Creative Smile Designs-Logo
Edward J. Lynch, DDS, PC
Family, implant and cosmetic smiles created!
Located in Rapid City, SD  605-343-5925

Dental Services

dental services

Convenient Dental Services

Creative Smile Designs takes a unique approach to dental care. We work to ensure that your dental visit goes as smoothly as possible.

We are here to listen to your needs, educate you about your treatment, explain certain procedures, and provide the best care possible. We go above and beyond when it comes to our dental services.

We provide the following services:

Crowns and Bridges

Crowns are used to cover an entire tooth or to restore teeth that have been broken due to decay or any other reason. They protect the tooth and reduce the chances of it breaking again. Crowns are generally of three types: 
  • Gold crowns: These are mostly used in the back of the mouth where esthetics may not be much of an issue. They are usually solid metal and are less likely to chip off or break due to heavy chewing.
  • Porcelain fused to metal crowns: These crowns are great in areas of the mouth where a lot of strength is needed. They usually go at the very back of the mouth, the side teeth and sometimes on the front teeth.
  • All porcelain crowns: All porcelain crowns are very esthetic and resemble a natural tooth very closely. They are highly popular because of their outstanding appearance and are most often used in the front part of the mouth where esthetics is crucial.

Bridges are used when one or more teeth are missing. A crown is placed on the tooth at each end and a fake tooth is placed in the middle. The bridge is cemented to the teeth on either side. This has been a great way for people to replace teeth without having something in their mouth that moves around as they laugh, speak or chew.


Veneers are thin, customized, tooth-colored shells that are bonded to the front side of the front teeth. Veneers are usually made of porcelain or tooth-colored plastic which makes it a viable option to be used in the front of the mouth.

Porcelain offers conservative restoration solutions that look beautiful and natural, without the dark lines around the gums, sometimes seen with porcelain fused to metal crowns. Regular checkups and great oral hygiene help these restorations stay looking good for a much longer time and can last from 5 – 20 years. These restorations are absolutely stunning and can be life changing. They are comfortable, natural looking and strong.

Composite veneers which are tooth colored plastic, are used in pretty much the same way as porcelain. These veneers are used as long-term temporary solutions. They are as aesthetically pleasing as porcelain, but are made of plastic so they tend to pick up stain and break more easily than porcelain. These are great when an immediate restoration is needed, or for kids until their teeth are completely erupted and so that they can be replaced with porcelain veneers.

Complete and Partial Dentures

Complete Dentures
Dentures are removable fixtures that replace all of the teeth. Dentures are usually made of a pink plastic base with porcelain or plastic.
Most people dislike dentures for the following reasons:
  • Dentures tend to move around, when eating causing food to get caught under the plastic base.
  • While eating or speaking, dentures occasionally and unpredictably can come loose causing embarrassment.
  • Sore spots can be caused by excessive movement of the denture.
  • Upper dentures can cause gagging problems due to the part that is in contact with the roof of the mouth.
  • The thick plastic on the roof of the mouth can affect one's speech by impinging on the tongue.
  • The plastic denture base can cause the face to seem puffy and unnatural.
  • Normal foods can be difficult to eat because the plastic covering the oral tissues adversely affect the taste of the food.
  • Dentures can cause a funny taste or bad breath due to the bacteria build-up. 
  • Can result in a burning sensation on the tissues under the denture due to “yeast” infection.
Most of these problems can be routinely solved. For some people, corrections can be made to their existing dentures and other times it is necessary to make a new appliance. In most cases, however, implants are the best option. 

Regardless of which solution works for you, we find that people have to live with the crippling effects of dentures and this can dramatically affect the quality of their life. We feel that our patients deserve the finest quality of life we can give them.

Partial Dentures
Partial dentures are removable fixtures that replace few of the teeth. They are usually made of a metal framework that hooks to the remaining teeth, and a pink plastic base with porcelain or plastic teeth. This affordable way of replacing teeth is highly popular and preferred by many.

Many of the problems and things that people dislike about partial dentures are similar to those of complete dentures. In addition, partial dentures have metal clasps that put additional pressure that increase the chances of your teeth breaking over time.

Bleaching / Whitening

A healthy, sparkling smile is important at any age; it’s never too late to renew your smile! 

The whitening process, also known as bleaching, is a fairly simple process. Aesthetics of our teeth has increasingly become an important to issue to everyone. In some cases, people are born with naturally dark or yellow teeth; while others notice their teeth become dull with age. There are several over-the-counter products that promise to whiten your teeth but very few are tested and even fewer actually do as promised.

Professional whitening services offered through our office are non-abrasive, safe and approved by the American Dental Association. They also whiten your teeth internally. We make custom trays specifically to fit your teeth to carry the whitening gel. Just wear these very thin trays for 1-2 hours each day for 1-2 weeks until your teeth are satisfactorily whitened. The dramatic results last for an extended period of time. Saving your whitening trays allows you to touch up your smile as you wish. Your own natural teeth are an important asset to both your physical health and your self-image so do not compromise by settling for substandard products.

Root Canals

Modern root canal techniques can save more teeth than any other dental procedure. Long-term success rates are 85-95% and technological advancements have made root canals remarkably quick, painless and highly effective. 

During the process, a small hole is made in the biting surface or back of the tooth. All of the nerve tissue is removed and any infection is cleaned. A pink rubbery filling is then placed in the canal to seal out further infection, marking the end of the root canal. Next, a big filling and crown is placed to reinforce the tooth and this completes the procedure on the tooth. Local anesthesia and sometimes sedation is used for the apprehensive patient. There is usually no pain during or after the procedure.

Gum Disease

Gingivitis is a non-destructive infection of the gums. It is a milder and reversible form of periodontal disease. Symptoms include redness, swelling, and the gums become tender which bleed easily. Gingivitis can usually be eliminated by a thorough professional cleanup and daily brushing and flossing.

Gingivitis may lead to more serious, destructive forms of periodontal disease if not taken care of. Periodontal disease is an infection of the gums and bone surrounding the teeth and can lead to tooth loss. It is caused by bacteria in the mouth called plaque. According to research, periodontal disease is known to affect 3 out of 4 adults. Periodontal disease has been linked to heart disease, diabetes, low birth weight of babies, lung disease, strokes, premature birth and other birth defects.

Periodontal disease is not usually accompanied by pain and often develops slowly. Red, puffy, bleeding gums are usually signs of periodontal disease. Other symptoms may include persistent bad breath or bad taste, pus; gums that have pulled away from the teeth.

If detected in the early stages, periodontal disease can be treated and controlled. Good oral health is desirable not only for the teeth and gums, but also for general health and longevity. We look forward to working with you as you choose an overall healthier body and smile.

Periodontal disease has been linked to following:

Preterm, low birth weight babies
Pregnant women with periodontal disease are 7.5 times more likely to have a premature, low birth weight baby. Prostaglandin is an enzyme produced during periodontal disease. It is also the same enzyme that pregnant women produce to dilate the cervix and induce labor. When prostaglandin enters the bloodstream from the gingival tissues, before the baby is due, it can induce premature delivery. There are also chances that oral bacteria can enter the bloodstream, traveling to the uterus and potentially creating problems for the fetus.

Babies born prematurely are often of low birth weight, weighing less than 5 pounds, 8 ounces. Low birth weight babies are prone to severe health problems. If controlling periodontal disease in pregnant women proves to reduce the incidence of preterm, low birth weight babies, the high financial and emotional burden of these problems would also be reduced. 

Heart Disease
Heart disease is responsible for nearly half a million deaths in the United States in 1997. It is the largest, single killer of Americans, responsible for 20% of all deaths. Periodontal disease is linked to cardiovascular disease, although it has not been demonstrated as a direct cause of heart attacks.

Several theories have been suggested to explain the link between periodontal disease and cardiovascular disease. For example, oral bacteria may enter the bloodstream and directly infect the lining of blood vessels, leading to a heart attack or stroke. The toxins associated with periodontal disease are also linked to the accumulation of fatty deposits on blood vessel walls and may trigger blood clot formation. 

Another theory suggests that greater quantities of pro-inflammatory substances are secreted as a result of gum disease, causing not only bone loss around the teeth, but also the inflammation associated with atherosclerosis. There are also researches that show a connection between good periodontal health and the reduction of cholesterol and triglyceride levels.

Lung disease
Good oral hygiene is a key factor in reducing the incidence of respiratory infection in high-risk subjects. Every year, billions of dollars are spent in the U.S. treating respiratory infections. Bacteria found in the secretions from the nose and mouth cause bacterial pneumonia. Teeth and periodontal tissues may serve as reservoirs for respiratory infection. This is why maintaining optimum oral hygiene is important to even avoid various lung infections. Poor oral hygiene is definitely a happy hunting ground for aspiring bacteria. 

We see the two-way street effect with diabetes and periodontal disease. Periodontal disease only makes it more difficult for people with diabetes to control their blood sugar level. 

Severe periodontal disease can increase blood sugar, resulting in increased periods of time when the body functions with a high blood sugar level. This puts diabetics at increased risk for diabetic complications. Diabetics who have periodontal disease should be treated to eliminate the periodontal infection from causing serious problems.

Helicobacter pylori is the bacteria that causes ulcers. They are found in saliva and plaque which makes the mouth a prime breeding ground for such bacteria. If ulcers has returned post-treatment, it may be that periodontal pockets are harboring helicobacter pylori bacteria.

Researchers are currently investigating possible links between periodontal disease and osteoporosis. It may be possible to harness the information gathered in dental exams to issue early warnings for osteoporosis. Adequate calcium and estrogen levels, long recognized as important components in the prevention of osteoporosis, are also being studied as they relate to periodontal disease. Sodium fluoride, having a reputation for building strong teeth, can be a powerful weapon in the fight against osteoporosis.

All current studies seem to clearly point to one idea; dental health is not independent of total body health, but fully involved with it.

Oral Surgery

Oral surgery refers to any kind of surgery in the mouth. Most people are familiar with wisdom teeth. Extracting other teeth, biopsies, periodontal (gum) surgeries are other forms of oral surgery.

Wisdom Teeth and Other Extractions
Wisdom teeth, also called third molars, are called that because they usually start to erupt into the mouth between 16 – 21 years old. It is the age when children seemingly become very “wise” hence the name “wisdom teeth.” Very few people have enough room for the wisdom teeth, or the wisdom teeth are so far towards the back that people have a difficult time keeping them clean. In most cases, it is better to just get the wisdom teeth removed. The younger you are, the easier it is to have the wisdom teeth removed. The bone is not as hard, the roots of the wisdom teeth are often not as developed, and most people heal faster and better when they are younger.

Often times it is necessary to remove other teeth because they are broken beyond repair, infected, affected by periodontal disease, or due to financial reasons. Once a tooth is removed the bone continues to resorb, similar to what happens to someone in a wheelchair that cannot use their legs, the muscle atrophies because of disuse.   

This resorption is much more critical when a person has complete dentures. As the bone continues to resorb your dentures no longer fit. For a while, relining the denture will help but this is just a temporary solution. At a certain point, there is not enough bone to hold the dentures even if you reline them. At this point dentures will move around the mouth causing sore spots and difficulty in speaking, eating, laughing, drinking, etc. causing serious embarrassment. Many people do not feel confident in public and tend to lose face. They may eat softer food, eat more slowly, hold their hand over their mouth, not speak in public or at extremes, they may avoid public contact with people, especially if there will be food involved.

Oral cancer can be very serious. For that reason, Dr. Lynch is very aggressive when he sees something that is not normal. Some lesions can be checked using a brush biopsy like a pap smear. This method is highly accurate and has a 95% accuracy rate in finding oral cancer. However, there are some lesions that must be removed with a scalpel. These need to be checked under a microscope. Although most lesions are not cancerous, it is important to have them periodically checked.
Periodontal (Gum) Surgery
Periodontal surgery can improve the health of the gums by reshaping where the tissue sits on the teeth. Gum surgery can reposition the gum tissue so teeth look more normal or cover the root surface of the teeth. Periodontal surgery can also help prepare the bone and gums for implant placement.

Silver Fillings

Silver fillings have traditionally been used to fill teeth with cavities for over a hundred years now. They have saved millions of teeth that otherwise might not have been able to be fixed before silver fillings. Silver fillings have offered people an affordable way to fix teeth that would have required gold fillings, inlays or gold crowns or maybe even an extraction.  

Most people prefer the esthetics of tooth colored fillings now rather than silver fillings for obvious reasons. Some people are concerned about the health risks of silver fillings. has information which indicates that there is no scientific evidence showing that silver fillings are dangerous.

Dental Implants

Have you lost a tooth or maybe all of your teeth? Unfortunately this is inevitable! The best and most modern way to retain your smile, comfort and dependability is with one of dentistry’s most advanced technology; dental implants. A dental implant is an artificial tooth root that replaces the original tooth root which may have been damaged or lost due to various reasons like aging, decay, injury or any other reason.  

Implants look and feel like natural teeth, they give you total self-assurance. Dental implants are anchored to the jaw and the replacement tooth, crown, bridge or denture is attached to the implant. The new tooth or bridge does not rely on neighboring teeth for support.  

You will have a big, healthy, happy smile. Dental implants will allow you to speak, eat, sing, laugh and do everything you want. You can smile with confidence once again!

There are four major kinds of dental implants. Each has its own advantages and disadvantages. Only a proper evaluation of your situation and needs can determine which will work for you. Get in touch with our professionals right away for a thorough analysis.

Mini Dental Implants
Mini dental implants are ultra-small bio-compatible titanium alloy implant screws which come in a diameter of 1.8 millimeter. This FDA approved dental product represents the latest advancement in reconstructive dentistry.  

Mini dental implants are the perfect solution for missing teeth or poorly fitting dentures when there is inadequate bone for conventional implants. The head of the mini implant is shaped like a ball. The denture has a rubber O-ring that snaps over the head of the implant and holds the denture gently over the gum tissue.

One-Piece Dental Implants
If you’re looking for long-term denture stabilization, BioHorizons Maximus OS dental implants is what you’re looking for. This type of implant system is intended for denture stabilization and not really for supporting the denture by itself like a traditional implant.  

The head of the Maximus implants can be shaped like a ball so that you can place an O-ring in the denture to stabilize it, or shaped to place a crown. These implants are usually 1.5 times as thick as a mini-implant, giving them more strength and stability.

Traditional Dental Implants
BioHorizons Maestro dental implants are designed to provide replacement teeth with the look and feel of natural teeth. This gives the individual the ability to eat almost anything and can smile with confidence.  
Implants are tiny biocompatible titanium posts placed into the jawbone. The bone bonds with the titanium to create a strong foundation for artificial teeth.  

Dental implants can replace a single tooth with a crown or replace several teeth using multiple implants and a bridge. Multiple implants can be attached to a bar so a denture will snap on and hold very tightly providing superior rigidity and support.

Subperiosteal Implants
Subperiosteal implants are custom made to fit the jawbone of the individual. Using a CT scan and a specialized computer program it is possible to make this highly customizable implant. The implant is placed on top of the jawbone when other kinds of implants may not work for you.

Cosmetic Dentistry

Cosmetic dentistry is aimed at restoring your teeth to its natural beauty. We can improve the state of your existing teeth and bring it to a truly natural and appealing texture, whether they are in the front or back of your mouth.

Cosmetic dentistry and adhesion have changed dentistry forever, and we are proud to offer you these most exciting and state-of-the-art techniques. Our role as esthetic dentists is to provide the most pleasing and functional smile possible for our patients allowing you to live a completely normal life.

Cosmetic dentistry is a general term used to describe a wide range of dental procedures designed to improve your smile. Veneers are used to correct tooth color, crowded teeth and broken, worn or chipped teeth. Tooth colored fillings will help restore decayed teeth to their natural appearance. Whitening / bleaching is a process designed to help lighten your teeth if they are naturally dark or yellow, or have picked up stain and discolored over time. Crowns protect teeth with very large fillings, broken teeth, or teeth that have had root canals and restore them to look more like natural teeth.

Tooth Colored Fillings

Teeth colored fillings, also called composites, are bonded restorations directly to your teeth. These fillings allow restorations to be beautiful and also help restore strength to your teeth. Teeth colored fillings are the more preferred type owing to their natural look. Teeth colored fillings can be more conservative while providing your dental care. With silver fillings, we have to eliminate good tooth structure to provide retention for fillings that were only pressed into a cavity preparation without any seal or adhesion.

Sedation Dentistry

The standard of treating patients using sedation was set by physicians in the U.S. years ago. It is very common for patients to be sedated for surgery on knees, feet, wrists, ears, noses, or practically anything else. Most fearful patients have no problem being sedated for dental treatment. Sedation has become common in dental surgeries as well. Sedation for certain types of dental care, especially wisdom teeth and other types of extractions, has been used for many years. Sedation makes it easier to sit through long involved dental sessions.

Nitrous Oxide
Form: Gas
Description: Nitrous Oxide is the lightest form of sedation, but for most dental procedures, it is effective enough. Nitrous Oxide dates back to the 1860s and is one of the oldest dental sedatives. Commonly referred to as “laughing gas”, it is administered through a mask placed over the nose. Nitrous Oxide is carefully mixed with oxygen by a special dispenser designed to be used in dentistry. Effectiveness and safety have been proven time and again. Nitrous Oxide is the ideal sedation for short dental procedures. There is no residual effect from the sedation, allowing you to safely drive yourself to and from the dental office.

Oral Sedation
Form: Pill
Description: This sedative technique is very well received by patients. Oral sedation is much more effective than Nitrous Oxide, and is one of the more advanced methods to control fear and anxiety in a patient. In the last 10 years, pharmacological developments have given rise to drugs that give a profound state of relaxation. It results in a significantly reduced sense of awareness during your appointment. In some cases, patients have little or no memory of the dental procedures. Oral sedation, however, requires the longest amount of time for the medications to react. However, these medications have proven to be very safe. Unlike Nitrous Oxide, the effects of oral sedation can be felt even after the procedure and you must have a responsible adult drive you to and from the dental office, and you will require supervision by a responsible adult for several hours after your appointment.  

Intravenous Sedation
Form: Liquid
Description: Intravenous sedation is by far the most advanced sedative technique available in the dental office today. Not only is it more effective than oral sedation, but it also starts to affect the patient very quickly once administered. IV sedation is the most comprehensive form of pain control and anxiety in dentistry, dating back to the 1960s. The drugs are administered into a vein through a tube. Again, it is important that you have a responsible adult drive you to and from the dental office, and you will require supervision by a responsible adult for several hours after your appointment. This form of sedation is currently not available in our office.

Hospital Dentistry
Form: Gas / Liquid
Description: This technique is administered in the hospital by an anesthesiologist. You are put to sleep completely and drugs are administered by IV and gas while the anesthesiologist controls your breathing. This form of anesthesia is best suited for people who have a history of medical problems, severe developmental disabilities which do not allow them to cooperate in a routine dental setting, or with extreme phobias that cannot be managed with one of the other forms of sedation available in a dental office. Most hospital dentistry done under general anesthesia is done on an outpatient basis. You must have a responsible adult drive you to and from the dental office, and you will require supervision by a responsible adult for several hours after your appointment. Dr. Lynch has been a staff at Rapid City Regional Hospital since 1988.


Adhesive dentistry, also known as bonding, allows us to bond restorations directly to your teeth. This allows for restorations to be beautiful and also helps restore strength to your teeth. Bonding allows us to be much more conservative while providing your dental care. With silver fillings, we have to eliminate good tooth structure to provide retention for fillings that were only pressed into a cavity preparation without any seal or adhesion.  

Bonding is a general term used to “bond” a material to a tooth. There are a variety of dental techniques that would fall under the general purview of “bonding.” Veneers are bonded to the front of a tooth to make your teeth look nicer. Certain kinds of Crowns are bonded to teeth. Tooth colored fillings are bonded to the tooth. Sealants protect the teeth from decay and are bonded to the biting surface of the tooth.


A sealant is a plastic material that is applied to the biting surface of the back teeth. When a tooth develops, small grooves in the biting surface are formed. Bacteria (plaque) and food can form acids that cause cavities in the depth of the grooves. Sealants are bonded to the tooth to “seal” the groove preventing bacteria and food from getting into the groove and forming cavities. Sealants can reduce decay by 85 – 90%.

Dental Fluoride

Dental fluorides offer many benefits to patients, both young and mature. Dental treatments with fluoride can prevent tooth decay and possibly rebuild minor areas of decay in both children and adults.    
  • Fluoridated water can reduce decay by 50 – 60%
  • Fluoride gels from your dentist twice a year can reduce decay by 40%
  • Fluoride toothpastes can reduce cavities by at least 25%
  • Fluoride gels prescribed by your dentist for home use are more concentrated than what is found in toothpaste for those in need of additional protection
  • In children, fluoride can harden the enamel of the teeth and reduce the risk of decay
  • In adults, fluoride can considerably reduce sensitivity to temperature
  • Plaque can also be decreased with fluoride usage. Plaque is bacteria that can cause decay or periodontal disease
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