Wednesday, November 24, 2010

Dental Procedures - Veneers

If you are looking to improve your smile, beautiful, custom-fitted veneers can provide the answer.
What Are Veneers?
Veneers are thin, custom-made moldings that cover the fronts of unsightly teeth. They are crafted from tooth-colored, high-tech materials to portray a natural, bright smile.
Should You Consider Veneers?
Veneers provide an alternative to traditional crowns. They cover unattractive gaps, and can mask stained, misshaped or crooked teeth. If these conditions apply to your mouth, veneers may be your best option.

How Long Will Veneers Last?
Veneers are intended to last for many years. Unlike most bonding materials, veneers will not change color over time. You should consult with your dentist to find out exactly how long veneers will last in your mouth.
How Are Veneers Applied?
The tooth is reshaped initially to allow for the added thickness of the veneer. A molded image is taken of the reshaped tooth and sent to a dental laboratory where the veneer is custom-made to fit your mouth. The veneer is applied with adhesive material which bonds it to the original tooth structure.
Advantages of Veneers
Tooth-Like Appearance
Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth.

Stain-Resistant
Custom-made veneers resist stains from coffee, tea and cigarette smoke because they are made of high-tech, extremely polishable materials.
Benefits of Veneers
• A minimal amount of the natural tooth must be altered to fit the veneer.

• Veneers can be matched to make even the darkest teeth appear to be bright white.

• Minor twists and overlaps, as well as small gaps, can be quickly corrected through the use of veneers.
Maintaining Your Veneers
Here are some tips for making sure your veneers stay sparkling.

Brush and Floss Regularly to Prevent Oral Hygiene Problems.
• Veneers generally cannot be damaged by abrasion from your toothbrush or floss.

• Good oral hygiene will ensure your veneers stay strong and provide you with a long-lasting, attractive smile.
Keep In Mind
When considering veneers, keep in mind these important points before undergoing the treatment.

Non-Reversible Procedure
Because a small amount of tooth is reduced to fit the veneers, the process is NOT reversible.

Anesthetic Advised
Generally, the use of a local anesthetic is advised to maintain absolute comfort throughout the treatment process.

Strength of Veneers
Veneers provide more strength when crushing an object than twisting or tearing. Therefore, just as with natural teeth, patients with veneers are advised to avoid opening nut shells, chewing on bones or any other matter that may cause the veneers to chip or crack.

Sunday, November 21, 2010

Sedation Dentistry Frequently Asked Questions

Frequently Asked Questions

Q. Will I feel any pain during my Sedation Dentistry appointment?
A. Most patients feel no discomfort whatsoever during their treatment and feel surprisingly good afterwards.
Q. Will I be totally relaxed during my Sedation Dentistry appointment?
A. With most Sedation Dentistry methods, you'll receive just enough sedation that you'll be completely unaware of the treatment, as you would if you were asleep.
Q. Will I be left alone during my Sedation Dentistry treatment?
A. No, along with your Sedation Dentist, there will be someone with you throughout the procedure to monitor your comfort and your safety. You can also have a companion present with you at all times.
Q. Will I remember anything after experiencing Sedation Dentistry?
A. Depending on which sedation method is used, you may have little or no memory of your dental visit.
Q. Will I be groggy after the treatment is over?
A. You will feel just fine. For your safety, you may be required to have a family member or friend drive you home.
Q. Will my insurance cover Dental Relaxation treatment?
A. Insurance generally covers a portion of the care. Your insurance coverage will be reviewed and, if necessary, financing can be arranged to ensure you get the dental care you need.
Q. What is the name of the drug that I will be given?
A. There are a number of safe and highly effective anxiety-reducing medications on the market today. For example, a drug called Triazolam is commonly used during Oral Conscious Sedation, or OCS, while Valium is often used during Axiolysis. Your dentist will choose the medication that best suits your individual needs.

Monday, November 15, 2010

Dental Implants - Patient Education

Dental Implants - the tooth replacement solution
Are missing teeth causing you to miss out on life?
Missing teeth and loose dentures make too many people sit on the sidelines and let life pass them by. However, today’s modern treatment plans can replace everything from a single missing tooth to a completely missing arch. Ask your dentist or dental specialist about the different dental implant options that are available to you. Don’t let another day go by without taking this important first step to restoring your confidence and your smile!

Stop the bone loss that can lead to premature aging.
Losing one or more of your teeth starts a chain of events that can have dire physical and cosmetic consequences. The most obvious result is a gap in your smile. Less obvious is the loss of chewing function and the inability to eat a complete diet that can result from tooth loss. While these are certainly serious issues, a potentially bigger problem lies hidden beneath the surface: bone loss.
Your jawbone needs the chewing action of the teeth to stimulate it and keep it strong. Otherwise it will begin to disappear (atrophy) in the same manner that the unused muscles beneath a cast supporting a broken bone get smaller. Without the support of your teeth and facial bones, your face will begin to look prematurely aged. The good news is that tooth replacement with dental implants offers a solution to help prevent bone loss.

Tooth replacement options
Traditional treatment options for tooth replacement, Crown & Bridge and full or partial dentures, address the short-term cosmetic problem of missing teeth, but do nothing to stop bone loss. Crown & Bridge also requires that two or more healthy teeth be ground down to serve as abutments (posts) for a bridge, leaving them at a much greater risk for cavities and endodontic failure. If the original abutment teeth fail, more healthy teeth must be sacrificed to serve as posts, while you continue to lose bone beneath the bridge.
With implants, however, the healthy teeth are left alone. Dental implants, like natural teeth, also transmit chewing forces to the jawbone, which reduces bone loss. This is why many leading dental organizations now recognize dental implants as the standard of care for tooth replacement.

Who is a candidate?
Dental implants can be placed in most adults who are in good to moderate health. They are not typically placed in adolescents until they have reached their full expected physical maturity. Certain uncontrolled medical conditions may decrease the effectiveness of implant treatment, so be sure to discuss your full medical history with your doctor before beginning treatment.
Every patient is different and patient results may vary. Only a trained clinician can determine the best treatment plan for you. Please ask your doctor to explain the benefits and risks to see if tooth replacement with implants is right for you.

A brief history of dental implants
Even early civilizations recognized the benefit of tooth replacement. Archeologists have recovered ancient skulls where teeth were replaced by materials such as cast iron and carved sea shells. Despite primitive methods and materials, some of these early implants actually fused with the bone. This fusion is called osseointegration, and is necessary for implants to be successful.
Titanium dental implants have been placed extensively since the 1970s. Titanium offers the benefit of being lightweight and strong, and is not rejected by the body (biocompatible). It is the most widely used metal in orthopedic joint replacement and dental implants. Dental implants have the highest success rate of any implanted surgical device.

Today’s dental implants
Modern dental implants are precision devices, available in several different designs to address your specific needs. The most common type is a titanium screw that is anchored into the jawbone where it serves as post for a custom-made tooth crown. Once the crown is in place, you may not be able to tell it apart from your natural teeth.

Single Tooth Replacement
An implant may be used to replace almost any missing tooth, provided there is adequate bone at the site. If not, modern procedures can usually be performed to regenerate enough bone to safely place an implant.
The implant is placed in the bone below the gum tissue. A temporary abutment may be placed on the implant until the healing phase is complete. A cosmetic temporary crown can often be made to fill the missing space.
After healing, the abutment is attached to the implant. It will hold a custom-made crown that the dental laboratory will mold and match to your existing teeth.
In the final step, the custom crown is cemented onto the abutment. The tooth has been replaced without disturbing the healthy teeth next to it and bone loss has been eliminated.

Multiple tooth replacement
Implants can also be used to replace several teeth, eliminating the need to grind down healthy adjacent teeth to serve as posts for traditional Crown & Bridge therapy.
The implants are placed in the bone below the gum tissue. Like single tooth replacement, temporary abutments may be placed on the implants until the healing phase is complete.
After healing, the abutments are attached to the implants. They will hold a custom-made bridge that the dental laboratory will mold and match to your existing teeth.
In the final step, the custom bridge is cemented onto the abutments. The teeth have been replaced without disturbing the healthy teeth next to them, and bone loss has been halted.

Implant-supported prosthesis (removable)If all your lower teeth are missing, five implants may be used to support a lower denture.
If all your upper teeth are missing, six or more implants may be used to support an upper denture.
The implants are positioned just below the gum tissue and given time to fuse with the bone. Temporary abutments may be placed on the implants until the healing phase is complete. Your existing denture can be modified so that it may be worn without disturbing the implants during the healing process.
You will be fitted for a custom-made bar that attaches to the implants to support a new denture. Your existing denture may be modified to be worn during this period.
The new denture will have attachments which snap or clip it into place. Your new teeth are firmly supported by the jaw, stimulating it and halting bone loss. You will be able to remove the denture easily for cleaning.

Implant-supported prosthesis (Fixed)
If all your lower or upper teeth are missing, a permanent bridge may be attached directly to the implants. The number of implants is determined by the specific requirements of each case.
The implants are positioned just below the gum tissue and given time to fuse with the bone. Temporary abutments may be placed on the implants until the healing phase is complete. Your existing denture may be modified so that it can be worn without disturbing the implants during the healing process.
You will be fitted for a custom bridge that screws directly into the implants. The screw holes will be covered after insertion.
Your new teeth are firmly supported by the jaw, stimulating it and halting bone loss. Your dentist will be able to remove the prosthesis when necessary for cleaning and maintenance.

Implant-stabilized dentureIf all your lower teeth are missing, two to four implants may be used to stabilize a lower denture.
The implants are positioned just below the gum tissue and given time to fuse with the bone. Temporary abutments may be placed on the implants until the healing phase is complete. Your existing denture may be modified so that it can be worn without disturbing the implants during the healing process.
Dental implants can provide stability to your existing loose denture.
After healing, ball-top posts are attached to the implants. Your old denture may be modified to hold clips that snap over the ball-tops, or a new denture with clips will be made.
The denture is snapped into place, where it is retained by the implants and supported by the soft tissue. You simply snap the denture out each night for cleaning.

Frequently Asked Questions
Q: Is the implant placement painful?
A: No, it is usually done under local anesthesia. Most procedures can be done in your dentist’s office.
Q: How much pain will I feel after implant placement?
A: The discomfort you may feel should be minor. Your dentist may prescribe medication to alleviate any pain you may have.
Q: How long does it take to place dental implants?
A: Usually 30-60 minutes, depending on the location and the number of implants.
Q: What can I eat after having an implant placed?
A: Your dentist will outline a diet for the next few days including some soft foods.
Q: How long does placement, healing and construction of the replacement teeth take?
A: The entire process usually takes from 3 to 9 months, depending on your treatment plan.
Q: How do I care for my implant?
A: Home care for your implants consists of brushing and flossing. Regular dental visits are required for long-term health and success.
Q: How long does an implant last?
A: If your body accepts the implant, it should last many years if cared for properly. Many implants have been in place for more than 40 years.
Q: If my body rejects an implant, what happens?
A: The implant is removed and the site is allowed to heal. Another implant can usually be placed after healing.
Q: Are dental implants covered by insurance?
A: Like most elective procedures, dental implants are not covered by most dental insurance plans. However, your dentist may offer payment plan options.

Sunday, November 14, 2010

Family Dentistry

Family dentistry, like general dentistry, provides services related to the general maintenance of oral hygiene and tooth health. The terms family dentistry and general dentistry are often used interchangeably, though there is a slight difference between the two.
Some dentists restrict their practice to certain age groups. For example, pedodontists restrict their practice to providing dental care and treatment to young children. Family dentists typically care for a wide variety of patients, from young children to older adults. Family dentists are responsible for ensuring that plaque buildup around the teeth is kept to a minimum, that tooth decay is eliminated and cavities are filled, and that gums remain healthy.

Family Dentistry Services

Because they are considered to be the first level of defense against dental abnormalities, family dentistry and general dentistry are viewed primarily as preventative fields. The American Dental Association (ADA) recommends that you visit your family dentist for a checkup a minimum of two times each year. Such checkups provide routine or deep cleanings to eliminate plaque buildup and prevent tooth decay. If necessary, they also provide fluoride treatments to help coat the teeth, a procedure also important in the prevention of tooth decay. Preventative dental checkups can help with the detection of oral health problems long before the onset of symptoms.
On some visits, radiographs are taken to help detect cavities and other tooth and jaw problems. If a cavity is detected during a checkup, your family dentist can provide treatment with a dental filling before it develops into a more serious problem that may require a crown, dental implant, root canal, or other restorative procedure.

Training and Practice

After earning an undergraduate degree and passing the Dental Admission Test (DAT), prospective family dentists must complete a three- to five-year dental school program that equips them with a general dentistry education. Dental school is intensive, incorporating much of the same curriculum as a typical medical school. Before graduating, students must pass the National Board Dental Examinations (NBDE) in order to become licensed dentists. After passing the NBDE, the dentist is awarded the degree of Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD). DDS and DMD are different titles for the same education and degree.
Following dental school, the majority of dentists choose to move immediately into practice as a general or family dentist. Others, however, opt to pursue postgraduate training to become a specialty dentist. Nine specialty fields of dentistry are recognized by the American Dental Association:
  • Dental Public Health
  • Endodontics
  • Oral & Maxillofacial Pathology
  • Oral & Maxillofacial Radiology
  • Oral & Maxillofacial Surgery
  • Orthodontics
  • Pedodontics (Pediatric Dentistry)
  • Periodontics
  • Prosthodontics
The amount of additional work and the duration of training depends on the type of dental specialty that a dentist pursues. For example, an endodontist requires an additional two or three years of training, while an oral and maxillofacial surgeon requires an additional four to six years.

Family and Cosmetic Dentistry

Although family dentists are typically associated with preventative and restorative dentistry, many pursue additional training in order to provide cosmetic dentistry services such as teeth whitening and porcelain veneers. Family dentists who perform cosmetic procedures normally refer to themselves as family and cosmetic dentists.
Family and cosmetic dentists have more training than typical family dentists, though they occasionally refer some people to other dentists if specialized treatments are required. Specialists may include orthodontists (for teeth straightening), endodontists (for more complex root canal treatments), prosthodontists (for more complex crowns or for dental implants) and maxillofacial surgeons (for oral surgery). For very young children (ages four and younger), a family dentist may recommend a pediatric dentist, who has knowledge and training related to young children and early tooth health.

Sunday, November 7, 2010

Patient Reviews

Nov 7, 2010
Rated 5.0 out of 5.0 Dr. Kravitz - Thank You!Right before my daughters wedding, two of my front teeth needed fixing. One had cracked directly up the center, and the front veneer needed fixing as well. Dr. Kravitz was able to fix them perfectly just in time for the wedding. I had ran into a few financial problems along this time, and they were very understandable and easy to work with. I find the office to be great, and I have made many referalls. - Cheryl R

Nov 2, 2010
Rated 5.0 out of 5.0 Dr. Kravitz gets an A Plus from Professor...Dr Kravitz is a truly compassionate man. Not only does he care tremendously about his patients but he is a true disciple of the art and science of dentistry. I lost my front teeth in a car accident in my teens (more than twenty years ago) and add to that my dental anxiety, I was a fearful person of the dentist who wore a plastic tooth prothesis for years without doing anything about it. I called Dr Kravitz office and a lovely lady answered the phone in a most empathetic manner. She made me feel so comfortable. To make a long story short, Dr kravitz placed permanent teeth for me and my smile is now terrific! I give this man and his wonderful staff an A plus. Sincerely, Anne P.