Dentist Sandy Springs: The Right Bite for a Great Smile

Sandy Springs dentist near meWhen a dentist talks about your “bite,” she’s referring to your occlusion, which means how your top and bottom teeth fit together. Optimal occlusion occurs when opposing teeth come together in their ideal arrangement.  But when your teeth are misaligned, called malocclusion, a whole host of issues can result, including headaches, jaw pain, the wearing away of tooth enamel, and even cracked or loose teeth.

The Right Smile Center helps you achieve beautiful, healthy smiles – the right smile. And optimal teeth alignment is a crucial component to the right smile.  I promise you, you can’t have a great smile if your teeth, gums, joints, and muscles don’t function in harmony with each other. And the prosthodontic training I received at Emory University School of Dentistry allows me to give patients smiles that look great, feel great and function properly.

During your exam, our team will look at how your top and bottom teeth come together when you bite down.  We also assess the wear patterns on your teeth.  And of course, we are going to make recommendations that help your smile be a proud part of your expression.

Another term for this, equilibration, means restoring optimal contact between upper and lower tooth surfaces to prevent the abnormal wear and tear on your teeth, joints, and muscles.  Oftentimes, a slight adjustment made to the surface of a tooth makes a huge impact on occlusion.

Also, with the addition of Dr. Hanna Orland to our practice, we are now offering in-house orthodontic treatment to adjust your anterior (front) teeth with clear aligners.   So, if we can be of service please feel free to contact us for a complimentary consultation.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

Top Buckhead Prosthodontist – Novy Scheinfeld, DDS

Prosthodontist near meIf you have seen the show Extreme Makeover or even heard about it – you understand that “Cosmetic Dentistry” (or Aesthetic Dentistry) has the power to change people’s lives.  But the reality  is that the term can be confusing because many “cosmetic” dentists are not trained by any program recognized by the American Dental Association (ADA).

Prosthodontics is the only discipline of cosmetic dentistry that is recognized by the ADA. And a Prosthodontist is not just trained in one simple discipline – it is a post graduate degree in dentistry where by a skilled, artistically and technically trained dentist creates an anatomically correct smile- the right smile- that is uniquely crafted to fit each person’s individual attributes. Most dentists are not trained prosthodontic graduates of a dental school – rather they take short continuing education courses in conjunction with trial and error experience to be able to understand how size, shape, color and symmetry all work together to create what a prosthodontist is trained in during their post graduate work. It may appear as simple as a little contouring or as extensive as a full mouth reconstruction using veneers, crowns and implants; it’s the training that makes it appear effortless. The prosthodontist is trained to create the smile that implements the use of veneers, crowns, bridges and dental implants to ensure that the right smile is as perfect a fit both functionally and aesthetically as your individual characteristics will allow.

The program is so rigorous, that of the 170 thousand dentists in the United States, less than 2% are trained prosthodontists.  

Schedule dental visits for you and your family today by calling The Right Smile Center in Sandy Springs at 404-256-3620. Our dental office is conveniently located Dr. Scheinfeld received her prosthodontics degree from Emory University School of Dentistry in 1988.  Her prosthodontics’ instructor Dr. E. Neal Kopp practiced with her for 14 years until his death in 2008. on Carpenter Drive off Roswell Road in Sandy Springs, and we serve patients from Atlanta, Sandy Springs, Roswell, Alpharetta, Johns Creek, Buckhead, Dunwoody, East Cobb and surrounding communities. We welcome new patients and will be happy to answer all of your questions in person. Our dentists and team look forward to making you, and your loved ones, smile!

Novy Scheinfeld, DDS, PC

ZoAnna Bock, MS, DMD

Hanna Orland, DMD                                        

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

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Sandy Springs’ Top Dentist – ADA Recognized Prosthodontist

It seems to be prevalent these days that many general dentists are calling themselves ‘implantologists’ without there being an implant specialty in dentistry.   While there are multiple disciplines of dentistry involved in the placement of implants and the general dentist is at the bottom end of the scale for expertise, training and experience.   The majority of dentists are general dentists, but press the envelope of ethics by calling themselves ‘implantologists’ or implant specialists.   Granted 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 and by law are allowed to place and/or restore implants.   But not one of them has an American Dental Association recognized ‘implant specialty’ in dentistry.   Those dentists who choose to make the claim do so by virtue of deciding to focus on implants in their general practices.   The American Dental Association (ADA) only has nine recognized post dental degree specialties and implant dentistry is not one of them.  These specialties range in one to six years of advanced training beyond dental school.  At the end of their post doctorate dental 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.  Of the ADA specialties only three truly have special post doctorate training in implants and they are:

Oral Surgeons, Periodontists, and the least known, Prosthodontists (who generally orchestrate the placement and final restoration of the implant).

Prosthodontics: (derived from the word prosthesis, ergo 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 prosthodontist is trained in their post graduate work.   Contrary to this hit or miss self-anointment, the prosthodontist is trained at an ADA approved 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.  If anyone has a specialty in implant dentistry or the right to call themselves an ‘implantologist’, it would be the ADA sanctioned prosthodontist.  Of the 170 thousand dentists in the U.S., less than two (2%) percent are trained prosthodontists.  So when you are seriously looking for a cosmetic dentist to provide you with the best implant result, look for a prosthodontist.

Dr. Scheinfeld received her prosthodontics degree from Emory University School of Dentistry in 1988.  Her prosthodontics’ instructor Dr. E. Neal Kopp practiced with her for 14 years until his death in 2008.  In addition, Dr. Sidney Tourial, an adjunct Emory Prosthodontic professor and next year’s GDA President has been in the practice for over 19 years.

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

receptionist@rightsmilecenter.com

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The future of Implant Dentistry is here now. (therightsmile.wordpress.com)

Dentist Buckhead – Dr. Novy Scheinfeld, Prosthodontic Trained by Emory University

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 dentist are general dentist, 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

Emory Trained Prosthodontist
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
www.rightsmilecenter.com

info@rightsmilecenter.com

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Dentist Sandy Springs: How Much Do Dentures Cost?

The cost can vary depending on where you live and your needs.  A Prosthodontists’ prices are typically between $900 to $3,500 per upper or lower arch.  While a general dentist fees are usually $300 to $1,200 per arch a good percentage of the time you get what you pay for.  A prosthodontist is specially trained to provide you with both a functional and esthetically pleasing denture.  This can be a painstaking job depending on the condition of your mouth’s bone structure.  So it’s not a matter of sticking a pair of slicks in your mouth and sending you off to eat corn on the cob.  The proper fitting of a denture usually requires follow-up visits to determine the actual results after use in the mouth.  When properly fitted, dentures can provide a great smile with a very natural appearance.

In addition, with the advent of implants, many dentures can be implant supported such that your biting power is considerably increased. With implants supporting them, dentures may correct several problems, from speech to chewing, for many patients.  In addition to retarding bone loss, mouth irritation or sores may be avoided with implant supported dentures.  So when there are irritations they are usually caused by poor dental hygiene, and not removing your dentures when needed. It is common that your mouth changes over the life of your dentures, so even though they last long, as the bone structure changes they may need to be replaced to achieve a better fit before they are worn out.

The exact charge for dentures really depends on the type you need and type of dentist you choose to complete the procedure.  This is a procedure for which you should definitely research your dental insurance coverage and reputation of the dentist providing you with the care you need.   A portion of the cost is often covered.

Also, the use of denture creams is the sign of an improperly fitting denture.  If I have not answered your preliminary questions concerning dentures, do not hesitate to contact our office for a free consult.

Novy Scheinfeld, DDS, PC

Emory Trained Prosthodontist

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

How Much Do Dental Bridges Cost?

Sandy Springs Dentist near meThe cost of dental bridges varies depending on the type of bridge and complexity of the bridge required[1], the expertise of your dentist and the area of town in which the procedure is performed. Typically a dental bridge cost ranges from $900-1495 per tooth. Dental insurance will typically pay a percentage of the fee, usually half, depending on the individual dental plan.

It is important to keep your remaining teeth healthy and strong as the success of the bridge (depending on the type selected) depends on the solid foundation offered by the surrounding teeth. Brushing twice a day and flossing daily helps prevent tooth decay and gum disease that can lead to tooth loss. Our dentist or dental hygienist can demonstrate how to properly brush and floss your teeth. Keeping a regular cleaning schedule will help diagnose problems at an early stage when treatment has a better prognosis.  With proper care a dental bridges can last 5 to 15 years and even longer. With good oral hygiene and regular checkups, it is not unusual for the life span of a fixed bridge to be over 10 years.

If you’re a new patient, there’s often an initial office visit ($65-$102) and X-rays ($85-$135).  One must not forget that there are additional costs that contribute to the overall price involved in dental bridges, aside from the material and type of bridge chosen which are beyond the patient’s control.  The cost above does not include the costs for any anchoring on either side of the bridge.  So a 3 unit bridge could cost around $3,500 to $5,000.  A large share of undervalued costs goes toward the treatment itself, lab and production costs for the bridge, aftercare and the like.

Dental care on a whole is often considered expensive, but that’s really not the case.  Depending upon the general wear and tear a bridge is exposed to and how well you keep your teeth free of plaque, it could last indefinitely.  With somewhere between 10 and indefinitely, the investment becomes rather modest, if not inexpensive.

In the alternative, if the cost escalates, you might want to consider a single dental implant with a cost of around $4000 to $6000.[2]  The benefit on an implant over your lifetime could be less expensive than a bridge and is the more natural state of the art replacement of a missing tooth.   If we can be of service or answer any of your questions please do not hesitate to give us a call.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

 

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[1] Is should be noted that both location of the missing tooth, the number of teeth involved or missing or whether there are virgin teeth or repaired teeth in front or behind the missing teeth come into play in the decision making process.

[2] The recommended standard of care for a single tooth missing is a single unit implant.  However, there are limiting factors, including insurance coverage that come into play in the decision making process.

Dentist Sandy Springs: How Much Do Dental X-rays Cost?

Dentist near meA single dental x-ray would cost between $28-38. Four check-up or bitewing x-rays may cost between $60-80, and a full mouth series (18 x-rays) or panoramic x-ray would cost between $100-200. If it’s a new practice or mature one that is trying to build or rebuild its patient base, often the x-rays will bundled with an examination that ends up costing the patient virtually nothing.  Most dental insurance covers x-rays at 100%. It is usually considered a diagnostic or preventive service.

If you are a new patient, we recommend x-rays to determine the present status of your oral health and to help identify changes that may occur later.  They give us a baseline of your present condition.  A new set of x-rays may be needed to help us detect any new cavities, determine the status of your gum health or evaluate the growth and development of your teeth. If a previous dentist has any radiographs of you, we may ask them for copies.

We take four bitewings (which show us in between the back teeth to check for cavities).

Sometimes we take a full series of images (18 images or so…which show us cavities plus also shows us bone levels and nerve health).

A panoramic image is a single image of the entire upper and lower arch. This requires a different machine and can cost $125-175 or more. It shows the entire mouth on one image.

Many diseases of the oral cavity (which includes the teeth and surrounding tissues and bone) cannot be seen when the dentist examines your mouth.

Dental x-rays are used to diagnose or detect tooth decay, impacted teeth, jaw problems, abscessed (infected) teeth, or current filling placement.  An x-ray exam can help us see the small areas of decay between the teeth and fillings; bone damage from a tooth infection or cyst; bone loss due to periodontal (gum) disease; developmental defects; some types of tumors; the effects of trauma; and the position on unerupted teeth in children and adults.  Dental x-rays can also reveal bone loss from periodontal (gum) disease, locate tarter build-up, find foreign bodies within the gum or bone, and see if there is enough bone for the placement of dental implants.

Finding and treating dental problems at an early stage can save time, money and unneeded discomfort and help prevent more serious health problems.  We tailor a treatment plan to your finances, altering the ideal treatment as much as possible to help you afford it.  If we can be of help, please do hesitate to call, email or make an appointment to be seen.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

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Dentist Roswell: The Mercury Filling Controversy

Whenever I hear a patient ask about amalgam restorations (usually referred to as mercury fillings), I wonder why this question refuses to go away.  For decades, amalgams have been considered the primary restorative material for posterior teeth (the ones in the back) because of their long time success.  After enormous amounts of study the World Health Organization, the FDI World Dental Federation, and the American Dental Association continue to endorse the use of amalgam to restore teeth.   Yet it continues to be demonized by the public, in particular in urban legends over the internet.

As a result the trend is towards the less and less use of amalgams and the greater use of composite resins to restore posterior teeth.  One of our consultants, Tom Limoli of Limoli and Associates notes that US third-party payment data reflects that 65% of direct posterior restorations last year were resin-based composite, while 35% were amalgam.  So regardless of the empirical evidence to the contrary, the patient pool is demanding composite restorations.

Every dentist will need an alternative material to use in the restoration of posterior teeth as this trend continues.  The challenge for the dentist is that composite resins only have a life expectancy of 5 to 8 years.  Given the patient’s desire to be rid of the potential or theoretical health hazards that have been formulated in recent years, amalgam restorations will ultimately be eliminated by the slow and natural death of attrition.  While amalgam has been the material of choice for decades and still remains the primary source of teaching in dental schools today, it may not be in the future.  Given the patient demand for composite restorations and what appears to be the dentist’s propensity to capitulate, we are going to need a better solution to posterior restorations if we want to achieve the same longevity that is achieved through amalgam restorations.

The internet has continued to create an uncertainty on the part of the lay public about amalgams similar to the controversy that surrounds cell phones and brain tumors.  It is interesting to note the dilemma faced by dentists today, when we know that amalgam is the better choice for the restoration, but the popular demand or path of least resistance is a composite restoration.  This disconnect creates some interesting food for thought.[1]

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

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[1]Additional sources of information came from Gordon J. Christensen, DDS, James F. Simon, DDS, and Howard E. Strassler, DMD. Compendium of Continuing Education in Dentistry, July/August, 2011.