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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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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.
At the office of DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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.
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.
When dental decay compromises a tooth's structural integrity, a filling gets placed to rebuild its natural form and restore its strength and function.
Because tooth decay, also known as dental caries, remains one of the most prevalent chronic diseases affecting both children and adults worldwide, procedures to place fillings are routinely performed each and every day.
At the office of DiBona & Scamardella Dental Studio, we provide precise and gentle treatment and maintain a position at the forefront of advances in care to provide patients with the highest quality of aesthetically pleasing and durable dental fillings.
According to archaeological findings, for as long as dental problems have existed, there have been efforts to provide emergency and restorative care. In fact, attempts to place dental fillings have been found in the skeletal remains of people who lived around the year 8000 BC. However, it wasn't until thousands and thousands of years later, in the 19th century, that a variety of metal fillings, including dental amalgam, appeared on the scene. Although gold achieved status as a popular restorative material, it was soon apparent that amalgam fillings, consisting of a mixture of mercury and an alloy composed of silver, tin, and copper, offered a less expensive, durable, and simpler alternative.
Until recent decades, the vast majority of dental fillings remained silver-colored, amalgam restorations. However, as dentistry has evolved in the last 50 years, new filling materials have been developed. While amalgam fillings are long-lasting and durable, today's newer materials offer the benefits of being mercury-free, metal-free, and much more aesthetic. These "tooth-colored or white fillings" invisibly restore the form and function of the involved tooth, while seamlessly blending in with the remaining tooth structure and the entire smile.
At the office of DiBona & Scamardella Dental Studio, we tailor treatment to address specific dental needs and expectations of care. As with all the services our practice provides, we'll explain all your options in care, including the type of dental filling materials we offer to restore your tooth. Our goals are to gently remove the dental decay and the damaged tooth structure and then rebuild your tooth's form and function while providing you healthy, durable, long-lasting, and cosmetically pleasing results.
While traditional dental materials like gold and amalgam have been in use for over a century, recent advances in dental technology have made a more expansive and improved selection of restorative choices widely available. Beyond offering strength and durability, these new filling materials provide aesthetically pleasing and natural-looking results.
Composite fillings, which are frequently referred to as either "tooth-colored fillings" or "white fillings," consist of a combination of biocompatible resins and finely ground, glass-like filler materials that become strong and durable when set. Available in a complete range of natural-looking shades, composite fillings offer a cosmetically pleasing alternative to traditional "silver" fillings. Composite resins are also used in dental bonding procedures to improve a tooth's color or shape, mask defects, or close minor gaps between teeth.
Composite fillings adhere to natural tooth structure through a bonding process, which also serves to seal and strengthen the tooth. Beyond providing a close match to your natural tooth color, a composite filling does not require removing of as much tooth structure for placement, nor are they subject to expansion or contraction with temperature changes as is the case with dental amalgams. However, composite restorations can be more vulnerable to wear and staining and may require replacement down the road.
For many years, amalgam fillings represented the standard of care for restoring decayed teeth. While they don't offer the cosmetic appeal of other types of filling materials, amalgam restorations are strong, durable, and less likely than some other types of fillings to break or wear down.
Another type of white filling material, glass ionomer cements bond to the tooth's surface to provide a tight seal between the tooth and surrounding oral environment. Besides offering a natural-looking restoration, glass ionomer cements slowly release fluoride to strengthen and help protect the involved tooth from future decay. Since they are not as durable or wear-resistant as other filling materials, glass ionomers are most frequently used to treat baby teeth, cavities near the gumline, and in temporary fillings.
Ceramic fillings, inlays, and onlays are fabricated from the highest quality of dental porcelain and ceramics. As the most stain and wear-resistant option in tooth-colored fillings, these restorations offer durable, attractive, and long-lasting results. While "direct" fillings such as dental amalgam and composite fillings get placed immediately after the tooth is prepared, "indirect" fillings such as inlays or onlays get fabricated outside of the mouth before insertion and cementation or bonding.
Far less common these days and more expensive than any of the other materials, gold fillings remain excellent restorations. With excellent physical and chemical properties, gold fillings are strong, long-lasting, kind to the surrounding tissues, and remain stable over time.
Once our office has a chance to assess your smile, we'll advise you of our findings and outline a comprehensive treatment plan to help ensure your smile is healthy and functions at its best. If any tooth decay is detected, we'll schedule appointments to treat those cavities and place the fillings or restorations that are needed.
At the office of DiBona & Scamardella Dental Studio, patient care and comfort are our top priorities. While treating cavities and placing fillings are among the most routine procedures in dentistry, our office understands you have questions and concerns and will keep you well informed every step of the way.
Treating a cavity involves the precise and gentle removal of decayed and damaged tooth structure and any preparation of the remaining tooth structure needed to secure your new filling. Although every patient and every smile is different, you can expect your visit to take about an hour.
In most cases, this visit is performed under local anesthesia. As the work gets performed, your tooth is completely numb, and you should not feel any discomfort. A dental drill, dental laser, or air abrasion technology can be used to remove decay. Once the cavity gets excavated, and healthy tooth structure remains, it's time to place the filling. The type of dental filling material being used determines the manner of placement. Composite fillings, glass ionomer cements, and amalgam fillings are typically placed right away. However, in the case of an extensive cavity, a tiny palliative dressing and a temporary filling may be placed. Whatever type of filling is used, our office will check the fit, do any necessary polishing, and meticulously adjust the bite to ensure your optimal comfort and function.
For patients who are anxious about dental work, you can rest assured the office of DiBona & Scamardella Dental Studio is mindful of your needs. As skilled and experienced providers of care, we pride ourselves on providing gentle dentistry and do all we can to make your visit comfortable and stress-free. While we perform dental procedures under local anesthesia, we're also happy to discuss options in dental sedation.
At the office of DiBona & Scamardella Dental Studio, our goal is to help our patients enjoy optimal oral health and to keep them well informed every step of the way.
Immediately after the placement of a new filling, it's essential to keep the following in mind:
Until the anesthesia wears off
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.
Now that your tooth has been restored and rebuilt, it may feel slightly different
While we take the utmost care to polish your new filling and make sure the bite is correct, on rare occasions, a patient may feel additional minor smoothing or further bite adjustment is required.
You may experience short-term sensitivity
It's perfectly normal for a tooth to feel a little sensitive following the placement of a filling. You may experience a twinge when eating cold or hot foods and beverages. This sensitivity should subside by itself within a few days. If your sensitivity worsens, you experience ongoing pain or develop any other symptoms; please contact our office.
Caring for your new restoration
Our office uses the latest generations of strong and durable filling materials. With proper oral hygiene and routine care, your new filling should last for many years to come. However, in cases of extensive tooth decay or injury to the underlying tooth, even the best restoration may need to be replaced, or further dental work may be needed down the road.
We're passionate about what we do and dedicated to providing the highest quality of care. If you have any additional questions or concerns, feel free to contact our office.
If the pleasure of eating a delicious bowl of ice cream or sipping a soothing cup of tea gets overshadowed by dental pain that makes you wince; it's time to contact our office. As skilled providers of care, we'll determine what's causing your discomfort and perform the treatment required to alleviate your symptoms and get you back on the road to oral health.
Cavities develop because of an infectious process that causes progressive damage to tooth structure. Despite starting as a pinpoint defect on the outermost enamel layer of your tooth, untreated dental decay progressively compromises more and more healthy tooth structure as it works its way to the inner layers of your tooth.
Yes, you can still develop tooth decay on other surfaces of the tooth, around the margins of an old filling, or in fewer instances, recurrent decay underneath it. For this reason, it's essential to maintain excellent oral hygiene, a diet low in sugary beverages and sweets, and be sure to visit our office for routine checkups and care. While tooth decay is second only to the common cold in frequency, it's almost entirely preventable.
We value the time and comfort of our patients. If cavities are located on adjacent teeth, or in the same section of your smile, it may be possible to treat more than one tooth during your visit. However, how much is done each visit depends on several factors. We keep our patients well informed and tailor every treatment plan and visit to address their unique needs.
Addressing concerns on the presence of elemental mercury in silver fillings, the American Dental Association (ADA), The Center for Disease Control and Prevention (CDC), the FDA, and the World Health Organization have all stated that amalgam restorations do not pose a risk to health. However, individuals with allergies or sensitivities to the metals in dental amalgam are advised to pursue other restorative options.
Dental fillings are performed under local anesthesia to help ensure your comfort throughout the entire procedure. The involved tooth remains completely numb for the extent of your visit. Within one or two hours after the procedure is completed, the local anesthetic will gradually wear off, and normal sensations return.
A tooth-colored composite filling is fully hardened and set by the end of your visit. However, we may advise you to wait a couple of hours until the local anesthesia has completely worn off. This advice is to help ensure you don't accidentally bite your lip, cheek, or tongue while still numb.
The lifetime of a dental filling varies depending on the type of material used. While popular dental materials can last a decade or more with proper care, they can degrade over time, wear down, or even break. When this happens, you may experience some tooth sensitivity, a jagged edge, or a loose or dislodged piece of filling material. Whatever the case may be, it's essential to get the filling replaced before the tooth sustains further damage or other consequences arise. Beyond taking good care of your smile we can help ensure the longevity of your fillings, our office regularly checks the status of your existing fillings as part of a routine checkup exam.
Dental fillings are an essential investment that serves to preserve and protect the health of your smile. With that said, how much a filling costs depends on the number of surfaces of the tooth involved and the filling material that is used. Amalgam restorations are the most economical. While tooth-colored composite fillings have a slightly higher cost, they offer the added benefits of being metal-free and much more aesthetically pleasing. Ceramic fillings, inlays, and onlays are more expensive than the preceding options but provide outstanding, long-lasting, and natural-looking results.
Dental insurances typically cover the cost of dental fillings. While we work with you to maximize your insurance benefits, there may still be an out-of-pocket expense. At the office of DiBona & Scamardella Dental Studio, we strive to help you begin care without any additional financial stress or delay.
Every year millions of cases of dental and facial injuries occur as the result of sport-related trauma. While all sports have some risk of oral injury, it is especially prevalent in recreational activities that involve frequent body contact with other players or the ground, as well as the possibility of being struck by other objects such as, balls, bats, or sticks.
One way to significantly reduce the risk of damage to your teeth, cheeks, lips, tongue, face, or jaw as the result of a sports-related injury is to wear a mouthguard. A mouthguard is a removable appliance made of a sturdy plastic that sits comfortably over your teeth. Typically, mouthguards are designed to cover just the top teeth but may also be fabricated to include the lower teeth as well depending on your particular situation. Individuals who wear braces or have some types of dental work may require a specific type of mouthguard that provides more coverage.
There are three types of sports mouthguards on the market, including pre-formed and ready to wear stock mouthguards, boil and bite mouthguards, and custom mouthguards fabricated by your dentist. Our office will help you to select just the right sports mouthguard to protect your smile. While the first two choices offer some level of protection, the best and most comfortable mouthguards to safeguard your smile are the ones individually designed and customized by your dentist.
Digital radiography utilizes computer technology and digital sensors for the acquisition, viewing, storage, and sharing of radiographic images. It offers several advantages over the older traditional film based methods of taking x-rays. The most significant of these advantages is that digital radiography reduces a patient’s exposure to radiation. Other benefits are that images can be viewed instantly after being taken, can be seen simultaneously as needed by multiple practitioners, and can be easily shared with other offices. Digital x-rays are also safer for the environment as they do not require any chemicals or paper to develop.
An electronic pad, known as a sensor is used instead of film to acquire a digital image. After the image is taken, it goes directly into the patient’s file on the computer. Once it is stored on the computer, it can be easily viewed on a screen, shared, or printed out.
According to the National Institute of Dental and Craniofacial Research, tooth decay is the single most common chronic childhood disease. Over 50 percent of 5 to 9 year old children have at least one cavity or filling, with that proportion increasing to 78 percent among 17-year-olds. Additionally, more than 51 million school hours are lost each year to dental-related illness.
As an added level of protection against dental decay, it is recommended that children receive periodic fluoride treatments as part of a program of preventive dental care. Fluoride is a naturally occurring mineral that helps to prevent cavities by making the hard outer enamel of the teeth more resistant to the acids produced by the harmful sugar processing bacteria in dental plaque. It can also help to remineralize the teeth to reverse incipient decay.
During a periodic checkup visit, the dentist may recommend the application of a topical fluoride to help strengthen and protect both a child’s baby teeth and the permanent ones. Topical fluorides can be applied as a foam, gel or varnish. Whatever type is selected, the procedure is quick and painless. Once the teeth are cleaned the fluoride is simply painted on the surfaces of the teeth or placed in a small tray to sit over the teeth for a brief period of time. Some types of fluoride treatment require no eating or drinking for half an hour as the fluoride is absorbed into the surface of the teeth. The dentist and dental hygienist will provide specific and detailed instructions as needed.
Fluoride treatment may also be indicated in adults who are at a higher risk for developing tooth decay.
Oral cancer accounts for 2.9% of all diagnosed cases of cancer in the United States. According to the American Cancer Society it is estimated that 51,000 people across the country will develop oral cancer this year and that 10,000 fatalities are expected from the disease.
Oral cancer can occur anywhere in the orofacial complex but is most often found on the tongue, the tonsils and oropharynx, the gums, floor of the mouth, lips, cheek lining or the hard palate. While the disease can affect anyone, men are twice as likely to develop oral cancer as women. Those particularly at risk for oral cancer are men over the age of 50 who are heavy smokers and frequently drink alcohol. Additional risk factors may include UV exposure from the sun or sunlamps, GERD (gastro-intestinal reflux disease), prior head and neck radiation treatment, exposure to certain chemicals and poor diet. While the death rate from oral cancer has been decreasing in the past several decades thanks to early detection and advanced methods of treatment improving the outcomes of care, there has been a recent rise in the incidence of oropharyngeal cancer due to increased transmission of the sexually transmitted human papillomavirus (HPV).
As part of a comprehensive exam, the dentist will perform a screening for oral cancer. To start, the dentist will review the patient’s medical and dental histories and ask if there have been any changes to his or her oral health or overall health. The dentist will then carefully check in and around the oral cavity as well as the head and neck area for signs or symptoms that may indicate the presence of a problem
The ViziLite Plus system provides your dentist with an additional and effective mechanism for identifying, evaluating, monitoring and marking abnormal lesions in the mouth that may be indicative of the dysplastic changes that are associated with the development of oral cancers. Since early detection and diagnosis of oral cancer can significantly improve the outcome of treatment, ViziLite is considered an important adjunct to periodic, conventional head and neck examinations.
A painless and fast oral cancer screening with the ViziLite Plus system may be combined with your regular checkup visit. After rinsing your mouth with a special cleansing solution, the dentist will simply pass the ViziLite Plus light over the tissues in your mouth. If there are any abnormal changes to the mucous membranes lining the mouth and throat, the area will appear in a different color from the surrounding healthy tissues. In the event that anything is detected, further diagnostic assessments will be recommended as needed.
A dental cleaning is a procedure done by a dentist or dental hygienist to get into hard to reach areas of the gums and teeth in order to remove bacteria and food debris. Dental cleanings should be scheduled at least once per year, so that patients can have plaque and tartar scraped off of their teeth. Plaque is a hard substance that adheres to the surface of a tooth. Too much plaque and tartar can cause gum disease and problems with teeth. A dentist has special tools that can remove this plaque and tartar so that teeth are fresh and clean again. Because plaque and tartar buildup happen on a daily basis, patients should still brush and floss regularly.
During a dental cleaning the dentist will get inside the hard to reach areas and clean out the spaces in between the gums and teeth. If the patient is suffering from gum disease or early gum disease, a deep cleaning, periodontal scaling or root planing may be administered. In this procedure, the dentist gets into the flaps of gum under the tooth and into the pockets where bacteria can hide. A patient with pockets deeper than 4 mm is usually recommended to have a root planing or scaling. Patients with periodontal disease may need to have more than one cleaning per year.
At the office of DiBona & Scamardella Dental Studio, the health and development of your child's smile are our top priorities. Our goals are to help children establish a strong foundation for a lifetime of good oral health and experience the benefits of healthy, beautiful smiles.
All parents want what's best for their families. When good oral care, including routine dental checkups, start at an early age, our office can closely monitor the development and health of your child's smile as they grow. It's essential to keep in mind that preventive care and timely treatment for any emerging dental issues not only helps to ensure ongoing oral health but also supports overall well-being, and contributes to a positive self-image.
You can rest assured that your child's smile is in the best of hands at our office! We provide gentle and precise care in an environment that's comfortable, warm, and engaging. At the office of DiBona & Scamardella Dental Studio, we offer a comprehensive range of dental services designed to address the dental needs of children of all ages. Whether it's your little one's first trip to the dentist, a routine visit, treatment for a dental emergency, or more, we're well equipped to provide the care that's needed.
We take a proactive approach and emphasize the importance of dental prevention as the key to good oral health. We provide you and your child with the resources as well as the tools to establish an effective brushing and flossing routine and offer nutritional guidance and advice on potentially harmful oral habits. Our entire team strives to make each visit with your child a positive, informative, and beneficial experience.
Studies show that children and teens lose an estimated 51 million school hours each year to dental problems. To help your child maintain optimal oral health and a smile that's healthy and bright, we recommend dental checkups and cleanings twice a year.
As skilled and compassionate providers of care, we understand all aspects of dental development and are sensitive to the unique needs of children. At each periodic exam, a member of our professional team will review your child's medical and dental history and then perform a thorough clinical assessment of the teeth, gums, jaws, and the surrounding oral tissues. We'll also check your child's bite, jaw alignment, and function.
Because it's vital to see what's going on below the surface, we'll take digital radiographs as needed, to check for the presence of any cavities, or infection and to evaluate the position of your child's developing teeth and the health of jaw bone. We'll also perform a professional dental cleaning to eliminate any plaque or debris that has accumulated between the teeth or in hard to reach places.
At every stage of your child's development, we'll advise you on the most effective methods of keeping his or her teeth clean and discuss the foods, beverages, and harmful oral habits that can lead to problems. While it can be difficult sometimes to get children into a regular oral hygiene routine, we'll give you tips and advice on how to make brushing and flossing a fun part of their daily activities. As your trusted partner you can rely on the office of DiBona & Scamardella Dental Studio to keep a close watch on your child's oral health and development.
Establishing a dental partnership when your child is small
Keeping your baby's and toddler's teeth clean
Not allowing your baby to sleep with a bottle of milk or juice.
Bringing your child to the dentist for routine checkups and care
Leading by example and encouraging the recommended tooth brushing and flossing routine
Promoting wise dietary choices and healthy snacking, including replacing sugary drinks with water and limiting sweets
Providing supportive guidance to help your child put away their pacifier and stop thumb or finger sucking at the appropriate time
Making sure your child wears a mouthguard when playing specific sports
Even before your child is born, your little one's first set of teeth is already forming. As a matter of fact, by the time your baby is a year old, some of the front teeth will have already emerged into place. For this reason, it's essential to establish an oral care routine at an early age. As per the recommendations of the American Dental Association and the American Academy of Pediatric Dentistry, parents are encouraged to have their baby see the dentist around the time of their first birthday.
Childhood is a time of incredible physical and emotional changes. As kids go through several stages of development, so do their teeth. Many things, including both genetic and environmental factors, contribute to the health and appearance of your child's smile. While some issues cannot be prevented, there's still a lot you can do to help ensure your child experiences optimal oral health and develops an attractive, functional smile. Our office will make sure your children are instructed in the best methods for caring for their teeth and will provide them with useful, age-appropriate information on following a healthy diet as well as make them aware of which oral habits and activities may be harmful to their teeth and overall well being.
In addition to checking for the presence of dental disease, we also monitor your child's facial growth, jaw development, and alignment of their smile. If orthodontic treatment is indicated, we'll advise you of our recommendations for care. Since many children and teens wear braces, paying extra attention to what they eat and how they maintain their oral hygiene is of the utmost importance.
Beyond good oral hygiene and routine dental care, a balanced, nutritious diet is essential for a healthy smile in a growing child. Sticky, sugary foods and drinks are not only harmful to children's oral health but also detrimental to their overall well-being. A diet rich in nutrients is critical for optimal growth and development and keeping the teeth and gums strong.
A baby's first teeth begin to appear in the 6 to 12-month range. Typically, it's the two lower front ones that appear first. The baby teeth come into place from the front of the mouth and then on to the back. With that said, most children will get all of their baby teeth by the time they are three.
For babies with new teeth just emerging, we may recommend just a washcloth or infant toothbrush to start. As your baby grows and more teeth come into place, an age-appropriate soft bristled brush, and a tiny dab of toothpaste will be recommended. One word of caution; be careful that your child does not swallow the dab of toothpaste. When your child gets older, we will teach him or her more about the responsibilities of self-care and oral hygiene.
While getting teeth is an important milestone in a baby's development, it's essential to be aware that teething can make a baby quite irritable. Your little one may act fussy, have trouble sleeping, avoid eating, and drool quite a bit. While you are powerless to speed up the process of teething, there are a few things that you can do to soothe your baby as their new teeth are erupting into place. Common approaches to helping your baby feel more comfortable while getting their new teeth include safe teething rings, a cold spoon, or a moist gauze rubbed over their gums. Remember, you can always call our office if you have any concerns.
The first set of teeth not only makes it possible for your baby to smile, eat, and speak, but they also play the critical role of serving as placeholders for the permanent teeth. Losing a baby tooth too early can potentially result in a misaligned smile.
When caring for your child's smile, it's important to remember that baby teeth are just as susceptible as the permanent teeth to decay. In fact, more than 50% of children develop cavities before the age of five. Not only does tooth decay pose a risk to the health of the involved baby teeth, but untreated cavities can also have consequences for your child's overall well-being and the permanent teeth that are yet to come into place.
Baby bottle syndrome, which is also known as nursing bottle syndrome, refers to the rampant tooth decay that results from babies sleeping with a bottle containing milk or juice. While the damage is most prevalent in the front teeth of the upper jaw, extensive dental work is typically required to restore the toddler's oral health and prevent infections. New parents are advised not to let their baby sleep with a bottle or at least swap the juice or milk for water.
Some children persist in sucking their thumbs or fingers beyond their preschool years. For these children, the activity continues to be a source of comfort, relaxation, and security. It may even help them fall asleep at night. However, it's essential to be aware that in the long-term, a finger sucking habit is not healthy.
If your child is still thumb or finger sucking by the age of five or six years, it's time to constructively help them stop the habit. If it has caused any alterations to the alignment of the teeth or jaws, or if it is affecting your child's speech or swallowing patterns, it's likely your child requires orthodontic care.
The American Dental Association advises parents to bring their kids in for a routine checkup and preventive care once every six months. At this time, our dentist will examine the teeth, gums, and jaws to assess your child's overall dental health and development. Your child will also have a dental cleaning performed in addition to receiving age-appropriate oral hygiene instructions and nutritional guidance. If any emerging issues are detected, our office will provide the treatment required to address these problems early in their onset.
At the office of DiBona & Scamardella Dental Studio, we take pride in providing gentle, compassionate care in an environment that is designed with comfort in mind. However, every child is different. While for some children, a trip to the dentist is taken in stride; for others, it can present challenges and produce significant anxiety. If your child is apprehensive, has a medical condition, special needs, or difficulty sitting in a dental chair, we can discuss the best choices for the provision of care and options in dental sedation.
Helping your child start the school year on the right foot not only means getting the correct school supplies, but it also involves making sure your child is in the best of health. One key to avoiding setbacks during the academic year is to make sure your child's smile is in tip-top shape! At the office of DiBona & Scamardella Dental Studio, we specialize in addressing the dental needs of children as well as helping them establish a strong foundation for a lifetime of optimal oral health.
Cavities develop when plaque is not consistently removed from around the teeth and gums. Due to inadequate oral hygiene practices and dietary habits, children are especially prone to developing cavities. As an added level of protection against tooth decay in children, our office typically recommends periodic fluoride treatments and dental sealants.
Sometimes, due to tooth decay or a traumatic injury, a child may lose a primary tooth early, before the permanent one underneath is ready to come into place. When this happens, our dentist will consider the best way to hold the space left by the baby tooth in order to maintain a clear path for the succeeding adult tooth. Sometimes a small dental appliance, known as a space maintainer, is required to make sure the permanent tooth does not become crowded out of the dental arch or impacted by shifting adjacent teeth.
In addition to checking for the presence of dental disease, harmful oral habits, as well as the presence of other unhealthy activities or conditions, our office will also monitor your child's facial growth, jaw development, and alignment of their smile. If orthodontic treatment is indicated, we'll advise you of our recommendations for care. One common misconception regarding orthodontic treatment is to wait until all of the permanent teeth (except the wisdom teeth) are present. However, most problems involving the alignment of the teeth and jaw growth can be identified by the time a child is in the first or second grade. For this reason, the American Association of Orthodontists recommends that all children have a check up with an orthodontic specialist no later than age 7.
If your child or teen plays sports, a sports mouthguard is an excellent idea. Properly fitted, mouthguards are a fundamental component of protective athletic gear and have been demonstrated to reduce trauma to the teeth, tongue, lips, and jaws. Based on your child's involvement in a particular sport, we'll advise you on the most appropriate mouthguard to protect his or her smile.
After your child's permanent molars and premolars come into place, we typically recommend the placement of dental sealants. As an ultra-thin, clear coating that is painlessly applied to the biting surfaces and grooves on the back teeth, dental sealants block the bacteria and acids that cause decay.
Wisdom teeth, which are also known as the third molars, are the last permanent teeth to develop in the oral cavity as well as 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, or are causing issues for the adjacent teeth and the surrounding tissues. If the wisdom teeth are not fully or partially impacted, they tend to emerge between the ages of 17 and 21 years. At every checkup visit, our office will monitor the development and position of your child's wisdom teeth recommend if and when any extractions are indicated.
Recognizing the fact that children have active lifestyles means there is always a chance an accident involving a hit or blow to the mouth or teeth can occur. These traumatic injuries can happen at home, in the playground, or on the playing field. Common injuries to the teeth and oral cavity seen in a pediatric dental office include everything from soft tissue lacerations of the lips, cheeks, or tongue to chipped, fractured, dislodged, or "knocked out" teeth.
Equally frequent reasons for children to require urgent dental care are painful toothaches, dental infections, and mouth ulcerations. Whatever your child's dental emergency may be, you can rely on our office to provide skilled, compassionate, and reliable care. Our goal is to get your child back on the road to oral health while alleviating any associated discomfort and preventing more serious consequences to their dental health and overall well-being.
At the office of DiBona & Scamardella Dental Studio, we welcome patients of all ages for care and provide a comprehensive range of services designed to address the needs of every member of your family. We're passionate about what we do and maintain a position at the forefront of advances in dentistry to offer our patients the best options in care. You can depend on our office to help you and your children enjoy good oral health. To schedule an appointment, or to learn more about our office, give us a call today.
Did you know that the most common cause of tooth loss in adults is gum disease? According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease. However, the good news is that periodontal disease is almost entirely preventable. At the office of DiBona & Scamardella Dental Studio, we offer a comprehensive range of services to help patients maintain optimal periodontal health and enjoy the benefits of a smile that look, feels, and functions at its best.
Periodontal disease, more commonly known as gum disease, is a set of inflammatory diseases that affect the "periodontium", which are the hard and soft tissues surrounding and supporting your teeth. Just like tooth decay, gum disease is attributed to the harmful bacteria in dental plaque and tartar that accumulate around the teeth and under the gums.
Since the progression of periodontal disease is often painless, you may not even be aware of an ongoing disease process. For this very reason, it’s essential to practice good oral hygiene and schedule visits for regular checkups, professional cleanings, and routine care.
Taking care of your smile includes being mindful of the signs and symptoms of gum disease.
Some indications that you may have periodontal disease include:
Inflamed and red gums
Bleeding when brushing or flossing
Receding gums and exposed tooth root surfaces
Sensitivity to hot or cold temperatures
Bad breath or a bad taste in the mouth
Teeth that feel loose
New spaces developing between the teeth or a change in the bite
Change in the fit of existing partial dentures
Discharge around the teeth and gums
Sharp or dull pain when biting down or chewing food
Taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, and respiratory problems.
At the office of DiBona & Scamardella Dental Studio, we emphasize the importance of prevention, early detection, and timely treatment of periodontal disease. We provide patients the guidance, support, and care required to maintain optimal periodontal health.
Gingivitis represents the initial stage of gum disease. Although it doesn’t cause overt discomfort and often goes unnoticed, there are specific signs to be aware of that indicate the start of a problem. If you notice your gums bleed when you brush, look red and inflamed, or feel a little tender, you more than likely have gingivitis.
The good news is that by treating gingivitis early, the tissue damage associated with more advanced stages of gum disease can be avoided. Despite the presence of inflammation, the overall integrity of the periodontal tissues in this stage remains intact.
Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.
When left untreated, a case of gingivitis develops into a more advanced and damaging stage of gum disease, known as periodontitis. At this point, the connective tissue and bone that hold the teeth in place begin to break down. With the progression of periodontal disease and periodontitis, more and more tissue loss ensues. Damage often includes an increase in pocketing between the teeth and bone, gum recession, and bone loss. As unresolved periodontitis goes from mild to moderate to severe, it increasingly compromises the soft and hard tissues supporting the teeth.
Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. Treatment may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.
At the office of DiBona & Scamardella Dental Studio, we offer personalized, state-of-the-art solutions to help you maintain healthy gums and an attractive, well-functioning smile. As skilled providers of care, we utilize leading-edge technology and treatment methods to address a broad range of periodontal conditions and needs.
Thanks to advances in care, periodontal treatment today not only helps to halt the progression of gum disease but also delivers effective solutions, including bone grafting and regenerative procedures to repair tissue damage, restore bone volume, improve cosmetics, or provide adequate support for the placement of dental implants.
The type of periodontal treatment you receive depends on several factors including the stage of periodontal disease, the extent of tissue damage, your overall oral health, existing medical conditions, and other considerations in care. After a thorough assessment of your case, we’ll discuss your options to reestablish and maintain optimal periodontal health. We welcome your questions and are always on hand to provide guidance and address your concerns.
When periodontal disease is detected early in its onset, conservative or non-surgical methods of care combined with improved hygiene routines can restore periodontal health. While periodic, professional cleanings are sufficient to maintain periodontal health in patients that do not have gum disease, once gingivitis is present, deeper cleanings and possibly other non-surgical methods of care are recommended to treat the condition.
The American Academy of Periodontology emphasizes achieving periodontal health by means of the least invasive and cost-effective treatment approaches to care. Deeper cleanings, which include Scaling and Root planing, are non-surgical procedures that are considered the first line of defense against the progression of periodontal disease.
With scaling and root planing, any plaque and tartar (hardened dental plaque) that have accumulated below the gumline are carefully removed, and then the root surfaces of the teeth are smoothed. Since periodontal disease is an inflammatory response to plaque, tartar, and bacterial toxins, by simply mechanically eliminating these agents, the progression of gum disease can be halted. In addition to removing plaque and tartar with a scaling and root planing procedure, antimicrobial medication placed under the gumline or systemic medications can be used as adjuncts to care to further reduce the bacterial population.
If non-surgical approaches to managing periodontal disease do not achieve the desired outcome, surgery may be recommended to halt its progression and repair damage as possible.
When gum disease has advanced beyond the initial stage, periodontal surgery is often recommended to effectively remove bacteria and tartar from around the teeth, reduce gingival pocket depth, restore lost tissue as possible, and halt disease progression. It’s essential to keep in mind that gum disease is a progressive condition. If appropriate measures are not taken, gum disease continues to compromise the support of the teeth and have consequences to one’s overall dental health and well-being.
As untreated gingivitis evolves into more advanced stages of gum disease, periodontal pockets deepen, the bacteria become more difficult to remove, and the gaps between the surface of the teeth and gums get larger. When pocket depth increases to the point of being beyond the reach of deep cleanings and other conservative methods of care (5mm or more), gum surgery to clean and treat the damage to gums and underlying bone is typically recommended.
The good news is that with proper surgical treatment followed by improved oral hygiene, the chances of tooth loss, further damage to the bone and soft tissues supporting the teeth, and complications from health problems that are linked to periodontal disease can be decreased.
The goals of pocket reduction surgery are to accomplish the following:
Remove sub-gingival bacteria beneath the gums and from the surfaces of the roots of the teeth
Halt damage to the underlying bone, and recontour the affected hard tissues as needed
Reduce pocket depth to facilitate easier cleaning of the teeth and gums and the maintenance of optimal periodontal health
In many cases, a periodontal procedure, which is known as flap surgery, is frequently recommended. During this procedure, the gums in the affected area are reflected away from the teeth and supporting bone. Now, the pocket and roots of the teeth can be thoroughly cleaned and supporting tissues recontoured as needed. When this step gets completed, the tissue flag gets sutured back into place.
Today, in addition to conventional surgical approaches to care, dental lasers are also used to perform select periodontal procedures. When applicable, laser technology can help treat periodontitis, reduce pocket depth, address peri-implantitis, and remove or recontour gingival tissues for cosmetic purposes.
Most people don’t realize that periodontal disease is the leading cause of tooth loss among adults. According to statistics from the Centers for Disease Control and Prevention, one out of every two adults over the age of 30 in the United States has periodontal disease.
You may be surprised to learn that the human mouth is home to a wide variety of microbes. The fact is that over 700 different strains of bacteria have been detected in the oral cavity. Although some of these bacteria are beneficial, others are harmful to oral health. Without proper oral hygiene and routine dental care, these harmful bacteria can cause tooth decay and gum disease, compromising both your oral health and overall wellbeing.
In addition to inadequate oral hygiene and infrequent professional care, other factors, including smoking, genetic tendencies, and unchecked diabetes, can contribute to the escalation of periodontal disease.
Your gums and teeth have an interdependent relationship, which means healthy teeth depend on the support of healthy gums. Also, taking care of your smile does more than keep your teeth and gums in optimal condition; good oral health also supports systemic health. In addition to being the leading cause of tooth loss in adults, researchers are finding more and more links between periodontal disease and a number of medical problems, including heart disease, stroke, diabetes, respiratory problems, and adverse pregnancy outcomes such as pre-term and low birth-weight babies.
If you notice that your gums are bleeding with the slightest pressure while brushing or flossing, it’s a sign of gingivitis. Although gingivitis is the earliest stage of gum disease, it can easily be reversed with deeper cleanings as well as an improved regimen of oral hygiene at home.
In the absence of professional treatment and better home care, gingivitis progresses to the next stage, which is known as periodontitis. In this stage, the connective tissue and bone that hold the teeth in place begin to break down with an increase in pocketing between the teeth and bone, gum recession, and bone loss. Without proper treatment by your dentist, periodontitis will progress from a mild to moderate loss of supporting tissue to the destruction of the bone around the teeth.
Although gingivitis can often be reversed with improved oral hygiene and professional cleanings, as periodontal disease advances, more extensive procedures are required to halt its progression. Based on a complete assessment of your periodontal health and a review of possible contributing factors, our office will recommend the best options in care. Treatment for periodontitis may include a series of deeper cleanings known as root planing and scaling, surgical procedures to reduce pocket depth, bone or tissue grafts, laser procedures, or antimicrobial medications.
The cost of care depends on the type of procedures required to restore your periodontal health. If you have dental insurance, plans often cover treatment to prevent gum disease as well as many procedures to treat the various stages of gum disease. Our goal is to help patients restore and maintain good oral health. We do all we can to help you begin care without additional stress or delay. Our business office works with you to maximize your benefits and provide easier, more convenient payment options.
By seeing our office regularly for care and doing your best to eat a healthy diet and practice good oral hygiene, you can keep your smile in tip-top shape as well as protect your overall wellbeing.
At the office of DiBona & Scamardella Dental Studio, we provide a comprehensive range of services to address all your oral healthcare needs. You can rest assured that your smile is in the best of hands at our office. Our skilled and experienced team maintains a position at the forefront of advances in care and remains dedicated to providing the highest quality of skilled and compassionate treatment.
For more information on our office and the many services we provide, give us a call today.
Non-surgical therapy removes plaque and calculus by controlling the growth of harmful bacteria and by treating conditions that encourage gum disease. This type of treatment may be all that's needed, especially when periodontal disease is caught early. You may also need to have certain procedures, such as replacing worn fillings or crowns with overhanging margins that can accumulate plaque, taken care of before periodontal therapy can begin.
Scaling is a type of cleaning that removes plaque and calculus from the teeth at and slightly below the gumline. Root planing smooths root surfaces, so the supportive tissues can better reattach to the tooth surface. Often, this will be done with local anesthesia so you can relax and feel nothing as we rehabilitate your gums.
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 DiBona & Scamardella Dental Studio 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 DiBona & Scamardella Dental Studio to learn more about dental implants and all the state-of-the-art services we provide. At the office of DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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.
Improving the appearance of your smile can make a difference in your confidence and overall quality of life. At the office of DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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 DiBona & Scamardella Dental Studio, 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.
Invisalign is a form of orthodontic treatment that works to correct many different types of malocclusions through the use of a series of clear plastic trays called aligners. In many cases it provides an excellent treatment alternative to traditional orthodontic braces and metal wires.
Invisalign utilizes 3-D computer imaging technology to correct problematic bites or malocclusions by planning a complete sequence of custom-made clear aligners. This series of clear aligners, each of which is worn for a couple of weeks, incrementally move the teeth into place until the final desired corrections are reached.
The advantage and appeal of Invisalign appliances is that they are more cosmetic and more comfortable than most other orthodontic appliances. With Invisalign appliances orthodontic treatment is practically “invisible.”
*Invisalign is a registered trademark of Align Technology, Inc.
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.
Thanks to advances in dental materials, technology, and methods of care, it’s easier than ever before to replace missing teeth with the most natural-looking and aesthetically pleasing treatment outcomes. While dental implants and fixed bridgework provide effective and satisfying solutions for missing teeth, removable dentures remain a tried and true method for reestablishing a complete smile.
At the office of DiBona & Scamardella Dental Studio, we fabricate dentures from the highest grade of dental materials for a precise and comfortable fit. Our dentures are meticulously designed to rebuild beautiful smiles and support natural facial contours while enabling patients to speak, smile, and chew with renewed confidence and ease.
We’re dedicated to helping patients to enjoy the benefits of a beautiful smile and take pride in offering personalized solutions to address their dental needs, lifestyle, and budget.
According to recent statistics, it’s estimated that across the country, over 175 million adults have lost at least one tooth, and close to 40 million are missing all of their teeth. In most of these cases, tooth loss is the end result of extensive dental decay, advanced gum disease, a traumatic injury, a congenital anomaly, or associated with a medical condition.
In addition to the psychological and social consequences having embarrassing gaps in your smile often produce, missing teeth can affect your ability to speak clearly and eat a satisfying and nutritious diet. Left unaddressed, missing teeth can also cause gradual changes to your appearance and 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 may also begin to look more sagged and haggard over time.
While it’s never too late to rebuild a complete and beautiful smile, it’s always best to replace missing teeth sooner than later. Both partial and full dentures from the office of DiBona & Scamardella Dental Studio offer an effective and satisfying solution for reestablishing a complete smile.
Dentures are removable appliances that are designed to precisely and comfortably rest on top of the gums that cover the jawbones. They consist of natural-looking artificial teeth set in a supportive base. In addition to offering a cost-effective solution for the replacement of missing teeth, dentures are quite versatile. They can be used to replace either a few teeth that have been lost or all of the teeth in the upper or lower jaws.
While conventional bridgework and dental implants offer fixed solutions for rebuilding complete smiles, partial and full dentures are removable oral appliances. This statement means it’s possible to take dentures out of the mouth to clean and maintain the health of the underlying tissues and any remaining teeth, as well as clean the dentures themselves, or remove them while sleeping.
You can rest assured that rebuilding your smile is in the best of hands at the office of DiBona & Scamardella Dental Studio. As skilled and experienced providers of care, we’ll carefully evaluate all aspects of your smile, the health and integrity of any remaining teeth, along with the surrounding tissues and the supporting bone to develop a treatment plan that satisfies the functional and aesthetic requirements of your case.
The two main types of removable dentures are full dentures and partial dentures. Which of these types offers the best solution for your smile depends on how many natural teeth are still present in your mouth and the health of these remaining teeth. While a partial denture can offer an effective solution in cases where some sturdy natural teeth remain, you may be a candidate for a complete denture when all the upper or lower teeth are missing or require extraction.
Full dentures, also known as complete dentures, can effectively replace all the upper teeth, lower teeth, or both the upper and lower teeth. As with other types of dental solutions, there’s no one-size-fits-all approach for every case. The ultimate design, fabrication, and insertion of a full denture can vary based upon a patient’s specific needs.
This type of denture is fabricated and placed after all of the remaining teeth are removed, and the surrounding tissues have adequately healed. Fabricating a full denture when healing is complete supports a precise and comfortable fit.
Immediate Denture
With an immediate denture, a patient does not have to go without teeth while waiting for complete healing of the extraction sites. Although an immediate denture offers the advantage of not having to go without teeth for any length of time, it can require a reline and adjustments as the tissues remodel and heal. In some cases, for optimal comfort and fit, a conventional denture may eventually be required.
Overdenture
An overdenture is a type of complete denture that receives added stability and support from special attachments that are secured to the remaining underlying teeth or specialized dental implants.
Implant-Supported Dentures
As the name implies, this type of denture attaches to a select number of strategically placed implants in the upper or lower jaw. These small surgical posts provide precise points of attachment for the overlying denture and add a significant measure of stability and retention.
In situations where some sturdy teeth remain, partial dentures can offer an effective solution for the replacement of missing teeth. Partial dentures typically achieve adequate retention and stability with clasps or precision attachments on the teeth adjacent to the edentulous areas (the spaces formerly occupied by the missing teeth).
Removable partial dentures can fill the void left by individual missing teeth and multiple ones to restore the look and function of a complete smile. At the same time a partial denture fills the gaps left by missing teeth; it also stabilizes the dentition and bite and prevents unwanted drifting of the remaining natural teeth.
As with full dentures, partial denture design and fabrication varies based on a patient’s specific needs. With advances in dental materials and technology, partial denture wearers have more options than ever before. Today, a partial denture’s supportive framework can be fabricated from various materials, including cast metal, flexible resins, and hybrid materials.
At the office of DiBona & Scamardella Dental Studio, we’re dedicated to building healthy and beautiful smiles. As your trusted partner in care, you can depend on our office to design and fabricate a denture that will look good, fit comfortably, and serve you well for years to come.
Fabricating an attractive, well-fitting, and long-lasting denture requires a comprehensive understanding of oral function, facial aesthetics, dental materials, and appliance design. At the office of DiBona & Scamardella Dental Studio, we maintain a position at the forefront of advances in care and successfully combine the art and science of dentistry to provide patients with outstanding treatment outcomes.
Once we’ve had an opportunity to review your medical and dental history, assess all aspects of your smile, and discuss your expectation of care, we’ll discuss the best options for restoring and rebuilding your smile.
Based upon a comprehensive analysis of your case, including advanced diagnostic imaging, we’ll advise you if any dental work, additional procedures, or extractions are required prior to the fabrication of a partial or complete denture. It’s essential that any remaining teeth are healthy and have sufficient bone support. Sometimes, a pre-prosthetic procedure to improve the tissue anatomy and ensure a denture’s optimal fit is recommended.
Having a denture or set of dentures made is a sophisticated process involving dental impressions, framework try-ins, selecting the right shade, shape, and size of the artificial teeth, and making sure that the bite and all aspects of oral function are comfortable and healthy. Whether it takes a single visit or a few visits to fabricate a partial or complete denture, a satisfying and healthy outcome relies on the careful execution of every step in care.
At the office of DiBona & Scamardella Dental Studio, our patients' care and comfort are our top priorities. Our goal is to help patients enjoy optimal oral health and to keep them well informed every step of the way.
Adjusting to wearing a new denture
Getting used to wearing a new denture, especially a full denture, can take a little time. It’s not unusual to need some minor adjustments as you begin to speak, chew, and function with your new teeth. It can take a few adjustments to fit completely and feel comfortable. If you have a sore spot, try to wear the denture at least the day before your adjustment visit. In this way, we can see exactly where we need to relieve the area causing your irritation.
More saliva than usual
One of the natural responses to a new denture is for your mouth to produce more saliva. Not to worry, this is only a temporary reaction. The flow of saliva gradually decreases back to a normal level.
Speaking with ease
While it may seem challenging to speak clearly at first with a new denture, that feeling will pass within a few days. It’s important to keep talking, as usual, to allow yourself to adapt to your new set of teeth. You can help things along by reading some passages from printed materials or a computer out loud.
Getting used to eating with a denture
If this is your first denture, it can also take some time to adapt to eating with your new prosthesis. Getting used to eating with a full denture is typically more challenging than doing so with a partial denture. It’s best to start with soft foods and to avoid chewing on just one side. Your tongue, lips, cheeks, and soft tissues will soon adapt to chewing with your new denture, and from then on, you’ll be able to eat with ease.
Taking care of your dentures
It’s essential to keep your denture clean! Rinse your dentures after eating and brush them daily. In this way, you can prevent stains and bacteria from accumulating on your new set of teeth. It helps to use a brush designed for dentures. Also, remember to soak your dentures in water when you’re not wearing them and at least once a week in the recommended denture cleaner.
Brush any remaining teeth as well as your gums to keep them clean and the tissues healthy and firm. If you wear an upper denture, rinse and gently clean the roof of your mouth as well.
Take your dentures out at bedtime. This practice gives the gums and the jawbone a chance to rest, helping to prevent irritation and infection as well as bone resorption (shrinkage).
Added stability
Due to the status of the underlying tissues and other factors, there are some cases where full dentures benefit from additional means of retention. While denture adhesive is often sufficient, full dentures that are implant-supported or clip onto special attachments offer added stability and retention.
Follow-up care
Maintaining oral health and overall well-being involves routine checkups and care. At these visits, we not only check the fit and condition of your dentures but we also perform a comprehensive exam to check the status of any remaining teeth as well as assess the health of all of the soft and hard tissues in and around the oral cavity.
Relines
Over time, the tissues supporting the denture can change. As the shape and contours of these tissues shrink or remodel, your denture may not fit as comfortably or feel as stable as it once did. A separate procedure, which is known as a reline, may be recommended.
At the office of DiBona & Scamardella Dental Studio, we’re dedicated to providing the highest quality of care. If you have any additional questions or concerns about your new dentures, feel free to contact our office.
Today, it’s easier than ever to replace missing teeth and achieve natural-looking, durable, and long-lasting results! Depending a patient’s dental needs, lifestyle, expectations of care, and budget, choices can include conventional fixed bridgework, dental implants, or removable partial and complete dentures. At the office of DiBona & Scamardella Dental Studio, we’ll discuss all your options in care and answer all your questions as you choose the solution that’s right for you.
With advances in dental materials and technology, today’s dentures are more comfortable and realistic-looking than ever before.
Whether you wear partial or complete dentures, it’s essential to see the dentist for routine care. Besides checking the fit and condition of your dentures and making any necessary adjustments, you’ll also receive a comprehensive exam to check on the health of any remaining teeth as well the soft and hard tissues in and around the oral cavity.
A same-day denture offers an accelerated design and fabrication process that allows a patient to go from impression taking to denture insertion in a single day.
For patients who don’t want to wait after having teeth extracted, an immediate denture can be inserted the same day your teeth are removed. Sometime later you may need the denture reline to address any changes in its fit once the extraction sites have completely healed.
While no one wants to drop or break a partial or complete denture, accidents do happen. The good news is that in some cases, your partial or complete denture is reparable. It all depends on the extent of the damage. Don’t hesitate to contact our office if you’ve broken or damaged your denture. We’re happy to help.
The simple act of taking your partial denture in and out can cause certain types of metal clasps to loosen over time. When you come in for your checkup visit or contact our office for an adjustment, we’ll assess the fit of your partial and tighten the clasps for improved stability and comfort.
While rebuilding a complete smile is a worthwhile investment, our office is sensitive to the costs involved in dental care. We customized care and will discuss which treatment options address your needs, lifestyle, and budget. How much a new denture will cost depends on the type of the prosthesis, its design, and the materials used to fabricate the supportive base, teeth, and clasps or precision attachments. Dentures that include the placement of dental implants for added retention and stability typically involve additional costs.
If you have dental insurance, your coverage may include a new or replacement set of dentures. Our staff is happy to review your coverage with you to ensure you are maximizing your insurance benefits while minimizing any out of pocket expenses.
At the office of DiBona & Scamardella Dental Studio, we provide an extensive range of dental services, including the latest and most effective methods to help patients with missing teeth rebuild complete and beautiful smiles. As skilled and experienced professionals, we recognize that every patient is different, and every smile is unique. We’re passionate about what we do and take great pride in providing personalized treatment plans while treating our patients as valued partners in care.
