the right smile

Educating Patients on their Oral Health Options


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Dentist Dunwoody: What you probably don’t know about Cosmetic Dentists

It seems to be prevalent in that most dentists these days are calling themselves cosmetic dentists, but there is no cosmetic specialty in dentistry.   And quite frankly, all dentistry is cosmetic.   I don’t know anyone who took the ‘ugly’ teeth class in dental school, because it doesn’t exist.  Regardless, the fact remains that the majority of dentists are general dentists, but call themselves ‘cosmetic dentists’.   They all have undergraduate degrees with either a BA or BS and at least four years of dental school with either a DDS or a DMD as the result.  But not one of them has a ‘cosmetic specialty’ in dentistry.   Those dentists who choose to make the claim do so by virtue of deciding to focus on cosmetics in their general practices.   The American Dental Association (ADA) only has nine recognized post dental degree dental specialties and cosmetic dentistry is not one of them.  These specialties range in one to six years of advance training beyond dental school.  At the end of their post doctorate degree, these dentists receive additional certifications in their respective specialties, thus becoming what should be considered experts within their fields of dentistry.   Some are either board eligible or board certified.  These ADA specialties are:

Dental Public Heath, Oral and Maxillofacial Pathology, Radiology and Surgery, Orthodontics, Endodontics, Pediatric Dentistry, Periodontics, and the least known, Prosthodontics.

Prosthodontics: (crown, bridge, and implants) A Prosthodontist has a dental specialty license pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth and/or oral and maxillofacial tissues using biocompatible substitutes. Most dentists are not trained prosthodontic graduates of a dental school – rather they take short continuing education and utilize trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontists is trained in their post graduate work.   On the other hand, the prosthodontist is trained at a university to create the smile that implements the use of veneers, crowns, bridges and the increasingly more common procedure of dental implants to ensure that the right smile is achieved, both functionally and aesthetically beautiful.  If anyone has a specialty in cosmetic dentistry, it would be the prosthodontist.  So when you are seriously looking for a cosmetic dentist, look for a prosthodontist.

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620

receptionist@rightsmilecenter.com
www.rightsmilecenter.com


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Dentist in Sandy Springs: Happy Fourth of July

Happy Birthday America

Image by JoshuaDavisPhotography via Flickr

The fourth of July is the birthday of our nation. On Monday, we celebrate and enjoy the freedom that comes with the event that made this day so special.

Thomas Jefferson, the author of the Declaration of Independence led a committee that crafted the declaration between June 11-28, 1776.  Jefferson and other discontented representatives from the thirteen colonies voted and approved it on July 4, 1776.  The document declared freedom for the 13 colonies from British rule.  While it currently resides in the Exhibition Hall of the National Archive in Washington, D.C., where it really resides in the hearts and minds of America’s people.

If you were really picky the Declaration of Independence was not signed by all representatives until August, 1776.  To make it official, John Hancock, President of the Continental Congress signed it which where the saying “put your John Hancock on it” came from! 

Today, we enjoy the benefits of the freedom which the framers signed and ultimately fought for. For us, it is a time for baseball, hot dogs and family picnics.  Summer is in full swing and life is good.  This is not a dress rehearsal.

The Fourth of July is not complete without parades and fireworks.  We hope you make time to enjoy this wonderful holiday.  I know we plan to.

Happy Birthday, America!!!!!

Novy Scheinfeld, DDS. and Family.


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Dentist Dunwoody:Why you might be better off seeing a Prosthodontist

(Prosthodontist = ADA accredited cosmetic dentist)

Prosthodontic dentists are with the passage of time gaining popular recognition as patients become more familiar with the advances in dentistry and how they can enhance their everyday lives. They are expert dentists with a post graduate ADA recognized degree centered around a complete knowledge of dentistry,  where function and beautification of teeth are combined in the final result.

There are a lot of people in this world who just weren’t born with beautiful smiles or for other circumstances ended up with damaged teeth.  Some inherited stains from medicines their parents took prior to child birth, while others developed discolorations through the years that make their appearance unattractive whenever they open to either to talk or smile. These people can be helped by  dentists who specialize in the cosmetic restorations that provide methods, procedures and plans which ultimately improve their personality as much as it improves their mouth.

The first advantage of a prosthodontist is time related.  As a result of their training and experience with difficult cases modern techniques take much less time in the beautification of the teeth as compared to older ordinary dentistry.  Techniques and procedures as common as in house whitening which takes only couple of hours as opposed to otherwise days of the repeated home bleaching have become fairly common place and routine in the restoration of a smile.

Another major change related to teeth are implants. In the past there had been an extensive time period involved in replacing missing teeth.  Now, while still a complex procedure there are alternatives that with significant preparation allow for teeth to be implanted in a day and utilized by the patient shortly thereafter.

Finally, technology often comes into play with veneers which are made up of a special material and again while technique sensitive are very easy to incorporate into quick and favorable results.  The combination of all of these techniques rest comfortably within the purview of a prosthodontist’s training and expertise.  A comprehensive approach by a prosthodontist is the best way to get your inner confidence boosted and your personality improved.

 

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Sandy Springs, GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com


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Finally, a Bold Move by the FDA to Deter Smoking

The rate of smoking in America has been cut roughly in half, to about 19 percent, from 42 percent in 1965.  Yet smoking remains the leading cause of preventable death, killing 443,000 Americans a year, according to the CDC located here in Atlanta, GA.  According to the government, an estimated 4,000 youths try their first cigarette every day, and 1,000 a day become regular smokers.

Most likely emboldened by a case the government won last year in a federal court in Kentucky on its overall ability to require larger warning labels with images, Federal health officials released on Tuesday their final selection of nine graphic warning labels to cover the top half of cigarette packages beginning next year, over the opposition of tobacco manufacturers.

The government won and the specific images released Tuesday are likely to stir further legal action.  The Kentucky case is before the United States Court of Appeals for the Sixth Circuit.

Meanwhile back at the ranch, R.J. Reynolds, Lorillard and Commonwealth Brands, the second, third and fourth largest United States cigarette makers, said in a submission to the F.D.A., the “nonfactual and controversial images” were “intended to elicit loathing, disgust and repulsion” about a legal product.

Unfortunately what the tobacco industry fails to understand is this is a critical moment for the United States to move forward in attempting to utilize enhanced efforts in this area according to the F.D.A. commissioner, Dr. Margaret A. Hamburg. As much as seven years ago smoking leveled off at about the 20 percent level of adult and youth in this country and we need to step up our action to eliminate smoking all together.

According to the CDC, approximately 75% of all oral cavity and pharyngeal cancers—mouth, tongue, lips, throat,  nose, and larynx— can be attributed to the use of  tobacco related products.  Those who choose to use cigarettes, cigars, pipes, chewing tobacco, or snuff, place themselves at a much higher risk of developing oral cancer and other diseases, such as heart disease, emphysema and chronic bronchitis.

The U.S. Surgeon General agrees that oral health is a strong indicator of one’s overall health and well-being (CDC, 2006).  Often, diseases give their first warning signs in the form of a patient’s oral problems.  Without consistent care and monitoring, several oral health problems can result.  Immediate risks include gingivitis, cavities, tooth decay, and other gum diseases which can eventually result in various types oral cancer.  There is a “silent epidemic” (U.S. Surgeon General) that can be avoided by regular treatment at home and dental visits at least twice each year.  While practicing good oral hygiene at home is vital to your health, there is only so much that personal oral maintenance can do.  A normal person can easily overlook conditions that could greatly complicate or even end one’s life.  Thus, visiting your dentist for regular checkups is vital to a healthier smile.

“Routine dental exams uncover problems that can be easily treated in the early stages, when damage is minimal” (American Dental Association [ADA], 2008).  Now that it is known that gum disease can be a major risk factor for heart disease, stroke, and certain forms of cancer, regular visits to your dentist can help prevent and treat this disease.  By treating conditions early and learning from your dentist how to prevent oral diseases, you can achieve better health and ultimately better quality years of life.

Your dental care is an important aspect of your general health care.  So you need to make sure you find a dentist that is right for you and your family. This can be a difficult process.  Look for someone who’s competent and you feel comfortable with, one you can have a collaborative relationship with. This is important because there are conditions and problems that were not discussed in this article that the dentist will need to pay attention to during your regular checkups. Hopefully after reading this article, you will have a heightened understanding of the basic need for good oral health.  If you have additional questions or concerns feel free to contact us.

Dr. Scheinfeld is an Emory University School of Dentistry trained prosthodontist treating patients in the Sandy Springs, East Cobb, Dunwoody, Roswell, Johns Creek, Alpharetta, Vinings and Buckhead areas of Metro Atlanta.  Of the 170,000 dentists in the U.S., less than 2% are prosthodontist.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com


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Ultra-Low-Calorie/Low-Carb Diet may Reverse Type 2 Diabetes

The mechanism of glucose-dependent insulin rel...

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Only 600 calories of non-starchy vegetables per day were consumed. But what an amazing sacrifice, to rid yourself of life threatening diabetes.  According to Newcastle University in a groundbreaking British study, patients who consumed only 600 calories a day for two months were able to reverse their Type 2 diabetes.  The research, involving only 11 patients, suggests a very low-calorie diet can remove fat that clogs the pancreas, allowing normal insulin secretion to be restored.  Seven of the 11 patients remained free of diabetes three months after the study.

Type 2 diabetes, also known as adult-onset diabetes, occurs when the pancreas is unable to produce sufficient insulin to regulate fat metabolism and sugars in the blood, or when the body is unable to react to the insulin.[1]  Insulin is needed to move blood sugar (glucose) into cells, where it is stored and later used for energy.  When sugar cannot enter cells, abnormally high levels of sugar build up in the blood. This is called hyperglycemia.[2]

The study that was announced Friday at an American Diabetes Association conference is being published in the journal Diabetologia.  Over eight weeks, researchers monitored the fat content in the liver and the insulin production from the pancreas, comparing the results to a control group of non-diabetics.  After only one week, the diabetics’ pre-breakfast blood sugar levels were normal.  According to NU researchers, MRI scans of the patients’ pancreases revealed that fat levels had dropped, which allowed the organ to produce more insulin.

While the trial sample is very small, the potential discovery is huge.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

http://www.rightsmilecenter.com


[1] American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33 Suppl 1:S62-S69.

[2] Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


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Dentist Sandy Springs: Healthy smile, healthy you!

Regular dental visits do more than just keep your smile attractive; they can tell a dentist a lot about your overall health, including whether or not you may be developing a disease like diabetes.  Recent research suggests that the health of your mouth is a reflection of the condition of your body as a whole.  Meaning, if your mouth is healthy, chances are your overall health is also good.  It’s kind of like hand in glove.  So if you have poor oral health, this may be a sign that you may have other health issues.

There is further indication that a healthy smile may actually prevent certain diseases from occurring, such as gum precipitated heart infections.  As of late, a lot of orthopedic surgeons are requiring a blessing from your dentist before they operate.  According to the American Academy of Periodontology, there is a relationship between gum (periodontal) disease and health complications such as a stroke and heart disease.[1]   Women with gum disease also show higher incidences of pre-term, low birth-weight babies.  Recent studies also have shown that there are microbiologic and immunological findings that strongly support the association.  The studies indicate that periodontal infection can lead to placental-fetal exposure and, when coupled with a fetal inflammatory response, can lead to preterm delivery.[2]

Further research shows that more than 80 percent of all systemic diseases (involving many organs or the whole body) have oral manifestations, including swollen gums, mouth ulcers, dry mouth and/or excessive gum problems. Such systemic diseases include:

  • diabetes
  • leukemia
  • cancer
  • heart disease
  • kidney disease

Since most people have regular oral examinations, their dentist may be the first line of defense to diagnose a health problem in its early stages.

Failing to take care of your teeth and can actually lead to other health problems, including:

  • Oral and facial pain.  According to the Office of the Surgeon General, this pain may be largely due to infections of the gums that support the teeth and can lead to tooth loss. Gingivitis, an early stage of gum disease, and advanced gum disease affect more than 75 percent of the U.S. population.
  • Problems with the heart and other major organs.  Mouth infections can affect major organs. For example, the heart and heart valves can become inflamed by bacterial endocarditis, a condition that affects people with heart disease or anyone with damaged heart tissue.
  • Oral cancer. Poor oral care can contribute to oral cancer, which now takes more lives annually than cervical or skin cancer.
  • Digestion problems.  Digestion begins with physical and chemical processes in the mouth, and problems here can lead to intestinal failure, irritable bowel syndrome and other digestion disorders.

Seeing a dentist regularly helps to keep your mouth healthy and allows your dentist opportunities to examine developments that may point to other health issues.  A dental exam also can detect poor nutrition and hygiene and growth and development problems. As always, if you have any questions or concerns, feel free to contact our office for a consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

http://www.rightsmilecenter.com


[1]  “Gum Disease Links to Heart Disease and Stroke.” American Academy of Periodontology, May 8, 2008. www.perio.org/consumer/mbc.heart.htm

[2] JADA, 2006, Exploring the relationship between periodontal disease and pregnancy complications

Yiorgos A. Bobetsis, DDS, PhD, Silvana P. Barros, DDS, PhD and Steven Offenbacher, DDS, PhD, MMSc


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Dentist Sandy Springs: Getting The Point About Oral Piercing

Tongue piercing

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Body piercing has become a popular form of self-expression, especially for but not limited to young adults. Oral piercing is becoming trendier but is not without risks and complications. The tongue is the most common site with the lips, uvula (soft tissue hanging from the back of the palate), cheeks and a combination of these sites also being utilized. If you absolutely can’t live without participating in this trend, be sure the procedure is performed by qualified professionals who use disposable gloves, disposable or sterile instruments and sterilized jewelry. For several days after the piercing, you can expect swelling, pain, increased salivary flow and sometimes infection. There may be prolonged bleeding from punctured blood vessels.

The healing period is usually 3-6 weeks before the permanent device (hoops, studs, barbells) can be placed. During the healing stage, avoid spicy foods, alcohol and smoking. Use antiseptic or warm salt water mouth rinses; keep talking to a minimum for the first few days; and refrain from French kissing and oral sex for at least 2 weeks to minimize infection risk. Complications arising from oral piercing include chipped teeth, allergic reactions, change in the way your food tastes from interfering with taste buds and problems with speech, chewing and/or swallowing. After healing and to minimize complications, people should remove their jewelry once a day for cleaning and irrigate the hole with water. For those with tongue piercing, the tongue should be brushed every day. Proper care or removal should be taken during strenuous, contact sports.

The tongue piercing, which involves placing a “barbell”-type stud through the tongue puts people at risk for chipped teeth, recessed gums, and nerve damage, warns the Academy of General Dentistry (AGD). However, most people don’t realize that getting an oral piercing also places them at risk for developing a fatal infection or, in some cases, a mini-tongue, according to a report in the January/February 2006 issue of General Dentistry, the AGD’s clinical, peer-reviewed journal.

Unclean piercing equipment can cause other infections, such as blood-born hepatitis. Also, if a patient is not instructed to avoid touching the piercing, they might spread infections with their own fingers.  Piercings in the mouth have some specific additional risks, according to the American Dental Association.

If you do experience continued discomfort or sense that you are not healing please contact your dentist or physician and get it checked out.  As always, if my office can be of assistance do not hesitate to contact us for an appointment.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

http://www.rightsmilecenter.com


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Dentist Sandy Springs: Some Perceptions Never Change

An image from 1300s (A.D.) England depicting a...

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It seems like no matter how far we have come in the world of modern dentistry the perception of the dentist has not changed much since the days of the old west where the barber put his foot in your chest and yanked out your tooth.  Research by the British Dental Health Foundation suggests that visiting the dentist makes people more nervous than snakes or spiders.[1]The research echoes a March 2011, Adult Dental Health Survey which revealed half of adults – especially women – were classified as having moderate to extreme dental anxiety.[2]

In a survey of 1004 people, the Foundation found what made them most nervous from a list including heights, flying, injections, doctors, snakes, spiders, going to hospital or visiting the dentist was visiting the dentist.[3] Over one in five people ranked visiting their dentist as the thing that made them most nervous – more than any other category.

 Overall, statistically:

 1. Heights topped the poll of biggest fears

2. Closely followed by visiting the dentist

3. Going to the hospital

4. Snakes were rated fourth

5. Spiders came fifth.

In comparison to Physicians, Dentists also struggled. The Foundation discovered that nearly 10 times as many people (22 per cent) were made most nervous by their dentist, as compared to their physician (two per cent). The Adult Dental Health Survey points to two dental treatments in particular as the main cause of these nerves: three out of ten (30 per cent) adults said that having a tooth drilled would make them very or extremely anxious. A similar number (28 per cent) of people reported equivalent levels of anxiety about having a local anesthetic injection.

Dr Nigel Carter, Chief Executive of the British Dental Health Foundation, said: “Everyone in the profession knows that dental anxiety is a major barrier for many people to visit their dentist.”  What may prove concerning is just how poorly the dental profession rates in comparison to doctors. The comparison with snakes and spiders may appear frivolous, but it does suggest dentists still have a lot of work to do to build public confidence.  Unfortunately, in modern dentistry the gap between reality and perception is the Grand Canyon.

Dr. Novy Scheinfeld is a trained prosthodontist with her post-graduate degrees from Emory University School of Dentistry.  She was recently chosen as one of America’s Top Dentists for 2011
 

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com


[1] www.rdsurgery.co.uk

 [2] Adult Dental Health Survey 2009, the Health and Social Care Information Centre.

Published March 2011.

 [3] British Dental Health Foundation. Sample Size: 1004.


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Dr. Novy Scheinfeld, Atlanta Dentist: Your Smile Is Priceless

Smile!

Did you know that the shape, shade, length and spacing of your teeth could significantly affect your smile? And our smiles can greatly affect our self-esteem and confidence. Common conditions that impact negatively on your smile include broken, cracked or worn teeth, discolored teeth, missing teeth, crooked teeth, decayed teeth, gaps between your teeth and/or “gummy smiles.” The good news is that with modern technology and improved materials, these situations can be dramatically changed to create natural looking and long-lasting beautiful smiles.

Each patient and each specific circumstance must be evaluated on its own merits. Factors such as occlusion [bite], oral habits, available space, health of the gum tissue, severity of the problem and patient expectation should be taken into consideration when planning your cosmetic makeover.

Depending on your individual oral characteristics, there are a variety of choices that all result in excellent esthetic outcomes. For whiter natural teeth, in-office or at-home bleaching [whitening] techniques are available. Repairing teeth or closing spaces may be accomplished with tooth-colored composite resin bonding, porcelain veneers or porcelain crowns.

Veneers are wafer-thin laminates or shells of tooth-colored material (which can be either porcelain, ceramic or composite bonding material).  They are bonded (cemented) to the front surface of teeth to improve their cosmetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth what false fingernails are for your hands.

Stained teeth – badly stained or discolored that cannot be improved by teeth whitening or prophyflex treatments can be greatly improved by dental veneers, which function to cover any existing stains on your teeth.

Damaged teeth – teeth that have become badly worn through excessive grinding or by carbonated drinks, as well as those that have been chipped or broken, can benefit from veneers. A small chip on a tooth can quickly be repaired with composite bonding, also known as “composite veneers”.   A single damaged tooth can easily be repaired with a porcelain veneer that has the same characteristics and color as you natural teeth.

Gaps – spaces or gaps (technically termed as a diastimas) between your teeth can easily be closed using dental veneers, giving you a more uniform-looking smile.

Crooked teeth – Veneers are not the ideal treatment for crooked teeth, and from the point of view of preserving your natural teeth structure, orthodontics or Invisalign braces would probably a better solution.   However, this type of treatment can take up to a year or longer and be significantly more in cost to accomplish.   For teeth that are not severely crooked, veneers placed over their front surface will give a straight and perfectly aligned-looking smile.   For this type of treatment, many people refer to veneers as “instant orthodontics”, as you get a similar end result in a fraction of the time.

These procedures vary in time and cost and have differences in longevity and appearance. If you’re not satisfied with your smile or want to learn if you’re a good candidate for any of these remarkable techniques, call our Atlanta (Sandy Springs) office for a complimentary cosmetic consultation.

Novy Scheinfeld, DDS, PC                          
290 Carpenter Drive, 200A
Atlanta, GA 30328
(404) 256-3620
receptionist@rightsmilecenter.com
http://www.rightsmilecenter.com


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Dentist Sandy Springs: So what exactly are dental veneers?

Before and after porcelain laminate veneers

Image via Wikipedia

Veneers are wafer-thin laminates or shells of tooth-colored material (which can be either porcelain, ceramic or composite bonding material).  They are bonded (cemented) to the front surface of teeth to improve their cosmetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth what false fingernails are for your hands.

What treatments or problems are veneers used for?

There are a wide variety of reasons why patients opt for treatment with dental veneers:

Stained teeth – badly stained or discolored that cannot be improved by teeth whitening or prophyflex treatments can be greatly improved by dental veneers, which function to cover any existing stains on your teeth.

Damaged teeth – teeth that have become badly worn through excessive grinding or by carbonated drinks, as well as those that have been chipped or broken, can benefit from veneers. A small chip on a tooth can quickly be repaired with composite bonding, also known as “composite veneers”.   A single damaged tooth can easily be repaired with a porcelain veneer that has the same characteristics and color as you natural teeth.

Gaps – spaces or gaps (technically termed as a diastimas) between your teeth can easily be closed using dental veneers, giving you a more uniform-looking smile.

Crooked teeth – Veneers are not the ideal treatment for crooked teeth, and from the point of view of preserving your natural teeth structure, orthodontics or Invisalign braces would probably a better solution.   However, this type of treatment can take up to a year or longer and be significantly more in cost to accomplish.   For teeth that are not severely crooked, veneers placed over their front surface will give a straight and perfectly aligned-looking smile.   For this type of treatment, many people refer to veneers as “instant orthodontics”, as you get a similar end result in a fraction of the time.

So which are better: composite veneers or porcelain veneers?

The most popular type of veneer is porcelain, which offers a stronger and more durable alternative to its composite counterpart.  Composite veneers are also more prone to staining and do not last as long as porcelain veneers.   Porcelain veneers also offer a more natural looking, translucent appearance. Composite veneers are much cheaper than porcelain veneers in general, but considering that they do not last as long and need replacing more often, they could end up costing more in both time and money in the long run.  Composite work is ideal for small chips, as this treatment preserves more of your natural tooth structure.

What is the procedure of having dental veneers fitted?

1. The first part of any dental procedure is the initial consultation and examination, so that the dentist can get a feel for what you want and understand your needs and concerns. The dentist should explain the treatment procedure to you and give you an accurate guide to the likely costs of your treatment.

2. Before your veneers are designed, your dentist will need to reshape and prepare the front surfaces of your teeth so that they can accommodate the veneers. The first stage is to numb the teeth and gums with a local anesthetic so that you do not feel anything during the procedure.

3. Using a special tool called a burr (a dental drill or file), a tiny part of the front surface of your teeth will be shaved off. The amount removed should be equivalent to the thickness of the veneer that will sit over the top of the tooth.

4. Next, an impression or mold (copy) of your teeth is taken.   A special dental “putty” is placed into your mouth on a tray and pushed into your teeth so that it takes an imprint of your teeth (similar to how you would leave a footprint in sand).

5. This “impression” or mold of your teeth is then sent to a dental laboratory. The laboratory uses the impression to cast an accurate model of your teeth, which is used as a guide to fabricate your new veneers. This process can take between one and three weeks.

6. While you’re waiting for your veneers to be fabricated, your dentist may fit you with some temporary veneers to protect your prepared teeth. Not all dentists will offer temporary veneers.

7. On your second appointment, your dentist will fit your new veneers to your teeth. First, the dentist may just sit the veneers over your teeth to see how they look with your smile, as he/she may need to trim or adjust the veneer.

8. Next, your teeth will be thoroughly cleaned and the front surfaces etched (roughened) with a special acid gel so that they provide a good surface for the dental cement to stick to.

9. The veneers are then cemented into place, and a special curing light is used to activate the dental cement so that it permanently bonds the veneer to the front surface of your prepared tooth. If there is any excess cement, it is usually trimmed away and polished to leave a beautiful and natural-looking restoration.

How long do dental veneers last?

Porcelain veneers will typically last between five and ten years, while composite veneers last a year or two at most. The bottom line is that your veneers will eventually need to be replaced. Although veneers are strongly cemented into place, there have been cases where they come loose and fall off. In such situations, it is important that you keep hold of your veneer and contact your dentist immediately. To make your veneers last longer, follow a good oral hygiene program and visit your dentist for check-ups on a regular basis.

Is it possible to have veneers fitted on the same day?

Usually, porcelain veneers are placed over a minimum of two visits as described above. A few cosmetic dentists have invested in CAM/CAD in-house ceramic studios such as E4D or CEREC, which can custom-produce high-quality ceramic veneers on-site in as little as six minutes. This technology enables the dental practice to offer single-visit, same-day ceramic veneers which are fitted within an hour.

What about Lumineers? What are they?

Lumineers, are similar to standard porcelain veneers, but are fabricated made from a patented cerinate porcelain that is extremely thin (about the thickness of a contact lens) and very strong. With Lumineers, the tooth surface does not need to be trimmed, so the procedure is quicker and totally painless.   A similar ultra-thin veneer system to hit the market are Durathin veneers.  www.lumineers.com or www.durathinveneers.com.

What are da Vinci Veneers?

Da Vinci Veneers are similar to Lumineers in that they are extremely thin veneers that are often used for smile makeovers.  They are only manufactured in the da Vinci laboratory in California.

What are MAC Veneers ?

Mac Veneers are made from pressed ceramic, giving more strength than standard feldspathic veneers. They are an ideal veneer choice for smile makeovers.

Some content provided by www.cosmeticdentistryguide.co.uk

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

http://www.rightsmilecenter.com

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