Prosthodontists

Novy Scheinfeld, Prosthodontist
Emory Trained Prosthodontist – Novy Scheinfeld, DDS

Interesting Factoid:  There are 170 thousand dentists in the U.S. and of those, less than 2% are prosthodontists.  Forbes Magazine says its the rarest profession in the United States.

Dark spot on my tooth? Sandy Springs Dentist

Dark Spot
Dark Spots on the tooth

It’s not that often, but occasionally we hear from patients regarding dark spots on teeth.  These spots can signal a serious problem while the symptoms may be benign. Dark spots on the teeth may be caused by a number of conditions, so it’s important to see your dentist soon after discovering the symptom. If the discoloration is caused by some damage to the tooth, timely treatment can save your tooth and your smile. Your dentist will need to examine the tooth and the spot to determine the cause, because a number of issues may be the root of the problem.  Obviously, the cause will determine the appropriate treatment.

A dark spot may be the result of something as simple as staining from consuming too much coffee or tea.  This type of stain may not be eliminated by simple brushing.  Also, the tobacco use may have a similar effect.  In such cases, dentists may recommend a tooth whitening treatment to eliminate the spot or heavy scaling may be the solution.

Excessive exposure to fluoride during early childhood usually cause light spots, but sometimes there is the opposite effect causing dark spots to develop.  This condition, known as fluorosis, is often associated with brownish streaks or stains on the teeth. These stains may not respond to conventional whitening treatments, so patients may need to explore veneers or other restorations to improve the appearance of teeth affected by fluorosis.

Cavities must also be considered, and this issue requires prompt treatment.  In addition to visually inspecting the tooth, the dentist may take x-rays to diagnose tooth decay and to determine the extent to which it has progressed.  A small cavity can be restored with a tooth-colored filling, leaving no evidence that decay was ever present, while a large amount of decay may require a crown or on-lay.

In addition, a traumatic injury to the tooth can cause discoloration. If you notice a dark spot that develops after you have suffered some sort of injury to your mouth, bring it to your dentist’s attention as soon as possible.  Getting an intervention quickly increases your chances of saving the tooth.

If we can be of service, please call us for a complimentary consultation.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Dentist Sandy Springs: How much does having a tooth pulled cost?

Tooth Extractions
Graphic Representation of Tooth Extractions

The cost of a simple tooth extraction can range anywhere from $175 to $250.  If the tooth is broken at the gum line, it will be considered a ‘surgical extraction’ and usually costs $350 to $500.  Extracting a wisdom tooth, which we do in-house or refer out to an oral surgeon, can cost anywhere between $350 and $550, but if it’s a partially or completely impacted wisdom tooth then the cost could climb as high as $650.

The cost variation differ, for example, if the tooth disintegrates, it can take the dentist a while to get all of it out and the dentist has to take additional x-rays if that happens.  Each tooth is as unique as each patient.  It can be cookie cutter, but it doesn’t have to be.  The bottom line is the harder the tooth is to get out, the more it costs, hence the range.

The above fees often include a follow-up office visit to check healing or to remove sutures.  What should also be included is the understanding that a tooth is firmly encased in a bony socket and attached by a ligament.  The socket needs to be gently widened to allow the tooth to be removed; patients will feel pressure but not pain during this procedure. Sometimes a tooth is so firmly anchored that is has to be removed in sections.

Additional related fees, may be a bone graft ($500.00) to prepare the site for a dental implant 4 to 6 months down the line.  Many dental insurance plans cover 70 percent to 80 percent of tooth extraction costs if the procedure is considered to be medically necessary and not done just for cosmetic reasons.

Typically, dental insurance permits only about $1,000 per year coverage so if there are other teeth needing to be extracted then the cost can escalate above the annual limit.  Because of the limited coverage that dental insurance provides, most people have come to realize that they don’t have much protection from the high cost of dental care with dental insurance alone, so we try and work out a plan to help our patients.

Our goal is to help you understand a procedure which may vary depending on the circumstances surrounding the tooth being pulled.  If you have additional questions or concerns, do not hesitate to contact our office or email us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com

Dentist Atlanta: How Much Do Dental Bridges Cost?

Animated Dental Bridge
Animated Dental Bridge

The 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 $1200-1450 per tooth. Dental insurance will typically pay a percentage of the fee, 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 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.  However, depending upon the general wear and tear a bridge or implant is exposed to and how well you keep your teeth free of plaque, it could last indefinitely.  With somewhere between 10 years 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 $4500 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

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

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 bone height and width that come into play in the decision making process.

Atlanta Dentist – How much do dental fillings cost? and Why?

An amalgam used as a restorative material in a...
A mercury filled amalgam

The cost of a filling can vary greatly, depending on who you go to, the type of filling and degree of restoration required.   An amalgam (“silver/mercury filling”) is cheaper than a composite (white/resin filling), but will last significantly longer if you are unconcerned about aesthetics and the back and forth debate over whether or not amalgams may be linked to other health issues.

The US Food and Drug Administration (FDA) and the American Dental Association (ADA) found there is no danger from an amalgam filling, but some specialists and consumers remain unconvinced by the findings.

Each person presents a different set of restorative circumstances, but you should be able to get a range of costs with our free consultation.

The cost of typical amalgam filling ranges from approximately $95 to $275 per filling, whereas a composite resin filling ranges from $150 to $400 for a single surface restoration.  You should expect about 3 to five years (possibly 7 years) of use from the composite and as many as 20 years or longer from an amalgam restoration.  Actually a well-cared-for amalgam filling can last a lifetime, so the expensiveness of the filling really becomes a minor consideration.

Restorative circumstances are going to vary from tooth to tooth and decay may be found in one small spot or throughout a tooth. The restorative fees are based on the number of surfaces needing filling in a single tooth.  A silver amalgam filling on one or two surfaces averages $95 to $175, while for three or more surfaces it could go as high as $150 to $350 or more.  The same type of logic follows with respect to composite restorations.  Since composite resin fillings are more time consuming and require greater skills to completion they are more expensive than amalgam fillings and weigh in on the more expensive side of caries restorations.

Typically dental insurance covers most or all of the costs of a silver amalgam filling, but only 50 to 80 percent of the cost of a composite filling because the higher charge for the tooth-colored material is considered a cosmetic option. One exception is when an old amalgam filling is cracked or broken and is replaced with a composite filling.

We advise you of the type of filling based on the size of the cavity and the location of the tooth in your mouth.  Amalgams are more likely to be placed in the back of your mouth while composites are more likely to be used on more-visible front teeth.

Amalgam Advantages

  • Amalgam fillings are strong and can withstand the forces of chewing.
  • They are relatively inexpensive and last a long time, compared with alternatives.
  • An amalgam filling is completed in one dental visit.

Amalgam Disadvantages

  • Amalgam doesn’t match the color of your teeth.
  • Healthy parts of your tooth often must be removed to make a space large enough to hold an amalgam filling.
  • Amalgam fillings can corrode or tarnish over time, causing discoloration where the filling meets the tooth.
  • A traditional amalgam filling does not bond (stick) to your tooth, so the cavity preparation developed by your dentist requires undercuts or ledges to provide retention of the filling.  Your dentist may have to remove additional tooth structure to establish good retention for the filling.
  • Some people may be allergic to mercury or be concerned about its effects, although research shows the amount of mercury exposure from fillings is similar to what people get from other sources in the environment.

Composite Advantages

  • Your fillings will match the color of your teeth and therefore undetectable.
  • A filling should be completed in one dental visit.
  • Composite fillings can bond directly to the tooth, making the tooth stronger than it would be with an amalgam filling.
  • Less drilling is involved than with amalgam fillings because your dentist does not have to shape the space as much to hold the filling securely.  The bonding process holds the composite resin in the tooth.
  • Indirect composite fillings are heat and light cured increasing their strength.
  • Composite resin can be used in combination with other materials, such as glass ionomer, to provide the benefits of both materials.

Composite Disadvantages

  • Although composite resins have become stronger and more resistant to wear, they generally don’t last as long as amalgam fillings under the pressure of chewing.
  • The composite may shrink when placed; this can lead to more cavities in the future in areas where the filling is not making good contact with your tooth.
  • This restoration takes more time and skill to place because they are usually placed in layers. The increased time and labor involved also contribute to the higher cost (compared with amalgam fillings).
  • Indirect fillings and inlays take at least two visits to complete. Your dentist takes impressions at the first visit and places the filling or inlay at the second visit.
  • In large restorations, composites may not last as long as amalgam fillings.

We’ve been performing dentistry in Sandy Springs for over 30 years with over 1000 five star reviews.  If we can be of service or answer any questions or concerns please feel free to contact us.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

www.rightsmilecenter.com

info@rightsmilecenter.com