With the remarkable All-on-4®1 method of care, our office can help patients who either already lost or are scheduled to have all of their upper and/or lower teeth extracted quickly rebuild their smiles to speak, smile, and eat with renewed confidence and ease!
First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients reestablish attractive smiles that look, feel, and function like their very own!
The All-on-4 treatment concept offers:
Best of all, you never have to go without teeth! With the All-on-4 method of care, a fully functional set of temporary teeth is placed the same day as your procedure. This remarkable feature offers the added benefit of having an attractive and complete smile to share with the world until healing is complete and your permanent ones get placed.
With a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile and allows you to once again enjoy once again the foods you love!
For skilled and experienced care you can trust, contact the office of Brooklyn Implant, Cosmetic & Sedation Center. We offer the most advanced solutions to transform incomplete smiles into ones that look great, function well, and inspire confidence!
1All-on-4 is a registered trademark of Nobel Biocare
The All-on-4 treatment concept offers an implant-based solution to patients who have lost all of their upper and/or lower teeth. This remarkable method of care helps patients quickly rebuild complete and beautiful smiles. With All-on-4, your new, and complete set of implant-supported replacement teeth feel secure, stable, and much like your very own.
If you currently wear complete upper and/or lower dentures or are slated to have your remaining teeth extracted, you may be a candidate for All-on-4. First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients quickly reestablish attractive smiles that look, feel, and function just like a set of natural teeth!
The All-on-4 treatment concept offers a fixed and permanent alternative to removable dentures. Unlike dentures, All-on-4 does not rely on messy dental adhesives or natural suction to hold your new set of teeth in place. With All-on-4, your replacement teeth are permanently secured by dental implants, giving you a smile that looks not only great but also feels secure and stable. You'll feel comfortable and confident as you speak, smile, and chew with ease.
While traditional full arch implants also achieve outstanding results of care, the All-on-4 treatment concept does not involve bone grafting and requires fewer implants to support a full set of teeth. With just four strategically placed dental implants needed to support an entire set of upper or lower teeth, the All-on-4 treatment concept offers a cost-effective and satisfying solution for rebuilding a complete smile. Thanks to this remarkable method of care, patients can experience the satisfaction of having teeth placed the same day as surgery. This key feature allows patients to smile and function with confidence until healing is complete and the permanent restorations installed.
Once it's been determined that you're a candidate for treatment with All-on-4, the process of treatment planning and designing your new smile begins. 3D diagnostic records provide the detailed information required to determine the exact positions of the four supporting dental implants. Then, on the day of surgery, we'll remove any remaining teeth, place the 4 implants, and insert a set of attractive, sturdy, and functional set of temporary teeth. With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow once the implants become fully integrated with the surrounding bone.
With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
Thanks to All-on-4, patients enjoy permanent teeth that look, feel, and function just like real teeth. And with a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile, your confidence, and allows you to enjoy once again the foods you love!
Maintaining your All-on-4 smile requires the same care as a natural smile. By cleaning your teeth twice daily, after meals as possible, and scheduling appointments for routine checkups as well as care, you can keep your new smile strong and healthy for years to come. Our office will demonstrate the most effective methods of oral hygiene and answer all your questions as to how to care for your new smile.
A high-tech alternative to traditional dentures, the ALL-On-6 technique creates a comfortable and stable full set of upper and/or lower teeth using six strategically placed specialized dental implants. While conventional removable dentures can effectively replace a full complement of lost or missing teeth, ALL-On-6 dental implants provide a fixed and permanent method of reestablishing a complete set of teeth. This restores patients with a sense of having their own teeth and offers an improved quality of life as they can once again eat and speak with confidence. With ALL-On-6 dental implants the need for messy denture adhesives or having to take one’s dentures out to clean and sanitize them is eliminated. The replacement teeth are cared for in very much the same way as a set of natural teeth.
All-On-6 dental implants offer a less invasive and quicker way to restore a full upper or lower set of teeth than treatment with conventional dental implants. Requiring just six implants per jaw for a complete set of functional teeth, All-On-6 treatment may reduce the need for preliminary bone grafting surgery. Utilizing the All-On-6 method, temporary teeth can often be placed right away with a permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
A beautiful, healthy smile not only contributes to a positive self-image, but it also helps to make a great first impression on everyone you meet. When you’re completely satisfied with the look of your smile, you’re likely to smile broadly and confidently more often.
If your teeth are stained, discolored, chipped, worn down, misshapen, a little gapped, or misaligned, you’re not alone. According to statistics, more than one-third of adults in the United States are dissatisfied with the appearance of their smiles. The good news is these days, you don’t have to be a movie star to have a vibrant and beautiful smile. Thanks to advances in cosmetic dentistry, less-than-perfect teeth can be completely transformed to produce a naturally beautiful looking smile.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we offer a comprehensive range of state-of-the-art dental services and provide the highest level of personalized care. Our goal is to help every patient enjoy the benefits of an attractive smile. Whether you’re unhappy with the look of a single tooth, all your front teeth, or have unsightly gaps in your smile due to missing teeth, we can help.
Even thousands of years ago, people were concerned about the health and appearance of their smiles. Viewing white teeth as a sign of wealth and beauty, the ancient Egyptians used small sticks to apply a mixture of ground pumice and wine vinegar to remove stains and whiten their teeth.
Today, we have the skills, technology, and materials to create smiles that are as beautiful as they are healthy. Thanks to developments in the field of cosmetic dentistry over the past 50 years, even the most challenging smiles can be transformed into ones that dazzle. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we offer state-of-the-art treatment along with an artistic eye and keen awareness of facial aesthetics to produce cosmetically pleasing smiles and long-lasting results of care.
You can rest assured your smile is in the best of hands with us. We value patient input and listen carefully to your interests and expectations of care. When it comes to cosmetic dentistry, there is no “one size fits all” solution. We recognize that every patient is unique and provide highly personalized treatments to enhance the look of your smile.
Cosmetic dental procedures range from treatments that are relatively quick and non-invasive procedures to more extensive ones based on a patient’s specific needs and expectations of care.
When staining, enamel defects, minor chips, small gaps, or slight misalignment are present, conservative and minimally invasive procedures such as cosmetic dental bonding, professional strength teeth whitening, and veneers can offer effective and highly satisfying ways to improve the look of your smile. Teeth with cavities, more extensive damage, or more significant cosmetic flaws, can be restored and rebuilt to achieve attractive, durable, and long-lasting results with tooth-colored fillings and natural-looking dental crowns.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we use leading-edge technology, proven methods of care, and the latest generations of dental materials to give patients the smiles they’ve always wanted!
We can also help patients with missing teeth to reestablish a complete and beautiful smile with options that range from dental bridges or dentures to dental implants. Whether an individual tooth or multiple teeth are missing, our practice offers the most advanced dental implant-based solutions to help patients create an attractive smile that looks, feels, and functions like a natural one.
To repair minor defects, chips, or fractures, mask discolorations, and close small gaps between teeth; a dental bonding procedure is considered one of the most effective, economical, and quickest methods of care. A bonding procedure is typically performed with composite resins, which come in a wide array of tooth-colored shades to enhance the look of your smile blend seamlessly with the rest of your teeth. Bonded to the underlying tooth structure, composite resins are made of biologically safe and metal-free materials that offer excellent aesthetics, strength, and durability.
Today, it’s possible to restore a tooth with decay with cosmetically pleasing and metal-free filling materials composed of composite resin and filler particles that form a hard matrix when set. Strong and durable, these fillings bond to the remaining tooth structure as they rebuild it following the removal of any decayed or damaged portions. Best of all, with tooth-colored fillings, there’s no unsightly metal showing. Your smile looks naturally pleasing whether you’re opening your mouth or simply flashing a broad smile.
If your teeth are stained, discolored, or yellowed, you may benefit from a professional strength teeth whitening procedure from our office. A teeth-whitening procedure can quickly transform a dull, drab, discolored smile into one that’s whiter and more vibrant. Although over the counter teeth whitening systems purchased in stores or online have become popular, there are health concerns and limitations with these products. As a rule, the healthiest and most effective methods of teeth whitening are the ones managed and supervised by the dentist. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we use the leading systems in care to offer a safe, quick, and effective way to lighten and brighten your smile!
One of the most conservative yet highly effective and aesthetically pleasing ways to enhance the appearance of imperfect looking teeth is the fabrication of porcelain veneers. By placing customized, ultra-thin facings made of the highest grade of dental porcelain over the front of a single tooth or multiple ones, our office can transform the look of your smile.
Besides restoring the appearance and function of teeth with extensive dental decay, cracked fillings, prior root canals, or rebuilding teeth that are very worn down from grinding, a full coverage dental crown can also be used to improve the cosmetics of an imperfect tooth. A full coverage crown may be indicated for teeth that are misshapen, deeply stained, or otherwise significantly flawed.
A successful and satisfying cosmetic treatment plan values patient input. As part of a cosmetic smile makeover consultation, your interests and concerns are discussed while your smile is carefully analyzed to determine which procedures will provide the most pleasing results of care.
Armed with a comprehensive knowledge of dental aesthetics as well as a thorough understanding of complex requirements of an optimally functional bite, the office of Brooklyn Implant, Cosmetic & Sedation Center offers the treatment required to achieve your cosmetic goals and meet your expectations of care.
As skilled providers of cosmetic dentistry, we maintain a position at the forefront of advances in technology and dental materials to deliver the highest quality of care.
While the services described above reflect many popular options in care, we can also discuss additional procedures to improve the look of your smile.
Whether you’re looking to improve one tooth or many, it’s an excellent time to consider enhancing the look of your smile! For more information on cosmetic smile makeovers and the many dental services that we provide, give the office of Brooklyn Implant, Cosmetic & Sedation Center a call today.
Cosmetic dentistry offers solutions to improve the look of teeth that are stained, discolored, chipped, worn down, misshapen, a little gapped, or misaligned. It combines the art and science of dentistry to transform a less-than-perfect smile into one that looks naturally beautiful while at the same time enhancing overall facial aesthetics.
The great thing about cosmetic dentistry is that it offers multiple solutions to quickly improve the look of one’s smile. It all depends on your specific dental needs and cosmetic smile goals. While procedures such as teeth-whitening, tooth-colored fillings, and dental bonding typically provide dramatic improvements in just a single visit, others such as dental veneers only take a couple of visits.
A teeth whitening procedure as provided by our office is often the simplest, quickest, and most effective way to significantly lighten and brighten your smile.
Porcelain veneers are capable of concealing a range of imperfections, dramatically improving the look of teeth that are misshapen, have minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues. While teeth whitening procedures can effectively treat many cases of dental stains or discolorations to produce cosmetically pleasing results, darker stains, as well as specific issues involving the size, shape, and alignment of the teeth, are better addressed with porcelain veneers.
How a back tooth is repaired and restored depends on the extent of the cavity or damage it has sustained. In many cases, a tooth-colored filling is often sufficient to restore the form and function of a back tooth. However, when a significant amount of tooth structure is damaged, or the tooth has had a root canal, it’s often necessary to fabricate a full coverage crown. In this way, the remaining tooth structure is protected from further damage while full function and a natural- looking smile is restored.
Whether or not a chipped or fractured tooth requires a dental crown depends on the extent of the damage. Some minor chips can be addressed with a dental bonding procedure or a veneer. When a significant amount of tooth structure is lost, rebuilding the form and function of the involved tooth may require a full coverage crown.
While conventional dental bridges and dentures offer effective and satisfying ways to rebuild a complete and attractive smile, dental implants represent the most advanced solutions for replacing missing teeth. With dental implants, our office can replace a single tooth or multiple ones to give you a smile that feels, looks, and functions like a natural one. Dental implants behave in much the same way as the root of an actual tooth, providing stable, secure, and long-lasting results of care.
How long your teeth whitening lasts depends on your lifestyle. Eating, drinking, and smoking habits can have a big impact on maintaining your result. Our office will inform you which food, beverages, or habits can stain your newly whitened smile. As needed, we’ll also help you maintain a white and vibrant smile with a periodic, safe, and effective touch-up whitening procedure.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we want every patient to enjoy the benefits of a beautiful and healthy smile. We strive to make dental care affordable and accessible. Improving the look of your smile is a worthwhile investment, and we always try to optimize any dental insurance benefits to cover your work. However, it’s essential to keep in mind that cosmetic dental procedures may not be covered by your plan. You can count on our office to explain every cosmetic option available to address your needs and the fees involved. To help you begin care without any additional stress or day, we can discuss different payment options and financing plans.
A beautiful smile begins today. For more information on our office or to schedule an appointment for a cosmetic smile makeover consultation, give us a call today.
The terms dental crowns and caps are synonymous. If dental decay, cracked fillings, root canals, clenching or grinding the teeth have caused extensive damage to the underlying tooth structure a dental filling may not be a sufficient restoration. The only way to completely restore the cosmetic appearance and function of this tooth is often full coverage with a dental crown. The good news is that a completed dental crown looks and feels like a natural tooth.
In addition to restoring a single natural tooth, crowns can be used in other situations including being the supporting ends of dental bridge, covering dental implants, or as coverage for a cracked tooth to prevent further breakdown. A crown may also be indicated when a discolored or stained tooth needs to be restored to its natural appearance. Crowns can be made of either porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we provide skilled and experienced care to help every patient enjoy the benefits of optimal oral health and a beautiful smile. For individuals who are missing teeth due to extensive decay, periodontal disease, trauma, the result of an illness, or side effect of medical treatment, we offer a comprehensive range of services to rebuild complete, attractive, and functional smiles.
Missing teeth do more than cause embarrassing gaps in your smile. In the absence of a replacement, they can affect the health and function of your smile in the following ways:
Although the consequences of missing teeth can compromise your dental health and overall well-being, modern dentistry offers effective solutions for reestablishing a complete, attractive, and well-functioning smile.
Today, thanks to advances in dental materials, technology, and treatment methods, it's easier than ever before to replace missing teeth and achieve aesthetically pleasing and long-lasting results.
Of course, each smile is different, and every patient has unique needs and individual expectations of care. Helping a patient rebuild a complete and beautiful smile may involve partial or full dentures, fixed dental bridges, or dental implants.
As skilled and experienced providers of care, the office of Brooklyn Implant, Cosmetic & Sedation Center offers expert guidance on choosing the most suitable treatment option. Whatever type of tooth replacement method you select, you can feel confident that your smile will look good and feel great!
A dental bridge offers a highly effective, stable, and fixed solution for replacing missing teeth. Unlike removable partial dentures that clasp on to the remaining teeth, a dental bridge relies on the support of crowns attached to teeth adjacent to the edentulous area (space without teeth) or strategically placed dental implants. In addition to restoring the look, feel, and function of a natural smile, they also prevent the teeth from shifting, thereby protecting the alignment of a patient's bite.
Far from a new idea, the history of replacing teeth with a fixed dental bridge goes back thousands of years. Ancient civilizations made impressive use of available materials, including animal and human teeth, bones, gold, and ivory, to fill gaps in a person's smile.
Fortunately, over the millennia, dental materials and technology have evolved. Today, dental bridges are fabricated from the highest quality of dental materials, including porcelain, porcelain fused to metal, and engineered ceramic products like zirconia. Now, in addition to being stronger and more durable than ever before, they appear more attractive and naturally beautiful.
Depending on the number of missing teeth, the health of the remaining dentition, and other factors, a dental bridge can replace a single missing tooth or multiple ones.
Although most resources list a traditional fixed bridge, an implant-supported bridge, a cantilever bridge, and a Maryland bridge as the four main types of bridges, the most commonly recommended ones are the first two.
Traditional fixed bridge
A traditional fixed bridge typically requires the preparation and crowning of teeth on either side of the edentulous space. These crowned teeth function to support the artificial ones, known as “pontics,” that span the gap. In much the same way a bridge that extends over a body of water relies on the support of strong, sturdy pillars at each end, a dental bridge garners strength and stability from the terminal crowned teeth fused to a single or multiple pontics.
Although related and similar to a traditional fixed bridge, a cantilever fixed bridge differs in one significant way. Only one side of the pontic will get attached to a crown for support.
Implant-Supported Bridges
As the most advanced method for the replacement of missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile. For this reason, an implant-supported bridge often represents the best option in care.
With an implant-supported bridge, there's no need to prepare, crown, or involve any adjacent natural teeth. Because dental implants behave in much the same way as the roots of natural teeth, they provide all the support a bridge requires.
In addition to providing a self-supporting solution for the replacement of missing teeth, Implant-supported bridges offer the most versatile approach for rebuilding a complete smile. Strategically placed dental implants can support any number of replacement teeth up to an entire set of upper or teeth.
Furthermore, as dental implants provide the same stimulation as actual roots to the surrounding jawbone, implant-supported bridges also help prevent the bone shrinkage that naturally occurs when teeth have been lost. This feature helps maintain normal facial contours.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, our mission is to help every patient enjoy good oral health and the benefits of a beautiful smile. We provide skilled, experienced care and offer the most advanced dental implant-based solutions to transform incomplete smiles into ones that look great, function well, and inspire confidence.
Successful treatment outcomes rely upon many things, including a careful assessment of a patient's oral health, overall well-being, smile goals, lifestyle, and budget. Whether you're a candidate for a traditional fixed bridge, an implant-supported bridge, or a removable denture will be determined following a comprehensive assessment and discussion with our office. We value patient input and strive to fulfill your expectations of care.
Before the fabrication and placement of a dental bridge, it's essential that your mouth is free from gum disease. If you have gum disease, it will need to get treated in advance of fabricating your bridge.
For traditional fixed bridges, the crowned teeth need to be strong and have sufficient bone surrounding them to offer strong support. Sometimes, a bone-grafting procedure to boost bone volume and provide a solid foundation is required before the fabrication of an implant-supported or traditional bridge.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, the care and comfort of our patients are our top priorities. Our goals are to create healthy and beautiful smiles and make every dental experience a positive one.
Fixed bridges are typically fabricated over the course of multiple visits. The process involves the preparation of the supporting teeth, impression taking, the placement of a temporary bridge, and the try-in and cementation of the permanent restoration.
It begins with a complete diagnostic workup to develop an appropriate treatment plan. For patients getting a traditional fixed bridge, the next step in the procedure involves preparing the abutment (supporting) teeth for full-coverage crowns. Depending on the number of teeth involved and other factors, an impression for the permanent bridge can get taken this visit or the next one. Either way, a temporary bridge or temporary crowns to cover the prepared teeth will get placed to protect the prepared teeth.
Following the preparation of the involved teeth, it's not unusual to experience some sensitivity and gum soreness. This discomfort typically subsides. However, since the fit of a temporary restoration is often less precise than the final permanent crown or bridge, you may still feel some residual sensitivity until treatment is completed.
Until the permanent crown or bridge is placed, it's essential to be extra careful. Temporary restorations are far less durable than permanent ones. If your temporary gets damages or comes off, please hold on to it. Contact our office, and we will set up an appointment to replace it. Do not attempt to do this on your own.
Before cementing your new bridge, the shade, contours, fit, and occlusion are checked. Once that is done, your new, permanent restoration is placed. Since you have been wearing a temporary, your bite may feel slightly different, and you may feel some pressure as the new restoration reestablishes appropriate contact with the adjacent teeth. If the bite still feels slightly off after a couple of days or any discomfort persists, get in touch with our office. You may still require a minor adjustment.
Surgery to place the dental implants is typically considered a minor surgical procedure and performed on an outpatient basis. However, the exact extent of the procedure depends upon the type and number of dental implants and whether or not any additional procedures are required to prepare the supporting bone.
As your trusted partner in care, you can count on our office to keep you well informed every step of the way. To facilitate the precise placement of dental implants for your implant-supported bridge, we'll take several detailed diagnostic records, including 3D images of your jaws and the involved area.
Patient care and comfort are our top priorities. We do everything we can to put you at ease and make every visit to our office both comfortable and stress-free. Prior to placing your dental implants, we'll discuss the anesthesia, options in dental sedation, and provide detailed pre-op and post-op care instructions.
Once the dental implants for your bridge are placed, it can take a few months for them to fully integrate with the surrounding bone. In some cases, a same-day temporary bridge can get placed to provide an immediate and cosmetically pleasing look. However, the permanent bridge typically gets placed when healing and osseointegration (fusion) with the surrounding bone are complete.
Your new bridge is customized to the exact specifications of your smile. Before cementing to the underlying teeth or affixing it to the supporting implants, the shade, occlusion, and all aspects of its fit get carefully checked. In addition to being designed to blend seamlessly with your smile, it's also made to suit your bite and withstand all manner of oral function. We take great care to make sure your new restoration looks great, fits well, and that your bite feels comfortable.
Replacing missing teeth with a dental bridge is a worthwhile investment in the look, health, and function of your smile. While many dental insurances offer coverage for a dental bridge, and some toward the cost of implants, the benefits and amounts can vary significantly from plan to plan. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we understand the financial considerations involved in care and do all we can to help patients begin treatment without any additional stress or delay. In addition to doing our best to optimize your dental benefits, we also offer several payment and financing options. Feel free to contact our office if you have any questions on the cost of care, dental insurances, financing plans, or acceptable forms of payment.
Now that your new permanent crown or bridge is in place, it's essential to maintain good oral hygiene. With proper care, your new restorations will last for years to come. Make sure to brush and floss as instructed. We'll show you how to floss under your dental bridge to keep your new smile clean and bright. Remember to make appointments for your routine checkups and professional cleanings.
The standard answer is that with routine dental visits and good home care, a bridge can last ten to fifteen years, and in many cases, much longer.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we fabricate your bridge from the highest quality dental materials to achieve the most cosmetically pleasing and lifelike results of care. It's also customized to the exact specifications of your smile and designed for optimal aesthetics, strength, and stability. Once fabricated and cemented into place, you'll feel confident sharing your smile, speaking, and eating your favorite foods.
As your trusted partner in care, we analyze every aspect of your smile to develop a treatment plan that provides aesthetically pleasing, healthy, and long-lasting results of care.
For more information on dental bridges, or any services we provide, give us a call today.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, our patients' care and well-being are our top priorities. Every member of our skilled and experienced team strives to ensure patient comfort and a stress-free dental experience. Our dedication to the consistent provision of compassionate and personalized attention along with gentle, precise care has earned our office the respect and trust of our patients.
While we do everything we can to preserve the integrity of your natural smile, it's sometimes necessary to extract a tooth to protect your oral health and overall well-being.
A "baby" or deciduous tooth that is over retained (reluctant to fall out), severely decayed, or damaged
In most cases, a baby tooth will fall out as scheduled as the underlying permanent one begins to erupt into place. However, occasionally a baby tooth continues to remain firmly attached to the bone. Either the roots of the baby tooth have failed to resorb and shrink as intended, or the baby tooth has become anklylosed and fused to the supporting bone. The problem is that over-retained baby teeth can disrupt the development and alignment of your child's smile. As we monitor your child's smile as they grow, we'll advise you if and when an extraction of a baby tooth is required to facilitate the eruption of its underlying permanent successor.
A permanent tooth that has extensive decay and is deemed non-restorable
Beginning as a simple pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay will continue to compromise healthy tooth structure as it works its way to the inner layers of the tooth. Without proper care, a cavity can lead to significant damage to tooth structure, irreversible damage to the nerve of the tooth, a dental infection, and serious consequences to your oral health and overall well-being. When the tooth has sustained far too much structural damage and cannot be restored, a dental extraction may be required.
A permanent tooth that has been severely fractured or cracked and can not be restored
There are many different types of chips, cracks, and fractures that can affect your teeth. The extent of the damage that it causes will determine if there is enough intact tooth structure to save the tooth and the type of treatment required. In cases where too much tooth structure or the root of a tooth has also been compromised, an extraction may be necessary.
Advanced gum disease that has significantly compromised the tooth's supporting tissues
The most common cause of tooth loss in adults is gum disease. When left untreated, periodontal disease, which affects the hard and soft tissues supporting your teeth, can lead to gingival pocket formation, gum recession, and diminishing alveolar bone. As advanced and untreated gum disease progresses, the teeth ultimately loosen, fall out, or require extractions.
Poorly positioned, impacted, or decayed wisdom teeth
Wisdom teeth, which are also known as the third molars, are the last permanent teeth to develop in the oral cavity and the final ones to come into place. However, as is often the case, many wisdom teeth do not have sufficient room to erupt, are not developing correctly, develop extensive decay, or cause issues for the adjacent teeth and the surrounding tissues. Although the extraction of wisdom teeth sometimes gets recommended for an older patient, the early removal of troublesome or potentially problematic third molars in young adults is more often the case.
Overcrowded Teeth
A tooth size to jaw size discrepancy often results in a crowded and misaligned smile. More simply put, the upper and lower jaws are not large enough to accommodate all the permanent teeth. As part of an orthodontic treatment plan to optimally align teeth and establish an attractive, healthy, and functional bite, the extraction of select permanent teeth may be required.
Whatever the reasons for a dental extraction may be, you can rest assured that your care is in the best of hands at our office. As the first step in care, our dentist will review your medical and dental histories and discuss any special considerations in care.
It's essential to inform our office of any existing medical conditions or medications you are currently taking. In some situations, extra precautions, including premedication with antibiotics, a change in medication, and a medical clearance may be required. Follow all our pre-surgical directives and let us know if you are sick or have developed other symptoms on the day of surgery.
Our goal is to reduce any anxiety and help ensure patient comfort whenever a tooth extraction is necessary. In advance of the procedure, we'll discuss any medical considerations or precautions and go over our pre-surgical instructions. We'll also discuss post-surgical recommendations, including whether replacing the extracted tooth or teeth is needed and the best options in care.
To thoroughly assess the tooth and the type of extraction required, we perform a comprehensive examination and take digital radiographs as indicated. Extractions are typically categorized as either "simple" or "surgical extractions."
When the tooth is clearly visible in the mouth and the root anatomy is not extensively hooked, fused to the surrounding bone, or otherwise unusual, it usually falls into the category of a simple extraction. Once the tooth and the surrounding tissues get sufficiently numbed with a local anesthetic, our dentist will loosen any attached periodontal tissues and apply forceps to remove the tooth. As with all dental procedures, we do all we can to help ensure your comfort and relaxation throughout every step in care. For patients who are anxious about dental work or certain procedures, we can discuss additional options in dental sedation.
For teeth that are severely broken down, anklylosed, or impacted, a surgical extraction is often indicated. We may refer you to an oral and maxillofacial surgeon to perform this procedure. During a surgical extraction, a small incision in the soft tissues and localized, precise removal of overlying bone provides greater access to remove the tooth. As with all tooth extractions, patients are given a local anesthetic to completely numb the involved tooth and the surrounding tissues. Once again, additional options in dental sedation, pre-surgical considerations, and directives are thoroughly discussed and explained.
As skilled and experienced providers of care, we recognize that every case is different and provide treatment that addresses the unique requirements of each patient. Depending on a patient's specific needs, we provide post-operative instructions, including special instructions, limitations on activities, medications, and follow-up care that support optimal recovery and healing. In some cases, post-op care may also include the involvement of a patient's physician. In general, and unless modified otherwise by our office, the following post-operative guidelines apply to simple extractions.
Maintaining gauze pressure
Following your extraction, some gauze to bite down on will be placed over the extraction site. By biting down and maintaining pressure on the gauze as instructed, any active bleeding should stop. You may change the gauze pad after the first hour. Continue to bite down for another 45 minutes if heavy oozing continues. While it's normal for a little oozing to continue for 24 hours, contact our office if you are still experiencing profuse oozing or bleeding.
Until the local anesthesia wears off
Until the local anesthetic has completely worn off, it's essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue.
Antibiotics:
If you have been given a prescription for antibiotics, be sure to take the correct dosage and full course of medication as prescribed.
Pain management:
It's helpful to take a pain reliever before the local anesthetic completely wears off. Over-the-counter (non-aspirin) pain medication may be taken to relieve discomfort. Any prescription pain medication should only be taken as directed.
To facilitate healing
Do not rinse your mouth, spit, drink through a straw, or suck on candies. It's essential to allow the extraction site to clot and not dislodge the new clot once it has formed.
Applying ice
An ice-pack held in place in the facial area overlying the extraction site helps to control swelling. Apply the ice for 10-minute intervals during the first day following your procedure.
Avoid smoking
Smoking not only prevents clot formation, but it also interferes with healing. Avoid smoking and tobacco products for the first week.
Watch what you eat and drink
Stay away from hot or spicy foods and drinks for the first day or two. Also, refrain from drinking any carbonated or alcoholic beverages. Stick with a diet of soft foods and liquids for the first couple of days following surgery. Drink plenty of fluids.
Oral hygiene
Brush gently; it's essential to take great care not to disturb or irritate the extraction site for a few days. A very mild lukewarm saltwater solution can be used to freshen your mouth. Remember not to rinse or spit that first day or two. Simply let any liquids gently fall from your mouth into the sink.
An appointment for a follow-up visit
If sutures (stitches) were placed, or if a complex extraction, an infection, or other issues requires a visit to monitor your healing and progress, you will be given an appointment for follow-up care. It's essential that you keep this appointment as provided.
If you experience continued bleeding, ongoing pain, more swelling, have a bad taste in your mouth, or other unusual symptoms, contact our office.
You deserve quality care that's personalized to meet your individual needs, and at the office of Brooklyn Implant, Cosmetic & Sedation Center, you can rest assured your smile is in the best of hands. We deliver precise and gentle care, keeping you informed and relaxed throughout your procedure. If your tooth needs to be replaced, we'll discuss your best options, including dentures, fixed bridges, and dental implants. As the most advanced method of tooth replacement available, dental implants come the closest to replicating the look, feel, and function of a natural smile.
The most common reasons for tooth loss include advanced periodontal disease, extensive tooth decay, and facial trauma. According to statistics, gum disease is responsible for close to 70% of tooth loss in adults. Although less frequent than the preceding three reasons, it should also be noted that specific diseases, drugs, smoking, and poor nutrition contribute to the risk of tooth loss.
The Centers for Disease Control and Prevention report that in the United States, an average of 12 teeth (including the wisdom teeth) are lost by the age of 50. Also, 26% of adults between 65 and 74 years of age have lost all their teeth.
Every patient and every situation is different. However, when a tooth and the surrounding tissues are numbed with a local anesthetic, you should only expect to feel a bit of pressure, but no pain as the tooth is being loosened from the surrounding tissues and extracted. For patients who are apprehensive and for some surgical extractions, our office will discuss our options in dental sedation to provide further relaxation and reduce any sense of discomfort.
While it's normal to feel some tenderness and swelling following an extraction, the degree of these sensations can vary. It mostly depends on the complexity of the extraction and the body's response to the procedure. We'll recommend or prescribe the appropriate pain medication to help ensure your comfort and give you specific instructions for maximum effectiveness and safety.
Typically, the recovery period following a simple extraction is shorter than a surgical extraction. However, a patient's overall health, habits, and the size and location of the tooth, and other variables can influence recovery and healing. To speed up the recovery and avoid any complications, patients must follow the given at-home instructions diligently. We'll carefully review what to expect following your procedure and go over your post-op instructions.
Smoking interferes with blood clot formation, which is an essential first step in the healing process. Blot clot formation not only provides a protective layer to cover the underlying exposed bone and nerve endings, but it also supports the growth of new tissue. Cigarette smoke also contains chemical toxins that can disrupt the healing process and lead to problems such as continued inflammation, infection, or dry socket.
In a very small percentage of cases, a condition known as dry socket can develop in the aftermath of a dental extraction. This painful condition can arise when the blood clot in the extraction site doesn't form properly or gets dislodged. With dry socket, you may experience throbbing pain and symptoms such as bad breath and an unpleasant taste in your mouth. As skilled providers of care, our office will provide immediate treatment to alleviate your discomfort and promote healing.
The last teeth in your mouth to develop, wisdom teeth often do not have enough room to fully erupt or may be positioned in the wrong direction. These issues can affect your dental health as well as overall wellbeing. While some individuals never develop all their wisdom teeth, and a few have sufficient space for them, there are many people with partially or fully impacted third molars. Our office will monitor the development, position, and health of your wisdom teeth and will advise you if and when extractions are indicated.
After a tooth is removed, bone-grafting material is sometimes placed in the socket to promote healing and encourage new bone development. This procedure is often performed to support the eventual and successful placement of a dental implant.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we strive to make dental care affordable and accessible. Depending on the type or complexity of the extraction and other variables, the cost of the procedure can vary. Based on our diagnostic findings, our office will inform you of the healthiest choices in care, explain the fees, discuss insurance coverage, and explain your payment options.
Many dental plans offer some level of coverage for tooth extractions. We'll advise you if your plan covers the full cost of the procedure and if there is any out-of-pocket expense. Our business office will work with you to maximize your insurance benefits as much as possible while helping you minimize any out-of-pocket expenses.
If you're missing teeth, you're not alone. Tooth loss is a far more common problem than you think. In fact, studies show that 178 million people across the United States are missing at least one tooth, and 35 million are completely edentulous (missing all their teeth). Whether you have lost one tooth or multiple ones to gum disease, tooth decay, or a traumatic injury, the office of Brooklyn Implant, Cosmetic & Sedation Center can help. We provide state-of-the-art care and offer the latest solutions to help patients reestablish complete, healthy, and beautiful smiles.
Today, dental implants represent the most advanced system for the replacement of missing teeth. While conventional fixed bridges and dentures remain effective and satisfying ways to replace missing teeth, dental implants come the closest to replicating the look, feel, and function of a natural smile.
With dental implants, you can once again enjoy all your favorite foods and speak and smile with renewed confidence and ease. Because dental implants behave in much the same way as the roots of natural teeth, they provide unrivaled stability for the placement of a broad range of dental prostheses, including crowns and bridges up to a complete set of teeth. For patients who wear full dentures, dental implants provide the added stability and retention required to improve comfort and fit while preventing any embarrassing slippage.
If you are struggling with tooth loss and looking for the best solutions for the replacement of missing teeth, visit the office of Brooklyn Implant, Cosmetic & Sedation Center to learn more about dental implants and all the state-of-the-art services we provide. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we take pride in creating beautiful and healthy smiles!
Missing teeth do more than cause embarrassing gaps in your smile. For one thing, they can also affect your ability to speak or chew nutritious food with ease. By not replacing missing teeth, the adjacent ones can shift towards the space over time and change your bite and compromise the health of your smile in many ways.
With all of the advances in dental materials, technology, and treatment methods available today, it's easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing results of care.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we're pleased to offer leading solutions to improve your oral health and give you a smile you can feel confident sharing with the world. We give you back the complete smile you have lost and provide personalized solutions for all of your oral healthcare needs. To find out more about dental implants or schedule an appointment so that we can take a closer look at your smile, give us a call today.
Dental implants are small, biocompatible surgical posts that behave in much the same way as the roots of natural teeth. Once placed and integrated with the surrounding bone, dental implants provide unparalleled support for single crowns, bridges, and dentures. As the most advanced method for the replacement of missing teeth, they offer satisfying, long-lasting, and functional solutions for rebuilding a complete smile.
Whether you're missing one tooth, multiple ones, or missing all your teeth, you can rebuild a complete and beautiful smile with dental implants! According to statistics, roughly 3 million people have already received dental implants, with that number increasing at a staggering rate of 500,000 per year! The soaring popularity of dental implants is attributed, in large part, to the numerous benefits they offer as compared with other methods of care.
While conventional fixed bridges and dentures provide effective and satisfying solutions for the replacement of missing teeth, dental implants offer several advantages over traditional methods of care:
Dental implants come the closest to replicating the look, feel, and function of natural teeth.
With precise placement, good oral hygiene, and routine care, dental implants can last for many years.
Dental implants provide continued stimulation to the underlying bone to prevent the bone loss that occurs when teeth are missing while preserving natural facial contours.
Since implants behave like natural teeth, there is no chance that they will slip or dislodge like removable dentures when speaking or eating.
With dental implants, it is possible to speak with ease as well as eat and taste all types of food with virtually no restrictions.
Dental implants do not decay and will not develop cavities.
Unlike a fixed bridge, dental implants do not require any preparation or crowning of teeth adjacent to the edentulous area.
If you are wondering if you're a candidate for dental implants, it's easy enough to find out. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we're not only happy to take a look at your smile, but we'll also answer all your questions and explain your best options in care. As the most versatile solution for reestablishing a complete smile, dental implants offer a wide range of applications and can be used to replace a single tooth, multiple teeth, or all of the upper and lower teeth.
Rest assured that your care is in skilled and capable hands. You can count on our office for the best solutions for your smile. We treat every smile as unique and develop personalized treatment plans based upon your medical and dental histories, as well as your current oral health, cosmetic expectations of care, lifestyle, and budget.
It's essential to plan and meticulously execute every step in care, from initial treatment planning and the precise placement of dental implants all the way to the design, fabrication, and insertion of the final crowns, bridges, or dentures.
Surgery to place the dental implants is typically considered a minor surgical procedure and performed on an outpatient basis. However, the exact extent of the procedure depends upon the type and number of dental implants and whether or not any additional procedures are required to prepare the supporting bone.
As your trusted partner in care, you can count on our office to keep you well informed every step of the way. Patient care and comfort are our top priorities. We do everything we can to put you at ease and make every visit to our office both comfortable and stress-free. Prior to your dental implant procedure, we'll discuss your dental anesthesia, options in dental sedation, and provide detailed pre-op and post-op care instructions.
Once your dental implant is placed, it can take a few months for it to fully integrate with the surrounding bone. While in some cases, a same-day temporary crown or bridge can be placed to provide an immediate and cosmetically pleasing look, permanent prostheses are typically placed when healing and osseointegration (fusion) with the surrounding bone are completed.
According to clinical studies, dental implants have a demonstrated long-term success rate of well over 95%. However, the long-term stability and success of a dental implant depend upon the presence of sufficient bone at the time of placement. In cases of periodontal disease or following the extraction of a tooth, bone volume is often lost. By placing a bone graft in the extraction site, or prior to the placement of a dental implant, we can establish sufficient bone support for a sturdy and stable dental implant.
While rebuilding a complete smile with dental implants is a worthwhile investment, our office is sensitive to the costs involved in dental care. We customize care and will discuss all treatment options that address your oral healthcare needs, cosmetic goals, and budget. Our office is dedicated to making care more accessible and will help patients navigate their dental insurance coverage and optimize their benefits. We can also discuss payment plans as well as financing treatment to make things easier for you. Feel free to contact our team with all your questions regarding methods of payment and financing options.
Even if you've lost a back tooth that no one sees, it's essential to replace it. Missing teeth do more than cause embarrassing gaps in your smile. In addition to affecting your ability to chew and speak, missing teeth can also cause gradual changes to the alignment of your remaining teeth. These changes not only affect your bite, but they have the potential to create more unsightly and unhealthy gaps in your smile. Furthermore, without the support of a complete set of teeth, facial contours can begin to sag, creating a more haggard look over time.
In addition to representing the most advanced solution for the replacement of missing teeth, dental implants are also the most versatile. While an individual implant supports a crown to replace a single tooth, additional implants can also be placed to replace multiple teeth. Even if you're missing all your upper or lower teeth, dental implants can be used to reestablish a complete and beautiful smile.
Dental implants can help people who wear full dentures in multiple ways. For one thing, dental implants offer an alternative to full dentures. Because strategically placed dental implants can support a full arch dental bridge, you can enjoy the benefits of a fixed, non-removable, stable, and natural-looking solution for your smile.
Another way dental implants can benefit someone who wears full dentures, is by providing the denture with added stability and retention. Specialized dental implants offer an attachment point for a full denture so that you no longer need denture adhesives to prevent uncomfortable and embarrassing slippage.
Just like a new hip or new knee, dental implants are fabricated from the highest quality of medical-grade biocompatible materials. While most dental implants are made of titanium, some are fabricated from zirconia. Both titanium and zirconia are biocompatible materials, which integrate well with the hard and soft tissues in the jaw.
Dental implants behave in much the same way as the roots of natural teeth and are designed to support both individual dental crowns and bridges to rebuild a complete smile. Just how aesthetically pleasing and naturally beautiful your dental implant restorations look depends in large part on the artistry and skill of the professionals providing your care.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, you can feel confident sharing your new smile with the world. Every implant restoration that we fabricate is made from the most cosmetically pleasing, safe, and durable dental materials. Not only will your new teeth blend seamlessly with your smile, but the size, shape, and color will be selected for optimal facial aesthetics and harmony.
Taking care of your dental implants requires the same diligence it takes to care for a natural smile. An effective oral hygiene regimen that includes brushing twice a day and flossing combined with healthy oral habits, good nutrition, and routine dental care are the best steps you can take to maintain your new smile. Although dental implants do not get cavities, it's essential to keep in mind that you can still develop periodontal problems, compromising the success and longevity of your dental implants.
As your trusted partner in care, we remain dedicated to your ongoing oral health. We'll provide you with ample instruction in the best methods for taking care of your oral health and new smile.
Dental implants enjoy the highest success rate of any implanted medical prosthesis. However, their longevity depends on a number of factors. Enjoying the benefits of dental implants in the long term relies upon skilled placement, adequate bone volume at the time of placement, and the level of ongoing oral care. With proper care, well-planned and well-placed dental implants will serve you well for many years to come.
As skilled and experienced providers of care, our office values patient input, and a member of our team is always on hand to address all your questions and concerns. We firmly believe that achieving the best treatment outcomes depends upon successful partnerships in care. We strive to provide the best solutions for your smile while making treatment more comfortable, accessible, and affordable. We tailor care and meticulously treatment plan cases to address the unique requirements of every smile. With dental implants from our office, you can once again enjoy all your favorite foods and feel more confident in all your social and professional interactions.
If you are interested in hearing more about dental implants and whether they offer the right solution for your smile, give us a call today. We're happy to explain all your options in care.
If you are told that a tooth requires a root canal procedure, there’s no need for alarm. Today, a root canal procedure is as routine and comfortable as receiving a dental filling. As a matter of fact, a root canal procedure is typically the best way to relieve toothache pain, save a damaged tooth, and preserve your natural smile.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we use the latest technology to provide precise and gentle care to help patients maintain healthy, beautiful smiles. Patient care and comfort are our top priorities, and you can rest assured your oral health is in the best of hands.
With a demonstrated success rate of well over 90%, root canal procedures remain the most effective way of saving and retaining a tooth that has been severely compromised by dental decay or injury. Because having a healthy natural dentition supports your oral health and overall well-being, root canal therapy, as opposed to having the involved tooth extracted, is a routine and widely recommended procedure. Across the United States alone, root canal procedures are routinely performed almost 41,000 times daily and close to 15 million times per year.
Your teeth are much more than just the hard outer biting surfaces and the roots. Inside each one is a central chamber containing connective tissue, a nerve supply, and blood vessels. Collectively, these core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. Once your tooth is in place, the dental pulp provides nourishment, keeps the tooth vital, and alerts you of problems.
Having sensitivity to various stimuli like biting down and eating or drinking hot or cold items is a warning from the nerves inside your tooth that dental decay is present, dental trauma has occurred, or infection is brewing. The degree of pain that you experience depends on the extent of the damage and nerve involvement.
When a tooth needs a root canal, it is because the dental pulp has become irreversibly damaged or has died. However, if enough intact tooth structure remains, and there’s good bone support around the compromised tooth, you do not need to have the tooth extracted. A fully developed tooth does not require the dental pulp to remain functional. You can preserve your natural tooth by having your dentist perform a root canal on the tooth.
Although not every instance of dental discomfort indicates the need for root canal therapy, some of the warning signs that you might require this procedure include the following:
Pain is your body’s way of signaling that something is amiss. Although, there are many explanations for oral pain, one of the most common reasons is a toothache caused by decay or damage that has affected the tooth’s inner vital tissues. Patients in need of root canal therapy often report dental pain that wakes them up at night.
If the pleasure of sipping hot beverages or foods are overshadowed by dental pain that makes you wince, it's time to contact our office. Extreme sensitivity to hot or cold foods and drinks can indicate an inflamed, irritated, or non-vital dental pulp.
If it hurts when you bite and chew or when you just touch the tooth, it may indicate pulpal involvement, irreversible damage to the inner vital tissues of the tooth, or the presence of an infection.
A discolored tooth is often a message that the inner vital tissues, including the tooth’s nerve and blood supply, have been compromised. Teeth that have sustained an injury may demonstrate discoloration as the internal tissues have devitalized.
An injury that chips or fractures a tooth can also traumatize the dental pulp or even compromise so much tooth structure that a root canal procedure is required to save the tooth.
Swelling of the gums around a tooth may indicate that an infection has developed. While the swelling can worsen and cause more harmful consequences, sometimes a dental abscess starts to ooze pus and drain. In either case, prompt care is required.
The pathology associated with a tooth need of root canal therapy can damage the bone supporting the tooth and produce some mobility. Root canal therapy can often resolve this issue as tissue healing occurs.
While some of the above signs and symptoms can indicate other dental problems, they all require prompt evaluation and care. In some cases, a tooth in need of root canal therapy has not yet demonstrated overt symptoms. It may first get diagnosed and brought to your attention following a comprehensive, routine exam. Typically, these teeth show radiographic evidence of periapical pathology (root end pathology) or other types of structural damage.
It is essential that when a root canal is recommended that you receive timely care. Delaying the procedure increases the risk of more widespread and severe symptoms developing. A dental infection can pose significant consequences to your oral health and even threaten your overall health and well-being.
With the modern dental instruments and advanced techniques available today, having a non-surgical root canal procedure is often as comfortable as getting a routine dental filling.
While some root canals can be completed in one visit, others may involve 2 or 3 appointments. How long it takes depends on factors such as the number of canals in a tooth, its anatomy, and whether an active infection is present.
During a root canal procedure, our dentist will remove the diseased dental pulp, clean the internal portion of your tooth, and then fill all the prepared canals with a biocompatible filling material. Root canal therapy is typically performed under local anesthesia, but additional options in dental sedation are available to reduce any anxiety associated with dental procedures.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, the care and comfort of our patients are our top priorities. Our goal is to help our patients enjoy optimal oral health and to keep them well informed every step of the way.
After your root canal procedure, you may experience the following:
Immediately following your dental visit, you may experience a period of lingering numbness. Normal sensation typically returns within an hour or two. However, until the anesthetic has completely worn off, it’s essential to protect yourself from unintentionally biting or injuring your lips, cheeks, gums, or tongue. Be mindful of chewing, drinking hot beverages, or smoking.
A root canal procedure will alleviate the pain of a toothache. However, you may still experience some mild to moderate discomfort in the immediate aftermath when the anesthesia wears off. These feelings should subside within days. To help prevent any undue pressure, which may cause pain, the biting surface of the involved may be slightly filed and taken out of occlusion. Our office will also recommend appropriate over-the-counter pain medications and provide a prescription if indicated.
If you have been given a prescription for antibiotics to treat or prevent an infection, it’s essential to complete the course of medications as prescribed.
Even with a temporary filling, a tooth with a root canal remains vulnerable to stress and can fracture until a permanent crown or suitable permanent restoration is placed. In the interim, be mindful of the involved tooth. Try to chew on the opposite side of the mouth and avoid hard and sticky foods.
While you need to be mindful of a tooth that has received root canal therapy, it’s essential to continue to brush and floss. By maintaining proper oral hygiene, you’re preventing further problems as well as supporting healing and optimal oral health.
To rebuild the strength and integrity of a tooth that has received a root canal therapy, it needs to be restored with a permanent crown or suitable restoration. Until that time, the remaining tooth structure is weak and vulnerable to fracture. The sooner a permanent restoration is placed, the sooner you can bite and chew with confidence and ease.
With proper maintenance and care, a tooth that has been treated with root canal treatment can last a lifetime.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we’re dedicated to providing the highest quality of care. If you have any additional concerns, continuing discomfort, or signs of an infection, or concerns following your procedure, contact our office for prompt attention and care.
A root canal procedure is the best way to save a tooth that has been damaged by decay or injury and preserve your natural smile. The alternative is an extraction and treatment to replace the tooth. While at times a tooth is non-restorable and an extraction is the only option, when possible, it’s best to try and save your natural tooth. With proper care, a tooth with root canal therapy care can serve your smile well for many years to come.
Despite lingering myths from before the age of modern dental anesthesia and technology, having a root canal procedure today is as routine and comfortable as visiting the dentist for a filling. While the procedure is performed under local anesthesia with your tooth completely numbed, we can also discuss options in dental sedation.
Whether the symptoms of a dental infection subside after a course of antibiotics, a draining abscess provides you with some temporary pain relief, or a tooth with radiographic evidence of pathology has not yet developed symptoms, it’s essential, before an infection worsens or occurs, to have a root canal procedure performed. In this way, the tooth can be disinfected, filled, and sealed to protect your health and avoid further problems.
If you have sustained a dental injury, have a toothache, jaw pain, swelling, or are experiencing any other unusual and uncomfortable oral symptoms, contact our office immediately for care. Dental problems that have not been evaluated and treated can significantly worsen, producing more severe damage and consequences for the involved teeth, your oral health, and even your overall wellbeing. Once you get in touch with our office, our friendly and compassionate office team will get you in for care at your earliest convenience.
While some root canal procedures can be completed in one visit, others may involve 2 or 3 appointments. How long it takes depends on various factors, including active infection, the number of canals in the tooth, and the tooth’s location or anatomy.
With a success rate that exceeds 95%, root canal therapy remains the most effective procedure to save a tooth in which the inner vital tissues have been damaged. However, as with all healthcare procedures, there are a small percentage of cases where the teeth become symptomatic a second time. The good news is that many of these teeth can still be saved with root canal retreatment or a minor surgical procedure known as an apicoectomy.
The best ways to maintain a tooth with root canal therapy are to get the proper restoration required to rebuild and protect the tooth, maintain proper oral hygiene, and schedule appointments for routine dental checkups and care.
Saving a tooth with root canal therapy is a wise investment that, in the long run, is typically less costly and invasive than having the tooth extracted and replaced with a fixed bridge or implant. As far as the exact cost of care, it can vary depending on which tooth is being treated. Many dental insurance plans provide coverage for root canal therapy. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we do our best to optimize your dental benefits and minimize your out-of-pocket expenses. Our staff answer all your questions about the cost of care and discuss all your payment options.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we use the latest technology and most effective methods of care to provide precise and gentle care. Our reputation for excellence is based upon a consistent record of achieving successful treatment outcomes while providing prompt, stress-free, and convenient treatment for every type of dental need.
Sedation dentistry offers individuals with general anxiety about going to the dentist or fears about a specific dental procedure the opportunity to have a stress free and more comfortable experience. Utilizing safe and controlled sedation techniques prior to the dental procedure the patient is eased into a state of complete relaxation. This eliminates any discomfort, pain, and preoperative anxiety that may be associated with a particular dental visit. With sedation dentistry patients typically feel more at ease post-operatively as they have little or no memory of the actual moment-to-moment dental procedure.
Nitrous Oxide
Commonly referred to as “laughing gas,” nitrous oxide is used as a mild sedative to reduce anxiety and allow a level of relaxation during a procedure. Nitrous oxide is inhaled through a small mask over the nose. It is administered for the duration of the procedure and is turned off as the procedure is coming to an end. The effects of this method of sedation wear off very quickly.
Oral Sedation
Oral Sedation means that you will be given a prescription for an oral medication prior to you appointment. Taken at the recommended time before your appointment, this medication allows you to fully relax by the time your procedure begins. When receiving oral sedation, a patient must have an escort on the day of the procedure to drive them to and from the oral surgeon’s office.
Sleep apnea is a serious and potentially life threatening disorder involving repeated pauses in breathing while asleep. The most common form of this condition is obstructive sleep apnea. This occurs when there is an obstruction of an individual’s airway that interferes with the flow of oxygen through the nose or mouth during sleep. In someone afflicted with obstructive sleep apnea, the muscles of the throat and mouth relax during sleep to the point where they fall back into the upper airway and create a blockage that restricts breathing.
The signs and symptoms of this disorder during sleeping hours may include, loud snoring, episodes of breathing cessation, abrupt awakenings, episodes of gasping for air, along with difficulties getting a good night’s sleep. An individual with sleep apnea will exhibit problems during the day as well. Sleep apnea can lead to a morning headache, excessive daytime sleepiness, difficulty concentrating, and irritability.
A sleep study is typically conducted to determine the severity of the disorder. The results of this study along with other medical findings will play a role in determining the recommended therapy. The most common form of therapy is a CPAP machine that is worn when sleeping. This device provides a steady stream of pressurized air into the respiratory system through a mask.
In situations of mild to moderate sleep apnea, a dental appliance may be deemed the appropriate treatment. Worn in a similar fashion to a mouthguard or an orthodontic retainer, it is designed to help keep the tongue and soft tissues in the back of the throat from collapsing, thereby enabling the airway to stay open during sleep. An oral appliance is easy to wear, easy to care for, comfortable, and portable. Oral appliances are individually fabricated, and customized for both maximum effectiveness and comfort.
Improving the appearance of your smile can make a difference in your confidence and overall quality of life. At the office of Brooklyn Implant, Cosmetic & Sedation Center, we provide experienced care, skillfully combining the art and science of dentistry to give patients teeth that are as beautiful as they are healthy.
If your teeth appear dull, drab, discolored, or stained, don't despair. Thanks to advances in cosmetic dentistry, you too can enjoy the benefits of a beautiful smile. With a teeth whitening procedure from our office, we can quickly and dramatically lighten and brighten your smile.
You can rest assured your smile in the best of hands with us. We use the latest generations of professional strength teeth whitening systems to transform the appearance of your teeth and give you a smile that's several shades lighter, brighter, and more vibrant than before your procedure.
As dedicated providers of care, our goals are to help every patient maintain good oral health and wear their best-looking smile. We tailor treatment to address individual needs and meet every patient's expectations of care.
After examining your smile and determining if a teeth whitening procedure is suitable for you, we'll recommend the best in-office procedure or a take-home whitening system to achieve your cosmetic goals.
How white your teeth look depends on how they reflected and scattered light. Although external staining is typically due to certain foods, beverages, or tobacco use, internal tooth discoloration is usually the result of genetics, certain medications, tooth decay, restorations, and trauma. Aging also plays a significant role in tooth color. Over time, as the outer layer of enamel thins, the yellow inner layer of dentin becomes more apparent.
Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. Today, there's an abundance of choices in teeth whitening products and procedures available to you. Options run the gamut from over-the-counter toothpastes, rinses, strips, or gels to professionally supervised in-office treatments and customized take-home kits.
With so many choices in care, how do you know which one to select? Despite the many over-the-counter products on the market today, it's essential to keep in mind that the premiere teeth whitening systems are the professional-strength ones provided by the dentist. Not only do these whitening systems offer a higher concentration of whitening components than the ones available in stores or online, but they also get delivered to the teeth in the safest, most effective, and well-supervised way.
While you may be tempted to purchase a kit in the drugstore or online, be careful. Some over-the-counter teeth whitening products can damage the teeth and soft tissues in the mouth. Even though many work when healthy teeth and gums are present, they may be ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work exist.
Whitening products typically fall into one of two of the following categories:
Under the category of peroxide containing bleaching agents, most whitening systems contain either carbamide peroxide or hydrogen peroxide as the active ingredient. While both can readily permeate the enamel to achieve pleasing results, the concentration of either one of these ingredients determines the strength, effectiveness, and safety level of the whitening system.
Teeth whitening systems rely on a chemical reaction between the bleaching agent and the discolored molecules. As the latter get oxidized, the stains and discoloration get broken up and erased.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we combine the art and science of dentistry to create beautiful and healthy smiles. We value your investment and provide treatment that supports good oral health while fulfilling your smile goals and expectations of care. We offer a range of advanced cosmetic dental services and will help you choose the option that's right for your smile.
While teeth whitening procedures in most cases produce highly satisfying results, not every type of stain or discoloration responds well to one. First of all, a teeth whitening procedure only works on natural teeth and does not change or improve the color of dental fillings, crowns, or bridges. It should also be mentioned that just as individuals with yellow tones to their teeth typically respond well to a teeth whitening, brown and grayish teeth can respond less well and may require more intensive whitening regimens or alternative cosmetic treatments. Furthermore, a teeth whitening procedure may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.
You can trust us to take a close look at your smile and advise you if a teeth whitening is right for you, or if another cosmetic procedure offers healthier and better results.
Watch what you eat and drink
Maximizing the benefits of a teeth whitening procedure involves being mindful of what you eat and drink. This guideline is especially true for the first 48 hours following an in-office treatment. The reason is the ultra-thin, membranous protective layer of the tooth that was temporarily removed as a result of the whitening procedure takes a couple of days to reestablish itself.
You can protect the results by avoiding deeply colored foods and beverages that can stain your teeth!
Refrain from drinking coffee, red wine, dark soft drinks, and teas. Stay away from fruits like berries and grapes, and chocolate products as well as other foods that are darkly colored.
Feel free to eat and drink foods with a low potential to stain your teeth!
Beverages such as water, milk, white wine, and clear soft drinks are okay. Eating fruits such as a banana or peeled apple are fine. Cheeses, as well as white foods like chicken, fish, pasta, oatmeal, potatoes, and bread prepared without red sauces or dressings, are acceptable as well.
Avoid Smoking
Smoking stains and yellows your teeth under the best of circumstances. If you are a smoker and have just had your teeth whitened, it's a good idea to refraining from the habit for at least the first couple of days. Of course, smoking less frequently after that or quitting the habit altogether not only benefits the appearance of your smile but also your oral health and overall well-being.
Some sensitivity is normal.
You may experience some sensitivity to cold and hot for a couple of days. This discomfort typically subsides. We recommend taking over-the-counter pain medication just as you would for a headache. Using toothpaste designed for sensitive teeth may also be helpful.
Treatment Results
While teeth whitening procedures provide satisfying outcomes of care, it's essential to keep in mind that results vary from patient to patient. Both short-term and long-term results are influenced by the original shade of the tooth, diet, and oral habits.
Also, as explained before treatment, teeth whitening procedures do not change the color of existing fillings, crowns, bridgework, or dental bonding. If this issue presents an aesthetic concern, we can discuss replacing a restoration.
Keeping your smile bright
Maintaining the results of treatment also rely upon proper oral hygiene and routine dental care. We'll also discuss a take-home whitening system if any periodic touch-ups are indicated following the procedure or down the road.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we're dedicated to providing the highest quality of care. If you have any additional questions or concerns about your teeth whitening procedure, feel free to contact our office.
While an overwhelming selection of over-the-counter teeth whitening products is readily available for purchase at stores or online, it's imperative to keep in mind that the healthiest and most effective methods of care are those professionally supervised by your dentist. With a teeth whitening procedure provided by our office, we can safely, comfortably, and effectively transform your smile by up to several shades in a short amount of time.
Teeth whitening offers a simple and non-invasive to whiten and brighten your smile. Whitening products contain various strengths of biologically safe hydrogen peroxide or carbamide peroxide that act as bleaching agents on stained or discolored dental enamel. By breaking the stains into smaller pieces, these bleaching agents make the color less concentrated and your teeth brighter.
Every patient is different, and despite the fact that many people experience no sensitivity or pain with a professional teeth whitening, there are some that do. Although considered a minimally invasive cosmetic procedure, some temporary discomfort during and following the procedure may ensue. It helps to stick to room temperature beverages for a few days following a teeth whitening. You can also take over-the-counter pain medication as you would for a headache. If you have a history of sensitive teeth, we may select a gentler formulation of whitening products or an alternative procedure.
It's essential to keep in mind that every patient has unique needs and specific requirements of care. In general, individuals with yellow tones to their teeth respond best to teeth whitening. Brown and grayish tinted teeth bleach respond less well and may require significantly longer dentist-supervised tooth whitening regimens or alternative cosmetic treatments. Finally, teeth whitening may not be recommended in the presence of sensitive teeth, worn enamel, and significant gum disease.
For darkly stained teeth, a whitening procedure may not provide the cosmetic results desired. In these cases, we'll talk about alternative options such as porcelain veneers or full-coverage crowns.
Teeth whitening only works on natural teeth. The fact that whiteners do not affect the color of existing dental fillings, veneers, bonding, crowns, or bridges on the front teeth remains an important consideration when choosing the best cosmetic option in care.
As a rule, the healthiest and most effective methods of teeth whitening are the ones managed and supervised by your dentist. You can count on our office to provide the most effective, safest, and satisfying professional-strength options to whiten, brighten, and lighten your smile! Stay away from over-the-counter products, which may be overly abrasive or put the health of your teeth and the surrounding soft tissues at risk. While these products may work when healthy teeth and gums are present, they're often ineffective or problematic when sensitive teeth, exposed roots, cavities, broken fillings, cracked teeth, or loose dental work are the case.
How long your teeth whitening lasts depends on your lifestyle. Your eating, drinking, and smoking habits can have a significant impact on maintaining your result. Of course, the best way to ensure that your smile stays healthy and beautiful is a good daily oral healthcare regimen, along with regular dental checkups and cleanings.
It's essential to keep in mind that as a cosmetic dental procedure, a teeth whitening may not be covered by your insurance plan. We understand the financial considerations involved in care and do our best to help you get the treatment you need without any additional stress or day. We offer several payment options and financing plans to make things easier.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we want every patient to enjoy the benefits of a smile that is as beautiful as it is healthy. In addition to offering a comprehensive range of advanced services to keep your smile in tip-top health, we also provide leading-edge cosmetic solutions to transform less-than-perfect-looking teeth into ones that dazzle.
According to the National Institute of Dental and Craniofacial Research (NIDCR), temporomandibular joint disorders (TMJ), also referred to as temporomandibular disorders (TMD), are the most common source of chronic facial pain and jaw dysfunction. It is estimated that more than 10 million people in the United States are affected by temporomandibular joint problems.
There are two temporomandibular joints that connect the left and right sides of the lower jaw to the temporal bone. Both joints and their associated muscles, ligaments and tendons work together to allow for all manner of oral function as the jaw moves up and down, front to back and from side to side. Containing a shock-absorbing, soft disc that sits between the rounded condyles of both sides of the lower jaw and the corresponding concavities in the skull’s temporal bone, the TMJ makes chewing, speaking, yawning and all jaw movements possible.
Since the TMJ is a joint with both up and down hinge-like movements, as well as side to side and front to back sliding motions to perform, it is often considered one of the most complicated joints in the body and one of the most difficult to treat when problems arise.
TMJ disorders can fall into one or more of the following three categories:
Myofascial pain- Refers to pain in the area of the jaw joint due to various causes of increased muscle tension and spasm
Internal derangement-Involves displacement of the disc, jaw dislocation or trauma to the condyles of the jaw
Degenerative joint disease -Arthritis
The risk for developing a TMJ problem is greater in the presence of long-term teeth grinding or bruxism, a jaw injury or various types of arthritis such as rheumatoid arthritis and osteoarthritis. Furthermore, the manifestations of a TMJ disorder can vary from person to person with a wide range of symptoms possible, including earaches, ringing in the ears (tinnitus), headaches, back and neck pain, vertigo, muscle spasms and joint tenderness as well as jaw pain, popping or grating sounds with jaw movement, jaw locking and limited jaw movement. For some people a TMJ disorder can be resolved within a relatively short period of time, while for others it will continue to persist despite extensive therapy.
When evaluating for the presence of a TMJ disorder, the dentist will perform a thorough clinical assessment of joint symptoms and function. Special radiographic imaging and other diagnostic tests will be ordered as needed. The treatment of a TMJ disorder may include oral appliances such as night guards or stabilization splints to alleviate strain on the joints. Other types of therapy may include steroid injections, occlusal adjustments as well as orthodontic or prosthodontic treatment to improve occlusion. In cases of persistent and serious TMJ problems, surgery may be recommended.
Methods of self-care can be helpful in alleviating some of the symptoms of a TMJ disorder. Patients are typically advised to eat soft foods, avoid extreme jaw movement such as wide yawning and gum chewing, to practice stress reduction and relaxation techniques and applying ice packs or moist heat as directed. If recommended, a patient should follow the dentist or therapist’s instruction for gentle stretching exercises. The short-term use of over-the-counter, non-steroidal, anti-inflammatory drugs and pain medications may provide relief. If not the dentist or physician may prescribe stronger pain or anti-inflammatory drugs, muscle relaxants or anti-depressants.
As the most recognizable expression and the universal sign of happiness, a beautiful smile is an important asset. Studies show that an attractive smile can boost your self-confidence, contribute to your overall well-being, and help make a positive impression on everyone you meet.
If your front teeth are stained, discolored, chipped, worn-down, misshapen, a little gapped, or slightly misaligned, you're not alone. According to statistics, more than one-third of adults in the United States are dissatisfied with the appearance of their smiles. Cosmetic imperfections may be due to genetics, excessive wear and tear on the teeth, the aging process, dietary choices that stain the dental enamel, smoking, or as a side effect of certain medications.
In some cases, if the imperfections are minor ones, a teeth whitening procedure or cosmetic bonding may be all it takes to create a more perfect-looking smile. However, darker dental stains, discolorations, and more significant flaws involving the size, shape, and alignment of the teeth, are sometimes better addressed with porcelain veneers.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we recognize that every smile is different and tailor treatment to address individual needs and expectations of care. Whether your smile is best served by the fabrication of dental veneers or another cosmetic dental procedure we provide, you can count on our office for the latest, most effective, pleasing, and healthy solutions for your smile.
One of the most conservative yet highly effective and aesthetically pleasing ways to transform the appearance of imperfect looking teeth is the fabrication of dental veneers. Fully customized to the exact specifications of your smile and the cosmetic corrections required, veneers are ultra-thin facings, seamlessly bonded to the fronts of the involved teeth.
This versatile and minimally-invasive cosmetic procedure conceals a range of imperfections to dramatically improve the look of teeth that are misshapen, exhibit minor chips, enamel defects, or stains. They also provide an excellent solution for closing small gaps as well as addressing other minor alignment issues.
Among the chief benefits offered by veneers are that they require little to no preparation of the underlying tooth and offer a relatively quick way to achieve long-lasting and pleasing results. And because they are ultra-thin, veneers preserve the maximum amount of natural tooth structure and are kind to the tissues along the gumline.
Whether you're looking to improve the appearance of a single front tooth or multiple ones, dental veneers can turn a less-than-perfect smile into one that appears naturally beautiful and flawless.
Your veneers are fabricated from the highest quality of dental-grade porcelain to recreate the natural translucency of healthy tooth enamel. Since porcelain reflects light in much the same way as dental enamel, veneers produce a vibrant, flawless, and naturally beautiful-looking smile.
From preparation to taking an impression and placement, the entire process of getting dental veneers only takes a few visits. Furthermore, even though a veneer is fragile to handle before placement in the mouth, once it gets bonded to the underlying tooth, it becomes quite strong and durable. With proper oral hygiene and care, you can maintain your new veneers for many years to come.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we successfully combine the art and science of dentistry to create healthy, beautiful smiles. We've helped many patients enhance the look of their smiles and feel confident we can do the same for you.
The process of getting dental veneers begins with a consultation and thorough assessment of your dental health, oral function, and smile aesthetics. We'll also discuss your smile goals and treatment expectations. Although getting veneers is a relatively quick process, it's essential to address any periodontal problems or cavities in the involved teeth before your new veneers get fabricated.
While the amount of tooth preparation varies, depending on the unique requirements of the case and the type of porcelain veneer, the removal of tooth structure from the front and sides of the tooth is typically quite minimal. It's just enough enamel for the ultra-thin facing to look most natural and remain sturdy and strong when placed.
Once the teeth are prepared, an impression gets taken, and an appropriate shade of porcelain is selected, your new veneers are ready for fabrication. Porcelain veneers are most often sent out to a dental laboratory for custom fabrication. For the short time it takes the permanent ones to come back from the lab, attractive temporary veneer facings cover the teeth.
When your veneers are ready, it's time to check their fit, size, shade, and shape. Prior to getting affixed to the teeth, any adjustments to ensure a precise fit and optimal aesthetics are made. At this time, we'll also confirm that you're pleased with the look of your new smile. Once fitted and approved, the involved teeth are then cleaned, and the veneers are permanently bonded in place with composite resin cement. Following placement, any further adjustments or minor refinements are performed as needed.
Determining if a veneer is suitable or a full-coverage crown is required depends on the extent of the tooth's defects and the remaining amount of healthy tooth structure. For teeth with imperfections that cannot be remedied with a teeth whitening procedure, dental veneers often provide the desired cosmetic improvements. However, a significantly undersized, misshapen, chipped, or darkly stained tooth usually requires a full coverage crown.
Porcelain veneers are fabricated from the highest grade of dental ceramics, which reflect light in much the same way as the enamel of natural teeth. In addition to this feature, dental porcelain is resistant to stains and discolorations, keeping your smile white and vibrant for years to come.
Porcelain veneers are ultra-thin customized facings that become strong and durable once bonded to the underlying teeth. With proper hygiene and routine dental care, veneers provide a cosmetic solution that not only looks and feels completely natural but is also long lasting.
However, just as harmful oral habits can affect your natural teeth, they can also cause damage to your veneers. To prevent chipping, cracking, or dislodging a veneer, avoid nail biting, chewing on hard candies, ice, pens, or pencils, and opening bottles or other objects with your teeth. Also, remember to protect your smile on the playing field by wearing a properly fitted sports mouthguard.
Tooth grinding or bruxism is another important consideration in care. If you clench or grind your teeth, you may need to wear a night guard to help protect your new smile or discuss other options with our office.
As versatile as they are beautiful, dental veneers can be applied to a single tooth in need of cosmetic improvement or multiple front teeth to dramatically improve the look of your smile. Whatever the case may be, dental veneers provide highly satisfying results to create a smile; you'll feel confident sharing with the world.
Among the many benefits offered by dental veneers is their ability to mask a range of imperfections at once. In addition to covering stains or discolorations on the front surface of a tooth, the size and shape of a veneer can also be customize to improve the tooth's contours and dimensions. At the same time veneers create a whiter and more vibrant smile; they can also lengthen or widen a tooth, close minor gaps, and address other minor alignment issues.
The two most common types of veneers are porcelain veneers, also known as porcelain laminates, and composite veneers. Although porcelain veneers are the most commonly offered option in care, composite veneers fabricated directly on the tooth can also achieve excellent results. You may have also heard the term no-prep veneer. It refers to a type of porcelain veneer that requires little to no preparation of the underlying dental enamel. At your consultation visit, we'll discuss your best options in care.
Once they're in place, your veneers are also easy to care for and maintain. Simply by brushing, flossing, and visiting our office for periodic checkups, you can successfully protect and preserve your new and beautiful smile.
Although certain procedures that are considered cosmetic may not be covered by dental insurance, veneers remain a worthwhile investment in your smile. Based on the unique considerations of each case, we develop treatment plans that consider specific dental needs, cosmetic goals, and budget. Our experienced and friendly office staff can address all your insurance questions and review various payment and financing options.
At the office of Brooklyn Implant, Cosmetic & Sedation Center, we value patient input and pay close attention to your treatment goals, concerns, and expectations in care. When it comes to cosmetic dentistry, we recognize that every smile is unique and never take a “one size fits all” approach to care. We utilize the most advanced diagnostic technology and treatment methods to assess your smile and to design your porcelain veneers for a precise fit and optimal aesthetics.
As experienced providers of care, we provide highly personalized treatment, combining state-of-the-art technology with an artistic touch to produce long-lasting and aesthetically pleasing results of care.