.
  • Certain heart, lung , or other systemic conditions.  Our dentists will review your health history with you to determine if you can use nitrous oxide.
  • Inability to breathe through the nose or claustrophobia
  • Pregnancy

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002 and serves the Cedar Rapids, Davenport, Dubuque, IA and Galena, IL areas.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, please call 563-556-2711 or contact us online.

 

 

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Affordable Cosmetic Dentistry in Dubuque Iowa

July 31st, 2013

Cosmetic Dentistry in Dubuque, Iowa

The words cosmetic dentistry often makes a person think of porcelain veneers or professional tooth whitening.  Dr. Ted Murray and Dr. Kristen Berning, Dubuque dentists, believe almost every dental procedure has a cosmetic component that needs to be considered.  Our Exceptional Dentistry office is a great place to have cosmetic dentistry done in Dubuque, Iowa.

Shown below is an example of single tooth cosmetic dentistry.  It is a direct resin veneer, which is also called dental bonding.  This  is an affordable cosmetic dentistry option that can make a wonderful improvement in the beauty of a smile.  A direct resin veneer can help restore a tooth to its original form, function, and appearance.

Reasons for a Dark Front Tooth

Many people have a single front tooth that is dark.  It is often due to trauma when they were young such as falling and bumping a tooth.  Over the years, the tooth may darken, and it can become an embarrassment.

The Appointment

In just one appointment, the dark tooth is prepared for bonding.  Then layers of composite resin dental bonding material are used to improve the tooth so it matches the rest of the smile!

As can be seen in the photo on the right, this woman was smiling much bigger after her dark tooth was gone!
Dubuque Cosmetic Dentistry Bonding Veneers

Many patients are candidates for cosmetic dental bonding.   An improvement in a smile such as this one also becomes an improvement in a person’s self confidence.

  To find out if it would work for you, please call us at 563-556-2711 or request an appointment online here.

Exceptional Dentistry provides complete family, cosmetic, tooth whitening, implant, orthodontic, and sedation dental care at 4200 Asbury Road, Dubuque, IA 52002.  Dr. Ted Murray and Dr. Kristen Berning serve as Cedar Rapids Cosmetic Dentists, Davenport Cosmetic Dentists, Dubuque Cosmetic Dentists and Galena Cosmetic Dentists areas.  Many patients travel for the cosmetic expertise in our office.  To schedule an appointment with Dr. Ted Murray or Dr. Kristen Berning, please call 563-556-2711 or contact us online.

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