WHAT IS A PROSTHODONTIST?

A Prosthodontist is a specialist in implants, aesthetic, and reconstructive dentistry:

  • Specializes in the aesthetic, restoration and replacement of teeth,
  • Receives three years of advanced postdoctoral training in an ADA accredited institution after four years dental school, and
  • Restores the finest appearance and functionality to your smile.

What training differentiates a Prosthodontists from a Dentist?

Prosthodontists are masters of complete oral rehabilitation. Certified Prosthodontists undergo extensive training through postdoctoral hospitals or university based rigorous programs accredited through the American Dental Association (ADA). Advanced training programs in Prosthodontics include in-depth classroom lectures and seminars, dental laboratory technology and rigorous clinical training in aesthetics/cosmetics dentistry, crowns, bridges, veneers, inlays, onlays, complete and removable partial dentures, dental implants, TMJ problems, traumatic injuries to the oral structures, congenital or birth anomalies to teeth, snoring and sleep disorders devices, and oral cancer reconstruction.

Prosthodontists are the only trained “Cosmetic Dentists”. Due to their advanced training, Prosthodontists are recognized as experts in orchestrating treatment with other dental specialists to provide superior results with dental implants, veneers, crowns & bridges, dentures as well as all aesthetic and restorative procedures.

WHAT ARE INLAYS AND ONLAYS?

What is the difference between Inlays, Onlays and Crowns?

  • Inlays are designed to complete a defect inside your tooth.
  • Onlays are designed to cover and protect portions of the outer surface of your tooth.
  • crown is a “cap” and designed to cover and protect your whole tooth.

What types of teeth troubles are inlays and onlays used to treat?

Inlays and onlays are designed to restore larger cavities and provide a more durable and aesthetically pleasing restoration. Conventional fillings are designed to repair smaller cavities and defects in your teeth and typically have a shorter lifespan than inlays and onlays.

What is the procedure to install my Inlays and Onlays entails?

The procedure is very similar to a regular cavity filling. After removing the diseased and decayed structure of the tooth, the cavity shape is designed to receive the restoration. Impressions are then made and a temporary restoration is placed. The final restoration is fabricated in the dental laboratory to precisely match your tooth color and structure. In the second visit, the inlay or onlay is finely adjusted to fit the tooth and bite and then permanently bonded onto the tooth.

What are the materials used in Inlays and Onlays?

Inlays and onlays can be fabricated from ceramic (porcelain) or gold. Porcelain is very durable and can easily match your tooth color and characteristics precisely. Some patients prefer gold inlays and onlays on their back teeth due to the long and documented history in the use of gold restorations. Many gold restorations have lasted for over 30 years!

What are the benefits of Inlays and Onlays?

Inlays and onlays are a far more precise and durable restoration, offering a longer lifespan and better preservation of your teeth structure.

What are the risks of inlays and onlays?

Inlay and onlay procedures typically carry the same risk as traditional restorations and do not carry any excessive risk. Inlays and onlays are a more conservative treatment alternative to crowns

What are the alternatives to inlays and onlays?

Conventional fillings are the most common alternative to inlays and onlays. Conventional filling are more affordable but do not provide the expected superior aesthetics and lifespan of inlays and onlays

How much do Inlays and Onlays cost?

Inlays and onlays cost is similar to the cost of porcelain veneers and crowns. They typically cost more than a regular filling but will also last much longer and surpass traditional fillings in durability and functionality.

What are the post-treatment limitations?

No specific post treatment limitations have been noted. Like any other bonded restoration including crowns, patients are advised not to use the treated tooth for 24 hours. After 24 hours most patients can expect to and are encouraged to resume normal activities. Occasionally, some post treatment sensitivity may be experienced; these typically subside within one to two weeks.

WHAT IS A TEMPORARY (PROVISIONAL)?

A temporary or a “provisional” is an interim restoration that is usually fabricated from resins. It is designed to serve for a shorter period of time and to be used until the final restoration (crown or porcelain veneer) is ready to be bonded to your tooth.

What is the purpose of a Temporary (Provisional)?

The primary purpose of the temporary restoration is to be utilized while your final restoration (crown or porcelain veneer) is ready to be bonded to you tooth.

Temporary restoration (provisionals) allow you to:

  • Function comfortably
  • Enjoy optimal aesthetic results
  • Examine the design and make adjustments and improvements in appearance and functionality
  • Provide a trial for the changes and other needed modifications with your dentist while your final restoration is ready

When is a Temporary necessary?

Temporary restorations are always necessary whenever you need a restoration to your tooth that must be fabricated in the dental laboratory, such as crowns, porcelain veneers, inlay and onlays.

How are Temporaries made?

Temporary restorations can be fabricated at the dental laboratory or at your dental office. Several techniques can be utilized in the fabrication and is usually based on your condition and the perseverance of your dentist.

What materials are used to make Temporaries?

Temporary restorations are usually made from resin materials and can be matched to your natural tooth color. In certain instances, where high esthetic demands are required, they can be made of ceramics.

What is the quality of a Temporary (Provisional)?

The quality of a temporary or “provisional” is optimal for short periods of time (typically weeks to months, depending on the treatment condition). Temporary restorations are optimal only when there is a need for continuous observations and or modifications by your dentist. By nature, the resin material deteriorates over time and requires continuous modifications and adjustments to ensure preserving your tooth structure.

How long do I use a Temporary (Provisional)?

Temporary restorations are designed for a limited duration and that varies from weeks to months based on the complexity of your treatment.

It is very crucial to note, that you MUST be under close observation by your dentist while you are using the temporary restorations. Temporary restorations deteriorate over time and must be consistently modified and closely observed by your dentist. Lack of maintenance for temporaries may cause serious damage to your teeth

What is the placement and removal procedure of a Temporary?

Placement and removal of temporary restorations is quite simple and often pain free. The procedure does not typically require a Novocain shot!

What is the cost of a Temporary?

The cost of temporary restoration is significantly less than the final restoration. Temporary restorations can be an affordable way to start your treatment, however, they have a very limited lifespan and will eventually require a permanent restoration.

What are the post-treatment restrictions for temporaries?

Post treatment restrictions include the following:

  • Avoiding sticky foods such as caramels and chewing gum
  • Consult with your dentist regularly to prevent the temporaries from becoming loose
  • Remain under close observation by your dental specialist to limit any complications that might occur

WHAT IS A BONDING OR WHITE FILLINGS?

Bonding or white composite is a conservative approach to repair slightly chipped, discolored or crooked teeth. It is also the material of choice used by dental experts today to treat cavities and dental decay. They are considered to be one of the best evolutions in the dental industry.

What is the procedure?

The procedure starts with the removal of the decayed structure of your tooth, if needed, modifying the tooth shape to receive a durable bonding or white filling, and then the placemen of bonding or white filling. The whole procedure is often completed in the one visit.

What are the benefits of a Bonding or White Fillings?

Bonding or white fillings are very conservative restorations and provide excellent aesthetic and functional results. They are considered to be very reliable restorations. They are also more affordable than some other treatment alternatives.

What material is in a Bonding or White Fillings?

Bonding and white fillings are highly reinforced composite resins that are designed to bond to your natural tooth structure. They have been in use as dental restorations since 1980’s and have been continually evolving and significantly improving over the years.

How long does it last?

The duration of service of bonding and white filling varies on an individual bases and from one tooth to another within the same mouth. The duration is dependent on the size of the bonding or cavity, location in the mouth and the quality of work provided by your dentist or dental specialist. The average duration of bonding and white fillings can range from a few years to several years of trouble free service when properly maintained.

What are the alternatives?

Treatment alternatives vary based on each individuals situation. Porcelain veneers are the preferred alternative for aesthetic treatments. Inlay and onlays can be used to restore a defect or decay in your back teeth. Porcelain veneers, inlays and onlays are a more durable restoration, and the preferred restoration in certain situations

What are the risks of a Bonding or White Filling?

Bonding and white fillings are very low risk restorations and one of the most conservative approaches, if applicable. Occasional post treatment sensitivity may develop like most other dental restorations, and would usually subside within a week or two.

How much does Bonding or White Filling cost?

The cost of bonding or white fillings is very reasonable and varies based on the extent of each individual restoration. The less extensive the restoration, the less expensive the treatment as the cost primarily depends upon the amount of time that your dentist has to spend crafting and perfecting each individual restoration.

How can an existing bite problem affect a white filling?

Bonding and white fillings may not be the best options for those who grind their teeth consistently and suffer from bruxism hobbits. Bonding and white fillings do not compare with the strength of the natural tooth structure and may not be a suitable restoration technique for people who suffer from the above conditions.

Any post-treatment restrictions or foods to avoid?

One of the major advantages of bonding and white fillings is that they are one of only a few dental restorations that are designed to be used immediately after the treatment is completed. Patients can typically resume normal activities upon completion of the restoration.

WHAT IS SLEEP APNEA?

Sleep apnea describes a partial or a complete cessation of breathing during sleep and is a serious disorder and can have severe negative impacts on a person health. During sleep, the patient’s airway relaxes and closes, preventing the body from getting enough oxygen to perform crucial functions.

What causes Sleep Apnea?

Obstructive sleep apnea (OSA) is caused by repeated collapse of the patient’s upper airway during sleeping, either completely or partially preventing air from reaching the patient’s lungs. Central sleep apnea (CSA) is caused by a failure of the brain to instruct the body to breath properly.

What are the signs and symptoms of Sleep Apnea?

Signs and symptoms of sleep apnea may involve one or more of the following:

  • Snoring
  • Poor concentration
  • Loss of libido
  • Tiredness after waking
  • Daytime sleepiness

How can Sleep Apnea be diagnosed?

A “Pulse Xoimeter” device is an excellent initial screening device for sleep apnea. Initial diagnosis and can be obtained through your dental specialists office. Sleep test center studies, ENT consultations and Rheometer testing are more in-depth diagnostic procedures that are utilized throughout the treatment.

What treatments can be done?

CPAP is the best treatment alternative. For those who cannot comply with CPAP treatment there are a few dental appliances that are alternatives and help ensure an increase of oxygen flow to the brain during sleep. “Tap Appliance I & III”, “Somnodent”, and “Herbst Appliance” have proven to be effective treatment alternatives.

What surgery options are there for sleep apnea?

Surgery is typically reserved for severe obstructive sleep apnea (OSA) at the recommendation of and ENT specialist. A patient should be sure to seek a second opinion prior to undergoing surgery as the success rates of such surgeries are rarely higher than 65% and often deteriorate with time, averaging about 50% only.

What other health conditions can be associated with Sleep Apnea?

Untreated sleep apnea affects the patient’s mental and physical well-being, impairs judgment, alters moods, reduces the ability to learn, negatively impacts information retention and may increase the risk of serious accidents and injuries.

Left untreated, a variety of health problems may arise including; obesity, diabetes, high blood pressure, cardiovascular diseases and erectile dysfunction, as well as mental impairments.

How do I find a local sleep study center and sleep study doctor?

The Beverly Dentistry works with and can refer you to a reputable sleep study center that is convenient for you.

What is CPAP? How effective is it?

CPAP is an oxygen mask used during sleep to prevent the airway from collapsing. CPAP is usually the most effective treatment. However, many patients have a hard time complying with using the CPAP on a regular basis due to complaints of discomfort and difficulty to use. In such cases, seeking treatment with a dental appliance becomes the relevant alternative of choice. Your ENT specialist can best determine the proper treatment and estimated cost of CPAP device.

How much does Sleep Apnea treatment cost?

Obviously, the effective treatment of sleep apnea is one of the best investments for your health and quality of life. Dental sleep apnea appliances vary in cost, and they are often reasonably priced. Many medical insurance plans may cover some or all of the treatment for sleep apnea dental appliances.

WHAT IS TMJ DISORDER OR TMD?

TMJ (temporomandibular joints) is part of your bottom jaw structure. They are the most sophisticated and delicate joints in your whole body and control all of your jaw movements during chewing and all other functions.

TMD (temporomandibular dysfunction) describes symptoms resulting from a disorder in these joints.

What causes TMJ Dysfunction (TMD)?

TMJ dysfunction (TMD) is chronic in nature and often exaggerated over time. Loss of teeth, long term grinding and tooth wear, misalignment or irregular teeth and lack of stability in your bite are primary contributors to TMJ dysfunction (TMD).

What are the signs and symptoms of TMJ Dysfunction (TMD)?

TMJ dysfunction (TMD) symptoms include one of more of the following:

  • Jaw discomfort or pain up on waking up
  • Chewing and/or biting difficulties
  • “Clicking” from the joint
  • Popping sounds when opening or closing the mouth
  • Jaw tenderness
  • Headaches/earaches

How is TMJ Dysfunction (TMD) diagnosed?

TMJ Dysfunction (TMD) is diagnosed clinically based on study by your TMJ expert and through the observation of symptoms. Radiographic and computerized tools are also be used to aid in the diagnosis.

How can I treat TMJ Dysfunction (TMD)?

Treatment of TMJ disorders (TMD) includes the following: targeted exercises, medication, and/or through treatment with dental appliances.

How long does the treatment last?

The duration of TMJ disorder (TMD) treatment is based on the severity of the condition. It typically varies from a couple of weeks to several months.

How much does the treatment cost?

Treatment appliances are usually moderately priced and may last for several years. Medical and dental insurances may cover portions of the treatment.

Why doesn’t my Night Guard work?

The “night guard”, also know as the “occlusal guard”, is a custom made device that is designed to fit your top teeth and is adjusted to prevent damaging TMJ movement during sleep.

If your “night guard” is not helping, you should consult with Dr. Montella at The Beverly Dentistry”. He can really save your teeth and TMJ!

Before I see my doctor, what are some natural remedies I can do to help with my TMJ Dysfunction (TMD)?

The TMJ is a very delicate and intricate structure. It is strongly recommended that you consult with an expert (specialist) dentist immediately to learn about your best treatment options and prevent further damage.

What is Dental Distress Syndrome?

Dental distress syndrome is a term that describes a disorder resulting from the misalignment of the TMJ and the musculatures that control them. These same structures are responsible for balancing the head on the spinal column. Dental distress syndrome describes a combination of ailments from head to stomach disorders.

Failure of the TMJ and surrounding muscles to work together properly may results in misalignment of the TMJ, bruxism (clenching of teeth), loss of teeth, and/or osteoarthritis of the joints.

HOW OFTEN SHOULD I HAVE PREVENTATIVE CARE?

Dr. Montella and his staff will determine the frequency of your visits for Preventative Care Therapy based upon your individual oral health conditions. According to your needs, your visits schedule may vary from few to several months.

Does Brushing alone provide proper care for my teeth?

Yes and No. Dental plaque forms on your teeth on a constant basis and the bacteria in plaque regularly attack your teeth and gums. Dental plaque is the number one enemy for your teeth and gingival tissue. It is the fundamental reason for developing decay (caries) and periodontal “gum” diseases. When plaque is not thoroughly removed, it hardens into a deposit known as calculus or tartar, which can require additional treatments to remove. Daily brushing and flossing are critical in maintaining oral health and will minimize the formation of calculus but don’t entirely prevent it. The necessary frequency of your preventative maintenance therapy is determined by the efficiency of your home oral care practices and variations in the body’s chemistry that affect your tendency to develop oral diseases. After a complete evaluation of your oral health a determination will be made on the necessary frequency of preventative care visits to maintain optimal oral health. If your oral health declines, you may be rescheduled for more frequent appointments.

What can be expected during Preventative Care Therapy visits?

Your professional teeth cleaning will be performed by one of our hand-selected hygienists. Each of our world-class Hygienists are dedicated to maintaining your oral health and will perform a very thorough cleaning while being gentle and considerate of your comfort. During visits, Dr. Montella will examine your mouth for any abnormal changes and measure the depth of the gum pockets around your teeth. Your teeth will be examined for signs of decay and any other dental problems that may have developed and check the way your teeth fit together when you bite down. Dr. Montella will discuss any changes that may have occurred in your general and dental health history with you.

What is accomplished with professional teeth cleaning?

Professional dental cleanings (dental prophylaxis) are usually performed by a registered dental hygienist. Your cleaning appointment will include a dental exam and the following:

  • Removal of Calculus (tartar): Calculus is a hardened deposit that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments.
  • Removal of Plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. Dental plaque is the fundamental cause of tooth decay (caries) and periodontal diseases!
  • Tooth Polishing: Leaving with your teeth surface smooth and polished. Not only your teeth will feel cleaner and brighter, but also, the smooth surface will minimize stain and plaque accumulation.

What are Periodontal Diseases?

Periodontal diseases are any destructive diseases of the gums and the surrounding jawbone that gradually destroy the bone supporting your natural teeth and untreated results in tooth loss.

There is also a strong correlation between Periodontal Diseases and Cancer, Birth Defect, Cardiovascular /Heart Diseases and Diabetes!

Periodontal Disease is a very slow process that often remains unnoticed and untreated. 70% of the US population suffers from untreated periodontal diseases.

How are Periodontal Diseases diagnosed?

Periodontal diseases are diagnosed during your periodontal examination by either by Dr. Montella or one of his skilled dental hygienists. This type of exam should always be a part of your regular dental check-up and should be done at least once a year.

What is involved in a periodontal examination?

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums. The depth of a healthy sulcus measures three millimeters and does not bleed. As periodontal disease progresses, the pockets usually get deeper and involve the supporting bone structure

Dr. Montella or one of his hygienists will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis of one of the following:

Gingivitis

Gingivitis, while not technically a periodontal disease, is the pre stage of periodontal disease. The problems are still limited to the gums where plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Periodontitis means that your jawbone has started to deteriorate! Plaque hardens into calculus (tartar) and as calculus and plaque continue to build up, the gums begin to recede from the teeth. Deeper pockets form between the gums and teeth and become filled with bacteria. The gums become very irritated, inflamed, and bleed easily. Slight to moderate bone loss may be present.

Advanced Periodontitis

As Periodontitis worsens the teeth lose support, accordingly the gums, bone, and periodontal ligaments continue to deteriorate. Unless treated, the affected teeth will become loose and may be lost in the future. Generalized moderate to severe bone loss may be present.

How can periodontal disease be prevented?

The best way to prevent cavities and periodontal disease is through the combination of daily tooth brushing and flossing along with regular professional cleanings and examinations. Even with the most diligent home dental care, people can still develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

Initial Periodontal Therapy consists of Scaling and Root Planning (known as Deep Cleaning). The procedure is done by one of our had-selected Dental Hygienist under close supervision by Dr. Montella. The outcome of this initial treatment is re-evaluated after 21 days to track the results of the treatment and progress of the disease. Following successful periodontal disease treatment, periodontal maintenance therapy is required to prevent further progression of the disease.

Other important factors affecting the health of your gums include:

  • Tobacco usage
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Medication
  • Poor nutrition

What types of maintenance should be practiced after treatment?

Once your periodontal therapy has been completed, Dr. Montella will recommend that you have regular maintenance cleanings (Periodontal Maintenance Therapy), usually four times a year. At these cleaning appointments, the pocket depths will be carefully checked to ensure that they are healthy. Plaque and calculus that is difficult to remove with home care will be removed from above and below the gum line.

Is Periodontal Maintenance Therapy Really Necessary?

Periodontal diseases are the fundamental cause for tooth loss in adults in the United States. Periodontal diseases have recently been associated with many other health risks such as cardiovascular heart diseases and diabetes. Once you have experienced periodontal diseases, it is important to remain dedicated to a permanent schedule of proper home and professional oral care. Periodontal maintenance will maintain your optimal oral health and prevent the need for a more comprehensive, periodontal surgical treatment.

With through and proper periodontal treatment and an ongoing program of periodontal maintenance therapy, our doctors can give you the opportunity to maintain your strong, beautiful smile and overall good health!

WHAT ARE PORCELAIN VENEERS?

Porcelain veneers are ultra-thin (0.3 mm) pieces of durable, tooth shaped porcelain shells. They are custom made to match the shape and color that you desire. They are permanently bonded to the front of teeth and provide the patient with a beautiful and attractive healthy smile. Porcelain veneers have become a desired alternative to crowns and the ideal solution in treating many dental aesthetic conditions.

What are the reasons for getting Porcelain Veneers?

Porcelain veneers are an ideal aesthetic solution for:

  • Crooked teeth
  • Misshapen teeth
  • Severely discolored or stained teeth
  • Teeth that are too small or large
  • Unwanted or uneven spaces
  • Worn or chipped teeth
  • Cosmetic restoration, to create a uniform, white, beautiful smile

What does the process of getting Porcelain Veneers involve?

Prior to any work, the desired improvements and changes are crafted in special dental waxes (wax-up) using models and photographs of your existing teeth and smile. Your Prosthodontist will consult with you about the desired modifications, and together, develop a course of treatment. The course of treatment is usually completed within 2-3 visits. Preparation for porcelain veneers begins with a light buffing and shaping of the teeth. This allows for ultra-thin veneers that provide a seamless appearance and perfect smile. Provisional (temporary) veneers are fabricated and bonded to your teeth. This temporary restoration allows the patient to evaluate and modify the color and fit of their final restoration.

On the final visit, your teeth are cleansed and prepared for the durable bonding agents that will secure your new porcelain veneers. These bonding agents are cured using a specialized light that creates the long lasting bond between your teeth and the new veneers.

Are Porcelain Veneers permanent?

Porcelain veneers are very durable and will last many years, giving you a beautiful long lasting smile. Porcelain veneers are permanent restorations, however, like any other dental treatment, they require maintenance and possible replacement after many years of service. The average life span of porcelain veneer is approximately 12-15 years. With regular maintenance and check-ups, porcelain veneers provide patients with the long lasting smile they deserve.

Are there any after effects?

Patients may experience mild sensitivity to hot and cold after placement of a porcelain veneer. It is usually with in normal limits and should dissipate in one to two weeks.

Perhaps the most common side effect is the confidence you gain from a perfect smile.

What kind of care and follow up is necessary?

Veneers should be brushed and flossed regularly like regular teeth. With regular check ups and maintenance (preventive care) your veneers will last healthy for many years.

Why “Dr. Montella’s” veneers?

Dr. Montella takes the time to thoroughly plan and design the planed modifications for your individual smile and personally handcraft your porcelain veneer wax-up in his on site laboratory. Accordingly, the provisional (temporary) restorations is created and placed in your moth and prior to crafting your final porcelain veneers. These provisional (temporary) restorations allow both of you and Dr. Montella to examine and try-out the changes from day one. Accordingly, photos and molds of your provisional veneers are used to guide the fabrication of the final porcelain veneers by top-notch dental laboratory technologist, ensuring the best fit and the smile you always wanted.

WHAT IS A FULL MOUTH RECONSTRUCTION?

Full mouth reconstruction is typically a combination of crowns, veneers, bridges, and implant restorations. This process has the potential to restore most or all of the teeth and rebuild a functionally comfortable bite and natural-looking and healthy smile.

How does one determine if a Full Mouth Reconstruction is right for them?

Following a comprehensive examination of the teeth and jaws, Dr. Montella will determine if full mouth rehabilitation is the right procedure for you. All aspects of your mouth will be thoroughly examined including your teeth, gums, jaw muscles and joints, and the aesthetics of your teeth. He will determine what kind of condition the mouth is in and what kind of reconstruction is best for you. Treatment options will be discussed with you to determine the best course of action.

What kind of technology is utilized in the process?

Dr. Montella’s restorations are designed according to your unique jaw movements – as recorded by a highly adjustable articulator (a device that simulates your unique jaw movements when making your new teeth). Once your work has been completed, you will experience a long-term result that looks great, feels wonderful, and functions like a well-oiled machine as the new teeth are designed to work in perfect harmony with your jaw joints. You will also be able to avoid all the negative changes (bad looking teeth, loss of chewing function, pain on chewing, unpleasant odor, etc.) that occur when teeth are removed and dentures are placed. You can gain the ability to eat virtually anything and will be able to smile with confidence, knowing that your teeth appear natural.

How long does the process take?

Your full mouth reconstruction will be done in phases and can take up to a year depending on the severity of the damage and the level of reconstruction. If you have a jaw joint disorder, caused by the misalignment of your teeth, your procedure will start with the repositioning of your jaw. Dr. Montella will run several tests to find out which position is most comfortable for you.

What differentiate Dr. Montella’s Full Mouth Reconstruction?

Dr. Montella has unique expertise in full mouth reconstruction via his extensive training and treating abundance of extremely complicated cases. Dr. Montella handcrafts your reconstruction in dental waxes on your models and discusses and explains all the treatment steps prior to any actual work done on you. The first phase is to start by removing all diseased structures and old defected restorations from your mouth and placing the provisional restoration (temporary). Dr. Montella’s provisional restoration will look great, natural and make you realize the changes immediately. This provisional phase is part of your diagnosis during which all required changes to your teeth look and bite take place. During this phase, any other work like dental implants, root canal treatment and more will be completed. The final phase of treatment starts with making very precise molds of your teeth and fabrication of the final restorations. Dr. Montella uses top-notch dental laboratory technologist and also supervises every step in the process. Dr. Montella precisely fits and adjusts the final restoration into your mouth, while all aspects of appearance and function are carefully examined and refined prior to bonding your new teeth into your mouth.

WHAT ARE DENTAL IMPLANTS?

Dental implants are small titanium posts specially designed to replace the root of a tooth in preparation for a dental restoration.

Dental implants are intended for use in either the upper or lower jaw to support dental restorations, such as crowns. Dental implants are a great way to replace missing teeth and also provide a fixed solution to avoid having removable partial or complete dentures.

What are the typical reasons for getting dental implants?

  • Restore a patient’s smile and confidence.
  • Replace one or more missing teeth without affecting adjacent teeth.
  • Resolve joint pain or bite problems caused by teeth shifting into space created by missing teeth.
  • Restore proper chewing, speech, and digestion.
  • Restore or enhance facial tissues and shape.
  • Support a crown, bridge, denture or All On Four, making them more secure and comfortable.

What does the process of getting Dental Implants involve?

The process of getting dental implants requires a number of visits over several months. X-rays, impressions (molds) and CT Scans are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant. A surgical guide is developed to insure accurate placement of your dental implant.

Often a bone CT scan is performed prior to the dental implant placement.

While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for few months.

After healing, the artificial teeth are precisely manufactured and anchored to the post (dental implant). Custom-made hardware components (custom abutments) are secured on the dental implant to anchor your designed tooth restoration.

How long will Dental Implants last?

Dental implants are very strong, stable, and durable and will last many years. However, like teeth and other dental restorations, they require regular follow up and maintenance.

What differentiates Dr. Montella’s Dental Implant Treatment?

Dr. Montella has over 25 years of unique expertise with dental implants. Due to his wide knowledge with an array of various dental implant systems, Dr. Montella has developed the reputation of treating complicated dental implant cases with highly successful outcomes.

WHAT ARE CROWNS?

A Crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape, size and color. A crown protects the structure of the teeth that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain (tooth colored crowns) are by far the most popular today. They are highly durable and will last many years. Please keep in mind that like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.

Gold crowns are also available and are very durable functional restorations, however, they lack the natural porcelain appearance.

The average life span of a crown restoration is approximately 12-15 years. Regular maintenance and check-ups enhances the life span of your crowns.

What are the reasons for getting Crowns?

  • Broken or fractured teeth
  • Cosmetic enhancement
  • Decayed teeth
  • Fractured fillings
  • Large fillings
  • Tooth with root canal treatment

What are the benefits of Crowns?

  • Looks completely natural
  • Enhance natural beauty of smiles
  • Correct functional chewing problems
  • Replaces missing teeth
  • Offers support to misshapen or badly broken teeth

What does the process of getting a Crown involve?

A crown procedure usually requires three appointments. Your first appointment will include tooth preparation and shaping and constructing a provisional (temporary) crown. This is followed by making highly accurate molds (impressions) that will be used to create your custom crown. Your crown will be precisely fitted to your tooth and cemented with special bonding agent.

What differentiate Dr. Montella’s Crown?

Dr. Montella is an expert in dental laboratory technology. He perfects each crown in his-own laboratory and closely overseas and reviews through each step of the fabrication process. He uses only top-notch dental laboratory technologists to complete the fabrication to exacting standards!

WHAT ARE BRIDGES?

A dental bridge is a fixed (non-removable) multiple crowns that is an excellent way to replace one or few missing teeth. Dental bridges are very successful restorations and have been used in the dental field for over a hundred years.

What are some of the reasons for getting a Bridge?

  • Fill space of missing teeth.
  • Maintain facial shape.
  • Prevent remaining teeth from drifting out of position.
  • Restore chewing and speaking ability.
  • Restore your smile.
  • Upgrade from a removable partial denture to permanent dental crowns.

What does the process of getting a Bridge involve?

A bridge procedure usually requires three appointments. Your first appointment will include teeth preparation and shaping and constructing a provisional (temporary) bridge. This is followed by making highly accurate molds (impressions) and will be used to create your custom bridge. Your bridge will be precisely fitted to your teeth and permanently cemented with special bonding agent.

What is the most popular type of Bridge?

The “traditional bridge” is the most popular type and is made of porcelain fused to gold. This type of bridge consists to two crowns that go over anchoring teeth (abutment teeth) and are attached to Pontics (artificial teeth), filling the gap created by one or more missing teeth.

How long will Bridges last?

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear. The average life span of conventional bridges is around 12-15 years. Regular maintenance and check-ups enhances the life span of your bridges.

How does one take care of their Bridge?

A daily routine of brushing and special floss “super-floss” will keep the bridge and surrounding teeth clean. This is of critical importance since the bridge relies on the neighboring teeth for support and requires additional care

WHAT ARE DENTURES?

A denture is a removable replacement for missing teeth and tissue. It is made to closely resemble your natural teeth or make improvements in your smile and function. (up to 10 years or more)

How does one determine if they are in need of Dentures?

Dr. Montella will evaluate if you are a candidate for dentures by examining your teeth, gums, and jawbone. Your dentist will check for signs of gum disease and decay. X-rays will be taken to determine the health of your teeth, gums, and bones.

Who is a candidate for Dentures?

You may be a candidate for dentures if you have a lot of missing teeth. Many people need dentures after experiencing severe tooth loss, extensive decay and severe periodontal (gum) disease.

What are the different types of Dentures?

Conventional full dentures are appropriate for patients who have lost all of their teeth on their upper or lower jaws.

Immediate dentures are another type of a complete denture. Immediate dentures are worn after your teeth are removed and while your gums heal. This type of denture does not involve a period without teeth.

Immediate dentures require dental visits before your tooth extraction to plan and fabricate the dentures.

Partial dentures are removable replacements for a series of extracted teeth. Partial dentures are held in place by attachments to adjacent natural teeth. The adjacent teeth may be crowned to increase stability.

How long does the process take?

Dentures are typically created and fitted over the course of several appointments. Dr. Montella will take highly accurate impressions (molds) and measurements, which are used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, Dr. Montella will precisely adjust and place the completed denture, ensuring a natural and comfortable fit. It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures and accommodate them.

What are Dentures made of?

Dentures are made of various materials to simulate the appearance of your natural teeth and gums. Dr. Montella will specifically match the color of your natural teeth and gums to that of your custom made dentures. Professionally made dentures are constructed of premium, long-lasting products, low-staining coatings, and high impact acrylic and resin bases. With proper care, your dentures will last for a very long time.

What differentiates Dr. Montella’s Denture Treatment?

Dr. Montella has a unique passion and expertise in dentures. He personally sculpts each step of making your new teeth in his own on premise laboratory. He is capable of bringing your smile and confidence back. Dr. Montella will make your a denture that you can wear with confidence!

WHAT IS TOOTH WHITENING?

Teeth whitening (or bleaching) is a simple, non-invasive dental treatment, which changes the color of natural tooth enamel and may be an ideal way to enhance the beauty of your smile.

Are there different types of teeth whitening?

Once the cause of your teeth stain is confirmed, Dr. Montella can prescribe the appropriate teeth-whitening product. There are two types of teeth whitening techniques: vital and non-vital.

Vital whitening (bleaching) means the teeth discoloration is confined exclusively to the enamel. Vital teeth bleaching can cause teeth hypersensitivity and gum irritation. Both reactions are usually temporary.

Non-vital teeth whitening is used for discolored teeth that have been treated with a root canal treatment. The peroxide formulation remains inside the teeth between appointments and whitens the teeth from the inside out.

Are there different Teeth Whitening products?

Teeth whitening is not a one-size-fits-all treatment. There are so many teeth whitening products available that it helps to talk to Dr. Montella to find out which would best fit your needs.

Teeth whitening dental products can be divided into a few categories to help you better understand your options:

Tray Whitening:

  • Dentist prescribed and custom-fit
  • Home trays
  • 10-20% carbamide peroxide
  • 2-3 months process

In-Office Whitening:

  • Dentist supervised
  • Also known as “power bleaching”
  • 25-30% carbamide peroxide
  • One Hour process

What does the process of Teeth Whitening involve?

In office teeth whitening “bleaching” is a one-hour process. Custom bleaching trays are also provided for future touch-up and additional bleaching.

Your teeth are polished and dammed (Special Isolation to prevent bleaching material getting in contact with your gums).

Teeth whitening “bleaching” gel is applied and activated with special light for 15 minutes. The process is repeated 2-4 times depending on desired color to be achieved and teeth tolerance.

Take home approach consists of wearing the custom trays every other day, for 45 minutes. The best results are obtained up to 3 months.

At the first appointment, impressions (molds) will be made of your teeth to fabricate custom, clear plastic, trays. At your second appointment, you will try on the trays for proper fit, and adjustments will be made if necessary.

It is not unusual to experience teeth sensitivity during the time you are whitening your teeth, but it will subside shortly after you have stopped bleaching.

Is Teeth Whitening permanent?

Teeth whitening is not permanent. A touch-up maybe needed that varies from one individual to another. Red wine, smoking, coffee, tea, or can increase beaching relapse.

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.