Dr. Novy Scheinfeld, Atlanta Dentist: Your Smile Is Priceless

Did you know that the shape, shade, length and spacing of your teeth could significantly affect your smile? And our smiles can greatly affect our self-esteem and confidence. Common conditions that impact negatively on your smile include broken, cracked or worn teeth, discolored teeth, missing teeth, crooked teeth, decayed teeth, gaps between your teeth and/or "gummy smiles." The good news is that with modern technology and improved materials, these situations can be dramatically changed to create natural looking and long-lasting beautiful smiles.

Each patient and each specific circumstance must be evaluated on its own merits. Factors such as occlusion [bite], oral habits, available space, health of the gum tissue, severity of the problem and patient expectation should be taken into consideration when planning your cosmetic makeover.

Depending on your individual oral characteristics, there are a variety of choices that all result in excellent esthetic outcomes. For whiter natural teeth, in-office or at-home bleaching [whitening] techniques are available. Repairing teeth or closing spaces may be accomplished with tooth-colored composite resin bonding, porcelain veneers or porcelain crowns.

Veneers are wafer-thin laminates or shells of tooth-colored material (which can be either porcelain, ceramic or composite bonding material).  They are bonded (cemented) to the front surface of teeth to improve their cosmetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth what false fingernails are for your hands.

Stained teeth – badly stained or discolored that cannot be improved by teeth whitening or prophyflex treatments can be greatly improved by dental veneers, which function to cover any existing stains on your teeth.

Damaged teeth - teeth that have become badly worn through excessive grinding or by carbonated drinks, as well as those that have been chipped or broken, can benefit from veneers. A small chip on a tooth can quickly be repaired with composite bonding, also known as "composite veneers".   A single damaged tooth can easily be repaired with a porcelain veneer that has the same characteristics and color as you natural teeth.

Gaps - spaces or gaps (technically termed as a diastimas) between your teeth can easily be closed using dental veneers, giving you a more uniform-looking smile.

Crooked teeth - Veneers are not the ideal treatment for crooked teeth, and from the point of view of preserving your natural teeth structure, orthodontics or Invisalign braces would probably a better solution.   However, this type of treatment can take up to a year or longer and be significantly more in cost to accomplish.   For teeth that are not severely crooked, veneers placed over their front surface will give a straight and perfectly aligned-looking smile.   For this type of treatment, many people refer to veneers as "instant orthodontics", as you get a similar end result in a fraction of the time.

These procedures vary in time and cost and have differences in longevity and appearance. If you're not satisfied with your smile or want to learn if you're a good candidate for any of these remarkable techniques, call our Atlanta (Sandy Springs) office for a complimentary cosmetic consultation.

Novy Scheinfeld, DDS, PC                          
290 Carpenter Drive, 200A
Atlanta, GA 30328
(404) 256-3620
receptionist@rightsmilecenter.com
www.rightsmilecenter.com

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Dentist Sandy Springs: So what exactly are dental veneers?

Veneers are wafer-thin laminates or shells of tooth-colored material (which can be either porcelain, ceramic or composite bonding material).  They are bonded (cemented) to the front surface of teeth to improve their cosmetic appearance.   It’s really not that much different from brick on the front of one’s home.  Many dentists use the alternative analogy that dental veneers are for your teeth what false fingernails are for your hands.  

What treatments or problems are veneers used for?

There are a wide variety of reasons why patients opt for treatment with dental veneers:

Stained teeth – badly stained or discolored that cannot be improved by teeth whitening or prophyflex treatments can be greatly improved by dental veneers, which function to cover any existing stains on your teeth.

Damaged teeth - teeth that have become badly worn through excessive grinding or by carbonated drinks, as well as those that have been chipped or broken, can benefit from veneers. A small chip on a tooth can quickly be repaired with composite bonding, also known as "composite veneers".   A single damaged tooth can easily be repaired with a porcelain veneer that has the same characteristics and color as you natural teeth.

Gaps - spaces or gaps (technically termed as a diastimas) between your teeth can easily be closed using dental veneers, giving you a more uniform-looking smile.

Crooked teeth - Veneers are not the ideal treatment for crooked teeth, and from the point of view of preserving your natural teeth structure, orthodontics or Invisalign braces would probably a better solution.   However, this type of treatment can take up to a year or longer and be significantly more in cost to accomplish.   For teeth that are not severely crooked, veneers placed over their front surface will give a straight and perfectly aligned-looking smile.   For this type of treatment, many people refer to veneers as "instant orthodontics", as you get a similar end result in a fraction of the time.

So which are better: composite veneers or porcelain veneers?

The most popular type of veneer is porcelain, which offers a stronger and more durable alternative to its composite counterpart.  Composite veneers are also more prone to staining and do not last as long as porcelain veneers.   Porcelain veneers also offer a more natural looking, translucent appearance. Composite veneers are much cheaper than porcelain veneers in general, but considering that they do not last as long and need replacing more often, they could end up costing more in both time and money in the long run.  Composite work is ideal for small chips, as this treatment preserves more of your natural tooth structure.

What is the procedure of having dental veneers fitted?

1. The first part of any dental procedure is the initial consultation and examination, so that the dentist can get a feel for what you want and understand your needs and concerns. The dentist should explain the treatment procedure to you and give you an accurate guide to the likely costs of your treatment.

2. Before your veneers are designed, your dentist will need to reshape and prepare the front surfaces of your teeth so that they can accommodate the veneers. The first stage is to numb the teeth and gums with a local anesthetic so that you do not feel anything during the procedure.

3. Using a special tool called a burr (a dental drill or file), a tiny part of the front surface of your teeth will be shaved off. The amount removed should be equivalent to the thickness of the veneer that will sit over the top of the tooth.

4. Next, an impression or mold (copy) of your teeth is taken.   A special dental "putty" is placed into your mouth on a tray and pushed into your teeth so that it takes an imprint of your teeth (similar to how you would leave a footprint in sand).

5. This "impression" or mold of your teeth is then sent to a dental laboratory. The laboratory uses the impression to cast an accurate model of your teeth, which is used as a guide to fabricate your new veneers. This process can take between one and three weeks.

6. While you're waiting for your veneers to be fabricated, your dentist may fit you with some temporary veneers to protect your prepared teeth. Not all dentists will offer temporary veneers.

7. On your second appointment, your dentist will fit your new veneers to your teeth. First, the dentist may just sit the veneers over your teeth to see how they look with your smile, as he/she may need to trim or adjust the veneer.

8. Next, your teeth will be thoroughly cleaned and the front surfaces etched (roughened) with a special acid gel so that they provide a good surface for the dental cement to stick to.

9. The veneers are then cemented into place, and a special curing light is used to activate the dental cement so that it permanently bonds the veneer to the front surface of your prepared tooth. If there is any excess cement, it is usually trimmed away and polished to leave a beautiful and natural-looking restoration.

How long do dental veneers last?

Porcelain veneers will typically last between five and ten years, while composite veneers last a year or two at most. The bottom line is that your veneers will eventually need to be replaced. Although veneers are strongly cemented into place, there have been cases where they come loose and fall off. In such situations, it is important that you keep hold of your veneer and contact your dentist immediately. To make your veneers last longer, follow a good oral hygiene program and visit your dentist for check-ups on a regular basis.

Is it possible to have veneers fitted on the same day?

Usually, porcelain veneers are placed over a minimum of two visits as described above. A few cosmetic dentists have invested in CAM/CAD in-house ceramic studios such as E4D or CEREC, which can custom-produce high-quality ceramic veneers on-site in as little as six minutes. This technology enables the dental practice to offer single-visit, same-day ceramic veneers which are fitted within an hour.

What about Lumineers? What are they?

Lumineers, are similar to standard porcelain veneers, but are fabricated made from a patented cerinate porcelain that is extremely thin (about the thickness of a contact lens) and very strong. With Lumineers, the tooth surface does not need to be trimmed, so the procedure is quicker and totally painless.   A similar ultra-thin veneer system to hit the market are Durathin veneers.  www.lumineers.com or www.durathinveneers.com.

What are da Vinci Veneers?

Da Vinci Veneers are similar to Lumineers in that they are extremely thin veneers that are often used for smile makeovers.  They are only manufactured in the da Vinci laboratory in California.

What are MAC Veneers ?

Mac Veneers are made from pressed ceramic, giving more strength than standard feldspathic veneers. They are an ideal veneer choice for smile makeovers.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Myth #1: Root Canal Therapy Is Painful

There are few phrases that invoke as much fear and anxiety as these words from your dentist, “you need a root canal.”  Where does this anxiety come from?  In his state of the union address, President Obama said of the bail out, “I hated it.  You hated it.  It was as popular as a root canal.”   Clearly, root canals are not very popular.  The endodontist, a dentist who has two years of residency training in, among other things, performing root canal therapy, should be the least popular of all dentists.  Yet if you have an all-consuming, head splitting toothache, the endodontist is the first person you want to and should see.  An endodontist, with their advanced training, can relieve you of your toothache in one appointment.  In this way, it would be better to understand endodontists as specialists in treating and preventing toothaches.

            Inside of every tooth is tissue, called the dental pulp that helps the tooth grow and develop when the tooth is young.  If the pulp comes in contact with bacteria through deep decay, a restoration, or a fracture, it can become damaged.  In this way, toothaches are caused by inflammation or infection in the internal tooth, pulp, or surrounding bone.  Antibiotics and anti-inflammatory medications will help control the symptoms but cannot resolve the problem.  Root canal therapy, so named because the treatment takes place within the tiny roots of the tooth, is a procedure for cleaning and disinfecting the internal tooth structure.  Think of it like having a very small filling deep in the tooth, so small that endodontists work with special instruments that are as small as a hair's width in diameter and a microscope to help with vision.  Typical treatment time depends on the complexity of the case and the number of roots within the tooth.  Your visit can be anywhere from half-hour to two hours with longer treatments often divided into two separate visits for your comfort.  In many respects, the experience will be indiscernible from having a filling.

            Sometimes root canal therapy is indicated as a means to prevent an infection and toothache, which is why your dentist or endodontist may recommend root canal therapy on a tooth that has never caused any problems before.  He or she is only looking out for your best interest, saving you from future discomfort and infection.  Any time a tooth can be treated prior to infection, the procedure itself will be more predictable and easier on you, the patient.

            Root canal therapy is a comfortable procedure.  The treatment itself is performed under local anesthesia and there is no associated feeling.  When it is over, you can often return to work or to enjoying your day.  When people wince at the thought of a past root canal or describe a past experience, they are either referring to the toothache that caused them to need treatment, or were not under the care of a specialist who has advanced training, tools, and techniques.  Sedation is offered in some offices, but it is not needed in the vast majority of cases.  Patients, much to their own disbelief, very often fall asleep on their own during the procedure. 

            If you are referred to an endodontist for root canal therapy, there is nothing to fear.  Your endodontist should make every effort to answer your questions and make the process as relaxing and comfortable as possible for you.  If you have a toothache and are referred to an endodontist, know that you have already been through the worst part, you are heading to the right place, and treatment will have you feeling better quickly, often as soon as your endodontist numbs the area.

            If you need additional information or have questions, this article was contributed by Dr. Justin M. Parente of Alpharetta Endodontics, http://www.alpharettaendo.com/ (770-772-3002).  Dr. Parente received his DMD and post graduate Endodontic specialty training at Medical College of Georgia and is a member of the American Association of Endodontists.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com 

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Dentist in Sandy Springs: Your Natural Choice in Tooth Replacement

Whenever a tooth is lost, if the bone structure will allow, it should be replaced with an implant.  Failure to replace the tooth with an implant will ultimately contribute to the loss of facial bone structure.  Dental implants are artificial tooth roots, which represent an alternative to dentures or bridgework.  The advantages vary from patient to patient and type of restoration but in addition to retained bone structure may include improved chewing ability, better speech, more secure fit of the restoration, greater comfort, and improved self-esteem.

The implant itself is made from Titanium and is surgically implanted in the jawbone to function in a similar way to a natural tooth root.  Depending on the individuals varying biological characteristics, it may be necessary for the implant to heal in the jawbone for a period of 3 to 6 months, which allows your bone to grow onto the implant in a process called osseo-integration.

Once integrated, the implant is then exposed from the gum tissue, and a restoration consisting of one or more replacement teeth, is fabricated by the prosthodontist to fit on top of the implants.  In other cases it is possible to fit the teeth to the implants soon after implant placement, called immediate loading implants.

The restoration can be attached in several ways:

• Removable structure, using special bars and clips.

• Fixed or screw retained, using special screws and cement so that only your dentist can remove it, if necessary.

In the case of dentures, an implant-supported overdenture fits more securely than a conventional denture which rests on the gum tissue and offers no form of mechanical attachment.  The difference is the implants participate integrally in retaining bone structure in the jaw line.

Where a single tooth is lost adjacent healthy teeth can often remain intact and unaffected by an implant-supported restoration.  This is unlike conventional bridgework where healthy teeth are structurally altered to support the bridge.

Implants are usually placed under local anesthesia in the oral surgeon’s office.  The procedure involved in placing the implants is generally not painful and usually requires minimal recovery time and post-operative medication.

Only your dentist can tell whether you’re a candidate for dental implants.  Certain health conditions (like uncontrolled diabetes) or risk factors (like smoking) may preclude your ability to undergo implant therapy.  In addition, appropriate hygiene must be established prior to implant therapy and must be maintained to ensure the long-term success of the implant.  If we can be of assistance or answer any of your concerns or questions please feel free to contact our office.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

http://www.rightsmilecenter.com/

receptionist@rightsmilecenter.com

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Sandy Springs Dentist: Cranberries Have Unique Benefit For Women

A recent study at Rutgers University, and published in Phytochemistry, confirmed a long-held theory that ingestion of cranberries is helpful in protecting against harmful bacterial in the urinary tract. This is due to one of its natural compounds called proanthocyanidin [PAC's], and its anti-adhesion effect.

The anti-adhesion property of cranberries prevents bacteria from sticking to the urinary tract, which is one of the most common regions for a woman to develop a bacterial infection. Half off all women will experience at least one urinary tract infection in their lifetime. E. coli, bacteria that cause urinary tract infections, are becoming increasingly resistant to common antibiotics. The study concluded that 80% of the antibiotic-resistant bacteria were prevented from sticking by the anti-adhesion property of cranberries. There is some conjecture that PAC's found in cranberry may minimize stomach ulcers and gum disease by the same mechanism.

This study compared the action of PAC's in cranberries to those in other foods such as grape and apple juice, dark chocolate and green tea. Apparently, not all PAC-rich foods have the same success or offer the same protection. By means of comparison, one eight-ounce glass of cranberry juice has the equivalent PAC's as a cup of frozen or fresh cranberries, 1/3 cup of sweetened dried cranberries or 1/3 cup of cranberry sauce. Both this study and earlier research show that the benefits of one glass of cranberry juice kicks in about two hours after consumption and lasts for about 10 hours. So, it is recommended that you drink one glass of cranberry juice in the morning and one in the evening for the maximum protection. Remember, cranberry is a food and not a treatment. Keep in mind that anyone who suspects an infection should consult the appropriate health care practitioner.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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Sandy Springs Dentist Novy Scheinfeld is a Prosthodontist.

Check out over 300 reviews at  http://www.rightsmilecenter.com/reviews.html

Novy Scheinfeld, DDS, PC
290 Carpenter Drive, 200A
Atlanta (Sandy Springs), GA 30328
404-256-3620
receptionist@rightsmilecenter.com

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Dentist Sandy Springs: We’ve made progress.

People in ancient times believed that the stabbing pain of a toothache was caused by a toothworm, which either had appeared spontaneously or had bored its way into the tooth. If the tooth pain was severe, it meant that the worm was thrashing about, but if the aching stopped, then the worm was resting. Cultures all over the world, many of whom had no contact with each other, held stubbornly to this myth. The folklore of the toothworm persisted from ancient times to the beginning of the eighteenth century.  As a result many useless and rather comical folk cures were developed:

• Bee: Honey, a product of bees, was used to coat an infected tooth in the Middle Ages. People smeared their aching teeth with honey and waited all night with tweezers in hand, ready to pluck out the toothworm.  The bait rarely worked. 

• Donkey: In ancient Greece, donkey’s milk was used as a mouthwash to strengthen the gums and teeth.  It was obvious goats milk did not have the same medicinal attributes.

• Frog: Besides spitting in a frog’s mouth for toothache relief, these web-footed creatures were applied to a person’s cheek or to the head on the side of the ailing tooth.  The worst case scenario is you ended up with a prince or princess.

• Onion: In the Middle Ages a slice of onion was applied to the ear on the side of the aching tooth.  Obviously, they had never heard the old adage that ‘misery loves company’, because no friends wanted to hang around people with smelly onion ears.

Protions were Reprinted with permission from "Toothworms and Spider Juice: An Illustrated History of Dentistry" – Loretta Frances Ichord, Millerbrook Press.

Novy Scheinfeld, DDS, PC

290 Carpenter Drive, 200A                                                         

Atlanta (Sandy Springs), GA 30328

404-256-3620

receptionist@rightsmilecenter.com

www.rightsmilecenter.com

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