Alpharetta Dentist: Cracked or Broken Tooth

 dental-emergencyA cracked or broken tooth do not always show any visible signs of damage, but may present a variety of symptoms, including sensitivity to hot and cold, or hit-or-miss pain when chewing.  And there are times when there are no symptoms at all.  But the problem if left untreated is eventually the pulp will become infected to the point where it can no longer repair itself.  Once this happens, the infection can spread to the bone and gum tissue that surrounds the tooth.

Early diagnosis and treatment are important to saving these teeth.  The goal is to prevent a broken or cracked tooth from progressing to the point where you lose the entire tooth.  So as much as you hate it, call your dentist and have him or her take a look.  If you have a cracked or broken tooth chances are you will need to undergo a root canal and have a crown restoration to return your tooth to a strong and healthy part of your oral health.

Various types of cracked teeth:

  • Craze lines – tiny cracks in the enamel
  • Cracked as in extending from the enamel to the root
  • Fractured Cusp – weakened but not yet broken off
  • Vertical root fracture – they start at the root and are working their way up to the surface above the gum line
  • Split tooth – readily identifiable split with a separation between the parts of the tooth

Our office performs a variety of in-house specialties from endodontics (root canals), periodontics and implant placement and restoration.  If we can be of help or answer your questions or concerns do not hesitate to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


Alpharetta: Find A Dentist

Finding the right dentist:

mature women smiling31.  Searching the internet is probably the number one method used to verify who your trusted family members, friends and co-workers recommend to you.  If you search the internet, look for the number of reviews (450 verses 20 reviews) .

2.  Some suggest you ask your family doctor.  However, in today’s world of medicine, a) your doctor can’t be reached and b) he really doesn’t have a clue.  So forget that route.

3.  Contacting your local or state dental society for a referral will probably be a waste of time.  But if you are going to go that route, my associate of 24+ years was the past President of the Georgia Dental Association.  Look him up, Dr. Sidney Tourial. Search the Internet or look under “dentists” or “associations” for the dental society nearest you.

4.  Call your nearest dental school clinic.  Really, that’s about as good as calling your doctor.

5.  Consult the American Dental Association’s member directory.  I guess, but almost every dentist belongs to the ADA.  So how do you distinguish among the 170,000 dentists in the U.S.?

6.  Ask your current dentist for a referral if you are moving to a new area.  That actually makes sense.  Ask him or her if they wouldn’t mind checking out a few names you have narrowed it down to.

What to Look For in a Dentist:

7.  How long have they been in business?  We’ve been in business since I graduated my prosthodontics residency from Emory University in 1988.

8.  Determine how accessible the dentist is: Is his or her office near your home or job? If you work, somewhere between home and work seems to make the most sense.  In our multi-specialty practice like ours, there is always a dentist available for your appointment.

9.  How hard is it to get the appointment times you need to fit into your work schedule or other members of your family’s schedule? Again, in a multi-specialty practice like ours, there is always a dentist available for your appointment.

10. Survey the office to make sure it is clean and well-kept. We offer complimentary (free) consultations, so it doesn’t cost you anything to look at the office and our staff.

11.  Look for pleasant, respectful interactions between dentist and staff.  Again, we offer free consultations, so it cost you nothing to check us out.

12.  Consult with the dentist about your dental history and problems, and decide whether you like the way he or she explains preventive measures and treatments.  Realistically, we are going to be on our best behavior, but again realistically, how many group practices have associates for 20+ years who are the President of the GDA?  My other associate practiced with us for 14 years until his passing.  And my newest associate has practiced for 20 years.  And our in-house periodontist went to Emory Dental School with me.

13.  Ask about fees, payment and insurance plans. We both want to know about each other.  We want to know what your expectations and circumstances are and you want to know whether or not we are delivering a service that you value and trust. Check out the reviews.

14.  Find out whether your dentist provides a way for you to receive emergency, after-hours care.  Of course we do.  We give out our cell phones.

15.  Ask what sorts of continuing education he or she has pursued to keep up with new developments in dentistry.  Quite frankly, I am a prosthodontist, which make up less than 2% of the dentists in the country.  It’s a pretty rigorous post graduate program and very few dentists choose to put themselves through the process.  We are constantly taking courses and attending study groups to either validate what we do or learn new techniques.

If we can be of service or answer any of questions please feel free to contact us.  Also, visit our website, check our blog.  The website is long and some say wordy, but we are attempting to be informative and put in writing as much as one can tolerate on the internet.

Novy Scheinfeld, DDS, PC

Scheinfelds, Orland and Tourial

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


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Dentist Alpharetta: How much does tooth bonding cost?

Cosmetic Dentist near meIt depends.  Sounds like a lawyer answer to the question.  But it does depend on the type of bonding procedure being performed.  Is it to improve the contour of a front tooth, to replace an old filling with a more esthetic restoration or to fill a small cavity? Each procedure involves different resources, therefore different fees.

As with all dental fees the service may vary depending on where you live or where your dentist is located and her level of training.  There is always going to be a range of fees for the same service, depending on the experience of the dentist, materials used, esthetic demands of the procedure and complexity of the treatment.

The average cost of cosmetic dental bonding ranges from $250 to $600 per tooth.   Most dental insurance plans cover the cost of the bonding, particularly when it is done for functional reasons.  The cheapest, does not necessarily mean it is the best.

The bonding procedure utilizes a composite resin to restore chipped or broken teeth, fill in gaps and reshape or recolor your smile.  Basically, bonding will cover any number natural flaws by applying a thin coating of plastic material to the front surface of your teeth.  Depending on where the resin is placed, the restoration could last up to 10 years, but I usually tell people 5 years.

While they may not last as long as desired, the main advantage over silver fillings is the esthetics. Because silver does not stick to teeth, a large portion of  healthy tooth structure is usually removed to keep an amalgam  filling in place.  Whereas composites permit your dentist to remove only the decayed area of the tooth.  Also, composite bonding expands just like your teeth and are much less likely to cause cracks in your tooth.  The disadvantage is bonding with composites simply costs more in time and material.

If you would like to know more about composite bonding or whether this is the right solution to enhance your smile, feel free to contact our office for a free consultation.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328



3781 Chamblee Dunwoody Road

Chamblee, GA 30341


Dentist Alpharetta: Amazing Dental Implants

dental-implants2Dental Implants are actually an amazing procedure that gives you a second chance for your teeth!

Benefits and Advantages of Implants:

  • Longevity and reliability with proper oral hygiene and care. Scientifically tested and approved dental implant systems have been shown to last as long as 20 years or more with few or no complications.
  • Increased self-confidence. Because they function like natural teeth, most people who get them experience a renewed sense of self-confidence.
  • Improved biting pressure. Healthy teeth are able to absorb over 300 pounds of biting pressure per square inch. If you have worn dentures for long time, that pressure may be diminished to one-tenth that of natural teeth. Dental implants can restore the amount of pressure that can be withstood to nearly the same level of healthy natural teeth.
  • Comfort and fit. Because your replacement teeth are anchored securely in your bone, they won’t slip or slide like unsecured dentures can.

Call today and make an appointment for a free consultation to see whether or not you are a candidate for dental implants.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


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Dentist Alpharetta: Polypharmacy Dry Mouth Solutions

Aging PatientsAre medications making your mouth dry?

If you are taking medications, and especially if you’re taking several, you may suffer dry mouth.  More than 1,000 medications can cause dry mouth, including common drugs for blood pressure, allergies, heart disease and depression.

Dry mouth means there is less saliva in your mouth for the natural protection of your teeth.  The lack of saliva increases your chances of having tooth decay and cavities, and can also result in tooth sensitivity.  It’s important to replenish the mineral in your mouth that you would otherwise get from saliva.

Brushing your teeth properly (with toothpaste containing fluoride) after every meal and flossing once a day can help protect your teeth, gums and mouth tissue and help relieve the symptoms of dry mouth. Also, asking your dentist how to properly scrape your tongue and doing it once a day can help prevent dry mouth and protect your mouth from infections. It is important to understand the necessity of good oral hygiene when learning how to get rid of dry mouth.

Cut down on carbohydrate intake – pastas and breads tend to be more difficult to swallow and require more water to chew, swallow and digest.  Drink water while eating and chew your food thoroughly before swallowing.  Lower your intake of spicy foods or foods containing high levels of sugar. Bring a glass of water to bed, and sip it regularly throughout the night. Avoid smoking, alcohol and caffeine intake.

Aside from the above dry mouth treatments, there are other ways to protect your mouth tissues and help prevent dry mouth.  One such method is the use of ‘MI Paste’.  It helps relieve dry mouth by restoring a “normal feeling” of saliva lubrication in the mouth.  It helps strengthen your teeth against tooth decay.  Finally, MI Paste restores minerals such as calcium and phosphate that help strengthen your teeth and it helps sooth sensitivity that often accompanies dry mouth and mineral loss.

Lastly, because dry mouth can cause other complications such as tooth decay and gingivitis, visit your dentist regularly and make sure to let him or her know that you suffer from dry mouth.

If we can be of help or you have questions or concerns feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


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Dentist Alpharetta: Teeth Whitening

magicjohnsonI’m not happy with the yellow on my teeth. How can I safely whiten them?

There are three ways that you can whiten your teeth:

•In-office bleaching, supplemented with,

•At-home bleaching

•Whitening toothpastes

The first thing you should do before whitening your teeth is talk to your dentist. He or she will be able to help you decide the best option for you. Whiteners will not fix all kinds of stains. Also, if you have bonding or tooth-colored fillings, these will not be affected by whiteners and they may stand out if you whiten your teeth. Remember that using a whitener does not make your mouth healthier.

In-office bleaching.

This kind of whitening, called “chairside bleaching,” is done in your dentist’s office. It may require more than one office visit. Each visit may take from 1 to 2 hours. During chairside bleaching, the dentist puts a whitener on the teeth and uses a special light to make the whitener work. Lasers are sometimes used during tooth whitening to make the whitening agent work better.

At-home bleaching.

There are a few different products that can be used to whiten teeth at home. Some come from your dentist, and others can be bought over-the-counter. These contain peroxide(s), which bleach the tooth enamel. Most come in a gel and are placed in a mouth tray that fits over your teeth.  These gels are designed to help many types of staining. Only the dentist-dispensed solutions have the American Dental Association (ADA) seal.

Other over-the-counter whitening products include whitening strips, paint-on products, gels, and trays are available with a low amount of peroxide.  For better results, have a cleaning at the dentist before you use these products. These gels and trays do not have the ADA seal.

Whitening toothpastes.

All toothpastes help remove surface stains through mild abrasives. “Whitening” toothpastes that have the ADA seal have special polishing agents or chemicals that remove even more stains. Unlike bleaches, these products do not change the actual color of teeth. They help remove surface stains only.

A small disclaimer is that these products can make your teeth temporarily more sensitive. They can also bother your gums. These side effects most often go away after you stop using the product.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


Dentist Alpharetta: Porcelain Veneers

Porcelain VeneersYou want a dazzling smile without gaps, chips, or stains?  See a Prosthodontist.  Usually, after just two visits, you can look forward to enjoying a brand new, natural-looking smile for years to come.

How’s this possible? With porcelain veneers designed just for you.  Veneers are made of durable porcelain and placed over the front of your teeth, enhancing their appearance and, in the process, boosting your self-confidence.  How do you think all those movie stars got those great smiles?  With a cosmetic prosthodontist and veneers.

The Right Smile in Two Visits[1]

Your first visit with allows us to talk to you about your smile.  As we get to know you and what you have in mind, we can create a plan that takes into consideration your overall appearance, including the shade of your teeth as well as the contours of your face. We’ll also make an impression of your teeth and gums, which our lab will work from to design your permanent veneers.

Your first appointment ends with prepping your teeth for the temporary veneers you’ll wear in the meantime. Your next appointment is all about fitting you with your permanent veneers. Once they’re in place, you can leave our office with a more natural, more esthetically pleasing smile than you’ve ever had.

Schedule Your Complimentary Consultation Today

To find out more about porcelain veneers or to schedule a consultation visits with Dr. Scheinfeld, call or email us today. Our office is conveniently located at the top of the perimeter in Sandy Springs.

Everyone loves a bright smile.  With porcelain veneers, it’s possible to finally have the dazzling smile you’ve been dreaming of.

The Right Smile For Your Lifestyle

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328


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[1] There are occasions when circumstances dictate additional visits.  As an example, you may need to whiten your surrounding teeth to match the shade you desire.