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10/Apr/2019

Kate Brayman DDS is a NYC-based and board-certified dentist who has extensive experience with full mouth reconstruction. Dr. Kate Brayman’s practice, right near Washington Square Park in NYC, offers top-of-the-line dental care from a team that combines cutting-edge medical technology with a focus on cosmetic excellence.

Full mouth reconstruction is one of the most involved and complex procedures in dentistry, and you might be wondering what exactly it is, how much it costs and how much time it takes. That’s why we created this guide, breaking down everything you need to know about full mouth reconstruction.

What Exactly is Full Mouth Reconstruction?

Full mouth reconstruction is a procedure, or series of procedures, which restores healthy functioning to someone’s mouth and teeth. If you have missing teeth, unhealthy gums or other complications in your mouth, full mouth reconstruction (FMR) may be the holistic treatment for you. It’s important to note that FMR is not purely an aesthetic treatment, and is meant for people with medical issues affecting the mouth. If you are interested in cosmetic dental surgery, feel free to read more here. That being said, cosmetic fixes, such as teeth whitening can be part of a larger full mouth reconstruction treatment.

Why Would I Need Full Mouth Reconstruction?

There’s a wide range of factors that could make you a suitable candidate for full mouth reconstruction.

  • Dental disease: If you have gingivitis or periodontal disease, where your gums have become infected, you may benefit from FMR.
  • Accident: If you have been in an accident that has resulted in damage to the mouth and/or loss of teeth, you may benefit from FMR.
  • Erosion: If your teeth have become very worn down, you may benefit from FMR.
  • Jaw pain: If you experience pain in the jaw or headaches resulting from jaw misalignment (malocclusion), you may benefit from  FMR.

How Long Will Full Mouth Reconstruction Take?

Since full mouth reconstruction depends upon the specific needs of the patient, it is difficult to say exactly how long it will take. That being said, the treatment process is likely to take more than a month, as several procedures will most likely be necessary.

Curious to find out how long full mouth reconstruction will take for you? You can contact our NYC dental specialists here to learn more information or schedule an appointment.

How Much will Full Mouth Reconstruction Cost?

Full mouth reconstruction is a procedure that addresses a pressing medical need and the cost varies from $30,000 – $150,000. Hence, while most dental insurances should cover it, you should still always double check with your provider.

What are some of the Procedures Involved in Full Mouth Reconstruction?

  • Dental implants: This involves adding a dental crown or bridge, in order to restore or replace a diseased or missing tooth. Dental crowns are caps that dentists usually put over an unhealthy tooth. Dental bridges are artificial teeth that can replace missing teeth.
  • Osseous/gum surgery: This involves getting rid of infected gums and unhealthy bone in the mouth.
  • Dentures: This involves adding a denture to the mouth, which most often is a full or partial set of artificial teeth.
  • Gum/bone grafting: This involves using healthy gum or bone to replace areas where the patient’s gum or bone is missing or diseased.
  • Ceramic onlays: This involves ceramic onlays that can be installed to fix a diseased tooth or fix an uneven bite in a patient’s mouth.
  • Invisalign: This involves installing a clear aligner that can fix alignment issues without the aesthetic disruption of metallic braces.

 

Why does Kate Brayman DDS Excel at Full Mouth Reconstruction?

Our NYC dental practice is at the intersection of cutting edge medical technology and cosmetic excellence. Brayman has over 15 years of experience in dentistry and has built one of the most prestigious dental practices in the New York City area. She graduated from the one of the U.S.’ top dentistry schools, NYU’s College of Dentistry, and also completed an advanced training program at NYU on dental implants and veneers.

One of the things that makes Kate Brayman’s practice unique is her background as an artist. Brayman is an avid painter and brings the mindset of an artist to every procedure she works on. Brayman combines this emphasis on cosmetic beauty with the some of the most advanced dentistry equipment and procedures currently available. This combination positions Brayman to give top-tier full mouth reconstruction, allowing her to both address medical issues and leave the patient with a beautiful set of teeth.

What are some of the Goals of Full Mouth Reconstruction?

We’ve outlined some of the potential procedures involved in full mouth reconstruction above, but here is a breakdown of the different goals of FMR:

  • Replace any missing teeth
  • Repair and restore diseased teeth
  • Get rid of gum disease
  • Allow patients to have normal mouth functioning and reduce pain in the mouth
  • Stop cycle of pain and disease in the mouth
  • Help create a beautiful set of teeth to the patient’s liking
  • Reduce bad breath stemming from diseases in the mouth

What will the Full Mouth Reconstruction Process look like?

First, the patient will come in for a panoramic x-ray that will allow doctors to assess the level of damage in the mouth. An x-ray will show how damaged teeth are within the mouth and if root canal therapy is necessary. Then the gums will be examined to see if there is any periodontal disease that needs to be treated. Once the tooth structure and gums have been examined, doctors will turn to cosmetic evaluation, determining what cosmetic alteration is wanted (e.g. whitening). After the patient has been diagnosed, dentists will create a treatment plan that will address all the patient’s medical needs. Surgeries like gum restoration and root canal therapy will likely be done first, followed by dental implants and cosmetic alterations. By the end of full mouth reconstruction, patients are expected to have a healthy and beautiful mouth.

What is the recovery process like?

When procedures in full mouth reconstruction are completed you will need to recover before further treatment is given. The dentist may prescribe antibiotics and/or pain medication to aid in the recovery process. Depending on the procedure, the patient may need to eat soft foods or have drinkable meals until they recover. Once full mouth reconstruction is complete, it is important to maintain good dental health by brushing teeth twice a day and flossing regularly. It’s also important for patients to go to dental checkups and have their teeth cleaned.

What Medical Conditions can Full Mouth Reconstruction help Address?

  • Ectodermal dysplasia: Ectodermal dysplasia involves the abnormal development of skin, hair or teeth. Some patients with ectodermal dysplasia may have missing teeth or defective tooth enamel. Full mouth reconstruction can help people address some of the symptoms of ectodermal dysplasia.
  • Amelogenesis: Amelogenesis is a rare inherited disorder that causes tooth decay and defective tooth enamel. The main symptom is teeth that don’t have working enamel, or are missing enamel altogether. Beyond this, patients with amelogenesis may have cracked teeth, accelerated tooth decay, and gum disease. Full mouth reconstruction is one of the best ways to address the complications associated with amelogenesis.
  • Dentinogenesis imperfecta: Dentinogenesis imperfecta is a disorder that can cause teeth to look discolored, often turning yellow-brown or blue-gray. Dentinogenesis imperfecta also can cause teeth to appear translucent. The disorder can both affect infant teeth and adult teeth. Full mouth reconstruction can help address discoloration and replace unhealthy teeth if necessary.
  • Malocclusion: Malocclusion is a misalignment of the jaws which can result in pain. Full mouth reconstruction can use implants and grafting to realign the jaws and reduce associated pain.
  • Oral cancer: Oral cancer is a cancer of the mouth where cells uncontrollably grow. Cancer cell growth can spread to other areas of the body and potentially be fatal if not treated. Oral cancer can present as sores or bumps in the mouth. While oral cancer must be treated by an oncologist, once the cancer has been removed, full mouth reconstruction can help restore the mouth to health. For example, gum grafting can help fix parts of the gums removed during an operation.

 

Conclusion

Full mouth reconstruction is a complex process that will fix a range of problems relating to the teeth and mouth. Now you have a sense of who needs full mouth reconstruction, how long it will take, what the process will look like and why Dr. Kate Brayman is uniquely suited to help patients with FMR. If you are interested in learning more about how Brayman’s NYC dental practice can help you with full mouth reconstruction, feel free to call 646-527-7802 or email dental@cosmeticdentistryny.com. You can also use the contact form here.

Dr. Kate Brayman’s offices are located at 20th 5th Ave Suite 1C, New York, NY 10011. The offices are close to major transit lines, the PATH train and Union Square.


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09/Feb/2019

Are you happy with the way your teeth look? Perhaps you have teeth that are stained, broken, or chipped, and would like to change that? Well, dental bonding might be the solution for you. Dental bonding can help recreate your smile by fixing minor issues without putting too much of a dent in your pockets. You may be surprised by how much bonding costs. It is less costly than veneers and crowns, yet this option can be just as long-lasting with proper care and maintenance.

What is Dental Bonding?

Dental bonding is a procedure in which composite resin is applied to a tooth, shaped, then hardened, such that it bonds with the tooth. This procedure is performed in order to restore or improve the appearance of the teeth. Bonding is an alternative to veneers, for those who are seeking a less permanent option.

When is Dental Bonding a Suitable Option?

Dental bonding is a suitable option for minor cosmetic dentistry such as the following:
• Changing the shape of teeth
• Closing spaces between teeth
• Restoring the appearance of discolored teeth
• Repairing chipped or cracked teeth
• Protecting an exposed root due to receding gums
• Filling cavities – as a more aesthetically appealing alternative to amalgam (silver) fillings

How the Dental Bonding Procedure Is Performed

Bonding is a relatively short and painless procedure which can sometimes be completed in as little as 30 minutes. The procedure is performed in the following steps:
• Using a shade guide, the dentist chooses a resin color that closely matches your teeth. Next, the dentist will roughen and etch the surface of your teeth, a process which is necessary to effectively bond the resin. A conditioning liquid such as phosphoric acid is applied to the tooth, which also helps with bonding the resin.
• A putty-like resin is now applied to the tooth. The resin is now molded until the desired shape is achieved. The next step involves shining an ultraviolet light to your tooth, which causes the resin to harden. This special light is what will make the resin bond with your teeth.
• After the bonding material hardens, your dentist will perfect the tooth by doing some further trimming and shaping. Finally, the dentist will proceed to polish the bonded material so that it shines like the rest of your teeth.

Dental Bonding – After Care

Some special care must be taken in the 48 hours following your procedure. This is necessary in order to prevent the bonded material from staining. It is important that you avoid eating or drinking foods that can stain, such as coffee, tea, and foods with dyes. Cigarette smoke is another big culprit that can cause staining; therefore, it is advised that you refrain from smoking for at least 48 hours after your procedure. You should also continue to brush your teeth regularly, and keep up with your dental visits to have your teeth cleaned regularly and effectively by a dental hygienist.

Advantages of Dental Bonding

Some of the advantages of dental bonding include:
• Cost: A lot of people wonder how much does dental bonding cost per tooth. Dental bonding is a more affordable option for cosmetic dentistry. So how much does dental bonding cost? You should expect to pay anywhere from $300 to $600 per tooth, this is the average cosmetic dental bonding cost. The good news is that your dental insurance may be able to cover the dental bonding cost if the procedure is done for structural reasons. However, you may have to cover the dental bonding cost without insurance if you’re performing the procedure strictly for cosmetic reasons.
• Ease: Compared to veneers and crowns, dental bonding is a relatively simple procedure. It requires the removal of very little enamel, making it relatively painless, with no anesthesia required.
• Speed: It takes about 30-60 minutes to complete the procedure on one tooth, meaning you will only require one office visit to achieve that new smile.

Disadvantages of Dental Bonding

• Staining: Dental bonding is known to discolor over time. Chances of discoloration are increased when you are a frequent consumer of foods such as tea, coffee, and red wine. Dental bonding is not recommended for smokers, because the bonding material will discolor from the cigarette smoke, usually turning yellow. Crowns and porcelain veneers are not known to discolor and may be a better option. So, even though tooth bonding cost per tooth is lower with dental bonding, the dental bonding cost without insurance will add up when you have to replace them due to discoloration.
• Durability: The composite resin which is used for bonding is not as durable as the material used for veneers and crowns. With proper care, dental bonding is known to last about three to seven years. Without the right care though, the bonding can chip or crack, requiring you to replace the bonding, increasing your cosmetic dental bonding cost. At the end of it all, how much does bonding cost?

Maintenance of Dental Bonding

As mentioned earlier, the material used for dental bonding is more likely to be damaged as compared to other forms of cosmetic dentistry. It is, therefore, necessary to take special care in order to keep the bonding intact and natural looking especially now that you know how much is dental bonding. Below are some things that you can do to ensure the longevity of your dental bonding.
• Avoid or cut down on foods that stain, such as red wine, tea, and coffee
• Quit smoking, cigarette smoke will definitely leave you needing a replacement and wondering how much does dental bonding cost.
• Keep up with your dental visits. This will increase the chances of your dentist noticing any issues of concern, and remedy them before a complete replacement is required, keeping your dental bonding cost low.

When answering the question about how much does dental bonding cost per tooth, one should not only consider the initial cost, but also how well they will be able to maintain their bonding by practicing proper care. Proper care means you’ll less likely need to have the procedure repeated which would increase your cost. You will also need to choose a qualified dentist who will perform the procedure correctly the first time, that way you will not have to repeat the procedure, and increase the bonding cost per tooth because it initially wasn’t done correctly.

Schedule an appointment to talk to us in more depth about your dental bonding needs.


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23/Jan/2019

Dental implant restoration is a procedure of replacing missing teeth. Anyone with missing teeth can suffer from a lack of self-confidence that can be a major deterrent when attempting to interact in a social manner. Embarrassment about the missing teeth may prevent a person from smiling or participating in everyday activities that involve socializing with others.
The missing teeth may even affect the way a person speaks. General health may suffer as eating may be difficult. Restoring missing teeth can improve a person’s appearance, health, and self-confidence. Fortunately, there is a solution for replacing missing teeth. Many people are deciding to fix the problem by choosing from a variety of available dental implant restoration procedures. These procedures offer a new alternative method of tooth replacement for many and are growing in popularity by about 500,000 patients each year. Many people with missing teeth want to know how to restore dental implants that is practical for them. When considering how to restore dental implants, there are many available options. A dentist is a good source of information and can answer questions about how to restore dental implants.

Dental Implant Restoration

Implant restoration definition provides a simple explanation of the procedure itself. Implant restoration is changing the concept of tooth replacement and is replacing traditional dentures as a solution for missing teeth. Many people are choosing this new dental alternative for a variety of reasons. More than three million people living in the United States have chosen to have to undergo the implant restoration procedure. That number continues to grow each year with more than approximately 500,000 dental implant restoration procedures taking place in cities all across America. According to reports released by the American Academy of Implant Dentistry, a group of scientists has determined that the simplicity of the procedure is found in the implant restoration definition. Putting implants in place restores the mouth to its natural state.

What is Dental Implant Restoration?

Dental implant restoration is a procedure that creates an artificial tooth to replace a missing one. The process involves attaching this tooth to an implanted root that fuses with the bone over a period. The crown or artificial tooth is the placed over the implant, which is a titanium post that serves as the permanent root for the tooth.

Types of Crown Procedures Used in Dental Implant Restoration

With the dental implants used as a foundation for a new tooth, there are two options for restorations. These methods for implant restoration are screw-retained or cemented. The screw-retained implant restoration has some advantages over the cemented implant restoration method because it is more easily repaired in the case of problems with a crown being fractured.

Routine Dental Implant Restoration Procedure

The usual procedure for most dental implant restoration depends on the number of implants required. An oral surgeon or dental implant specialist performs implant restoration. Because every patient is different, dental implant restoration procedures must be carefully planned before treatment is initiated. There are basic steps that must be followed and treatment must be customized for each patient. It is important to consult a credentialed implant dentist and set an appointment for a personal assessment. The dental implant specialist will develop a treatment plan at that time and provide an estimate of all related charges. A person with missing teeth should research the procedure to understand exactly what is dental implant restoration before deciding on the proper course of action.

Two-step Dental Implant Restoration Process

The implant restoration process is usually a two-step process, but could be three. The patient may choose to extend the process for any number of reasons. The length of time required for an implant restoration varies with the patient and the number of required implants. It also depends on whether other teeth need to be extracted before the implants can be placed. A single tooth implant requires at least one or two hours to complete.
The surgeon begins the process by preparing the bone to receive the implant. The extent of this preparation depends on the number of implants that will be required. The initial step is the actual placing of the implant. The most critical aspect of placing the implant in the bone if assuring that there is enough bone available to hold the implant.
The function of a root-form implant is to serve as the tooth root. The surgeon places the implant in the space that contained the missing tooth. These implants can be made of titanium and can be placed in either the upper or the lower jawbone. A period of three to six months is required for the implant to integrate itself into the bone. A second surgery is required after the implants fuse with the bone in the first step of this implant restoration. It usually takes four to six months for a lower jaw to heal before implant restoration can continue. The upper jaw can require up to a year to heal properly before the second surgery. X-ray determines this.

Second Step in Dental Implant Restoration

Once it is determined that the implant has adhered itself to the bone, it is time to attach the implant abutment and crown. The completing step involves placing abutment on implant. The purpose of placing abutment on implant is to assist in holding the new crown in place. This step in the dental implant restoration may require more minor surgery to complete. It is necessary for the gums to be opened in order for the abutment to be attached to the implant. A single implant crown is designed to look like a natural tooth, but will require expertise for proper alignment and placement.
The dentist may find it difficult to make a single implant crown fit perfectly with the natural teeth because of possible space issues. An implant abutment and crown are placed on the implant with special tools that screw it in and tighten it. Some dentists use a technique to place the dental implant and crown at the same time. The traditional method; however, is to require at least three to six months between placing the dental implant and crown.

Can a Crown Be Replaced on a Dental Implant if Necessary?

In most cases, dental implant restoration is a successful process that is permanent, but replacing crown on dental implant is possible. If necessary for aesthetic or other purposes, cosmetic dentists are skilled in replacing crown on dental implant. If a crown must be replaced, an experienced implant specialist must be careful not to damage the dental implant while setting a new crown. When an abutment is broken or damaged, an experienced dental implant professional will use highly specialized tools to remove the crown without damaging the implant. Instances of crown replacements are rare.

Benefits of Dental Implant Restoration

Implant restoration has provided solutions for many people who are plagued by missing teeth and prefer not to wear dentures. After investigating the process and the benefits associated with dental implant restoration, many choose to undergo this implant restoration process. When they discover the many benefits of implant restoration and the options that are available to them, many decide to invest in this permanent solution. There are many benefits of dental implant restoration over alternative options, such as dentures.

1. Implant restoration is a permanent way to replace teeth.
2. Speech is improved.
3. Ability to eat and chew properly is restored.
4. Facial features are more refined when teeth are restored.
5. Teeth are held in place and do not shift.

Professional Dental Implant Care if Important After Dental Implant Restoration

It is important to maintain good oral hygiene even with healthy, natural teeth, but it is critical after undergoing dental implant restoration. It is responsibility of the recipient of an implant restoration to take proper care of the implant. A dental hygienist will help with care and cleaning issues. A licensed hygienist is aware of the risks involved with using traditional teeth cleaning tools on implants and uses those that not scratch or damage a crown abutment. The safest tools to use to clean implants are made of certain resins and

Personal Dental Implant Care

Anyone having undergone dental implant restoration wants to do everything possible to ensure longevity of the new implants. Recipients can provide excellent care for themselves at home by committing to a strict dental hygiene regimen. Implants must be kept clean and free of bacteria as a means of preventing an infection around the implant. Without proper care, serious problems may occur with dental implants.

One of most serious problem that can result when proper oral hygiene is neglected in a condition known as per-implantitis. This condition can result in the loss of bone and ultimately to the loss of the implant itself. With proper care, dental implants can last a lifetime. The key to ensuring this longevity is using professional maintenance techniques at home.

1. Implants must be cleaned and flossed at least twice a day.
2. Always clean implants after eating.
3. Use a non-abrasive, small toothbrush.
4. Rinse the mouth with an antibacterial mouthwash.
5. A water flosser is recommended for dental implants.
6. Electric toothbrushes with soft bristles work well.

What Does Dental Implant Restoration Cost?

Dental implant restoration is customized for each individual patient, because no two people have the exact problem. The cost of the procedure depends on several factors including how many teeth need replacement. Some other replacement options may seem to have a lower cost, making that option more appealing to some people. The facts indicate that other forms of teeth replacement may not last as long as dental implants, which are designed to last a lifetime. Dental implant restoration offers long-term benefits over many lower cost alternatives making it the better investment. The actual cost of the dental implants may require higher up-front cost, but the money saved over a lifetime makes up for the difference.

How to Determine the Cost of Dental Implant Restoration

Dental implant restoration cost can vary from person to person and is dependent on several factors. A dentist should conduct a full examination and follow up with a personal consultation before giving an actual quote to a potential dental implant recipient. The dentist takes into account the number of teeth that are missing or need to be replaced. The condition of the existing teeth also plays a role in the determination of the extent of the replacement procedure.
Once the determination is made that a dental implant restoration procedure is appropriate for the patient, a highly specialized cosmetic dentist then gives a quote. Be aware that only a qualified, experienced implant specialist can give an exact, accurate quote. Some insurance companies offer some coverage for the implant procedure, but many do not.

How to Determine the Final Cost of Dental Implant Restoration?

Many factors can affect the final cost of dental implant restoration. The number of implants required is based on the number of missing teeth. The average cost of a single-tooth dental implant usually ranges between $1,000 and $3,000. Adding the cost of an abutment and crown can increase the price by an average of $500 to $3,000.
These costs include initial consultation and surgical procedures. The total cost for each single tooth averages between $1,500 and $6,000. If there are any unforeseen circumstances, the total end cost may be higher. The cost for multiple teeth implants is much higher depending on how many teeth must be replaced.
The cost to replace two to four teeth ranges from $6,000 to $10,000. Dental implants cost of full mouth restoration is significantly higher. This procedure provides a more stable foundation than traditional dentures. This particular procedure is usually reserved for people with several missing teeth in a row. These implants work especially well on the lower jaw where exact fits are harder to create.
Dental implants cost of full mouth restoration can be significantly higher when associated costs of the procedure are added. These implant-supported dentures range in price from $7,000 up to $90,000, which is not very different from normal dentures. The higher price is associated with the cost of the required procedures.
If you are interested in dental implant restoration in New York City, schedule an appointment to come visit us at our state-of-the-art dental clinic in Greenwich Village.
Our address:
20 5th Ave Suite 1C  
New York, NY 10011

11/Jan/2019

Cosmetic Dentistry Prices & Insurance Information

Trying to find out how much a cosmetic dentistry prices are can be a tricky mission to navigate. Often times cosmetic dentistry prices of procedures are diverse and based on geographical location and each individual practice. On top of that, trying to find out which if any cosmetic dentistry prices your insurance provider will be helping contribute to makes it even more difficult. You will be working with something more like a price range rather then a price point when shopping around to find the best provider with the greatest value in terms of cosmetic dentistry prices for your treatments and or procedures. Below are some average cost estimate ranges for several different cosmetic dentistry procedures with different cosmetic dentistry prices.

Dental Implants

Dental implants are essentially all the components of a tooth that are intended to be permanently placed and take the place and function of a missing tooth. Often times this procedure is the least wallet friendly because of the expertise, training, and experience that a provider needs in order to correctly surgically place the dental implant. The average estimated price range for dental implants falls between $900 and $3,000 per tooth (or implant that is replacing the missing tooth). Insurance providers may be more likely to help with the cosmetic dentistry prices of this particular cosmetic procedure because is frequently advised to be a necessary surgical procedure.

Dental Bonding Treatment

Dental bonding treatment is utilized to improve the aesthetic appearance and functionality of chipped, partial, or severely discolored teeth. In addition, dental bonding treatment as a cosmetic procedure is used to shape teeth and fill in gaps between teeth to achieve a better tooth shape and look. Sometimes this treatment is used in cases where the gums have receded and there is a exposed and vulnerable root of a tooth that needs protection. Due to the dental bonding treatment’s versatility, the price range really depends on the application it is being used for. On average through all dental bonding treatment uses, the price ranges anywhere from $150 to $1,500. There are a few uses that could possibly be deemed necessary by insurance providers that will influence your cosmetic dentistry prices for this treatment so it is worth checking with your insurance provider.

Porcelain Veneers

Porcelain veneers are essentially an expensive make over for one or more of your teeth using tooth colored and textured shells that are placed over your original teeth. There are several cosmetic issues with teeth that can warrant the use of veneers like uneven teeth, misshaped teeth, worn down teeth, teeth that are spaced abnormally, teeth that are chipped, teeth that are not aligned properly and teeth with discoloration issues. The porcelain shell is actually bonded to your natural tooth adhesively with little or no tooth preparation that is considered to be invasive like placing a crown on a tooth. It is fairly unusual for insurance providers to contribute to the cosmetic dentistry prices of this procedure as it is rarely seen to be a necessary treatment. You should expect that the cost of each veneer on average to be between $900 and $2,500.

Invisalign

Invisalign is a commonly sought after alternative to dental braces in order to re align or straighten teeth to the proper position for a more appealing appearance and better functionality. It is an aligner that is worn on the teeth that is completely clear unlike your traditional dental braces. Invisalign aligners can also be taken out for cleaning the teeth and performing hygiene practices on teeth unlike traditional braces. Traditional braces are brackets that are cemented into place on the teeth until the end of the treatment duration where only the wire connecting them can be removed for necessary cleaning and hygiene practices. Invisalign today can treat even complex cases of mis-aligned teeth where it was previously thought that traditional braces could only remedy difficult cases. Some insurance providers might consider this to be standard orthodontic treatment and help out with the cosmetic dentistry prices of it. Out of pocket you should expect to pay on average somewhere between $3,500 and $5,500.

Professional Teeth Whitening

Unlike drug store bought whitening treatment kits, professional dental whitening by a cosmetic dentistry provider is well known to produce impressive results for an affordable price. This can be done in one of two ways or sometimes both of them combined. Professional teeth whitening can be done in the providers office using a highly concentrated peroxide based gel substance and yields results immediately. Your insurance provider will not cover the cost of cosmetic professional teeth whitening so you should expect to pay the full amount listed. In office professional teeth whitening procedures an average cost somewhere between $500 and $600.

Professional teeth whitening can also be done by a whitening kit that you receive from your provider that you can use at home. These are different then store bought kits because they are made on a custom basis and dispensed by your cosmetic dental provider. This is a better option to opt for instead of using over the counter teeth whitening systems that could possibly damage the teeth and burn the gums if not used properly. Using a take home kit from your cosmetic dentistry provider is a safer and more effective way to whiten your teeth if you don’t want to pay for the cost of an in office treatment. You should expect to pay an average of between $100 to $400 for a take home whitening kit.


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08/Jan/2019

General And Cosmetic Dentistry

Do you have a dental issue such as a loose, chipped or broken tooth? Maybe you’d like to get some veneers to improve the appearance of your smile. Or, perhaps you need a checkup to see if you have any cavities. Regardless of the issue, you want to visit the right dental professional who can help you get the results you want. General and cosmetic are just two types of dentists. Do you know the difference between the two? When it comes to cosmetic dentistry vs general dentistry there are many differences to consider so you can visit the right professional for the work you need done. Discover some information about each type of dentist and what they do.

What is a Cosmetic Dentist?

A cosmetic dentist is interested in helping patients improve the look of their smile. This professional takes additional courses focused on cosmetic dentistry to learn how to perform specific procedures that help patients enjoy a healthier, more attractive smile.

Examples of Procedures Done by a Cosmetic Dentist

Dental Implants

A dental implant is put in by a cosmetic dentist when a patient loses a tooth. The implant is connected to the jawbone, so it replaces the root of a lost tooth. A crown is connected to the implant to replace the tooth that is missing. Technology has improved so much in the last few years that a crown can blend in with the rest of a person’s teeth making their smile look much more attractive.

Bonding

Dental bonding is a procedure that goes a long way to improving a patient’s smile. It can fix discoloration, cracked or broken teeth as well as misshapen teeth. It can even fix gaps between teeth. Bonding involves using filling material to fix a tooth, shape it and make it blend in with your other teeth. You can even have the newly repaired tooth colored to match the rest of your teeth.

Teeth Whitening

A cosmetic dentist is trained in teeth whitening procedures. Some cosmetic dentists perform teeth bleaching to cover discoloration and stains that can happen over time. ZOOM! Teeth Whitening is an example of a long-lasting procedure that greatly improves the look of a patient’s smile. Zoom! is a popular option because the whitening only
takes about one hour in a cosmetic dentist’s office.

Veneers

A cosmetic dentist can put veneers on your existing teeth in order to achieve a more balanced, healthier smile. Porcelain veneers are popular because they look like natural teeth. Many patients choose them to hide stains and discoloration. They are made of durable material and last a long time.

Braces

A cosmetic dentist can put braces on a patient to correct a variety of situations involving misaligned teeth. Invisalign is a popular option allowing a patient to straighten their teeth without anyone being able to see the braces. Plus, the patient can remove the Invisalign for short periods of time as opposed to traditional metal braces. People of all ages are opting for Invisalign as a simple, low-maintenance way of straightening their teeth.

What is a General Dentist?

A general dentist is primarily concerned with the health of your teeth. Also, a general dentist educates young and older patients on the proper care of their teeth and gums to encourage long-lasting dental health.

Examples of Procedures Done by a General Dentist

Regular Checkups

A general dentist performs yearly checkups on patients looking for abnormalities, gum issues, cavities, etc.

Cleaning

Going to a general dentist usually involves a teeth cleaning. A dental assistant scrapes a patient’s teeth, removes plaque and cleans the gums. A dentist examines a patient’s teeth after the cleaning so he or she can clearly see the condition of every tooth. In addition, a general dentist looks at x-rays of the patient’s teeth to get a detailed look at the health of their teeth.

Filling Cavities

A general dentist fills cavities for patients. Filling a cavity is more for a patient’s dental health than for the appearance of their smile. This procedure is usually done in a general dentist’s office.

Root Canals

A dentist who is trained to address the interior health of teeth can perform a root canal. This procedure involves removing diseased tissue from the inside of a patient’s tooth. After removing the tissue, the area is cleaned, then sealed so the problem doesn’t occur again.

Tips on How to Choose the Right Cosmetic or General Dentist

Ask About Specific Procedures

When looking at cosmetic dentistry vs general dentistry, it’s a good idea to checkout the specific procedures offered by a dentist. The procedures offered, especially by cosmetic dentists, can differ from professional to professional. Checkout the dentist’s website or call the professional’s office and ask.

Do You Feel Comfortable with the Dental Professional?

Once you determine whether you need a cosmetic dentist or a general dentist, it’s important that you feel at ease with the professional. Are you having procedures explained to you in a thorough way? Do you feel welcome when visiting the office? The way you feel about a dental professional can determine how relaxed you are when you go in for a procedure.

Do You Have Answers to All of Your Questions?

One effective way you can determine you are going to the right dental professional is whether you get all of your questions answered. Qualified individuals in both general and cosmetic dentistry will take the time to answer all of the questions you have about procedures, aftercare and more.

When evaluating cosmetic dentistry vs general dentistry first look at the procedures performed by each one. Then, make an appointment to talk to the dentist about your unique situation and what the professional can do to help.


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04/Jan/2019

What Are Dental Implants?

A dental implant is a surgically installed post that is placed into the jawbone under the gum tissue. This post acts as an artificial tooth root which allows your dentist to anchor restorative replacement teeth or a dental bridge in its place. Because the implants are surgically fused to the jawbone they will not move or slip in the mouth. This allows bridges, and individual crowns to feel much like natural teeth. For some, traditional bridges or dentures are not possible for a variety of reasons. Furthermore, traditional bridges need to be secured to other teeth. This means the adjacent teeth need to be properly prepared and ground down to hold the bridge. This is not the case with dental implants as they act as an independent device to hold the new replacement teeth in place.

Smiling or talking with missing teeth can be difficult and self-confidence levels may drop after one loses teeth. In addition, the loss of teeth can have a negative effect on general eating habits as it may be more difficult to chew. By replacing tooth roots with dental implants, patients can easily enjoy their favorite foods without difficulty. Dental implants can also help maintain the structure of the jawbone and reduce bone loss. After asking and finding answers to their initial questioning of “what are dental implants?” many people, then wonder if this procedure is something that would work for them.

Are Dental Implants Right for Me? 

Now that you understand what dental implants are, you may be wondering if they are right for your situation. To determine this, you will need an initial consultation with your dental professional, and possibly, other specialists as needed. During your consultation, your dentist will inspect your teeth as well as your gums to establish the quality and health of the underlying bone. This is done to verify that the bone density is sufficient for dental implants. This may involve an inside look with the use of x-rays as well as computer tomography (CT) scans. This is done to ensure that there is adequate bone available for the insertion of the dental implants as well as helping the dentist determine the precise location the implant needs to be placed. Patients who are found to have inadequate bone density or deficient gum tissues may need bone or tissue grafts to help support successful surgical placement. The dentist may also suggest using smaller diameter dental implants, also known as mini implants, if the bone or tissues are not strong enough to support standard implants.

During this visit, your dentist will advocate you on their recommended treatment plan, how lengthy the treatment process will be and what you may anticipate after each appointment or procedure. During your consultation, the dentist will discuss options for various types of anesthetic and seek out what will work the best for you. The costs of your dental implants will be evaluated during this consolation visit as well. It is important to understand that costs can differ greatly from one procedure to the next and will be dependent on the kind of procedure being performed among other things.

What Types of Dental Implants Are Available? 

Dental implants are typically put into categories based on the type of procedure needed to place the implant.

Single-Stage Dental Implants: The single-stage technique involves surgically inserting an implant into the bone of the jaw. After placement the top will be even with the gum tissue, afterwards the gum tissue is stitched closed, allowing the top of the implant connector to remain visible. As a result, after healing, the impermanent restoration piece can be attached to the implant without the need for an additional operation to expose the head of the implant connector.
Subperiosteal Implants: Subperiosteal implants are largely used to hold dentures securely in place in patients with inadequate bone elevation. These implants are placed inside the bone of the jaw, under the tissue of the gum, with the metal implant post exposed to hold the restoration. Subperiosteal dental implants are the most frequently used types when performing the single-stage dental implant procedure
Two-Stage Implants: The two-stage technique involves a surgical placement of an implant into the bone of the jaw, the gum tissue is then stitched closed. Some months after the implant location has healed, a minor operation is completed to attach the crown base and the implant crown on the implant fixture.
Endosteal Implants: Placed in the bone of the jaw, endosteal dental implants are the most frequently used implants for the two-stage implant procedure. These implants are primarily used as an alternative to a bridge or traditional dentures. Endosteal implants include various styles including threaded screw, smooth cylinder or bladed types.

Types of dental implants may also be categorized based on their shape or by the style of their attachment head. Every implant will demand that the abutment or restoration be directly attached to the head. Because of this, there are three different connector types that are often used in dental implants:

Internal Hex: As the name suggests, this attachment head is shaped like a hexagon. This connector features an internal opening in the implant head, which allows the implant support to be screwed into.
External Hex: This connector type is shaped similar to the internal hex implant connector. However, these connectors are located at the topmost external part of the implant.
Internal Octagon: Much like internal hex connectors, this connector type features an opening at the top of the implant in which the abutment can be fastened into. However, this opening is shaped like an octagon.

The Procedure Explained 

Prior to a placement of dental implants, any underlying dental issues will need to be addressed and managed. Common dental problems, such as tooth decay or disease of oral tissue can make this dental treatment less effective. Once your dentist establishes that your oral health is adequate enough for dental implants, your treatment may begin. The implanting process is usually completed in one office visit; however, it will require a healing process thereafter. For a dental implant to successfully anchor to the bone within the jaw, it will require a period of three months at the minimum up to six months on average of healing. This process is known as osseointegration. Failure of the implant will occur if this healing process does not happen. During the operation, a small hole is drilled into the bone of the jaw in order to direct the corrosion-resistant rivet that will secure the implant in place. This is called a pilot hole. Due to the proximity of the numerous vital face and jaw structures in this area, the dentist must take great care and skill, not to cause damage when creating this initial hole. Sometimes the dentist will utilize guides constructed from the initial CT scans to assist them when deciding on the placement of the implant.

Once the pilot drill has been successful, it is carefully widened. This allows the dentist to attentively place the screw implant within the widened hole. When this screw is in place, a protecting cover is put in place and the adjacent tissue is stitched. The implant site is then left for three to six months to heal. After osseointegration has been completed, your dental professional will perform a minor procedure to expose the dental implant and place a connecting element called an abutment. This device will hold the crown. Occasionally, the abutment is positioned during the preliminary procedure. Next, the dentist will place a temporary restoration crown. This crown is used to allow the gum to grow and shape itself naturally. The final procedure involves the temporary restoration being replaced with the permanent restoration crown or bridge.

Recovery 

Recovery from dental implant surgery will often depend on many factors. However, when dental implants have been surgically installed, it is important to maintain thorough oral hygiene behaviors to ensure that the bone fuses properly without interruption. Failure to care for oral health is the foremost cause of the failure of dental implants. In addition, infection of the implant site and surrounding areas may occur if they are not properly cleaned and cared for.

Discomfort is expected to be minimal following your initial dental implant procedure. Slight bruising or bleeding near the dental implants may occur. Some swelling of the gums as well as the face is normal and expected. Your dentist may prescribe pain medication to help alleviate any aches or pain you may experience as a result of your dental implants procedure. Follow up appointments with your dental professional is imperative to a successful implant. Your dentist can ensure that any problems are quickly and effectively addressed. Properly caring for your dental implants is important to make sure that they last as long as possible.

How Long Do Dental Implants Last? 

On average the lifespan of properly cared for dental implants is over 25 years. Not all dental restorations will last forever but with proper care, dental implants have the possibility of lasting a lifetime. It is imperative that you do your part in taking care of your implants with proper oral hygiene and regular dentist visits. This is not a difficult task since dental implants are meant to be cared for just like your regular teeth. If you are a smoker, your dentist will counsel you to quit as smokers face a very high failure rate for dental implants. Those with existing gum disease may have a higher risk of failure as well and it is important that these risk factors be addressed prior to the placement of dental implants in such individuals.


Kate Brayman DDS GPS Directions


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03/Jan/2019

Invisalign Process Step By Step

When you’re searching for treatment options that will help you straighten your teeth, one solution available to you is Invisalign, which is a modern treatment that has proven to be highly effective at correcting a wide range of orthodontic problems. If you’re interested in the Invisalign treatment, you should know more about the Invisalign process and all that it entails.

How Does Invisalign Work?

When you’re wondering “How does Invisalign work?“, this is a type of teeth straightening treatment that’s designed to provide you with the same benefits as standard metal braces. The Invisalign treatment makes use of clear plastic aligners that are positioned along the upper and lows rows of your teeth. Unlike the metal brackets used with traditional braces, the clear aligners can be removed at any time, which allows you to brush your teeth and eat food without needing to worry about metal brackets and wires.Each set of aligner trays is designed to last for around two weeks before you replace them with another set that will provide incremental movements for your teeth. If you’re thinking about “Does Invisalign work?“, this treatment is very effective at correcting mild to moderate orthodontic problems liked crooked teeth, misaligned teeth, overbites, and underbites.

The Invisalign Process Step by Step

When taking a look at the Invisalign process step by step, the first phase of the Invisalign process begins with the initial consultation that you schedule with your cosmetic dentist, which allows you to learn more about the Invisalign process before deciding which treatment is right for you. During this consultation, you will speak with an experienced and trained cosmetic dentist who will be able to answer any question that you might have about the Invisalign process, which should help you gain more confidence about the treatment that you’re selecting. Keep in mind that not every orthodontist has the training necessary to understand Invisalign and how it works, which is why you need to make sure that you’re meeting with the right orthodontist for the job.

At The Invisalign Consultation

When you’re attending this consultation, a complete examination of your teeth will be administered so that the invisalign specialist can determine whether or not the Invisalign process is right for you. Standard photographs and comprehensive x-rays will be taken of your teeth, which allows the cosmetic dentist to ascertain how much movement needs to occur to straighten your teeth. It’s at this portion of the Invisalign process that you should ask any questions that come to mind, which can extend to treatment costs and details about the orthodontist’s experience. When you’re beginning the Invisalign process, you’ll want to try and find a cosmetic dentist who offers a free consultation. 

Invisalign Customization Treatment Step

Once you’ve completed the first phase of the Invisalign process step by step, the next aspect of the Invisalign process involves the customization of your treatment plan. Invisalign and all other forms of teeth straightening applications are unable to work properly without being customized to each individual who receives the treatment. Precise measurements will need to be taken of your teeth to make sure that the plastic aligners will fit your teeth. Your Invisalign provider will take extensive impressions and models of your teeth to create this customized treatment plan.

A 3-D image will then be created from the impressions of your teeth, which helps the dentist design a map that shows future movements with each set of aligners that you wear. It’s possible for your teeth to be straightened one or two at a time, which means that one set of aligners may be designed to move only a small portion of your teeth. The treatment process can last anywhere from 1-3 years depending on how much movement needs to be made throughout the Invisalign process.

Invisalign Clear Braces Placement Step

The next phase of the Invisalign process that you will encounter is the actual placement of the clear braces, which is when your teeth will finally start moving to their proper positions. These aligners are made from chemically-free plastic and are safe to put in your mouth for extended periods of time. The usage of plastic means that you’ll be able to avoid the issues that come with metal braces like cuts on the gum and irritation along your cheeks. This is the longest phase of the Invisalign process, which requires you to wear the aligner trays every day for at least 22-23 hours. While you can remove these trays whenever you need to eat food or brush your teeth, you should put them back on immediately after these activities have been finished. The Invisalign process will invariably take longer to complete if you wear the aligners for a shorter period of time each day than you are supposed to.

The only way for the Invisalign process to straighten your teeth properly is for you to switch out your set of aligners once every two weeks. Since new aligners will be used every two weeks, your orthodontist will have complete control over what types of movements occur at specific times during the Invisalign process. For instance, a couple of teeth on the right side of your mouth could be straightened before the next set of aligners focuses on your front teeth. Your cosmetic dentist will also notify you about any additional adjustments that need to be made throughout the Invisalign process.

You will be required to meet with your orthodontist for routine checkups every six weeks or so, which allows the orthodontist to identify how the Invisalign process is progressing. If any problems occur during the Invisalign process, the orthodontist will be able to catch these issues and make the proper corrections at your regular checkup, which will help you keep your treatment on track. It’s also important that you maintain proper oral hygiene during your treatment, which is much easier to do when compared to braces. By brushing and flossing twice every day, your straightened teeth will be paired with a beautiful, white smile once the Invisalign process is completed.

You may be tasked with wearing a retainer once the Invisalign process is finished and your aligners have been removed. A retainer will ensure that the results of the Invisalign process are lasting ones. Now that you know more about Invisalign and all that it entails, you can schedule your initial consultation to begin the process today.


01/Dec/2018

What Is A Dental Night Guard To Treat TMJ Condition?

When you went in for your most recent dental appointment, your dentist might have mentioned that you might need dental night guard. Now, you might be wondering what a dental night guard or dental sleep guard is and why you might need one. This is a basic guide to help.

What is a Dental Night Guard?

If you have never worn or even seen a night guard for teeth from dentist, you might not really know or understand what it is. Basically, a night guard for teeth from dentist is something that you wear each night while you’re sleeping. It’s designed to help you protect your teeth from the grinding that you might do in your sleep. Many people don’t know that they grind their teeth at night until they start seeing problems from the behavior, but a night guard for teeth from dentist can help with this problem.

What is Bruxism?

Bruxism is the clinical term for teeth grinding. It’s a very common problem, so you should not feel embarrassed if you have it. However, you should not ignore the problem if you have bruxism; instead, you should seek help from your dentist, such as by using a night guard for teeth from dentist to help protect your teeth and stop the behavior.

What Kind of Problems Can Occur Without a Dental Sleep Guard?

If you’re wondering why a night guard for teeth clenching might be needed, you must first understand the problems that can occur if you grind and clench your teeth but don’t protect them with a night guard for teeth from dentist.

First of all, many people damage their teeth when they grind them at night. At first, you might just notice that your teeth appear to be flatter than usual. You may also notice that your teeth become chipped or cracked from the grinding. This can lead to dental pain and expensive dental bills, and it can be easily prevented with a teeth bite guard that you wear each night when you’re sleeping.

Of course, damage to your teeth is not the only thing that can be caused by bruxism. TMJ can be caused by bruxism and is a serious problem itself. Temporomandibular joint dysfunction, which is also known as TMJ or TMJ syndrome, can be caused by grinding your teeth. It is a very painful condition that causes pain in your jaw and the surrounding muscles. Along with causing pain, it can also restrict movement of your jaw.

Even if you don’t damage your teeth or suffer from TMJ because of bruxism, a dental night guard might still help you. A night guard for teeth clenching and grinding can also help prevent headaches, facial pain and other issues that many people suffer from when they have bruxism but don’t wear a dental night guard.

Are There Other Treatment Options You Can Try?

Wearing a night guard for teeth clenching is one of the most popular, affordable and effective treatment options for people who have bruxism. However, it definitely is not your only option, so you can talk to your dentist about your different options and which ones might be right for you. Your dentist might decide that a teeth guard is your best choice, or he or she might help you select an alternative treatment. Some dentists recommend that their patients wear a night guard for teeth while also using other treatments.

Other treatment options vary. If your teeth are improperly aligned, then orthodontics might be suggested. Braces, for example, may help you stop grinding your teeth and can help you improve both the look and health of your teeth. Sometimes, making small changes to your lifestyle can help. For example, if you consume a lot of caffeine — particularly if you do so in the evenings before you go to bed — discontinuing or limiting your use of caffeine can make a difference. Some people grind their teeth at night because of stress, so working on reducing stress in your life might make a difference as well.

If you are thinking about using a teeth bite guard that you buy yourself as a treatment option, though, you may want to think again. Even though you can purchase a cheaper teeth bite guard on your own, a custom dental night guard is probably a better choice. A custom dental night guard will help with protecting your teeth better, for one thing. Plus, since it’s made for your needs, you will not have to worry about it not fitting properly and being uncomfortable. A custom dental night guard probably will cost you a little more, but the price difference between a custom dental night guard and one that you purchase on your own might not be as significant as you think. Once you see the better results that you can enjoy from a custom dental night guard, you’ll probably also understand why they are generally recommended by dentists.

Signs You Might Need a Dental Sleep Guard

If your dentist has not yet recommended a dental night guard for you, you could be wondering if you need one. These are a few signs that you may need to wear a custom dental night guard.

  • Some of your teeth are chipped, and you don’t know why
  • Your teeth are flat
  • You’re dealing with more teeth sensitivity than usual
  • You have sore jaw muscles when you wake up in the morning
  • You deal with regular neck or facial pain, particularly in the morning

If any of the things listed above sound familiar to you, then it might be time for you to try a toothguard to protect your teeth. Even though you can find these products online, you may want to find out about a night guard for teeth from dentist to make sure you will be wearing a night guard that will fit well, protect your teeth properly and help you remain as comfortable as possible when you’re sleeping. Your dentist can tell you more about the benefits of a custom dental night guard and can help you determine if it’s the right choice for you.


01/Dec/2018

Dental Check Up Procedure
For healthy individuals, a routine dental examination (sometimes also called a teeth check up or teeth cleaning appointment) is recommended every six months. A dental check up can identify problems of which patients may be unaware. While the dental check up is important for patients of all ages, the importance of dental check up is increased for anyone who has gum disease, braces, filings, or other dental restorations. These patients may have need to have a dental check up every three months.

What happens at a dentist check up

A routine dental examination usually includes both a dental exam and cleaning. When you arrive for your routine dental exam and cleaning, you will be asked to complete an updated health history form that documents any allergies (including latex allergies) and health problems you have experienced. Before the dental check up procedure begins, you will also be asked about any medications you are currently taking and any concerns you may have about your oral health.

The first part of your teeth cleaning and checkup may be completed by a dental hygienist. He or she will assess your general oral health by looking at your gums and teeth. Any missing teeth, gum pockets, or areas of decay will be documented for the dentist to review. The dental hygienist will thoroughly clean your teeth to remove plaque and the tartar (hardened plaque) that can only be removed with professional cleaning. Typically, professional cleanings are done with a series of handheld dental scalers. For deeper cleanings, ultrasonic scalers may be used to clean underneath the gum line. A professional cleaning may also include flossing the teeth.

After the teeth are clean, the next part of the dental check up procedure is usually polishing. A hygienist will polish the teeth to remove surface stains that may be present. Polishing is generally done by applying an abrasive substance to the teeth with a rotating, rubber-tipped dental brush. Sometimes, air polishing may also be available. If recommended by the dentist, the hygienist may also administer a professional fluoride treatment at the conclusion of the dental check up procedure. This involves applying a highly concentrated fluoride solution to the teeth, and it can provide additional protection against decay for high-risk patients.

After the hygienist has finished, the dentist will review your dental records and do an additional dental check up procedure. This includes a brief teeth check up to check for cavities, gum disease, oral cancer, and other areas of concern. If any issues are discovered, the dentist will make treatment recommendations. These might include returning for more frequent professional cleanings, returning for a filling or other restorative work, or referring you to another dental specialist for a more advanced dental check up.

To properly examine dental concerns, x-rays may sometimes be recommended as the last step of the dental check up procedure. At least two x-rays are routinely taken during a dental check up. They can be helpful in locating cavities between the teeth, examining wisdom teeth, and checking that any tooth restorations are still intact. Your dentist will recommend x-rays and dental check up intervals based on your overall oral health.

After the dental check up procedure has finished, both the dentist and dental hygienist can answer any questions you may have about how to properly care for your mouth at home. They may recommend specific toothbrushes, toothpastes, or mouthwashes. If needed, the dentist may give you prescriptions for higher-strength toothpastes or mouthwashes that are specially designed to reduce the risk of gum disease and decay.

What to expect at a comprehensive dental check up

A comprehensive dental check up procedure includes the oral health components of a routine dental examination and additional checks of the head, jaw, and neck areas. This type of dental examination procedure is most often performed at your first dental check up with a new dental practice and may also be done periodically as part of your routine dental check up procedure.

You will be asked to complete a health history form when you arrive for your comprehensive dental check up. After reviewing your health history questionnaire, the dentist will begin the dental check up procedure. The first part of this type of dental check up involves the dentist gently touching the lymph nodes in your neck area to feel for any swelling or tenderness that may indicate an infection. He or she will also check for swelling in your salivary glands. During the next part of the dental check up procedure, the dentist will examine your temporomandibular joint (TMJ), the joint which connects the jawbone with the skull, to make sure it is working properly and not causing any pain. Then, the dentist will assess the soft tissues of the mouth for cuts, swelling, sores, or masses. The insides of the lips and cheeks, the tongue, the roof of the mouth, and the area underneath the tongue will all be examined. The dentist will also look at your tonsils and the back of your throat. If any areas of concern are found, you may be referred to a doctor.

The next part of the dental examination procedure will look closely at your gums. The dentist will visually inspect them for signs of inflammation and bleeding. A small probe may be used to measure the depth of gum pockets (spaces between the gums and the teeth) and to check if your gums bleed when lightly touched with the probe. If you do have some gum concerns, a deep professional cleaning may be recommended, and your dentist may also prescribe special toothpaste that can reduce additional gum damage. For more advanced gum issues, your dentist may refer you to a periodontist (a gum specialist) for a specialist dental exam and cleaning.

The dentist will examine your bite to check that your upper and lower teeth come together symmetrically. This is generally done by simply observing you opening and closing your mouth. If a closer inspection is warranted, you may also be asked to bite into some wax so that the impression can be analyzed. A referral to an orthodontist may be recommended if there are any issues with your bite.

The dental examination procedure will then proceed with a clinical examination of your teeth. The dentist will carefully examine every surface of each tooth to look for soft areas that suggest decay. A special probe called a dental explorer may be used to confirm the presence of soft areas on the teeth. During this part of the exam, any existing fillings, crowns, caps, veneers, braces, or other dental work will be inspected for any issues.

If the dentist discovers any issues during your exam, he or she may recommend that x-rays be taken to obtain more detailed information and provide appropriate treatment. X-rays can be used to confirm the presence of cavities, assess the severity of gum disease, check the status of wisdom teeth, and investigate orthodontic issues. Most routine x-rays can usually be taken with you sitting in the dental chair. X-rays may be taken by your dentist, hygienist, or another technician.


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01/Dec/2018

Porcelain veneers are a type of medical-grade ceramic shell that covers the front surface of the natural teeth. Dental veneers offer an immediate transformation for a patient’s smile. Porcelain veneers are made specifically for each patient to ensure a perfect fit. The advanced materials look very much like the natural dental enamel.

Dentists can use dental veneers for numerous cosmetic corrections, from orthodontic adjustments to teeth whitening. Due to their lifelike and natural appearance, and their multitude of uses, porcelain veneers are among the most popular and reputable cosmetic dentistry procedures.

History of Dental Veneers

In the past few decades, porcelain veneers have become immensely popular, but they originated nearly a century ago in the film industry’s infancy. Famous Hollywood dentist, Dr. Charles Pincus, devised dental veneers as an option for actresses and actors to improve for their smile on the screen. He temporarily placed false fronts to the teeth of the actors and actresses to perfect their smiles for their time on the screen. It did not take long before his temporary dental veneers to become a Hollywood staple.

At this time, being able to permanently place porcelain veneers was not possible. In the 1960s, the adhesive dentistry era began due to Dr. Michael Bunocore. He used a mild acidic solution to lightly etch the teeth. This resulted in a surface that allowed for stronger bonding for dental restorations and sealants. In 1982, R.J. Simonsen and J.R. Calamia used the techniques introduced by Dr. Bunocore for porcelain veneers. At this time, everyone was able to achieve the flawless smiles that were once only available to the Hollywood elite.

Dental Veneers Today

Dental veneers have become more convenient and lifelike than they have ever been due to the advancements in dental technology over the last 30 years. The new types of porcelain that dentists use reflect light and are stronger, making them much like natural dental enamel. The digital imaging systems that are available make it possible for dentists to create restorations the same day that are nearly identify to the patient’s natural teeth color and shape. Dentists can combine dental crowns, teeth whitening and other advanced dental treatments with porcelain veneers to provide beautiful smiles and comprehensive cosmetic results.

Porcelain Veneers Candidates

Those who are interested in porcelain veneers are usually considering them for several cosmetic or structural teeth issues, such as:

• Cracks or chips
• Minor misalignment
• Gaps between the teeth
• Discoloration

Patients should meet the following criteria to have porcelain veneers placed:

• Have good overall oral and periodontal health
• Know what their cosmetic goals are, have realistic expectations and be able to relay their goals to their dentist
• Be able to maintain good oral hygiene and care after receiving porcelain veneers
• Have enough healthy enamel on their teeth since a thin layer is typically removed before dental veneer placement

Signs That Might Indicate That Dental Veneers Are Not Ideal

Healthy gums and teeth are imperative for those who want porcelain veneers. Those with conditions, such as gum disease, tooth decay and root canal infection are usually not ideal candidates for veneers. However, if these issues are successfully treated, the patient can usually receive porcelain veneers without issue.

People who are thinking about getting porcelain veneers should keep in mind that this procedure is generally permanent. This is due to some enamel being removed before the dental veneers are put into place. Eventually, a different restoration or veneer replacement will be necessary. Since this is a lifetime commitment, patients must be sure about this cosmetic enhancement.

Patients who regularly clench their jaw and grind their teeth might not be candidates for dental veneers. While dental porcelain is relatively durable and strong, the forces that occur with these two issues can put immense strain on porcelain veneers, resulting in them coming off completely or breaking. For many patients, however, dentists might be able to treat the teeth grinding. Once this is successfully treated, patients can typically receive dental veneers.

Determining Candidacy For Porcelain Veneers

For patients to determine if they are a candidate for dental veneers, they should meet with a cosmetic dentist. At this appointment, the dentist will evaluate the patient’s current dental health, health history and enamel condition. They can let the patient know if porcelain veneers are a viable option, or if an alternative treatment is available.

Porcelain Veneers Cost

The cost varies, but on average, porcelain veneers are several hundred dollars for every tooth. Additional factors to consider include:

• Geographic location
• Type of dental veneers
• The dentist’s level of experience

Porcelain Dental Veneers are a Worthwhile Investment

While dental veneers are often costlier compared to other cosmetic dental treatments, the consensus is that they are a worthwhile investment. They are convenient and offer lifelong results.

Dental insurance usually does not cover porcelain veneers since they are classified as a type of cosmetic procedure. However, there are exceptions to this rule. For example, a patient may receive help from their insurance company if the veneers can be proven to improve the patient’s life quality and health. Replacing an old porcelain veneer may also quality.

Financing Options For Porcelain Dental Veneers

There are financing options for porcelain veneers that patients can explore when their insurance will not cover them. The different finance companies typically have different repayment options. In-house repayment options may also be provided by the dental office.

How to Choose a Cosmetic Dentist For Dental Veneers

It is important for patients to receive porcelain veneers from an experienced dentist. This ensures a higher level of safety and quality.

Patients should look at the professional affiliations that the dentist has. Those who are an accredited member of the American Academy of Cosmetic Dentistry have passed an oral and written exam. Those who an accredited fellow of this organization are the highest members. They have demonstrated excellence and strong ability in clinical practice. The dentist should also be American Dental Association Members.

It is generally recommended that patients look for a dentist that takes an artistic approach to porcelain veneers. Patients can look at photos of past patients to ensure that the dentist can provide what they want. Make sure that the results look natural and that the dentist offers the veneer type the patient prefers.

Patient Interaction

Artistic integrity and clinical excellence are imperative, but a good chairside manner is also essential. Dental veneers are highly personalized, so it is vital that the dentist is very welcoming of the patient’s opinions and input. The process of preparing for and placing the porcelain veneers should be a team effort between the patient and their dentist.

The Ceramist

Dentists may use CEREC technology to create their own porcelain veneers, or they might employ the services or a ceramist. Top-quality fabrication is vital, so patients should ensure that the people making the veneers are highly qualified and experienced.

The Initial Consultation

Before receiving dental veneers, patients will undergo an initial consultation. During this time, the dentist will determine if the patient is a good candidate for porcelain veneers. This visit often includes discussing cosmetic goals, photographs, X-rays and dental impressions.

Mock-Up

Prior to the patient making the final decision, they will get to see how the porcelain veneers will look once they are in place via a mock-up. This may be done via three-dimensional computer images or wax-ups, depending on the dentist. Both provide an accurate representation of what the patient can expect once their porcelain veneers are applied to their teeth.

Types of Porcelain Veneers

These dental veneers can be made from an array of ceramic, including:

• Stacked ceramic: This type can be more precisely customized.
• Pressed ceramic: This type is very strong, but also thicker than other materials.
• Lithium disilicate: This is a new type that is ideal for those with bruxism due to its intense strength.

Veneer Brands

There are multiple brands that manufacture dental veneers. Some of the most popular are:

• IPS Empress: There are 12 shades available.
• daVinci: Highly stain resistant.
• IPS e.max: Made from lithium disilicate.

Each brand has its own strengths. Patients should talk to their dentist to choose the best brand for their individual needs.

No-Prep Veneers vs. Traditional Veneers

Traditional porcelain veneers require a thin layer of enamel be removed before placement. With the no-prep type, little to no enamel needs to be removed. The no-prep type of porcelain veneers tends to have less impact on the tooth structure, and they are usually more convenient. However, these are not ideal for some patients, especially those with proportionally large teeth. They are also more transparent compared to traditional veneers.

Preparing the Teeth

Before placing traditional dental veneers, there is an important preparation process. This ensures a strong bond and a natural look. The preparation process for porcelain veneers typically includes:

• Removing enamel
• Taking dental impressions
• Placing the temporary veneers

Fabricating the Veneers

Overall, the fabrication process is mostly the same no matter the type of porcelain used. The ceramist will take the impressions and make a working model. Multiple layers of porcelain are built up using intense pressure or heat. Painting may be done to ensure a lifelike appearance. CEREC technology is used for single-visit fabrication.

Veneer Placement

The dentist will start by inspecting the porcelain veneers to ensure the right appearance, color and shape. They can be fine-tuned before placement if necessary. The placement process includes:

• Etching the teeth
• Cementing the porcelain veneers into place

Combining Other Treatments with Porcelain Veneers

When getting porcelain veneers, patients can choose to also have certain other treatments performed to enhance their smile. These might include:

• Teeth whitening
• Gum reshaping
• Restorative treatments to repair minor structural damage, such as bridges or dental implants

Smile Makeovers

This involves a minimum of two cosmetic procedures to perfect a patient’s smile. When patients see their dentist during their initial consultation, they can talk about a smile makeover to determine which treatment plan is best for them.

Results

Porcelain veneers are placed at the second appointment, so after this appointment, patients have a new smile. This may only take one day for patients who choose no-prep veneers.

Recovery

There is no recovery time for porcelain veneers. However, those who choose sedation should prepare to have a ride home. Minor discomfort for about a week is possible with enamel removal. During this period of sensitivity, it is best to avoid very cold or hot foods until the sensitivity goes away.

Durability

Porcelain veneers last for approximately 10 years. However, they can experience damage just like natural teeth. Should damage occur, patients should see their dentist promptly for reattachment or repair of their dental veneers.

Caring for Porcelain Veneers

Once patients have their porcelain veneers placed, it is essential to see their dentist regularly and practice good oral hygiene. This includes flossing, brushing and rinsing the teeth at least twice a day. Good oral hygiene may extend the life of porcelain veneers up to 20 years. The following is important:

• Preventing decay: It is important to remember that cavities can still occur in the underlying tooth structure. If a cavity occurs and is repaired, a new veneer may not be supported.
• Avoiding excessive force: This could lead to chips, cracks and dental erosion, all of which can be highly detrimental to patients with porcelain veneers.
• Protecting gum health: Receding gums and gum disease can chance veneer appearance or result in the need to completely replace the restoration.
• Maintaining color: Dental veneers resist stains well, but the dental cement used with them can become stained, especially by smoking.

Aesthetic Benefits

Porcelain veneers can correct cracks, chips and surface flaws in one treatment. They can also change tooth shape and conceal dark tetracycline stains.

Dental Veneers and Light Reflection

Since dental veneers are semi-translucent, light reflects off them like natural enamel. This ensures a completely natural look with porcelain veneers.

Other Advantages Compared to Other Procedures

Other advantages of porcelain veneers include:

• Stain resistance
• Reliable strength and durability
• A lifelike appearance
• Less expensive than dental crowns
• Increased confidence and happiness

Oral Health Benefits

There are several oral health benefits gained by those with dental veneers:

• They encourage better oral hygiene
• Most tooth structure remain intact

Instant Orthodontics

Porcelain veneers can serve as a type of quick orthodontic option for drastic smile improvement for minor bite and misalignment issues, such as:

• Gapped teeth repairs
• Enhancing crooked teeth

Veneers are not ideal for severe malocclusion or crooked teeth. This is because they cannot correct the tooth’s underlying structure.

Risks

Risks are considered mostly rare and minor. They may include:

• Tooth sensitivity
• Future replacement
• Dental damage

To reduce the risks associated with dental veneers, choose a highly qualified cosmetic dentist. No-prep veneers can also reduce the risk for patients who are candidates.

Temporary Side Effects

Permanent tooth sensitivity is uncommon, but temporary sensitivity is possible for up to three weeks after veneer placement. Minor dietary changes are generally sufficient to deal with this issue. Toothpaste for sensitive teeth can also help.

Alternatives to Porcelain Veneers

If the dentist determines that a patient is not an ideal candidate for porcelain veneers, there are alternatives they can discuss. These include:

• Bonding
• Dental crowns
• Teeth whitening
• Orthodontics

Frequently Asked Questions?

Does Veneer Placement Hurt?

No, the placement procedure is usually pain-free.

How Long Does Placement Take?

Traditional veneers typically require two visits. The time depends on the individual patient and how many veneers are placed. It usually takes up to two weeks between the dental impressions and consultation, and the veneer placement procedure. For dentists who fabricate veneers in their office, this may all be done the same day within a few hours.

Are Veneers Right for Me?

This question can be answered by scheduling a consultation with a cosmetic dentist.

Do Veneers Look Natural?

Yes, they are very lifelike and realistic. They are custom-made to ensure they match the patient’s surrounding teeth color and shape.

How Many Veneers Do I Need?

This depends on the patient’s teeth and their cosmetic goals. Their dentist will help them to make this decision.

What Happens if Only the Upper Teeth Get Veneers?

Since they are made to match the existing teeth, this is typically a fine decision. Teeth whitening can be done on the lower teeth as well to ensure a good match.

What Happens if a Veneer Falls Off or Breaks?

Patients should get the pieces of the veneer and store them safely. Make an appointment with the cosmetic dentist to determine what needs to be done for restoration.

Can Someone with Dental Decay or Gum Disease Get Veneers?

Patients should have good periodontal and dental health before getting dental veneers. These issues may not automatically disqualify patients, but the conditions have to be treated before cosmetic procedures are done.

Is One Type of Veneer Superior?

Each type of veneers has their own strengths. Patients and their dentists will work together to determine the best brand and type for them.







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