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  • FAQ

    Dental Frequently Asked Questions

    Are You a Candidate for Dental Implants?

    The main requirement for placement of dental implants is strong bone in the area beneath the missing teeth. Without sufficient strong bone, the implants won’t take hold in the jaw. If you don’t have the sufficient bone required for dental implants, your dentist may recommend bone grafting. This involves removing bone from elsewhere in the mouth. Bone can also be grafted from the hip or through the use of artificial bone.

    Dental Fillings – What Are They?

    Dental fillings are one of the most common types of dental restorative treatments, used to improve the appearance and functionality of teeth affected by damage or decay over time or through neglect. The filling materials, which can be made from several different substances and compositions, help to even out tooth surfaces for more efficient biting and chewing. These restorations can last for many years and help keep the tooth looking and functioning at its best. If you have been dealing with tooth pain, it may be because you have decay that needs correction. To treat decay effectively, Dr. Langer, D.D.S. in Brooklyn will remove the portion of your tooth that is decayed and fill in that area where the decayed portion one was. Fillings are widely used to help repair teeth that are cracked, broken or worn from misuse. Nail biting and tooth grinding are common contributors to wearing down your teeth, so it is important that you are doing practicing good oral hygiene. - See more at: http://www.ddsbrooklyn.com/faq/#sthash.o36UHbvw.dpuf

    Dentures – What Are They?

    Dentures are a form of prosthetic device that is designed to help those patients who do not have teeth. Dentures allow you to chew your food and help improve your speaking habits.

    How Does Teeth Whitening Work?

    An impression of your teeth will be taken at your dental office in order to create the whitening trays needed to submerge the teeth in the bleaching agent. The bleaching solution would be used nightly for 3 to 4 hours over the course of the next one to two weeks. Within this time frame you should see a significant improvement in the whitening color of your teeth. In some cases, the improvement patients see is not only visible but some patients see a significant change in their color appearance. - See more at: http://www.ddsbrooklyn.com/faq/#sthash.M8wj7kMd.dpuf

    Is The Root Canal Procedure Painful?

    Although many patients associate the root canal procedure with major pain and discomfort, it is usually not painful. Local anesthesia is used to numb the affected area, although it is sometimes not even needed since the nerve tissue is dead. However, anesthesia often helps patients relax and relieves any anxieties they may have.

    What Are Dental Implants?

    Dental implants are quickly becoming one of the hottest methods for replacing missing teeth instead of dealing with bridges and other procedures. An implant is useful for replacing a tooth that was lost from decay, extraction, gum disease, root canal failure or a trauma to the patient’s mouth. Dental implants are not for everyone.

    What is a Direct Restoration Tooth Colored Filling?

    In the case of a direct restoration, your tooth can likely be restored in one visit; there is sufficient tooth structure for the filling to go inside the tooth or at least sufficient tooth structure to maintain the majority of the natural tooth. Amalgam, which is silver colored, is an example of a direct restoration. Composite, another example, is tooth colored. Tooth-colored fillings are being placed more than amalgam fillings these days because of their superior esthetic qualities.

    What is a Periodontist?

    A Periodontist is a certified dentist who focuses mainly on the gums, roots, bone, and the foundation structure of your teeth. Periodontists are highly recognized by the ADA and emphasize that your teeth should receive the proper treatment, diagnosis, and care that they deserve. Periodontists are required to practice two additional years after completion of the normal comprehensive education received from dentistry school. Periodontists are highly skilled oral health professionals who also specialize in gum disease and gingivitis, also in addition to:

    • Aesthetic crown lengthening to make room for restoration crowns
    • Cosmetic periodontal surgery to improve and enhance your smile
    • Dental implants to support dentures
    • Gum grafting to terminate gum recession
    • Bone grafting for tissue modification

     

    What is an indirect Restoration Tooth Colored Filling?

    Indirect fillings are when the restoration is made outside of your mouth, either by a lab or by a milling machine, and needs to be cemented into place. Some examples of indirect restorations are inlays, crowns, and onlays. An inlay fits inside the tooth and can replace a wall of the tooth; a crown covers the entire tooth; and an onlay replaces at least one cusp of the tooth.

    What is the Correct Way to Brush Your Teeth?

    Start off by brushing the outer surfaces of your teeth using circular strokes that cover two to three teeth at a time, this will ensure proper etiquette. Position the toothbrush usually at a forty five degree angle to your gum line. Making sure you use a brush with soft bristles, gently apply pressure when brushing along your teeth and gum line. Use this technique to make your way around your mouth, cleaning the outer surfaces to ensure all parts of your teeth and gums are cleaned. To effectively clean the front teeth, place the brush in a vertical angle and use short up and down strokes.

    The molars are the big boys of the bunch who handle most if not all of your chewing habits. Apply gentle pressure to them and move the toothbrush back and forth, focusing on two to three teeth at a time. Reposition the brush frequently to ensure all surfaces are being reached. Take your time, working slowly and methodically around your mouth and watch yourself in the mirror to make sure you don’t miss any portion of a tooth. When your brushing is complete, rinse your mouth well to remove any food particles or plaque that might have been loosened. Brushing will cause many particles to become loose that before we hard to get out. Make sure you rinse well to discard any hidden particles that are now loose.

     

    What is the Dental Bonding Process?

    The process of dental bonding is generally used for smaller cavities, fillings, and smaller chips and cracks as the resin used in the procedure is usually not recommended to fill over large surfaces due to the strength of the bonding material. Bonding is an excellent cosmetic choice for replacing metal fillings, fixing minor gaps and cavities within a single visit. Bonding is an excellent cosmetic choice for replacing metal fillings, fixing minor gaps and cavities within a single visit. Dental Bonding is a quick procedure but one of the drawbacks of bonding using white composite material is that it can have the tendency to stain faster as opposed to materials such as porcelain or even compared to your own natural teeth.

    What is the dental crown procedure like?

    Fitting a crown should require two office visits to your dental professional. During the first appointment of your crown fitting, the dentist would remove a portion of the tooth by reshaping it so the crown can fit securely and comfortably on top. This aspect of the procedure involved anesthetics and the use of a burr which is a dental drill used to shave and shape the tooth. After the preparation of the tooth, an impression using dental putty or plaster of your gums and teeth will be created which is sent to a laboratory for construction of your custom dental crown; the process of creating the crown could take several weeks. During the construction phase, a temporary dental crown will be provided to you to wear while the permanent one gets created. During your second visit, the temporary crown is removed and the permanent crown is fitted and adjusted. Once the dentist determines the permanent fits and aligns correctly, the dentist would then cement the dental crown into place using a special acid that will help to give your tooth a rough type of surface in order for the crown and cement to bond correctly.

    Crowns can be made from a vast array of materials today, each with their own benefits. Depending on your expenses the doctor will most likely recommend what materials should be used for your crowns but if you are looking for a more natural look that could be color matched to your teeth, your best option would be an all porcelain or ceramic crown. Metal crowns preserve more of the tooth structure and withstand biting and chewing forces well. Depending on the type of materials used in making your crown, it should last in upper towards 10 years. Most high quality made crowns have a longer life of around 10 to somewhere in the area of 15 years but it all depends on good proper oral hygiene as the crown will last as long as your teeth do. The cost of getting a crown will vary depending on the materials used, the doctor implementing the crown and the number of crowns needed for your teeth.

    What is the Procedure like for Porcelain Veneers?

    The process of being treated for Dental Veneers usually is done in 2 appointments. This initial appointment provides an opportunity for you to take an active role in designing an improved smile. The first visit consists of Dr. Langer first examining your teeth via consultation where he will explain the procedure to you in its entirety. Although the porcelain veneers are very thin, the teeth receiving them are lightly buffed to compensate for the added thickness of the veneers. The tooth is typically reduced by approximately one half of a millimeter. This portion of the procedure may be performed with little or no local anesthesia. Next, a preliminary impression (molds of your teeth) will be taken, along with photographs and sent to the lab for creation of the custom-made veneer. Dr. Langer will use these models to determine how the “final product” will look, before touching any of your teeth. A “preview” of your new smile will be tried-in, so you will actually see how your new smile will look. A temporary veneer can be placed if the patient is uncomfortable with the appearance of the natural teeth. The veneer is usually ready one to two weeks later.

    During your second appointment, Dr. Langer will initially hold the veneers in place on your teeth with water or glycerin to determine that they are perfect in fit and color and make sure no additional tooth trimming is needed to fit the veneer precisely over the tooth. Once the color is finalized, chemicals are applied to the tooth to optimize the bonding. Dental cement is then applied between the teeth and the veneer and a special light is used to quickly harden the cement. You can expect this visit to take between one and two hours. In the last stages of veneer placement, your teeth will be cleaned, roughened with a special gel to promote a good surface for the veneer, and finally the veneers will be boned into place and cured with a special lighting tool used to help the adhere the veneers to your teeth.

    When is it Time to See a Periodontist?

    Gum Disease is serious. If you experience any of the following warning symptoms you should consult with a periodontist immediately:

    • Bleeding of the gums
    • Tender, red, and even swelling of the gums
    • Severity of bad breath
    • Shift or distortion of feeling in the way your dental fit comes together

    * Gum disease is treatable if detected early; yet, smokers, people with diabetes and women going through menopause are all prone to gum disease and are at higher risk.