Another Beautiful Smile Created on Long Island

Ryan suffers from amelogenesis imperfecta, a hereditary disease in which there is imperfect formation of enamel, resulting in a brownish coloration and fragile teeth. These teeth are weak and tend to decay easily. Unfortunately, Ryan and other members of his family have this condition. All of his teeth were decayed; some were too decayed to be saved, others needed root canal treatment, and also periodontal treatment before we could create a fabulous smile for him with porcelain veneers.  Ryan is thrilled and is getting ready to have his lower arch restored.





I first met Nancy almost a year ago.  Her front teeth badly needed help.  One front tooth had discolored composite fillings and a fracture.  The other front tooth was short and tipped inward. We extracted the fractured tooth and placed an implant.  After the healing period we placed an abutment (implant post) and porcelain crown.  We restored the other tooth with a porcelain veneer.  Both teeth are now whiter and more evenly situated.  Nancy looks years younger and she just keeps smiling.  She brought us early vegetables from her Selden garden as a thank you.

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Before and after photos of Mike’s old and new smile.  During his first visit two weeks ago I removed the decay in Mike’s front teeth and placed temporary crowns. During his second visit today, I bonded in place these sparkling new crowns and veneers.  He is one happy patient!

Today’s knowledgeable dental patients often know that excellent cosmetic dentistry is a partnership between the dentist and the dental ceramist.  The ceramist who fabricates my porcelain tooth veneers and crowns is Peter Kouvaris.  Peter has been a ceramic artist for more than 20 years.  He was the Cosmetic Designer at the JK Dental Laboratory and recently opened his own dental studio in New York City: Peter Kouvaris Dental Studio.

Peter is a member of the prestigious Oral Design International, a group of dental ceramists who have studied under Master Willi Geller.  Willi Geller resides in Switzerland and is considered to be the world’s leading dental ceramist.  He was one of the first ceramists who realized that teeth reflect and refract light like prisms because of layers of tooth dentin and enamel.  He invented a buildup technique which involves layering different density of porcelain in different colors and degrees of translucence. His method is used by a highly trained and talented group of 80 ceramists and is used to create beautiful, life-like veneers, crowns and implant crowns.  Peter Kouvaris is one of Willi Geller’s proteges.

Not every dentist can or will work with an oral design ceramist.  The dentist needs to have advanced training and needs to work at a higher level and with increased attention to detail.  Excellent cosmetic dentistry is a collaboration between the cosmetic dentist and the dental ceramist.

So you really think you are too old for cosmetic dentistry?  Well, you should know that cosmetic dentistry can brighten a smile of any age. Multiple modalities are available to the dental professional today, ranging from relatively inexpensive teeth bleaching, recontouring, and bonding to more complex procedures consisting of veneers, ceramic crowns and implants.

A simple whitening procedure can brighten teeth that are yellow or gray from age. There are several options from drugstore brighteners to custom dental trays or in-office whitening, depending on your budget and the quality of whitening desired. Tooth whitening corrects brown, yellow and mottled teeth and can brighten a dull smile.

Another simple procedure is the recontouring or reshaping of chipped or misaligned teeth. With recontouring and reshaping, crowded or chipped teeth can sometimes easily and non-invasively be corrected in one visit.

Composite bonding is another procedure that can be used to close a space between teeth or to repair chipped or cracked teeth. It is often non-invasive and anesthetic is not always needed.The composite material is chemically bonded to the tooth and polished to match the remaining tooth surface. Worn out silver fillings can also be replaced with tooth-colored bonded composite restorations.

The above are all relatively non-complex cosmetic procedures.  For a more long-lasting solution, the modern porcelain veneer offers the most esthetic result.  The porcelain veneer is a thin shell of ceramic that bonds  to the front surface of the teeth. The porcelain veneer does not stain or discolor. Veneers can close spaces, straighten crowded teeth, and cover discolored and chipped teeth. Placing custom veneers requires a high degree of technical skill as well as attention to cosmetic detail. Veneers require less tooth reduction than conventional crowns and can conservatively transform a smile.

If too much tooth is missing or damaged for a composite or porcelain veneer then an esthetic crown may be the answer. Today we have all-ceramic crowns and Zirconia crowns that are more life-like than the porcelain-to-metal crowns in use for the past 30 years. When carefully crafted by a talented cosmetic dentist and cosmetic dental laboratory, the all-ceramic crown is undetectable.

People are always embarrassed when their smile uncovers a missing tooth. Today the dental implant is a durable replacement that feels and functions like the missing tooth because the implant replaces the root as well as the tooth. The dental implant is surgically placed into the bone and fuses with the bone in a process called osseointegration. Restored dental implants are a very conservative way to replace teeth and help preserve facial structure.

Another less-costly option to replace a missing tooth is the bonded bridge for areas of light function or the conventional bridge, both of which can be fabricated of all-ceramic materials.

Some cosmetic procedures are elective, but other times the unsightly teeth are symptomatic of underlying dental disease. So a cosmetic procedure may also be an investment in your dental health and might even be covered by your dental insurance.  Teeth bleaching, recontouring, composite bonding, porcelain veneers, all-ceramic crowns and implants are all cosmetic procedures, sometimes just different ways to solve a problem. Call our East Setauket dental office, come in for a free consult, and explore what is the right solution for you!

I was at a business meeting this morning speaking to a man with a rather large gap between his two front teeth.We started talking about teeth, and he asked me if I knew that a gap between the teeth had become quite fashionable. I didn’t, so I went onto Google to check this out.

Sure enough a website on global fashion called Refinery29 features an article this month called “Gap Teeth: The Latest Must-Have Accessory?” The article includes photos of several models and actresses who flaunt their teeth gaps, including Lauren Hutton, Lara Stone, Georgia Jagger and Anna Paquin. As the author writes, these are “all beauts who know how to work a good gap.” Maybe so, but I can’t help but think their beauty would be enhanced by some excellent cosmetic dentistry.

Unfortunately and all too often, un-cosmetic dentistry, done by dentists without the proper training and experience, gives people an unnatural look. The author adds, “More and more (blessed be!), it seems those hideously super-sized, glow-in-the-dark veneers are being replaced by normal beautifully imperfect canines.” What she may not know is that well-crafted veneers are beautiful and natural looking and undetectable. Check out our veneers and see how naturally beautiful they look.

This week the Huntington Hilton hosted the Greater Long Island Dental Meeting. I spent all day Tuesday at the meeting, talking to dental suppliers about materials we use in my Suffolk County dental office and learning about new dental materials available. Talking to the suppliers is a great learning opportunity for interested dentists. I also attended one of the many courses offered. I take many days of continuing dental education each year so I can keep up with current techniques, materials and technologies.

I am very excited that I will be taking a year-long course on advanced dental restoration next year at the New York University School of Dental Medicine. I will be treating patients at the school’s clinic under supervision of top dental clinicians, and I will be attending lectures on advanced dental restoration and cosmetic dentistry, including implants, veneers, crowns, bridges and dentures. The course meets one day a week for 28 weeks. This will better enable me to offer dental treatment options for the increasing numbers of patients who come to my office with severely broken-down dentitions.

You’ve all seen it – those bright white spots on otherwise healthy, straight front teeth. Well, the offending teeth just had bonded orthodontic brackets removed after two years of “wearing braces.” Sometimes the white spots are just an unavoidable byproduct of the bonding procedure. Or sometimes the spots can be a result of poor home care, of accumulated plaque that has decalcified the teeth. So what to do?

It is not easy to mask those white spots. We have bleached these teeth but not always successfully. Sometimes the white spots whiten still more and the situation doesn’t get better. We have prepared the area and bonded composite to the offending areas. This has met with success but the patient has to beware of coffee, red wine and smoking. Bonding will last for several years before it stains and has to be replaced. Another option is veneers – esthetically superior to bonding and long lasting without color change. Veneers are more expensive and are not reversible – which means that the tooth cannot not be restored to its original state and must always be covered.

A difficult choice and up to the patient and her parents to make with help from us at my Long Island dental office!evelyn free dirty dancing free download free cars download london to brighton