Restorative dentist in Sacramento
Crowns, bridges, fillings, root canals and dentures, planned in our Midtown office.
Reviewed by Dr. Maryam Saleh, DDS, FAGD · Last updated October 20, 2026
Restorative dentistry at J Street, at a glance
Looking for a restorative dentist in Sacramento? J Street Dental Group repairs and replaces cracked, worn, decayed and missing teeth in our Midtown office. At your visit, your dentist examines the tooth, takes the x-rays it needs and explains your options, from a large tooth-colored filling or a crown to a bridge or a denture, with an estimate before anything starts. Root canals and extractions are done here too, so most of your care stays with one team in one office.
Who it's for
Anyone with a cracked, worn, decayed or missing tooth, or a denture that needs attention.
What we offer
Crowns, bridges and large tooth-colored fillings. We plan, fit and adjust dentures and partials.
Done in-house
Root canals and extractions, handled by our own dentists in this office.
Built to last
Crowns and bridges often last many years with good care and checkups.
Comfort
Full numbing, plus nitrous oxide or oral conscious sedation if you're nervous.
Cost
An estimate after your exam, and we can check your insurance first.
Dental crowns in Sacramento
A crown is a custom cap for a tooth that's cracked, badly worn, heavily filled or weakened after a root canal. It restores the tooth's shape and strength so you can chew on it again, and with good care it usually lasts many years. We suggest a crown when a filling alone wouldn't hold, and we'll tell you if a smaller repair would do.
Crown materials we use
- Porcelain or ceramic: the most natural-looking, a common choice for front teeth.
- Zirconia: a very strong, tooth-colored ceramic that suits back teeth and people who grind.
- Metal or porcelain-fused-to-metal: metal is the most durable but shows; porcelain-fused-to-metal adds a tooth-colored layer over a metal base.
Dental bridges
A bridge replaces one or more missing teeth by joining a false tooth to crowns on the teeth either side of the gap. It's fixed in place and needs no surgery, but the neighboring teeth are shaped for crowns. If those teeth are healthy, a dental implant can fill the gap without touching them, and we'll compare both with you. Cleaning under the false tooth every day helps a bridge last.
Large tooth-colored fillings
When decay or a broken edge leaves a bigger hole, a tooth-colored composite filling rebuilds the tooth and bonds to it. If too much of the tooth is gone for a filling to hold, a crown is the stronger choice, and your dentist will explain why.
Root canals and extractions, done here
When a tooth is infected or can't be saved, you don't have to start over at another office.
A root canal removes the infected or inflamed pulp inside a tooth, then cleans and seals it, so you keep your own tooth. Afterwards the tooth usually needs a crown to protect it.
If a tooth can't be saved, we remove it here and talk through what replaces it: an implant, a bridge or a partial denture, with clear aftercare for the healing area.
Your restorative care, step by step
Exam and x-rays
Your options explained, with an estimate
Treatment with full numbing, plus comfort options
Follow-up and care for your new tooth
How many visits you need depends on the treatment. Your dentist gives you a timeline with your estimate.
Dentures, partials and flippers
A full denture replaces every tooth in the upper or lower jaw, while a partial denture clips to the teeth you still have. We plan, fit and adjust your denture or flipper. Getting the fit right usually takes a few visits, and we adjust it as your gums settle.
A flipper is a light, temporary partial, often worn while the gums heal after an extraction or while you wait for a bridge or implant. Implant-held dentures, which snap onto implants for a steadier fit, are covered on our dental implants page.
TMJ and your bite
Jaw pain, clicking or headaches can point to a problem with the jaw joints, grinding or your bite. At your exam we check your bite, jaw joints, muscles and tooth wear, explain what we find and talk through next steps, including a referral if you need one.
What affects the cost of restorative care
Every tooth is different, so there's no single price. Your total depends on:
- which treatment you need: a filling, crown, bridge, root canal, extraction or denture
- how many teeth are involved and how much damage there is
- the material, such as composite, porcelain, zirconia or metal
After your exam you'll get an estimate before anything starts. We can check your insurance benefits ahead of time, and a Financial Consultation walks you through your treatment plan and payment options, including monthly financing and phased treatment when more than one visit is needed. No dental insurance? Ask about Plan for Health, our in-office membership program for patients without dental insurance. It is not insurance, but offers savings on routine care.
Who you'll see
Your restorative care is planned by one of our dentists, including Dr. Maryam Saleh, DDS, FAGD, whose California residency included significant oral surgery experience, and Dr. Kayla Keppler, DDS, a Midwestern University graduate whose training includes laser dentistry, endodontics, surgery, Invisalign and CAD/CAM. Dr. Keppler is a member of the ADA, the California Dental Association, the Sacramento District Dental Society and the Academy of General Dentistry. If your case is better suited to a specialist, we'll tell you first.
Visiting our Midtown office
We're at 2619 J Street in Midtown, close to Downtown, East Sacramento and Land Park. Appointments start at 7 AM, Monday to Thursday, with same-day visits when possible for a broken tooth or lost filling.
Related care: emergency dental visits for a broken tooth or toothache, checkups and cleanings to protect your crowns and fillings, sedation dentistry if you're nervous, and a second opinion on a treatment plan from another office. See all our services.
Repair, replace or get a second opinion
Have a cracked tooth, a missing tooth or a treatment plan from another office? Bring your x-rays and questions, and we'll explain what's urgent and what can wait.
We can check your insurance before your visit. No dental insurance? Ask about Plan for Health, our in-office membership program. It is not insurance, but offers savings on routine care.
TMJ stands for the temporomandibular joint, the hinge on each side of your face that connects your lower jaw to your skull. People often use it to mean jaw pain, clicking, locking or headaches, which can be linked to grinding, clenching or your bite.
Call us to have it checked, the same day when an opening is available. Until then, keep the area clean, chew on the other side and avoid sticky or hard food. Don't try to glue it back in. The fix is usually a new filling, or a crown if more of the tooth has broken.
It depends on the material, size and position. Small fillings can last many years, while large fillings on back teeth wear faster under chewing force. Grinding and new decay at the edges shorten their life, and checkups catch a worn filling early.
Most dissolvable stitches used after an extraction break down on their own in about one to two weeks, though some take a little longer. Don't pull at them. If one still bothers you after two weeks, or the area bleeds or swells, call us.
Wait until the numbness wears off so you don't burn yourself. A temporary bridge sits on temporary cement, so go easy on hot, sticky and hard food until your permanent bridge is cemented. Follow the instructions your dentist gives you on the day.
Yes, carefully. A flipper is a temporary partial denture and isn't as strong as a permanent tooth. Stick to soft foods cut into small pieces, avoid sticky or hard foods, and take it out to clean it after meals.
Porcelain or ceramic, zirconia, metal, or porcelain fused to metal. Your dentist recommends one based on where the tooth is, how you bite and how you want it to look.
A well-made crown usually lasts many years. Its life depends on the material, your bite, grinding and how well you clean around it, because the tooth underneath can still decay at the edge.
With good care, a bridge often lasts many years. Healthy anchor teeth and gums matter most, so clean under the false tooth daily with a floss threader or water flosser and keep up with checkups.