Our Services

What We Do at Cosmetic Dentistry of New York

We are able to provide a variety of dental services at our manhattan offices. We do comprehensive dentistry from restorative and crown work to endodontics and cosmetic dentistry. Our staff also enjoys treating children, and we have a play area with books and toys for children of all ages.

Our services include, but are not limited to:

  • Root Canals / Endodontics 
  • Cosmetic Dentistry
  • Bridges
  • Extractions
  • Sedation Dentistry
  • Bonding
  • Restorative Work
  • Othodontics / Braces for Children & Adults
  • Periodontics / Gum
  • Invisalign™ Braces
  • Zoom Teeth Whitening
  • Dental Implants

These services are provided using the latest in Dental Imaging Technology using cutting edge techniques. In an attempt to provide a diverse range of detal services, I have maintained at least the minimum of 30 hours of continuing education every year that I've been in practice. Have all your dental needs met at one location!.

Dental Implants

 

There are over 50 million Americans who are missing one or more natural teeth. Modern dentistry provides an alternative to dentures or partials with implants. Dental implants offer patients that have lost teeth a "second chance". There have been tremendous advances in implant dentistry. And, also a tremendous amount of misinformation. So let's talk about contemporary implants.

Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved. The implants themselves are tiny titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing.

Dental implants are changing the way people live! People can actually “Speak with their Smile today”. At Cosmetic Dentist of New York, thousands of patients have reported that Implants have changed their lives. Former denture wearers who had previously been forced to limit their diets to soft, mushy foods that didn’t interfere with their dentures are thrilled to be eating steak, corn on the cob and other foods that they had missed. Other implant patients report that they can laugh and smile with confidence again.

Dental Implant surgery has proved to be successful for hundreds of thousands of people over the years. Negative effects such bleeding, infection, injury to the nerve or sinus cavity or incomplete healing of the bone around the implant or implant failure are very rare.

Because dental implants are patterned after the structure of your natural teeth, they provide a highly stable support system for the replacement of teeth or dentures. If regular dentures or partial dentures are worn over a period of time they slip and slide and cause painful sore spots, gum loss or oral lesions.

We will be happy to meet with you to discuss with you will need to examine you to determine if you are a good candidate for dental implants. The things that we look for are:

    • General good health
    • Healthy gums
    • Sufficient bonee attitude

Zoom! Teeth Whitening

http://zoomnow.com/

We offer the ZOOM! 1 Hour Whitening, as seen on ABC's "Extreme Makeover". This procedure gets you up to 8 shades lighter in just one office visit. Plan on staying for a total of 2 hours for the procedure. You also get a set of custom made bleaching trays as well as a touch up kit to keep your teeth nice and white.

If you don't have the time to come in for the one hour whitening, we also offer the overnight whitening kit. This includes custom made trays and a 12 night supply of whitening gel. You would wear the trays overnight for up to 12 nights to whiten to the shade you like.

What is Zoom!?

Whiter teeth, in about one hour . It's that simple! Years of yellowing as well as harsh staining from coffee, cigarettes, and red wine are almost magically erased in the time it takes to get a haircut, a manicure or lunch. In fact, there are clinical studies which prove that the Zoom! whitening treatment resulted in an average improvement of 8+ shades whiter! Looking Great Has Never Been This Easy!

First you'll have a complimentary consultation to answer all your questions and if you are interested in moving forward with the treatment, a dentist will then examine your teeth and gums to ensure that they're healthy for whitening at that time. Then, while you relax, watch TV, or even nap, our proprietary gel and blue light treatment work to whiten teeth to their optimal brightness.

What does the whole procedure look like?

1. Your gums and mouth are protected with isolation materials and a "Before" picture is taken.

2. The Zoom whitening gel is professionally applied and activated by the light source.

3. After three 20-minute applications over a one-hour period, your whitening is completed and your "After" picture is taken.

4. You rinse. You smile. Wow!

Want whiter, brighter teeth? A great option for you might be a professionally administered tooth whitening system. Patients with natural teeth that are discolored due to age, smoking or other extrinsic staining factors are excellent candidates for tooth whitening. Bleaching does not work as well on teeth that have intrinsic staining, stain from within the tooth. These stains are embedded deep into the dentin (the layer of the tooth beneath the enamel). Intrinsic stained teeth such as those that were injured or as a result of medication ingested while the teeth were forming such as tetracycline or fluoride will generally not give great results as a result of tooth whitening as those teeth that are not affected by medications, but - the teeth may appear to be brighter - these results will vary from patient to patient. Patients with these deep intrinsic stains can have other cosmetic options such as veneers and crowns to help achieve the desired results. The best results are with patients whose teeth are yellow, orange, or light musky brown in coloration. Dramatic results are sometimes seen in some patients in less than 1 hour in a dental office and will depend on the type of material used and the technique that the individual dental office uses.

How white is white?

In clinical studies, Zoom has been able to achieve 9+ shades whiter on average. Your results of course will vary as your starting point maybe different and everyone's teeth respond a little differently, but in virtually all cases, the results are dramatic. Ultimately, the goal will be to achieve your optimum, natural whiteness. During your first consultation for tooth whitening, your dentist will go over what you personally can expect for your individual situation.

Severe discoloration can be treated and yield good results in many instances. However, the more difficult cases can sometimes require a more lengthy treatment than the standard one-hour treatment. Some enhanced results may also be achieved when whitening materials are additionally used at home over a week or so. An important note – The degree of whiteness will vary from patient to patient, depending on the structure of the teeth, the brand of material that is used, the duration of time that the system is used and on the way that the material or system is administered by your dentist.

Comparison Chart

Comparison Chart
Duration
Sensitivity
Process
Results
Zoom
24-36
mo.
none or mild
1 hour
9 shades (avg)
Gel/Tray
4-12 mo
sensitive gums/teeth
50 hours (avg)
4-5 shades
Laser
12-18 mo
can be uncomfortable
2 to 3 hrs
7-8 shades

How long do the results last?

Zoom!:The long-term results depend primarily on the individual. Certain habits, such as the use of tobacco products, drinking a lot of coffee, tea, dark soft drinks, and infrequent visits to the dentist for regular cleanings, etc., can work against the results. Regular professional care will help maintain the Zoom! up to 2 years. Some people may prefer to do the Zoom! whitening treatment more frequently. We are proud to offer top quality products and services that offers our patients safe and effective way to dramatically whiter teeth – from our professional one hour teeth whitening treatment to several other premium teeth whitening and whitening maintenance products. We trust that, with Zoom!, you will enjoy a whiter, healthier looking smile for years and maintain your overall dental health.Take-home Whitening Kits:Your teeth will be lighter than they were and you may need to re-whiten your teeth for one or two nights every four to six months. This will vary from individual to individual.

How’s it done?

Zoom!: Your dentist will first examine your teeth and gums for good oral health. Next as you relax in the chair, a proprietary whitening gel is applied to your teeth and the revolutionary, proprietary Zoom! light will be positioned over your teeth to activate the gel. As you watch TV, listen to music or nap, your teeth will lighten to their optimum, natural whiteness in about an hour. At home whitening: An impression is taken of your upper and lower dental arches and custom fitted clear trays are fabricated. These trays will closely conform to your teeth and allow a minimum amount of material to come in contact with your teeth. Your dentist or dental hygienist will provide an overview of the quick and easy procedure and you’re on your way to brightening your Smile! In office procedures will generally yield results within 30 minutes with most patients. Using a take home kit will generally improve the results and again these results will vary from patient to patient. Follow-up visits beginning the day after first usage and continuing onto the first and second week and third weeks may be suggested and comparisons and evaluations of your tooth shade will be done at that time.

Will it be uncomfortable?

The majority of our patients experience no pain or sensitivity after the Zoom Professional Teeth Whitening treatment. A very small percentage of patients may experience a minor dull "ache" following the procedure. Taking an over-the-counter analgesic like Tylenol™ or aspirin almost always resolves the feeling. In moderate cases, a clear dentist dispensed fluoride rinse my help as well. It is best to avoid very hot or very cold drinks for the first 24 hours if there is any tooth sensitivity.

Is it Safe?

Zoom!: Yes. The Zoom! procedure will not soften enamel or existing fillings. The primary ingredient in the Zoom!'s gel is hydrogen peroxide, which has been safely used in teeth whitening for over 100 years and is recognized as an effective whitening ingredient by the dental community. The percentage of hydrogen peroxide used in Zoom!'s proprietary gel is only 15%, much lower than other whitening gels that often contain 35%-50% hydrogen peroxide. Unlike the "do-it-yourself" at-home whitening options, the dental team will perform every aspect of the Zoom! process. Before moving forward with the procedure, your dentist examines your mouth and gums to ensure they are healthy. If any potential problems are detected, a recommendation is made to correct the problems before proceeding with Zoom!. Additionally, Zoom! whitening gel has a very small amount of hydrogen peroxide gel which further ensures the safety of your teeth and gums. At-home or In-office tray systems: At home or in-office tray systems for whitening teeth with carbamide peroxide under the supervision of a dentist has been shown to safe for teeth and gums. Some patients have experienced increased tooth sensitivity and some temporary discomfort of their gums. These symptoms tend to disappear within 1-3 days after stopping the process. Usually after the sensitivity disappears the whitening process can be started again and usually the sensitivity does not return. In any case, any reaction should be reported immediately to your dentist or hygienist for their special instructions. Over-the-counter quick bleaching kits may cause problems that you may be unaware of such as irritation of the gums and surrounding soft tissue. Over zealous use of over-the-counter home bleaching can wear away tooth enamel, especially due to the fact that these solutions have a very high acid content. We can’t over emphasize that these types of procedures are best controlled at your dentist’s office. Your progress will be monitored carefully which will certainly reduce most secondary effects. Only a dentist can make your teeth their whitest.

Invisalign. The easy way to improve your smile.
The clear alternative to braces.

Don't wait any longer for that beautiful smile! Click on this money-saving coupon or call us today for a Free Invisalign consultation!

What is Invisalign™? Invisalign is a way to straighten your teeth without braces. Invisalign is also referred by many as Invisible Braces, Clear Braces, Adult Braces, Adult Orthodontics. Uses a series of clear removable aligners to straighten your teeth without metal wires or brackets. Has been proven effective in clinical research and in orthodontic practices nationwide. In fact, over 70% of all U.S. orthodontists are certified to treat patients.
Invisible. Comfortable. And Removable.

To help you get a more beautiful smile, Invisalign uses a series of clear, removable aligners to gradually move your teeth. You wear a set of aligners for about two weeks, removing them to eat, drink, brush and floss. As you replace each set of aligners with the next in the series, your teeth will gradually move until they reach the position your doctor has prescribed for you. The average treatment time is 6 months to a year.

Why people prefer Invisalign
The convenience and ease of use of the Invisalign system have made it the choice of over half a million people. In fact, Invisalign has been effective in giving hundreds of thousands of people amazing new smiles.
Most people won't notice you're in treatment
Won't disrupt your lifestyle
Free initial consultation
No metal wires or bands to irritate your mouth, and best of all, most people won't notice you're in treatment. Invisalign®, the clear alternative to braces, has been chosen by over 490,000 people who want amazing smiles.

Talk to us today to see if Invisalign is right for you

You can relax knowing that your treatment is being diagnosed and carried out by an Invisalign-trained orthodontist, and enjoy the convenience of treatment at our office. Call now to set up an appointment.

212-353-8833 212-721-4549

All About Gum Disease

Periodontal (gum) diseases, including gingivitis and periodontitis, are serious infections that, left untreated, can lead to tooth loss. Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth.

Types of Periodontal Disease

There are many forms of periodontal disease. The most common ones include the following.

  • Gingivitis
    Gingivitis is the mildest form of periodontal disease. It causes the gums to become red, swollen, and bleed easily. There is usually little or no discomfort at this stage. Gingivitis is reversible with professional treatment and good at home oral care.
  • Aggressive Periodontitis
    A form of periodontitis that occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction and familial aggregation.
  • Chronic Periodontitis
    A form of periodontal disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss and is characterized by pocket formation and/or recession of the gingiva. It is recognized as the most frequently occurring form of periodontitis. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur.
  • Periodontitis as a Manifestation of Systemic Diseases
    Periodontititis, often with onset at a young age, associated with one of several systemic diseases, such as diabetes.

Orthodontics (Braces) for Children & Adults

New York Orthodontics (Braces, Invisalign)

Orthodontics is a branch of dentistry specializing in the diagnosis, prevention, and treatment of jaw, face and bite irregularities (malocclusions*). Orthodontic treatment is provided by an oral health care provider known as an Orthodontist, who has typically completed two to three years of additional training beyond dental school.

Whether it’s traditional bracesInvisalign Braces or custom made removable braces, orthodontics can help you have the healthy, straight, beautiful smile you’ve been waiting for! Orthodontic treatment by our staff can improve your dental health and change your facial appearance for the better, and it can boost your self-esteem. Orthodontics can provide you with the chance to participate in improving the way you look. Our patients often feel more self-confident even before treatment is completed.

Because we utilize the latest techniques in computerized orthodontics and advanced orthodontic wires, our patients are able to see the most amazing results in fewer visits.

Our Two New York City Locations in Manhattan are equipped with the latest digital computer imaging systems and digital radiographic equipment to show our patients their cases along with similar completed ones. At your initial consultation, the team welcomes you with a tour of the office and we will conduct a complete evaluation and discuss your specific needs and different treatment options. We look forward to meeting you.

At New York Cosmetic Dentist, we offer a number of cosmetic solutions depending on your situation. The best course of action is to simply tell NY Dentist, our professionals , what you'd like your smile to be like, and he'll advise you of the best treatment to achieve those goals. Here's a little of what we do:

  • Composite and Porcelain Tooth Veneers
  • Dental Implants
  • Dental Bonding
  • Dental Bridges
  • Tooth Contouring and Reshaping
  • Dental Fillings
  • Dental Crowns
  • Root Canals


NY Cosmetic Dentist - Composite and Porcelain Tooth Veneers

Overview of Tooth Veneers

Often an alternative to crowns, veneers are very thin pieces of specially-shaped porcelain or plastic that are glued over the front of your teeth with little or no anesthesia needed. They are the cure for teeth that are severely discolored, chipped, have small holes or pits, misshapen or crooked, or for the correction of unwanted or uneven spaces. Unlike crowns, veneers won't require us to remove much of the tooth itself in most cases. It is important to ask the professional how much tooth will be removed. In some cases more tooth will need to be removed, which may increase the risk of trauma to the tooth. Veneers are created from an impression taken in our office. Your custom veneer is then glued directly onto your tooth. Typically costing less than crowns, veneers won't stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers last from ten to fifteen years, and come in colors that will brighten dark teeth without the worry of them changing color.

How are Tooth Veneers Attached to your Tooth?

In your first appointment, it is important to initially discuss with our NY Cosmetic Dentist , that you will want to "try in" your veneers with temporary cement that is the same color cement as will be used for the permanent attachment. During this "try-in" phase, be sure to look at your veneers in natural light in addition to the office light. Teeth are prepared for veneers by lightly buffing to allow for the small added thickness of the veneer. Veneers are thin like contact lenses, and will usually only need tooth reduction of 0.5mm to 1.0mm. If a drastic change is being made for the result you want, reduction may be 1.0mm to 2.0mm. A mold is taken of the teeth, from which the veneers are modeled after. Temporary veneers will be placed and worn until your permanent veneers are ready. While wearing the temporary veneers, advise the of any adjustments or changes you would like made, such as in shape or size. These changes will be translated into your permanent veneers, so good communication between you and the doctor is important in achieving your new smile.

Our doctor places the veneers with water or glycerin on the teeth to verify their perfect fit and the shade or color. The color cannot be changed after the veneers are adhered to your teeth. The tooth is then cleansed with chemicals to achieve a durable bond. Once the glue is between the veneer and your tooth, a light beam is used to harden the glue/cement.

The procedure for Lumineers is different than the above traditional porcelain veneers. Still two visits, but there is little to no preparation of the tooth and no need for temporary veneers.

NY Cosmetic Dentist - Dental Implants in NY

What are dental implants?

Dental implants are fixtures of titanium which are surgically screwed into your jaw bone. The implant is an anchor for a naturally-appearing false tooth or a set of false teeth. The success rate of dental implants depends on where the implants are placed and their purpose. They are typically best placed in the front portion of your lower jaw. Implants are great for replacing missing teeth. It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants are not only used to replace one tooth, but rather people missing most, if not all, of their teeth benefit greatly as well. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.

Overview of Dental Implants in NY

Implants are surgically placed in your jaw bone while under anesthesia. It is a very time consuming procedure when having many implants placed. As this procedure is surgical, it is very important to research and find a well credited cosmetic dentist that you are comfortable with. For some people there are varying degrees discomfort or pain, which subsides in a couple of days. As with similar types of surgery, bruising and minor swelling might also develop shortly after the procedure.

How are Dental Implants Attached in Your Mouth?

The implant procedure is a surgical placement of the implant or implants by our NY Dentist in your jaw bone which requires a three to six month healing period before the implant restoration to replace the missing tooth or teeth. During this healing time, the bone grows in and around the titanium implant creating a very strong support. Dental implants can be rejected. Usually they are replaced with another implant of a slightly larger size. The rejection or "failure" rate is minimal, only 1 to 2% of all implant procedures. You must go without wearing your dentures for one day to two weeks after an implant placement. After the implant has "taken" and you have sufficiently healed, a very natural crown is placed on the implant.

When missing one tooth, we may use a Flipper to fill the space. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed on the implant. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown to be placed on your implant(s).

If you're missing one tooth or all of your teeth, implants may well be for you. So long as you have enough bone in the area of the missing tooth to facilitate the anchorage of the implants, this procedure can yield terrific results. If you don't have enough bone for this purpose, a bone graft may be necessary. A procedure of building up the bone is known as Bone Grafting. Bone grafting is common with dental implants. The bone that is used is one of three types. The preferred bone to use is taken from other areas of your mouth or collected in a suction device as the drilling of the sites for dental implants occurs. Sometimes bone is taken from areas such as a hip (this requires an orthopedic surgeon and an operating room). The third source for needed bone is a synthetic type. This is the least preferred type of bone to be used for this procedure.


NY Cosmetic Dentist - Dental Bonding

What is tooth bonding?

Bonding is a composite resin filling placed in the back teeth as well as the front teeth. Composites are the solution for restoring decayed teeth, making cosmetic improvements and even changing the color of your teeth or the reshaping of teeth. Bonding will lighten any stains you may have, close up minor gaps and can be used to correct crooked teeth. Basically, bonding will cover any natural flaws applying a thin coating of a plastic material on the front surface of your teeth. After this, our doctor will apply a bonding material and sculpt, color and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

How long does tooth bonding last?

While the traditional silver fillings last about seven years, these composites should last about seven to eleven years.


NY Cosmetic Dentist - Dental Bridges

What is a dental bridge?

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many ten years or more.

Overview of dental bridge procedure

If you a space from a missing tooth, a bridge will be custom made to fill in the space with a false tooth. The false tooth is attached by the bridge to the two other teeth around the space - bridging them together.

How is dental bridge accomplished?

We will prepare your teeth on either side of the space for the false tooth. You will be given a mild anesthetic to numb the area, and we will remove the an area of each abutment (teeth on either side of the space) to accommodate for the thickness of the crown. When these teeth already have fillings, part of the filling may be left in place to help as a foundation for the crown.

The doctor will then make an impression, which will serve as the model from which the bridge, false tooth and crowns will be made by a dental laboratory. A temporary bridge will be placed for you to wear while your bridge is being made until your next visit. This temporary bridge will serve to protect your teeth and gums.

Our doctors may have you use a Flipper appliance. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent bridge is placed. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent bridge.

On your second appointment, the temporary bridge will be removed. Your new permanent bridge will be fitted and checked and adjusted for any bite discrepancies. Your new bridge will then be cemented to your teeth.


NY Cosmetic Dentist - Tooth Contouring and Reshaping

What is tooth contouring and reshaping?

Tooth reshaping, or contouring, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session.

The dental contouring procedure can even be a substitute for braces under certain circumstances. It is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored laminate can create a beautiful smile when performed by our staff, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth.

Overview of tooth contouring and reshaping

Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. This procedure is even a substitute for braces under certain circumstances. This is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored can create a beautiful smile when performed with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth.

How is tooth contouring and reshaping accomplished?

Preparation for dental contouring and reshaping is a team effort in our office. Some dentists in cosmetic dentistry even use computer imaging to show you how you will look after the procedure.

Our staff will take x-rays to evaluate the size and location of the pulp of each tooth to ensure that there's enough bone between the teeth to support them.

Our staff will mark your teeth with a pencil prior to performing the procedure. This helps the cosmetic dentist in their sculpting process. As your cosmetic dentist sculpts the tooth, imperfections are artfully eliminating or minimized. A sanding drill or laser may be used to remove small amounts of surface enamel gradually. Abrasive strips are then moved back and forth between your teeth to shape the actual sides of your teeth. Then the teeth are smoothed and polished. Usually anesthetic is not needed. Teeth contouring and reshaping usually takes one to three visits.

Contouring teeth may also help correct small problems with bite. It is common for bonding to be combined with tooth reshaping to achieve a beautiful smile.


NY Cosmetic Dentist-Dental Fillings

What are composite resin fillings?

Most of us have had amalgam fillings (silver) or gold filling restorations. Some amalgam fillings were what we have called mercury fillings, as some amalgam fillings contained mercury. Metal fillings were effective, but very conspicuous and tended to blacken in color over time.

Composite resin dental fillings were created as an alternative to traditional metal dental fillings.Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings,are made of a plastic dental resin. Composite Resin Dental Fillings are strong, durable, and make for a very natural looking smile. Many dental insurance plans cover their use.

Who is a candidate for composite resin fillings?

If you have a cavity in a tooth, broken fillings, mercury fillings, or amalgam fillings, this type of dental filling is well worth discussing with your dentist. Mercury fillings or amalgam fillings can easily be removed and replaced with far more attractive colored fillings. These fillings actually strengthen your tooth beyond the level it had with the amalgam fillings.

Composite resins may also be used to enhance the appearance of any tooth, which is a tooth bonding procedure. The composite resin will strengthen and enhance the natural tooth structure as it does with use as a dental filling. (You can read more about a related procedure, tooth bonding, here.)

How are composite resin fillings different from amalgam fillings?

Composite resin dental fillings were created as an alternative to traditional metal dental fillings.Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings,are made of a plastic dental resin. Composite Resin Dental Fillings are strong, durable, and make for a very natural looking smile. Many dental insurance plans cover their use.

How are composite resin fillings accomplished?

Your dentist will give you a local anesthetic to numb the area. The dentist then prepares an access to the decayed area of the tooth and removes the decayed portions. This is accomplished with traditional drills, micro air abrasion or even with a dental laser. With a composite filling, your dentist will preserve more of the natural tooth as the composite resin can be bonded to the tooth in thin layers. If your tooth's decayed area is close to a nerve, a special liner will be used to protect the nerve.

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This achieves better and stronger bond. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened and cured with a very bright light.

Composite resin fillings are applied in thin layers, and slowly built up to form the complete filling. A bright dental light will harden each layer before the next is applied.

Once your filling is completed, your dentist will use a special paper, articulating paper, to adjust the height of your dental filling and that your bite remains correct. Your tooth is then polished.

If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.


NY Cosmetic Dentist-Dental Crowns

What are Tooth Crowns?

As we age, many of us find ourselves with teeth that are no longer structurally sound. Root canals, lost fillings, decay below a filling, chipping and cracking of the enamel are all things that can lead to large scale defects in a tooth's surface. When the entire surface of the tooth is a problem, but the root system is intact, a crown might be just what the dentist orders.

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability.

Who is a candidate for Tooth Crowns?

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability.

Our doctors will usually be able to spot problem areas in your mouth that might lead to tooth damage and a need for crowns. Chewing patterns play a big role as well. By selectively grinding the tips of your middle and back teeth (called cusps) will alter your bite to reduce the stress on at-risk teeth.

In other instances, crowns are used to replace a actual missing tooth. These crowns are anchored to the teeth on either side, with a bridge section connecting the two crowns. Instead of bridges, single tooth dental implants may be used that eliminate the need for supporting the crowns.

How are Tooth Crowns Attached to your Tooth?

Our professionals will make an impression of the tooth and a dental laboratory will create the crown. You will typically leave the office with a temporary crown to wear while the permanent crown is being made - this takes about two weeks. The permanent crown is then cemented onto your tooth. Typically, only two visits are required for this part of the procedure. Often, a preliminary restoration of your tooth may be needed before a crown can be placed. To stabilize your tooth, a filling must first be put in place prior to placing a crown due to the loss of original tooth structure. Tooth crowns usually last ten to fifteen years.

Be sure to discuss with your cosmetic dentist that the cement color used for your permanent crown will be the same as used for your temporary crown. A try in paste is used for this purpose. The color of the cement does affect the overall color of a porcelain crown, so this needs to be discussed long before your temporary crown is placed.

In some cases your cosmetic dentist may choose to use a Flipper instead of a temporary crown. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown.


NY Cosmetic Dentist-Root Canals

What are Root Canals?

There are tiny canals within your tooth that may become infected. This leads to the pulp inside your tooth also becoming infected as well. Either your dentist or an endodontist to remove any infection performs the root canal procedure. The canals are cleaned and then filled and the tooth receives either a filling or a crown.

How are Dental Root Canals Performed?

Depending on the number of teeth and severity affected, root canals usually require one to two visits to our NY Dentist not including any follow-up visits. Your dentist or Endodontist will numb the area around the affected tooth, or may offer you the option of mild sedation. A rubber dental dam is placed and the tooth is then drilled to the pulp area either through the top or the back of the tooth. The actual root canals are measured after some of the pulp has been removed. This is done so that the doctor can clean the entire canal, and so that enough of the filling material will be used to completely fill the canal. The actual measuring is done with either x-rays or electronic imaging devices.

All of the diseased pulp in the tooth is removed, and the canal is cleaned out thoroughly with an antiseptic solution. This solution will clean all of the canals within the tooth. The canals are then filled with gutta percha, a flexible plastic material. A temporary filling is then put on top of that. A crown or permanent filling will be done after there has been no sign of infection. Crowns are most common since the root canal procedure weakens the tooth. The crown is usually placed as soon as possible, within a month or less.

Expect two to three days of soreness after the procedure, or longer if the infection in the root canal was severe.

Extractions / Oral Surgery

Impaction

An impacted tooth is one that has not fully erupted into place. The impacted tooth in the image is growing towards its neighboring tooth. It can cause damage to the neighboring tooth or initiate an infection within the surrounding gums. An impacted tooth extraction may be necessary to prevent damage to a neighboring tooth or to prevent an oral infection.

Deep Decay

When decay eats away the crown of the tooth down to the level of the bone the remaining root structure may not be able to support a restoration. The remaining roots will need to be extracted to prevent an infection from developing.

Periodontal Disease (Bone Loss)

Periodontal disease is when a gum infection eats away the bone that holds on to the roots of a tooth. As the bone which supports the roots is lost the tooth becomes loose. As the disease progresses eventually all of the supporting bone is lost and a tooth extraction is needed.

Deep Fracture

A root fracture is a fracture that goes below the gum line along the root of the tooth. This type of fracture results in a non-restorable situation. When a tooth cannot be saved then you will need to get a tooth extraction.

Sedation Dentistry

Once you've experienced sedation dentistry with us, you'll probably never be afraid to go to the dentist again.

You'll be sedated just enough to be unaware of the treatment, as if you were relaxing. You'll wake up refreshed, with little or no memory of what was accomplished. Because you are completely comfortable, we can do years of dental treatments in as little as one or two visits.
Our office can replace crowns or dentures, restore sore gums to good health, whiten yellow or stained teeth, fix a chipped tooth, and more. People with very busy schedules can get the dental care they need, easily and quickly.

Conscious sedation or sleep dentistry allows dentists to use nitrous oxide to help the apprehensive patient, who may have had painful dental care in the past or a traumatic experience in the dental chair, get the anxiety free dentistry care they need pain free.

Root Canal Therapy / Endodontics

Root canal treatment is a dental procedure that replaces a tooth’s damaged or infected pulp with a filling. The pulp consists mainly of blood vessels, tissue fibres and some nerve fibres within the hollow centre of a tooth. The procedure is also known as endodontic treatment.

Success rates for endodontic treatment are generally good. About 90 to 95 per cent of patients who undergo root canal treatment can expect a functional tooth after the treatment. The treated tooth should last as long as the other teeth provided the person maintains good oral hygiene and generally looks after their teeth.

Endodontic Treatment: Preserving the Tooth

In the past, injured or diseased teeth frequently had to be removed. Today, they often can be saved through endodontic treatment. Also known as a root canal treatment, this procedure may be performed by a general dentist or a specialist called an endodontist.

Pulp Particulars

A root canal treatment generally involves the removal and replacement of a tooth’s pulp. The pulp is soft tissue containing blood vessels, nerves and connective tissue.

  • The pulp is found in a canal that runs through the centre of the hard tissue on the inside of the tooth (the dentin).
  • The pulp extends from the pulp chamber in the crown down through the root canal to the tip of the root in the jawbone.
  • A tooth has only one pulp chamber but many have more than one root and several root canals.

If pulp becomes damaged through injury or disease and can not repair itself, bacteria and their products can leak into the pulp and cause the pulp to die. If a root canal procedure is not performed, an abscess can form at the tip of the root and cause considerable pain. Even if there is no pain, the bone anchoring the tooth in the jaw can be damaged. Without treatment, the tooth may have to be extracted.

Endodontic Treatment – What to Expect

Here is what you can expect when you schedule endodontic treatment.
On the initial visit:

  • Local anesthetic usually is given to maintain patient comfort.
  • The affected tooth is isolated from saliva with a rubber-like sheet called a dam.
  • An opening is made through the crown of the tooth. The pulp is removed and then the root is cleaned and shaped. Medication may be added to the pulp chamber and root canal(s) to help eliminate bacteria.
  • A temporary filling is placed in the crown opening to keep saliva out. Antibiotics may be prescribed if an infection is present and has spread beyond the end of the root(s).

On the next visit:

  • The temporary filling is removed.
  • The root canal is filled and permanently sealed. (A metal or plastic rod or post may be placed in the root canal for structural support.)

If an endodontist performs the procedure, he or she usually will send you back to your general dentist for preparation of a crown to be placed on the tooth. Crowns are made from a variety of materials, depending on the location of the tooth, the colour of the tooth and the amount of natural tooth remaining. Discuss with participating dentists which option is best for you.

The Rest is Up to You

The restored tooth can remain healthy as long as its roots are nourished by the surrounding tissues. Good oral hygiene at home and regular dental visits can help prevent tooth decay and gum disease. If you take good care of it, the restored tooth could last a lifetime.

Symptoms of damage

A diseased tooth pulp may cause inflammation or infection. The symptoms of a damaged or diseased tooth pulp may include:

  • Sensitivity to hot and cold drinks and foods
  • Pain when biting or chewing
  • Loose tooth
  • Swelling of the gum surrounding the affected tooth
  • Oozing of pus surrounding the affected tooth
  • Facial swelling.

Sometimes, tooth pulp may become damaged or diseased without presenting any symptoms. In these cases, the problem is usually diagnosed by x-rays during a dental check-up or treatment for other dental concerns.

A range of causes

Some of the events that can damage tooth pulp include:

  • Deep-seated and untreated dental decay
  • Decay beneath a filling
  • Trauma to the face that damages a tooth
  • Habitual tooth grinding (bruxism)
  • Large and deep fillings
  • Gum disease.

Research has also found a link between cigarette smoking and root canal treatment. A smoker is significantly more likely to need root canal treatment than a non-smoker, but the reason for the higher risk is unclear.

Possible complications

Without prompt dental treatment, complications could include:

  • Spreading infection – once the pulp becomes infected, it loses its ability to fight the spread of the infection. If bacteria find their way into the pulp chamber, the bacteria will multiply unchecked. This can cause a severe infection or an endodontic abscess (a pocket or ‘blister’ of pus).
  • Bone loss – the infection may spread around the tip of the infected root canal and cause bone loss in the jaw.
  • Loss of tooth – the tooth may have to be removed, which interferes with the person’s ability to bite and chew. Tooth replacements such as dentures or dental implants often require a lot more work than root canal fillings.

Diagnosis methods

The dentist examines the tooth and takes x-rays. These x-rays also help the dentist to plan for the root canal treatment by revealing the number, size and depth of the roots.

Treatment options

You may need one or more visits to complete the endodontic treatment, depending on the complexity of the root canals in your tooth. The exact procedure chosen by your dentist may differ from the procedure outlined here. Ask your dentist for further information. Generally, the typical root canal treatment includes:

  • The procedure can be performed using local anaesthetic. If the pulp is infected, anaesthesia may not always be necessary because the tooth no longer has any feeling.
  • The affected tooth is wrapped in thin rubber (called a ‘rubber dam’) to keep the treatment area dry.
  • The decayed portions of the tooth and any affected filling are removed.
  • The pulp or pulp remnants are extracted.
  • The dentist uses a drill and small files to thoroughly clean and shape the root canals to rid the canals of bacteria, pus and debris. The root canals may need to be shaped or hollowed out to ensure a smooth interior surface.
  • The interior of the tooth is flushed with cleaning liquids and then dried.
  • If infection is still present, the tooth is packed with special medications and sealed with a temporary filling. You may have to wait a few weeks, or even months, before the pulp canal is filled. If the dentist feels bacteria are still present at your next appointment, the cleaning procedure may be repeated and the tooth once again packed with medication. This stage will continue until the dentist feels the tooth is free from bacteria.
  • The infection-free root canal is packed with a permanent filling made of various materials. This is usually a rubber-based material called ‘gutta percha’.
  • The artificial biting surface of the tooth is fashioned out of regular filling material.
  • In severe cases where considerable amounts of dentine are removed, the dentist may fit the tooth with a gold or porcelain crown to help prevent breakage or cracking.

Cosmetic issues

A tooth with a healthy pulp is yellowish-white in colour. A pulp-free tooth may, in time, turn grey. We can advise you on appropriate cosmetic dentistry procedures.

Copyright  2008-2010 | Cosmetic Dentist of New York |

 All Rights Reserved
212-721-4549 • 212-353-8833

This web site is designed for general information only. The information presented at this site should not be construed to be formal medical advice.
Persons accessing this site are encouraged to contact Dr. Kadoe for advice regarding their individual medical issues.