Oral and Maxillofacial SURGERY, ORTHODONTICS, PERIODONTICS

(914) 874-5757
Scarsdale Dental
130 Garth Road,
Scarsdale, NY 10583

(914) 472-1555
AB DENTAL GROUP
 
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DENTAL SERVICES

Cosmetic Bonding (some call it Direct Veneers):

Most common form of Cosmetic Dentistry
Various bleached shades to match existing teeth colors
Drilling of teeth required, depending on where the bonding has to stick, and may need anesthesia
(a shot to numb area being worked on)
Direct Veneers are tooth colored fillings placed over entire surface of tooth.
Faster and less expensive compared to other methods
But, these cosmetic bondings, just like natural teeth, are subject to discoloration from certain types of food or smoking and will require touch ups or replacement in 5-10 years.

Porcelain/Zirconia Crowns:

Used to fix teeth that are substantially broken beyond repair with other methods, or those teeth that had root canal treatment.
May need anesthesia (a shot to numb area being worked on)
Done in layers to reflect translucency of natural teeth and match other teeth.
No metal rims involved where you see that near the gumline, like in a metal fused to porcelain crown.
Tooth or teeth being worked on have to be grinded down alot as compared to other methods being mentioned.
Here is a before and after of a patient with 6 front top crowns cemented permanently:

Porcelain Veneers (Laminates):

Laminates are thin shells of durable ceramic (porcelain) that are cemented permanently onto the front side of the tooth or teeth.
Purpose: chipped, cracked, worn out teeth, closing gaps, permanent whitening for stained or discolored teeth, can align nicely misaligned teeth.
With proper maintenance of every 6 month check ups, can last 10-15 years, and then have to be changed.
May need anesthesia (a shot to numb area being worked on)
Done in layers to be custom colored to match color of your natural teeth
Some cutting of front tooth structure is required for the laminates to be cemented.

Lumineers:

A form of porcelain veneers that are VERY strong and ultra-thin (approx. 0.2mm)
2) Procedure can be completed in 2 visits, as compared to other methods required more than 2 visits to the dentist
Applied with bonding over your existing teeth, and very rare to remove VERY SUBTLE tooth structure, so your natural teeth are intact and strong
Done with no drilling and therefore no shots for numbness either
Very conservatively done, yet extremely beautiful
Highly translucent and can replicate natural appearance of enamel/other teeth
Custom trials prove these durable and resilient lumineers to last 20+ years
Reversible treatment, since no cutting of teeth, and therefore may remove lumineers if ever need be.
One of a kind products of the DenMat Lab at Den-Mat Holdings, LLC, one of the largest manufacturers of professional dental materials.
As ALL other methods, they don’t replace hygiene visits to the dentist every 6 months for a check-up and cleaning to keep your lumineers looking their best and the rest of your teeth and gums healthy.

Caring For Your Crowns

      With proper care, a good quality crown could last up to eight years or longer. It is very important to floss in the area of the crown to avoid excess plaque or collection of debris around the restoration. Certain behaviors such as jaw clenching or bruxism (teeth grinding) significantly shorten the life of a crown. Moreover, eating brittle foods, ice or hard candy can compromise the adhesion of the crown, or even damage the crown.

Specialty Dentures

      Dentures are designed to replace missing teeth, and are worn by millions of Americans. Technological advancements have resulted in dentures that are lightweight and mimic the look and feel of natural teeth. Most dentures are made from a combination of metals and synthetic material such as acrylic resin.

Dentures are generally classified as partial or full. Partial dentures are designed to replace a small section of teeth, and help prevent existing healthy natural teeth from shifting position; full dentures generally replace an entire set of teeth such as upper and lower dentures. Many candidates for conventional dentures (also called “immediate” dentures) are able to wear the appliances immediately following removal of affected natural teeth.

Before immediate dentures are worn, a mold of the patient’s mouth – specifically the jaws – must be made in order for the dentures to be customized for the individual.

      Partial dentures, also sometimes called “over dentures,” are designed to fit over a small section of implants or natural teeth. Partial dentures are characteristic by their pinkish gum-like plastic bases, on to which replacement teeth are attached. Small clasps are used to attach the denture to existing teeth. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect.

      In some cases, a crown will be installed on an existing healthy tooth to facilitate a better hold for the clasp.

Cosmetic Fillings

      There are alternative, natural-looking materials to conventional silver-colored fillings – materials made from porcelain and composite resins, which are colored to match natural tooth enamel. Unfortunately, few materials can match the strength and durability of dental amalgam and such, may need more frequent replacement. Common amalgam alternatives include:

Composite Fillings

      As stated, composite fillings are just what the name implies: a mixture of resins and fine particles designed to mimic the color of natural teeth. While not as strong as dental amalgam, composite fillings provide a pleasing aesthetic alternative. Sometimes, composite resins need to be cemented, or bonded to a tooth to allow for better adhesion.

Ionomers

      Like composite resins, these materials are tooth-colored. Ionomers are made from a combination of various materials, including ground glass and acrylic resins. Ionomers are typically used for fillings near the gum line or tooth root, where biting pressure is not a factor. They are more fragile than dental amalgam, however. A small amount of fluoride is released by these compounds in order to facilitate strengthened enamel in the affected area.

Porcelain (Ceramic)

      This material is usually a combination of porcelain, glass powder and ceramic. Candidates for porcelain fillings are typically crowns, veneers and onlays and inlays. Unlike ionomers, porcelain fillings are more durable but can become fractured if exposed to prolonged biting pressures.

Implants

      Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth. Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

      Not everyone is a candidate for a dental implant. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. Implants are so well-designed, they mimic the look and feel of natural teeth. Implants are usually made of titanium. In general, good candidates who have dental implants can expect high success rates with the procedure.

      The procedure can take several visits. During the first visit, an anchor is placed into the jawbone and the site is allowed to heal for several weeks or months. This gives your tissue time to grow around the anchor to more firmly hold it in place. During a follow-up visit, an artificial, natural-looking tooth is fitted over the implanted anchor.

Whitening

      Often, people with stained or discolored teeth may just need a whitening procedure in order to restore their smile. People with stained or dull teeth usually benefit from whitening, which is a safe and effective way to brighten stained, discolored or dull teeth. Even a stubborn single tooth that is noticeably duller or less white than your other teeth can be individually brightened.

      Teeth bleaching products, which contain peroxides, actually change your natural tooth color anywhere from five to seven -- even up to twelve -- shades brighter. One process known as chairside bleaching involves applying either a protective gel to your gums or a rubber shield to protect the soft tissues in the mouth. A bleaching agent is then applied to the teeth, and a special light is used to enhance the chemical action. If your teeth aren't very dark or very stained, you may need only one bleaching session. Tooth bleaching safely lightens the color of your teeth, and can last up to a year before a touch-up is needed. 

      In general, bleaching works for most people. Tooth bleaching is most effective if your teeth are darkened from age, coffee, tea or smoking. Teeth darkened with the color of yellow, brown or orange respond better to lightening. Other types of gray stains caused by fluorosis, smoking or tetracycline can be lightened, but with less-than-satisfactory results

Bridges

      Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.  Bridges are sometimes referred to as fixed partial dentures, because they are semi-permanent and are bonded to existing teeth or implants. Some bridges are removable and can be cleaned by the wearer; others need to be removed by a dentist.  Porcelain, gold alloys or combinations of materials are usually used to make bridge appliances.  Appliances called implant bridges are attached to an area below the gum tissue, or the bone.

Crowns 

      Crowns are synthetic caps, usually made of a material like porcelain, placed on the top of a tooth.  Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth.  Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance.      

Invisalign (bracketless braces)

Invisalign is clear and practically invisible, so nothing gets in the way of your new smile. No wonder Invisalign is the choice of over half a million people.

  • Unobtrusive in business meetings or social gatherings
  • No metal wires or bands to irritate your mouth
  • Most people won’t notice you’re wearing aligners


A&B SCARSDALE DENTAL
130 Garth Road, Scarsdale, NY 10583

Phone: (914) 472-1555


FOR Oral and Maxillofacial SURGERY, ORTHODONTICS, PERIODONTICS
Phone: (914) 874-5757
www.lohuddental.com

WILLIS DENTAL PLLC
417 East 138 St.,
Bronx, NY 10454
Phone: (718) 292-6311
www.willisdental.com


DENTAL SERVICES:

Cosmetic Dentistry
Crowns & Bridges
White Fillings                    
Gum Disease (Periodontics)
Oral Surgery
Root Canals
Common Dental Issues
Implants, Bonding,
Braces, Clear Braces, Invisalign


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