224-24 Union Turnpike Suite 1-M Oakland Gardens, NY     (718)468-3434
Dr. David Hershkowitz


The Office for Dental Arts

The Office for Dental Arts

Dental Treatment

Common Dental Treatments

Bonding
Bonding is a treatment that can be used to repair teeth that are decayed, chipped, fractured or discolored or to reduce gaps between teeth. For this procedure, a dentist mixes composite resin — a type of plastic — into a paste, then tints the mixture to whiten or match the color of your teeth. Several layers of resin are applied to each tooth. Each layer is hardened under an ultraviolet light or laser. Final steps include shaping and polishing the resin material so the finished tooth looks natural and smooth.

Bonding can also be used to build up older teeth to make them appear younger. Bonding is an option for people of all ages, including children, as the resin can be replaced as teeth grow.

Braces
A dental brace is a device used to correct the alignment of teeth and bite-related problems (including underbite, overbite, etc.). Braces straighten teeth by exerting steady pressure on the teeth.

Bridges and Implants
Bridges and implants are two ways to replace a missing tooth or teeth. Bridges are false teeth anchored in place by neighboring teeth. The bridge consists of two crowns on the anchoring teeth along with the false tooth in the center. Dental implants are artificial roots used to support replacement teeth.

Crowns and Caps
A crown or cap is a cover that fits over a tooth that has been damaged by decay, broken, badly stained or misshaped. It is prepared by your dentist, and usually requires more than one visit to complete.

A crown can be made of acrylic, metal, porcelain, or porcelain bonded to metal. All-porcelain crowns look more like your natural teeth, and therefore are usually used for front teeth, while porcelain bonded to metal is stronger and better for crowns in the back of the mouth. Sometimes all-metal crowns are used for back teeth because of the metal’s strength.

To prepare your tooth for a crown, the tooth is first frozen with anesthesia, and then filed down so the cap can fit over it. An impression of the teeth and gums is made, and a temporary cap is fitted over the tooth until the permanent crown is ready. On your next visit, the dentist will remove the temporary cap and cement the crown onto the tooth. The crown will closely match the color and shape of your natural teeth.

Extractions
A severely damaged tooth may need to be extracted. Permanent teeth may also need to be removed for orthodontic treatment.

Dentures
Dentures are prosthetic devices replacing lost teeth. There are two types of dentures – partial and full. Full dentures are often referred to as “false teeth”.

Fillings and Repairs
Dental fillings and repairs use restorative materials used to repair teeth which have been compromised due to cavities or trauma.

Gum Surgery
Periodontal or gum disease is an infection that affects the gums and jaw bone, which can lead to a loss of gum and teeth. There are two major stages — gingivitis and periodontitis. Gingivitis is the milder and reversible form; periodontal disease is often more severe. In some cases, gum surgery will be required to reverse the effect of the disease.

Oral Cancer Examination
Oral cancer starts in the cells of the mouth, tongue or throat. Oral cancer screening is usually a routine part of a dental examination. In this exam, your dentist will feel for lumps or irregular tissue changes in your neck, head, face, and inside your mouth. Your dentist will also look for sores or discolored tissue in your mouth.

Root Canals
Root canals treat diseases or abscessed teeth. Once a tooth is injured, cracked or decayed, it is necessary to open the tooth and clean out the infected tissue in the centre. This space is then filled and the opening sealed. Keeping your tooth helps to prevent your other teeth from drifting out of line and causing jaw problems. Saving a natural tooth avoids having to replace it with an artificial tooth.

Sealants
Dental sealants, usually applied to the chewing surface of teeth, act as a barrier against decay-causing bacteria. Most often, the sealants are applied to the back teeth, e.g., premolars and molars.

Teeth Whitening
Teeth naturally darken with age, however staining may be caused by various foods and beverages such as coffee, tea and berries, some drugs such as tetracycline, smoking, or a trauma to a tooth. There are various teeth whitening options available, including in-office and at-home bleaching.

Veneers
Veneers are strong, thin pieces of porcelain that are bonded to the teeth. They are used to repair chipped, decayed or stained teeth and may help in closing gaps between teeth. With a bit of contouring, veneers may also correct slightly crowded or overlapping teeth. If your teeth have discolored with age, a veneer may improve their appearance.

Veneers can also be used for cosmetic reasons instead of crowns, which are more often used for badly damaged or decayed teeth. The tooth enamel needs to be ground down slightly in order to accommodate the veneer.

Veneer preparations frequently require the use of local anesthetic and, depending on color and shade, may take more than one appointment to complete.

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