What We Do
Our practice is dedicated to the full spectrum of restorative dentistry.
Teeth with no previous decay or damage may have their surfaces treated with Fluorides and sealed. For teeth that are slightly chipped, broken or discolored, we can often restore just the missing parts with tooth bonding. This involves thoroughly cleaning and conditioning the remaining healthy tooth surface with special solutions and surface resins, then adding and sculpting a putty like tooth shaded composite to re create the normal contours of the tooth. It takes artistic ability and lots of experience to get superior results.
For my patients who have strong but badly discolored, broken or malformed natural teeth, I very much enjoy making custom Porcelain Laminate Veneer restorations. Much of the excitement comes from the partnership I have formed with an extraordinary “world class” dental ceramist who makes these egg shell thin pieces of pressed or fired porcelain that fuse onto the tooth surface with special bonding agents and cements, transforming these tired dull teeth into astounding examples of natural vitality. The bright new smiles are almost always beyond expectations! See some actual porcelain veneer before and after examples in our Porcelain Laminate Veneers section.
For those thinking about bonding vs. veneers, please understand that bonding is usually completed in one sitting by the dentist alone. Sophisticated color effects are usually limited. Porcelain veneers are fabricated by a professional dental technician after impressions, digital photographs and models of the teeth are sent. The best technicians can spend hours firing natural color effects and textures into the porcelain. Our patients get to choose which restorative process they want.
Much of our work involves making custom dental crowns and bridges to replace missing teeth, completely re-cover badly broken down or disfigured teeth, or replace tired old dental crowns and bridges. The ones we make most often are “fixed” by strong cements, not “removable”, and use natural teeth as support abutments/anchors.
We design them to look, feel and function as well as (or better than, in some cases) natural teeth. When natural abutment teeth are used to support a crown or fixed bridge, the patient retains the ability to “feel” fine objects in the mouth, and to sense when biting pressures may be hard or soft. This delicate sensory capacity that teeth exhibit is called “proprioception”.
We pride ourselves on the hand crafted provisional/temporary crowns and bridges we make for our patients to wear while their final work is being custom fabricated. Please see examples of our own custom ceramic crowns and bridges. There are many types of dental crowns and bridges available today. Your dentist should go over the options with you and help you choose wisely.
When the remaining natural teeth are too few or too weakened to be used to support a dental crown or fixed bridge, dental implants may be a good answer. Dental implants are metal/titanium screws that must be installed into the areas of the jawbones where teeth were normally found. If you read my credentials you will see that I am a Certified Specialist in Periodontics (gum treatment/surgery) which is now a 3 year full time program at the University of Pennsylvania School of Dental Medicine, where I now teach. Penn is at the cutting edge in research and technical development in Implant Dentistry.
The dental implant is just the bone anchor or root support.
Then the patient needs to have teeth made on these supports. Sometimes a few, strong dental implants can support many teeth. Sometimes we use dental implants and natural teeth as supports for the same fixed bridge. All designs I use are substantiated by current dental science. That is what I teach. That is what I practice. By the way, dental implants do not have “proprioception” like teeth. Teeth supported by dental implants can look great and work beautifully, but they don’t feel the same as natural teeth. I have dental implants in my own mouth so I know this firsthand. Please see examples of some of our dental implant restorations.
When there are few teeth remaining and dental implants are not possible or not desired by my patient, we can and do make custom removable partial and complete dentures. They can look great. See some examples of custom removable prostheses here. Invisible Braces Teeth that are unattractive or poorly functional because they are badly out of alignment, really should be straightened by some Orthodontic means. There are many new modalities of treatment in Orthodontics today and I am proud to work in partnership with some of the best Orthodontists around to help my patients get the right treatment.
I myself have considerable training and experience in bite issues and orthodontics and, if best for my patient, I will perform limited orthodontics for them. Most often this employs a series of clear appliances like Invisalign, Clear Correct, or the Raintree Essix systems. Some examples of patients I have treated this way can be seen by clicking on invisible braces.