WILLIS DENTAL CARE PLLC. 417 EAST 138TH STREET, BRONX, NY 10454. PHONE (718) 292-6311. Dr.Alex Musheyev DDS, Dr.Boris Katayev DDS

 
WILLIS DENTAL CARE
 
 
 
Teeth Whitening  

 
 
 

DENTAL SERVICES


Porcelain/Zirconia Crowns:

Used to fix teeth that are substantially broken beyond repair with other methods, or those teeth that had root canal treatment.
May need anesthesia (a shot to numb area being worked on)
Done in layers to reflect translucency of natural teeth and match other teeth.
No metal rims involved where you see that near the gumline, like in a metal fused to porcelain crown.
Tooth or teeth being worked on have to be grinded down alot as compared to other methods being mentioned.
Here is a before and after of a patient with 6 front top crowns cemented permanently:

Porcelain Veneers (Laminates):

Laminates are thin shells of durable ceramic (porcelain) that are cemented permanently onto the front side of the tooth or teeth.
Purpose: chipped, cracked, worn out teeth, closing gaps, permanent whitening for stained or discolored teeth, can align nicely misaligned teeth.
With proper maintenance of every 6 month check ups, can last 10-15 years, and then have to be changed.
May need anesthesia (a shot to numb area being worked on)
Done in layers to be custom colored to match color of your natural teeth
Some cutting of front tooth structure is required for the laminates to be cemented.

Caring For Your Crowns

      With proper care, a good quality crown could last up to eight years or longer. It is very important to floss in the area of the crown to avoid excess plaque or collection of debris around the restoration. Certain behaviors such as jaw clenching or bruxism (teeth grinding) significantly shorten the life of a crown. Moreover, eating brittle foods, ice or hard candy can compromise the adhesion of the crown, or even damage the crown.

Specialty Dentures

      Dentures are designed to replace missing teeth, and are worn by millions of Americans. Technological advancements have resulted in dentures that are lightweight and mimic the look and feel of natural teeth. Most dentures are made from a combination of metals and synthetic material such as acrylic resin.

Dentures are generally classified as partial or full. Partial dentures are designed to replace a small section of teeth, and help prevent existing healthy natural teeth from shifting position; full dentures generally replace an entire set of teeth such as upper and lower dentures. Many candidates for conventional dentures (also called “immediate” dentures) are able to wear the appliances immediately following removal of affected natural teeth.

Before immediate dentures are worn, a mold of the patient’s mouth – specifically the jaws – must be made in order for the dentures to be customized for the individual.

      Partial dentures, also sometimes called “over dentures,” are designed to fit over a small section of implants or natural teeth. Partial dentures are characteristic by their pinkish gum-like plastic bases, on to which replacement teeth are attached. Small clasps are used to attach the denture to existing teeth. Some clasps, which can be more expensive, are made of natural-looking material that is hard-to-detect.

      In some cases, a crown will be installed on an existing healthy tooth to facilitate a better hold for the clasp.

Cosmetic Fillings

      There are alternative, natural-looking materials to conventional silver-colored fillings – materials made from porcelain and composite resins, which are colored to match natural tooth enamel. Unfortunately, few materials can match the strength and durability of dental amalgam and such, may need more frequent replacement. Common amalgam alternatives include:

Composite Fillings

      As stated, composite fillings are just what the name implies: a mixture of resins and fine particles designed to mimic the color of natural teeth. While not as strong as dental amalgam, composite fillings provide a pleasing aesthetic alternative. Sometimes, composite resins need to be cemented, or bonded to a tooth to allow for better adhesion.

Ionomers

      Like composite resins, these materials are tooth-colored. Ionomers are made from a combination of various materials, including ground glass and acrylic resins. Ionomers are typically used for fillings near the gum line or tooth root, where biting pressure is not a factor. They are more fragile than dental amalgam, however. A small amount of fluoride is released by these compounds in order to facilitate strengthened enamel in the affected area.

Porcelain (Ceramic)

      This material is usually a combination of porcelain, glass powder and ceramic. Candidates for porcelain fillings are typically crowns, veneers and onlays and inlays. Unlike ionomers, porcelain fillings are more durable but can become fractured if exposed to prolonged biting pressures.

Implants

      Before development of dental implants, dentures were the only alternative to replacing a missing tooth or teeth. Implants are synthetic structures that are placed in the area of the tooth normally occupied by the root. Implants are anchored to the jawbone or metal framework on the bone and act as a foundation for an artificial tooth or permanent bridge. In some cases, implants can be used to attach dentures.

      Not everyone is a candidate for a dental implant. For a successful implant to take hold, a candidate must have proper bone density and have a strong immune system. Implants are so well-designed, they mimic the look and feel of natural teeth. Implants are usually made of titanium. In general, good candidates who have dental implants can expect high success rates with the procedure.

      The procedure can take several visits. During the first visit, an anchor is placed into the jawbone and the site is allowed to heal for several weeks or months. This gives your tissue time to grow around the anchor to more firmly hold it in place. During a follow-up visit, an artificial, natural-looking tooth is fitted over the implanted anchor.

Whitening

      Often, people with stained or discolored teeth may just need a whitening procedure in order to restore their smile. People with stained or dull teeth usually benefit from whitening, which is a safe and effective way to brighten stained, discolored or dull teeth. Even a stubborn single tooth that is noticeably duller or less white than your other teeth can be individually brightened.

      Teeth bleaching products, which contain peroxides, actually change your natural tooth color anywhere from five to seven -- even up to twelve -- shades brighter. One process known as chairside bleaching involves applying either a protective gel to your gums or a rubber shield to protect the soft tissues in the mouth. A bleaching agent is then applied to the teeth, and a special light is used to enhance the chemical action. If your teeth aren't very dark or very stained, you may need only one bleaching session. Tooth bleaching safely lightens the color of your teeth, and can last up to a year before a touch-up is needed. 

      In general, bleaching works for most people. Tooth bleaching is most effective if your teeth are darkened from age, coffee, tea or smoking. Teeth darkened with the color of yellow, brown or orange respond better to lightening. Other types of gray stains caused by fluorosis, smoking or tetracycline can be lightened, but with less-than-satisfactory results

Bridges

      Bridges are natural-looking dental appliances that can replace a section of missing teeth. Because they are custom-made, bridges are barely noticeable and can restore the natural contour of teeth as well as the proper bite relationship between upper and lower teeth.  Bridges are sometimes referred to as fixed partial dentures, because they are semi-permanent and are bonded to existing teeth or implants. Some bridges are removable and can be cleaned by the wearer; others need to be removed by a dentist.  Porcelain, gold alloys or combinations of materials are usually used to make bridge appliances.  Appliances called implant bridges are attached to an area below the gum tissue, or the bone.

Crowns 

      Crowns are synthetic caps, usually made of a material like porcelain, placed on the top of a tooth.  Crowns are typically used to restore a tooth's function and appearance following a restorative procedure such as a root canal. When decay in a tooth has become so advanced that large portions of the tooth must be removed, crowns are often used to restore the tooth.  Crowns are also used to attach bridges, cover implants, prevent a cracked tooth from becoming worse, or an existing filling is in jeopardy of becoming loose or dislocated. Crowns also serve an aesthetic use, and are applied when a discolored or stained tooth needs to be restored to its natural appearance.      

Invisalign (bracketless braces)

Invisalign is clear and practically invisible, so nothing gets in the way of your new smile. No wonder Invisalign is the choice of over half a million people.

invisalign

  • Unobtrusive in business meetings or social gatherings
  • No metal wires or bands to irritate your mouth
  • Most people won’t notice you’re wearing aligners

 

Want straighter teeth? There are so many options that dentistry offers, but none have such an effect in terms of comfort level and exactness that comes with Invisalign. No matter what age, gender or diet you have, you’ll love the newest, technologically advanced approach that Invisalign takes. It has very little interference in how you live, but a huge positive impact on how you look and feel about yourself!

With regular braces, you may experience some or all of the following: pain, discomfort, mouth sores or injuries caused by the brace wires, tooth decay (from inadequate brushing and flossing), plaque buildup, tooth discoloration, tooth/bracket breakage, or difficulty eating. As if that weren’t enough, there are also the personal sacrifices - popcorn, chips, bagels, hard-crusted bread, pizza crust, pretzel, nuts, certain candies…plus apples, carrots, corn on the cob, and more.

Invisalign uses custom-made series of aligners created only for you. They are
made of invisible plastic that is smooth and comfortable to your teeth’s touch.
You simply wear the upper and lower trays and they will gently shift your teeth
into place based on the exact movements your dentist plans out for you. You won’t have to worry about any metal brackets or wires. Every 2 weeks, all you’ll have to do is start wearing a new set of Invisalign trays and you’ll be in the process of straightening your teeth!