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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Dr. Ekta Parab, D.M.D.
- Doctor of Dental Medicine degree, Dental College of Georgia
- Member of the American Dental Association
- Member of the Georgia Dental Association
- Member of the Northern District Dental Society
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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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Restoring Root Canal Teeth
Once a root canal has been completed, it is extremely important that the tooth be properly restored. If not, then there would be a good chance that the tooth could be lost permanently. The reason for this is the dental pulp which houses a collection of nerves and blood vessels in the center of the tooth will bathe the inner tooth layer (the dentin) with fluid, allowing the tooth to flex under load. Once the source of the moisture is gone, the tooth becomes very brittle. I always recommend that all chewing teeth have a crown placed soon after a root canal has been completed. I have even had the unfortunate experience of needing to extract a tooth only weeks after root canal treatment due to the tooth fracturing through to the root because it had not been properly restored yet. Some front teeth, if they have adequate remaining tooth structure, can be restored with just a filling. To place a crown on a back tooth, usually a crown buildup needs to be done. A crown buildup is a core of filling material that is used to replace the tooth structure that was lost in the root canal process and due to decay. This core may need to be retained with pins or a large post that is placed in one of the canals. With a quality, well-timed final restoration covering and protecting a root canal tooth, that tooth should give decades of future service. Read More - Read More
Oral Cancer
You wake up one morning and pull back your lip and see a growth. The first thought that goes through your mind is that dreaded “C” word — cancer. The good news is that 99% of these growths are benign. That’s not to say that one should ignore something that shouldn’t be there. When I see a lesion in someone’s mouth, the first question I ask is, “How long has it been there”. Many times, if it is fairly new, it may regress with time. I document it with a picture, then have the patient return in a couple of weeks. If the lesion is still there then it’s off to the oral surgeon for a biopsy. Not only is it better for peace of mind but also, if it turns out to be something serious, early detection will greatly increase the chance of survival. A biopsy is a very easy procedure that is done under local anesthetic and a couple of stitches. If you ever have something growing where it’s not supposed to or a sore that doesn’t heal within a couple of weeks, then it is best to see your dentist as soon as reasonably possible. In the meantime, it is best not to lose any sleep over it since chances are greatly in your favor that it will not be anything serious. Read More - Read More
Root Fractures
Root fractures can be pesky little things to diagnose. A root fracture is a crack in a root of a tooth. It can be either horizontal or vertical in direction. Horizontal fractures are usually a result of trauma. The survival of the tooth is dependent on where the fracture is located. If it is located in the apical third of the root (apical being the portion toward the tip of the root), then it may be possible to save the tooth. Otherwise it is implant time. Vertical fractures can start in the crown of the tooth, which is most common, or at the tip of the root. Root fractures may or may not have symptoms associated with it. If there are symptoms, they are usually pain while chewing. When fractures are present, they rarely will show on an x-ray, so the usual course of treatment is placing a crown to keep the pieces of the tooth from wedging apart while eating. If this does not work, then root canal treatment is performed. It is, many times, only after the symptoms don’t subside after having a root canal done will a diagnosis be made of a root fracture. Other times there may be a tell-tale thickening of the black line that surrounds the root on an x-ray giving indirect evidence of a root fracture. There is no known way to repair a root fracture and with the advent of long-lasting implants, the best solution of treating a fractured root is by removal of the tooth and placement of an implant. Read More - Read More
Scaling and Root Planing
A gum procedure called scaling and root planing has saved millions of teeth. Periodontitis (gum disease) attacks the bone that holds the teeth in place. If left unchecked, it will eventually lead to tooth loss. If the disease is detected in its early stage, scaling and root planing can be a big help in altering the course of the disease. Periodontitis is caused by an interaction between bacteria that reside on the teeth and the body’s immune system. If the bacteria is removed on a daily basis by brushing and flossing, the disease usually does not occur. However, if the home care is not good, the bacteria will wreak havoc. Over time, the bacteria will calcify into a material called calculus (tartar). The calculus is very porous giving a safe haven to new bacteria, so even if flossing is started, it will not clean away the bacteria residing in the tartar. Scaling will remove these deposits from the teeth. Root planing will smooth the roots and remove diseased cementum (the live covering on the root surface). Scaling and root planing will allow the body to heal the gums and give someone a fresh start. However, the disease will return if the daily home care is not done. Read More - Read More
Osteoporosis
Osteoporosis is one of the scourges of old age. The bone density of sufferers decreases with time, many to the point that the bones become very susceptible to fracture. As many as 10 million Americans are affected by the disease and as many as 34 million others have a high risk of getting it. There have been a number of studies that have shown an increase in tooth loss in those who are afflicted with osteoporosis. The alveolar process, the portion of the jaw bone that holds the teeth, can be affected by the loss of bone density, thus contributing to tooth loss. Women are affected three times more than men. Periodontitis is a chronic infection that affects the gums and jaw bone. An interaction between toxins coming from the bacteria that reside on the teeth and the body’s immune system will cause the bone to break down. Research is beginning to point to a relationship between the less dense bone of osteoporosis victims and a quicker breakdown of the supporting bone leading to tooth loss. To help combat osteoporosis, there are a number of medications that are currently on the market. They can be a big help in reducing bone loss, but they come with a potentially serious side effect called bisphosphonate osteonecrosis (BON). BON can cause bone death after surgical dental procedures. These areas of dead bone can be extremely difficult to get the mucosal covering to heal properly. It is extremely important that patients tell their dentist that they are taking these medications. Read More - Read More
Dentally Related Headaches
There are a wide range of causes of headaches and tooth and jaw problems are on that list. A toothache can refer pain up toward the ear, onward toward the temple, then eventually to an old-fashioned headache. The more common dentally related cause of headaches is pain from the temporomandibular joint (jaw joint) and the related muscles of mastication. Inflammation in the joint itself can cause pain that can radiate to the head. When the surrounding muscles go into spasm, the constantly contracted muscles choke off the blood vessels reducing the blood flow. This causes a buildup of lactic acid. It’s the same discomfort we get when we start exercising after an extended layoff. It’s a malady called myofascial pain dysfunction syndrome. The muscle spasms will start with the chewing muscles, but then will get the other muscle groups involved. When these head and neck muscles begin to spasm, we call that — a headache. Although different from the migraine, it is nonetheless — a pain. Your dentist can help you with diagnosing and treating many headaches. Once serious problems, for example, brain tumors, have been ruled out, then the dentist can try a TMD splint, basically a mouthpiece, to take the pressure off the jaw joint, and will many times alleviate the pain. 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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