Very pleased, the dentist understood my concerns and gave me a complete list of things I need to have done. This list was made of things I need to do right away and the long term repairs I may need.
Frequently Asked Questions
This is a very important question. For the best results, it is important to know the qualifications, educational background and experience of the treating dentist. Choose a dentist who stays current by taking Continuing Education courses on a regular basis. Look for a clean dental office with equipment that does not look outdated. The cleanliness of the bathroom speaks volumes about the general cleanliness of a dental office (as well as a restaurant). Learn more about Dr. Shvartsman.
The term "cosmetic dentistry" has become trendy and many dentists are promoting themselves as cosmetic dentists. At this time, cosmetic dentistry is not a recognized specialty (like oral surgery or orthodontics, for example). However, it is a discipline of dentistry that requires a thorough knowledge of science and an artistic eye. Ask your dentist about his or her training in this area. Since cosmetic dentistry is not taught in dental school ask about the dentist's continuing education courses and experience. A very effective way to understand your dentist's skills is asking to see "before and after" photographs of their actual work. Many dentists buy stock photo albums with work done by other dentists as an “example” of their work or pass it off as their own work. So ask if the pictures you are looking at are actual treatments performed by the dentist.
Yes! Silver-Mercury fillings ("Amalgam") are becoming a thing of the past. There are many ways to restore teeth with materials that virtually disappear and blend with the natural color of your teeth.
Professional Tooth Whitening (bleaching) is one of the most popular cosmetic services. Over-the-counter products and those found on the internet may be some what effective, but the concentration of the active ingredient is unknown and many have burned their gums in the process. Professionally supervised Tooth Whitening is relatively affordable (an entire mouth can be whitened for less than the cost of a single crown).
Like plastic surgery, insurance does not usually cover treatment done for purely cosmetic reasons. However, treatment that is needed to repair broken or decayed teeth or to replace existing restorations that are defective may qualify for some insurance reimbursement.
The answer to this question is, "it depends." In some cases, orthodontic treatment (braces) is the best approach. However, in other cases of misaligned (crooked) teeth, other methods may be used. Porcelain Veneers are a breakthrough procedure that can help correct this problem. Spaces (gaps) and crowding can also be corrected with Veneers in as little as 2 visits. In some cases, Cosmetic Bonding can be used effectively.
Small chips or fractures can often be repaired with bonded tooth colored materials in one visit. The tooth colored material is layered and sculpted to recreate the lost tooth structure. The color and shape are blended to match the natural tooth. The result is undetectable and restores your smile. In some cases, Veneers may be needed. It is important to find out why the chips occurred. It may be from a one-time accident or a result of long-term Grinding and Clenching.
This is a common problem. It is usually caused by a "dead" nerve in the tooth. Sometimes as the result of trauma to a tooth, the nerve dies. Often this can happen without any symptoms (pain). If root canal treatment has been completed the tooth may be whitened from the inside using the Internal Tooth Whitening method. In other cases, a Crown or a Porcelain Veneer may be the best approach.
Many patients have this complaint. Until recently, crowns were done one of two ways: gold, or "porcelain fused to metal." The porcelain fused to metal crowns have been the standard way to make a white, or tooth colored crown, for many years. The porcelain is baked onto a metal substructure. The metal was necessary for strength. Unfortunately, it is difficult to mask out the dark color of the metal. This results in porcelain that looks opaque or chalky. The margin of the crown (where the crown meets the tooth) has to be in metal. This is what causes "dark line at the gum look." Dentists would often try to hide this metal margin underneath the gum line. This results in the gum appearing dark in this area. Or even worse, if the gum recedes, the metal is exposed creating a very unattractive appearance.
Today, we have a solution! Today's All-Porcelain Crowns eliminate metal completely. That means no darkness at the gum line... ever!
There are too many factors to accurately predict how long any dental treatment will last. The condition of the teeth prior to treatment influences the longevity of the restorations. The regularity and thoroughness of brushing and flossing as well as eating habits are part of the equation. Of course, the quality of the treatment itself influences the long term outcome as well. Regular visits to the dentist can help insure that your dental treatment is being maintained. While there is nothing we can do to render a tooth completely immune to future problems, preventive maintenance: regular dental exams and professional cleanings will prolong the life of your dental treatment for many years.
Costs for cosmetic treatment can vary widely depending on your needs or desires. Professional Tooth Whitening would represent the lower end of the spectrum, while Porcelain Veneers and All-Porcelain Crowns fall at the higher end. To be more specific, costs can range from a few hundred to several thousand dollars. Cosmetic dentistry is very much like plastic surgery. It is mostly elective and serves to enhance your appearance. Of course, the investment can have many intangible returns such as increased confidence and self-esteem. Many social studies indicate that feeling good about your appearance can improve your chances at excelling in your career or social life. The best way to determine your options and costs is to arrange a consultation.
This is a very common complaint and you are not alone. People who grind their teeth may have minor chipping initially. If the teeth are not protected in time, prolonged grinding can result in wearing off of the outer (enamel) part of the tooth and into the sensitive core (dentin) of the tooth causing sensitivity during chewing and drinking. Extended grinding will wear your teeth in an untimely manner giving you a very unattractive, flat looking smile. It is not uncommon to have your teeth crack, split or break apart if you are a constant grinder or clencher.
If you grind or clench your teeth you may be able to control yourself by becoming aware of you habit. Keep in mind this phrase: “LIPS TOGETHER TEETH APART”. The only time your teeth should come together is during swallowing. All other times are damaging to your teeth, face muscle and jaw joints (TMJ).
Night grinding is a different story and this is where a qualified dentist can help. We offer the FDA approved NTI dental bruxguard appliance. We conveniently fabricate this night guard it in our office in just one visit. This saves you time and money.