• IV Sedation Dentistry

  • Wisdom Tooth Extraction

  • Sleep Apnea Diagnosis and Appliances 

  • Tooth Extraction and Socket Preservation

  • Invisalign

  • Dental Implants

  • Teeth Whitening

  • Dentures

  • Emergency Dentist

  • Root Canal

  • Porcelain Veneers

  • Crowns & Bridges

  • BPA Free Dental Fillings

  • Cleanings and Exams

IV Sedation Dentistry

sedation dentistry east meadow

IV Sedation Dentistry

Patients who experience anxiety over dental procedures may benefit from sedation. Intravenous (IV) drugs are commonly used to put patients under conscious sedation. Conscious sedation means that a patient will not be completely “asleep” but rather in a sleep-like state where they can still respond to minimal stimuli and verbal cues. IV sedation is a safer alternative to general anesthesia that puts patients in an anxiety relieving state and allows them to quickly recover after the procedure.

IV Sedation Q & A

Who needs IV sedation dentistry?

IV sedation is most appropriate for patients who suffer from extreme fear or anxiety about dental procedures. If you avoid going in for routine cleanings or would rather live with tooth pain than visit the dentist, then IV sedation dentistry may be right for you. Patients experiencing certain conditions may not be able to safely undergo IV sedation. Your dentist is the best person to help you make this decision.

Is IV sedation safe?

There is always some risk associated when receiving anesthesia but IV sedation is generally a safe procedure. While under sedation, your dentist and their team will work to monitor your vital signs and ensure you are under an appropriate depth of sedation. It is helpful to get to know your dentist’s experience and qualification for administering IV sedation. You should discuss your full medical history with your dentist and ask questions if you are unsure about something.

How should I prepare for IV sedation?

Your dentist will discuss any important information with you prior to the appointment when you will receive IV sedation. Often times patients must refrain from eating or drinking for 8 or more hours before the procedure and a responsible adult will need to be present to drive them home afterward.

What is the recovery period like?

Typically, patients recover from IV sedation quite quickly and are able to be released from the office within an hour after the procedure has concluded. Some grogginess is to be expected for the remainder of the day and it is usually best to keep your schedule free from any obligations until you have fully recovered. Because food and water have been withheld for several hours, patients should be sure to drink plenty of water as soon as they are allowed to begin doing so.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Wisdom Tooth Extraction

impacted wisdom tooth removal

Wisdom Tooth Extraction

Wisdom teeth, also known as third molars, are the last teeth to erupt on both the top and bottom. These 4 teeth usually come in between ages 17 and 25. While some people never develop issues with their wisdom teeth, others will need to undergo a surgical procedure to remove one or multiple of these teeth.

Wisdom Tooth Extraction Q & A

Why is wisdom tooth extraction necessary?

There are several reasons why your dentist may recommend having your wisdom teeth removed. A few common reasons are listed below.
  • They are impacted: because wisdom teeth are located so far back in the mouth, sometimes they may have trouble erupting and become trapped under the gumline or jawbone.
  • They’re erupting at the wrong angle: wisdom teeth may try to come in sideways and press against your other molars. They could also be angled toward the back of your mouth.
  • Difficulty brushing and flossing: due to their location, it can sometimes be hard to properly brush and floss wisdom teeth. Improper can of these teeth can result in cavities and gum disease.

What are the symptoms of an unhealthy wisdom tooth?

Unhealthy wisdom teeth often cause obvious pain that does not subside. Other symptoms may include food being trapped behind wisdom teeth, gum infection or disease, or tooth decay of partially erupted teeth. Occasionally, a patient may not experience any symptoms from a wisdom tooth that is visually impacted or otherwise unhealthy.

How is the procedure performed?

One of three types of anesthesia is commonly used to perform a wisdom tooth extraction. A dentist may choose either local, sedation, or general anesthesia depending on the severity of the issue and your comfort level. Once you have received anesthesia you should no longer be able to feel pain. Your dentist will locate the tooth by first making an incision into the gums and using a drill to get remove any bone that may be covering it. They will then section the wisdom tooth into pieces in order to extract it. Certain patients will require stitches placed, while others will have gauzed packed over the area until bleeding is under control.

What is the recovery like?

If sedation or general anesthesia has been given, a patient will recover at the dentist office before being released to an adult to be driven home. Most patients report being fairly comfortable after surgery and are started on a pain control regimen to ensure they remain that way. Some discomfort, swelling, or bruising can be expected for the first 3 days. Patients should take extra care when brushing, choose soft foods to eat, and drink plenty of fluids. It is best to avoid strenuous activity, smoking, or using a straw during the recovery period.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Sleep Apnea Diagnosis and Appliances 

sleep apnea therapy

Sleep Apnea Diagnosis and Appliances 

Sleep apnea is a severe sleep-related condition that causes people to stop and start breathing continuously throughout the night. You may suffer from it if you loudly snore  or wake up feeling exhausted even though you slept throughout the night.

What is sleep apnea?

The definition of apnea is ‘without breath.’ Obstructive sleep apnea, therefore, defines the stoppage of breath during regular sleep patterns because of partial or complete obstruction of the upper airway, which can occur anywhere between the nasal cavity to the vocal cords. The most frequently diagnosed condition involves the oropharynx which is located in the middle part of the throat where the tongue base and tonsils lay. Because of the potential to stop breathing, it's considered a severe medical condition. Based on research, 30 million Americans suffer from this sleep-related condition. There are three main types:  
  • Central Sleep Apnea
    Central sleep apnea is not naturally obstructive. This condition occurs when the brain unsuccessfully sends a signal to the muscles that control your breathing pattern.    
  • Obstructive Sleep Apnea
    This form takes place when a person’s throat muscles involuntarily relax. With an obstruction, a person typically experiences a blockage that causes excessive snoring. Swollen tonsils can affect this type of condition, so it is a prime example of how a dental exam can detect sleep apnea.    
  • Complex Sleep Apnea Syndrome
    A person who experiences a partial or complete stoppage of airflow while sleeping often receives a diagnosis referred to as Obstructive (OSA). The determination includes symptoms of both central and obstructive symptoms.   While a diagnosis must come from a medical provider, dentists become a primary source for detection and treatment by providing patients with Oral Appliance Therapy (OAT).  

What are the symptoms of sleep apnea?

There are several similarities between central, obstructive, and complex apnea which make it more difficult to diagnosis specifically. Typical results of both central and obstructive sleep apnea include:  
  • Excessively loud snoring (more dominant in obstruction)
  • Interruption of sleep patterns
  • Shortness of breath after abrupt awakening
  • Headaches
  • Insomnia
  • Exhaustion
  • Irritability
  • Difficulty with your attention span
  • Hypersomnia
  • A sore throat
  • A dry mouth
 

What is Oral Appliance Therapy (OAT)

OAT is now an alternative to traditional obstructive sleep apnea (OSA) treatment for patients who experience sensitivity to a Continuous Airway Pressure (CPAP) machine. For our dental professionals, the ability to recognize symptoms, screen patients, and provide treatment enhances the quality and level of care we provide.

What should I do when I receive a prescription for a device?

Once your regular medical doctor consults with you and decides you will benefit from oral appliance therapy, you will receive a prescription for a customized device. Do not worry as your medical insurance plan will cover oral appliance therapy. Currently, the FDA has approved more than one hundred oral appliances. A dental exam will identify the oral appliance device that is best suited for your condition, but, typically, a mouth guard worn while sleeping helps to keep the airway open so that you get a good night’s rest.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Tooth Extraction and Socket Preservation

Tooth Extraction and Socket Preservation

Tooth Extraction and Socket Preservation

Extraction of a single tooth or multiple ones often takes place because of gum disease, decay, abscess, or injury. In the best interests of a patient, tooth extraction and socket preservation enable dentists to protect the jawbone so that future dental procedures can restore function.  

Tooth Extraction Q & A

 

Why do tooth extractions occur?

  Tooth extraction occurs for different reasons including a deteriorated state, an impacted tooth, or damage received by an injury. Typically, dentists opt to remove teeth for common dental issues.
  • Advanced Decay: For most teeth, restoration enables dentists to save them. In certain circumstances, the decay is too advanced and requires removal.
  • Preparation For Dental Procedures: Tooth extraction commonly occurs when patients opt for other procedures like braces or implants.
  • Infection: When dentists suspect or detect infection such as periodontal disease, tooth removal may occur for the well-being of the patient. It can spread from the mouth throughout the body which will result in harmful medical conditions.
  • Crowding: Patients who require orthodontic services to align the teeth may need to have teeth extracted. Likewise, if a tooth is not able to erupt through the gums, it may also require removal.
  For teeth that can not undergo restoration procedures, removal remains the only viable option to prevent abscess or infection formations. Dentists may also opt to remove a tooth for spacing if a patient requires braces.  

How do dentists extract teeth?

  Even though teeth are designed to last a lifetime, adults typically require removal because of their effect on oral health. After the application of a local or general anesthetic, the dentist will cut the tissues that cover the tooth. With the use of forceps to secure the tooth, a rocking motion will loosen it from the jaw bone. For difficult extractions, it may require removal in pieces.  

Socket Preservation Q & A

  Socket preservation protects a patient in a few critical ways. First, the area will be sensitive to extraction. The area can develop a dry socket, loss of vital blood clots, or complications with the alveolar ridge. If you intend to have any future corrective procedures like implants, the socket preservation procedure preserves the bone that surrounds the roots, which is what implants fuse to.

Why is it essential to avoid a dry socket?

It is critical that patients avoid a dry socket as it can potentially harm the blood clot that formed after the extraction occurred. Once it happens, it exposes the underlying roots which can lead to damage or infection. It will also damage the alveolar ridge which is a critical element of any replacement therapy you choose to have. Once the tooth removal takes place, bone preservation becomes a critical step to preserve the bone underneath as it tends to disappear without use. Once that happens, a dental patient has a high probability of spacing and misalignment which is the primary advantage of preservations.

What actions take place during the procedure?

During a socket preservation procedure, the dentist will complete a bone graft that fills the socket with artificial materials or human and animal bone fragments. Sutures are used to close the area. Preservation enhances the mouth aesthetically and improves the probability of implant success. Proper aftercare protects the gums and overcomes the sensitivity associated with extraction. You are welcome to contact us if you have any concerns or interest in having this procedure done.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Invisalign

Invisalign

Invisalign

Invisalign is a clear teeth-alignment and straightening system. Some braces use harsher materials like metal, which tends to leave some patients frustrated with maintenance requirements and aesthetic appearance. Our clinic strives to help patients look their best while also achieving a perfect smile, so we offer alternatives like Invisalign so that you feel great about the process.

Invisalign Q & A

How does the Invisalign product work?

Invisalign delicately shifts the placement of your teeth into alignment. The first step to begin this type of procedure is to get an impression that a lab will use to create a customized alignment tray. The aligner will fit snugly on your teeth. The ‘snap-into-place’ process secures them, ensuring function and proper treatment. Based on the needs of the patient, Invisalign recommends about ten trays, although some cases may require additional care. Every two weeks, you will change the tray until you finish the procedure. Luckily, we evaluate the recovery process to ensure you do not wear them any longer than necessary.

How long will I need to wear Invisalign aligners?

Treatment plans can range from six months to 18 depending on the amount of correction needed. The average, though, is about twelve months. During treatment, we will analyze and develop a treatment plan custom-made to each patient’s needs.

Who is the ideal candidate for Invisalign?

The ideal candidates are those who have satisfactory oral health but also suffer from complications because of alignment issues. This system is most suitable for patients who suffer from:
  • An Overbite
  • A Crossbite
  • Open Bite
  • Under Bite
  • Crooked Teeth
  • Gaps
  • Crowding
  • Patients who want straighter teeth
It is not suited for patients who require more advanced alignment treatment, which defines the general difference between Invisalign and metal fittings. A significant difference is that metal braces do not compare to the transparent aesthetic of the plastic aligners.

Do I have to wear Invisalign permanently?

You are not required to wear the aligners all day and night. For the most significant results, our dentist regularly recommends that patients wear aligner trays at least 22 hours daily. You do not have to wear them when eating, drinking, or maintaining your teeth, but you will need to wear them when sleeping.

What are the benefits of choosing Invisalign?

  • There are no brackets or wires required with this system.
  • They are more comfortable than metal designs.
  • Patients experience a 50% faster realignment rate.
  • The product is made with SmartTrack material which adopts a one-week aligner system instead of the two weeks of the traditional aligner tray wear.
  • Easy to remove
  • You do not have to worry about the need for emergency treatment from breakage.
  • Made based on the parameters of each patient’s gum line which enhances usability.
  • Has a blue aligner tracker so that parents know when teenagers are not wearing them as our dentist prescribed.
  • Comes with a six-month guarantee to refit with another system if unsatisfied.
If you are interested in the Invisalign product and treatment plan, you can schedule a consultation where we will be able to answer any questions that you have about this procedure.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Dental Implants

Dental Implants

Dental Implants

Dental implants provide a lasting solution for patients who have lost teeth. Most importantly, they  restore function and accessibility for many aspects of life that missing teeth prevent. Unlike dentures that adhere to the jaw, your jawbone will secure dental implants which ensure a natural look and feel. You will not have to worry about the ability to chew or to speak as this type of procedure is much more durable than removable prosthetic devices.  

Implants Q & A

 

What are dental implants?

When patients are missing teeth or find themselves in a situation where extractions occur for medical reasons, dental implants provide a natural-looking replacement. Implants secure  prosthetic teeth into place which creates an aesthetically-similar appearance to natural teeth. Dentists may alternately use this structure for removable dentures as well.  

Which patients qualify for dental implants?

  Any patient who is missing natural teeth are candidates for dental implants as long as a viable jawline and gum tissue exist. An exam is critical as they must support the dental implants. Our dentists gladly evaluate and consult with each patient to confirm suitability.  

What ingredients are the implants made of?

  Dental implants are typically titanium constructed. Our office uses this  because it is a durable, biocompatible material that the body will accept as a substitute for natural teeth. The jawbone fuses the implants into place so that osseointegration can occur . The process stabilizes the implants and provides a secure environment for replacement prosthetic teeth so that they function just like your natural teeth. Incidentally, the replacement teeth will also be titanium-made and then capped with a porcelain crown to guarantee an aesthetically-pleasing finished product.  

How does this procedure work?

  Our staff will need to prepare your mouth for your new implants. After a thorough evaluation of your teeth, we will consult with you about possible extraction and preparation. You will also have the opportunity to ask questions about the procedure. Next, your teeth will require cleaning to remove any plaque or debris. We will then place the anchors into the jaw area, but do not worry about pain as you will have access to anesthesia during the implantation process. With the implant in its proper place, your jawline and gums will need to recover. Once healed, you will come back to our office where we will attach the prosthetic teeth. When  finished, you will be ready to enjoy life once again with an entirely functional tooth or a full set of teeth.  

Are dental implants safe?

  Dental implants are very common. With the access to high-quality technology, it is also one of the safest procedures that dentists perform. You also do not have to worry about the safety of this procedure as dental implants safely integrate with the jawbone naturally. Our dentists are well trained and highly skilled implant specialists who will assist you in providing a replacement that will help you look and feel your best.   We want our patients to feel secure about any service we provide. Contact our office if you have any questions or concerns about this procedure.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Teeth Whitening

Teeth Whitening

Teeth Whitening

Most people who consume products that are acidic, caffeinated, or sweet will tell you that staining is a daily concern, which is why teeth whitening is an ideal solution for discoloration. Over time, the staining becomes darker and more noticeable, even when patients practice regular cleaning and care.  People who have white teeth feel good about themselves and gladly smile to show others just how beautiful they are.

Teeth Whitening Q & A

What causes discoloration?

Your teeth will become discolored for a variety of reasons. Some of the most probable contributors include:
  • Red wine, soda, tea, or coffee: Long-term usage of sugared and caffeinated drinks are a primary concern as they cause discoloration from daily use.
  • Smoking: Nicotine use over an extended period often causes a yellow discoloration.
  • Aging: Teeth over time age. Experiencing a change in the color of teeth is natural.
  • Medications: Some medications like antibiotics will cause your teeth to darken.
  • Improper oral hygiene: Oral hygiene is a significant contributor to yellowing of teeth. Proper brushing and maintenance help to remove plaque and debris that builds up over time.

Can I substitute teeth whitening with a store bought product?

In today’s market, there are plenty of products at your local store that whitens teeth. If you have ever used them,  you know they do not efficiently remove discoloration. You probably have also experienced harsh chemicals that have damaged your teeth’s enamel. These products are not recommended because you will eventually have to correct the damage these products created.

What dental procedures are available?

Our dental clinic provides a choice of whitening services including Zoom and KöR. The process is simple, convenient, and affordable. After an exam to confirm you are a prime candidate for whitening, we will either provide the treatment in the office or create a mold which you will use with our specialized whitening gel based on recommendations.

Zoom Whitening

Dentists perform the Zoom whitening procedure in-office which will enhance teeth by as much as eight shades. Because the dental patient has opted for in-office whitening services, dentists can use stronger ingredients. Zoom provides two different options for services.
  • Zoom QuickPro: A 30-minute method that improves shade
  • Zoom Whitespeed: A 45-minute process that produces rapid results.

KöR Whitening

Consumers of KöR’s tooth whitening system recognize this product as one of the best products available for dental patients to use at home. KöR’s highly vigorous scientifically-designed gel has a proven record of delivering quality whitening results. Patients use the gel in conjunction with KöR-Seal trays that provide up to ten hours of whitening as compared to just a half hour with other whitening systems. KöR expertly restores the smile by rejuvenating the enamel and enhancing color. Whitening is all about personal enhancement. If you are unsure of which process you should choose, our dentists will gladly perform an exam and recommend services. It can also be beneficial to have an in-office procedure and then use the gel to maintain your beautiful new look that your friends and family will surely take notice of.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Dentures

Dentures

Dentures

Dentures are the ideal long-term solution for patients who have lost one or more teeth. Our clinic customizes dentures for patients who have damage from oral disease, injury, or illness. The primary benefit to patients is that dentures are highly functional, much like your natural teeth. Most importantly, they  can restore a lost smile because of the unease caused by missing teeth.

Denture Q & A

What are dentures?

They replace natural teeth with removable, partial, and overdenture implants. Our dentists restore function with the use of a prosthetic device that attaches to a patient’s gums with  an adhesive. Patients who wear them experience a significant benefit because of the inability to do normal activities, like eat or speak properly without them. This type of dental procedure not only relieves medical concerns, but it  also restores teeth aesthetically.

How do dentures work?

Dentists will need to fit each patient individually, which requires at least two appointments to accomplish. At the first appointment,  our staff will take an assessment of any natural teeth and determine if they require extraction or if you are a candidate for a partial or overdenture. If any removal of teeth occurs, the mouth will need time to recover as swelling or any abnormality will affect the molding process. If no extractions arise, it will allow for a faster process. During the second appointment, our staff will create a mold that the dental lab will measure to confirm the dentures fit the parameters of your mouth perfectly. Once ready, the dentist will consult with each patient to educate about proper placement, maintenance, and care.

What are overdentures?

Overdentures provide patients with a secondary option to removable dentures. They also work in affiliation with both removable and dental implants that replace one or a group of teeth. Patients have the opportunity to choose permanent or removable overdentures as well. Removable overdentures fit directly on the dental implants that securely attached to the gums. The process creates a natural look, but they are removable so that patients can maintain them correctly. Some patients receive a bar with removable dentures while others may opt for anchors for fixed overdentures that fill in space for a group of teeth.

What is a partial denture?

Partials, sometimes called a bridge, are used when natural teeth remain in the mouth. They are a useful alternative to full dentures as patients do not have to lose natural teeth to use this product. A partial also fills in space so that the natural teeth do not shift. This type of denture is removable as they attach to a plastic base that dentists sometimes connect to a metal foundation which  grips the prosthetic into place. Missing or decaying teeth affect a patient’s ability to perform daily functions like eat, work, or smile. They have also been linked to behavior patterns because people who do not feel confident enough to engage with others. Dentures provide an excellent alternative to restore a person’s morale while also restoring the assurance of your smile.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Emergency Dentist

emergency dentist

Emergency Dentist

Dental emergencies occur when patients least expect them. From chipping a tooth to losing one during a sustained injury, it is essential to know where the nearest dentist is for treatment because time often determines the difference between saving your tooth and losing one.

What should I know about dental emergencies?

When you suffer a dental emergency, it can be a scary moment filled with thoughts of the unknown. Tooth emergencies, however, rarely rise to the level of a medical emergency because dentists have access to many techniques that restore and repair natural teeth. Do not panic. Follow the advice provided when you call for an appointment and keep the area as clean as possible to prevent any potential bacteria that will cause an infection.

 

What should I do if I have a dental emergency?

There are several things you can do to improve your chances of a quick recovery.

 
  • For a cracked tooth, rinse the mouth and apply cold compresses until you see our dentist for treatment.
  • For adult tooth loss due to injury, keep it moist. You can try to push the tooth back in place gently. It that does not work, place it in milk or an approved product that preserves it. You need to seek treatment for this type of dental emergency immediately as time is critical to usability.
  • If your child loses a tooth, keep in mind that they are not permanent and will not suffer long-term from the loss. If you notice any blood in the area, apply a small amount of pressure and contact our office for an exam and follow-up consultation.
  • For any present pain, take an over-the-counter medication for relief. Orajel or acetaminophen are ideal choices as they are fast-acting.
  • For a toothache, use a warm water rinse method to wash away any debris that might be present.
  • For swelling, you may use a cold compress. If food is present, you should try to remove it carefully.  You can use floss to try to dislodge it, but do not use anything pointed or sharp as it can cause more severe injuries or complications.
  • If you suffer from a bit lip or tongue, clean it with tepid water and apply cold compresses.
When any dental emergency, you will need to contact us as soon as you can to receive treatment.

What can I do to avoid dental emergencies?

  Precaution is typically the most common way to avoid injury or accidents. Here are a few simple things you can do to prevent the type of circumstances that require emergency treatment.  
  • When engaged in any sport, wear a mouth guard.
  • Avoid using your teeth to cut or open things.
  • Avoid biting down on hard surfaces like ice, candy, or popcorn.
  Our dentist office sets aside time daily to see patients for emergencies. The term ‘dental emergency’ has a broad scope, so it is vital that you take note of what occurred and any self-help actions you did while trying to seek treatment. Any provided details allow us to prepare for your appointment correctly.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Root Canal

Root Canal Treatment

What is a Root Canal Treatment?

A root canal treatment is a term that defines a dental procedure that repairs or saves a tooth from decay or infection. Without dental intervention, the tissue will eventually become infected or abscessed which is why early detection is critical.

Root Canal Q & A

What is a root canal? 

A root canal describes the cavity in a tooth’s center. The pulp is a soft material found within the root canal along with the tooth’s nerve. Root canals are simple procedures that a dental specialist performs to safeguard teeth from infection, inflammation, and pain. During the treatment, pulp tissue is removed from inside the tooth, it's cleaned out and then disinfected of any bacterial contamination. The canal is then reshaped and sealed with special material and cement.

What Happens During A Root Canal Treatment?

During an appointment, a patient should expect to undergo four main treatment procedures.
  • An X-ray
  • Anesthesia
  • Pulpectomy
  • Filling
First, we will need an x-ray to assess the condition of the root canal to look for infection. We consult with each patient to see if anesthesia is necessary. If the root is no longer viable, it will not be required. Typically, patients may opt for anesthesia to be more comfortable during the procedure. We make sure that each patient is comfortable and experiences no pain and discomfort during the root canal procedure.  Next, the dentist will place a rubber sheet around the tooth to ensure that the area remains dry. A hole will then be drilled in the tooth to provide access to remove the pulp, damaged nerve tissue, and material that needs removal. The dentist will use various sized files to clean the area and remove debris from the sides of the root canal. Either sodium hypochlorite or irrigation solution will be used to flush any remaining waste from the mouth.

Are root canals necessary?

Root canals are necessary procedures because some cavities are deep within the tooth. Some teeth also have advanced decay which requires a root canal because of injection or abscess in the bone, pulp, or gums. When infection occurs, it is vital that affected tissues be removed and filled with a permanent material called gutta-percha. Filling then seals the drilled area and lastly a crown is placed to restore the tooth to function.

Is the procedure safe?

Patients who have never experienced a root canal will often question the safety of the treatment. You might be surprised to learn that more than 15 million procedures are performed yearly because of the significant benefit to oral health.  They have a very high rate of success, but they are also safe and highly effective in treating decay and preventing infection from spreading throughout the body.

Are root canals painful?

There is no pain associated with the treatment of a root canal. Pain during the procedure typically occurs from the infection or abscess. The treatment does not cause any pain or unease during the process. For patients with lower pain tolerance, access to anesthesia is available if the pain is an issue. You will not feel pain from the root canal procedure, but you will experience a drastic relief upon completion.

How long do root canals last?

As with most dental care, root canals will last many years with proper oral hygiene. Routine check-ups allow doctors to assess the tissue for the appropriate function.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Porcelain Veneers

Porcelain Veneers

Porcelain Veneers

Porcelain veneers significantly enhance the appearance of teeth esthetically. This dental technique ideally helps to cover misshapen, chipped, misaligned teeth, or discolored surfaces. Porcelain veneers are the ideal solution for patients who are seeking a smile makeover, they are able to restore patient oral health and  boost confidence.

Porcelain Veneer Q & A

What are porcelain veneers?

Veneers, also referred to as laminates, are ultra thin shells made to cover the front surfaces of teeth.  Materials used to create veneers range from porcelain, ceramic, and composite. Porcelain, however, is the method used by our dentists more frequently  because of its durability.

Why would I need porcelain veneers?

There are several primary candidates for porcelain veneers. Patients who are seeing to improve their overall smile, additionally:
    • A patient whose teeth are discolored from resin fillings, long-term antibiotic staining, or from a root canal.
    • Patients who have teeth that are worn down from grinding.
    • Patients who have chipped or crooked teeth.
    • Patients who want to close the spacing between teeth.
    • Those who have tooth irregularities like misalignment.

How are porcelain veneers attached?

Our dentists use a specialized cement that keeps the veneers in place. A dentist may fit a patient in one setting, but it is more common for two. A patient should expect an oral exam during the first appointment. A dentist will reshape the tooth and create an impression to make the molding. During the second appointment, we will clean the tooth and use material like cement to attach the veneer to your tooth. Afterward, we will then clean and polish the surface to ensure a beautiful finished product.

What are the primary advantages of choosing porcelain veneers?

The primary advantage is that porcelain veneers last longer than other materials. Porcelain material is also less likely to experience discoloration which provides for a more natural look. Veneers are ideal for people who have suffered from structural damage or misalignment.
  • Porcelain veneers replicate a natural tooth structure.
  • Porcelain is a material that is stain-resistant.
  • Veneers provide a conservative approach, since minimal and sometimes no tooth reduction is required.
  • The gums also interact well with porcelain.

Do I have to take particular care of veneers?

Porcelain veneers do not require patients to adhere to any unique care practices. With standard oral health practices like brushing, rinsing, and flossing, your veneers will last an average of ten years. Even though porcelain veneers are stain-resistant, a patient may need to avoid regular consumption of particular food and beverages that are prone to staining natural teeth.

Is this process reversible?

Veneers are not reversible. When the tooth preparation occurs, it requires the removal of enamel layering. Dental patients who suffer from advanced states of grinding, gum disease, or weakened teeth are not prime candidates for this process because of the possibility of chipping and breaking from misuse. That said, many people qualify and opt for this procedure which enhances oral health and natural appearance. Our dentists recommend that a patient undergo a thorough dental exam to ensure compatibility. Moreover, our dentists can assess dental health to see what other procedures will enhance a patient’s qualification for porcelain veneers.  

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Crowns & Bridges

Porcelain Crowns and Bridges  

Crowns & Bridges

Crowns & bridges are prosthetic material that dentists cement onto a tooth or an implant. Crowns & bridges are most commonly used to cover a damaged tooth or to restore an implant. Dentists recommend this procedure for a variety of reasons including:
  • Protect teeth against fractures
  • Restore a tooth after a breach 
  • To cover-up discoloration or change a shape of a tooth
  • Replace fillings when not enough remnants of a tooth are left
  • To protect a tooth that has undergone a root canal treatment.
  • To secure a bridge
  • To restore a dental implant.
Dentists commonly use bridges when a patient is missing one or more teeth to prevent shifting. Gaps between teeth eventually lead to misalignment which causes issues with the patients bite. Dentists use cement to attach bridges to cover the spaces between natural teeth or zimplants so that our patients leave with a customized smile that exudes the confidence you will feel.

Why do I need a porcelain crown?

Crowns are the most sensible solution for aesthetic and structural issues. Crowns are securely fitted on your natural teeth, so you will not have to worry about loss or damage. This type of procedure is ideal for patients who suffer from discoloration, cracks, and chips.

Dental Crown Q & A

What is a crown?

Crowns cover and protect natural teeth which are typically made from a variety of materials including gold, porcelain, and blended materials. Our dentists use porcelain as it is durable, long-lasting, and resistant to staining. Dentists routinely insert crowns on molars.

Who is the ideal patient for a crown?

The crown application is most widely used for specific situations where fillings are not an option.
  • Crowns are excellent for root canals because they protect the structure, improve bite strength, and prevents the spread of bacteria.
  • Patients who have broken or chipped teeth will benefit from a crown for structural integrity.
  • Aesthetic enhancement
 

What should I expect during a dental crown procedure?

  Our dentist first needs to clean and shape your tooth to ensure fitting. First, we will remove a small amount of enamel from the tooth which will provide for a more even fitting. As the crown needs to be made at the lab, a temporary acrylic crown will be placed on the tooth.  Once it is ready, our dentist will use cement to bond it to the tooth which will secure it in place long-term.  

How long will my crown last?

Every patient is different because of dental health and oral hygienic practices. Typically, a crown will last decades, so you will not have to worry about replacement for many years. Proper upkeep and exams will allow our dentists to consult with you on any potential issues before it becomes one so that you will get the best results from the treatment and after-care.  

What type of crowns are available?

  EMAX is a new cosmetic procedure that provides a long-term esthetic solution. Patients who need a single tooth or a full makeover will benefit from this procedure as it is much stronger than other procedures.

Procera

This technique is a double layered system made from an aluminum oxide material. Dentists use CAD technology and a feldspathic layer to restore a natural aesthetic look.  

Bridge Q & A

Bridges are a great option when it comes to replacement of  missing teeth. Bridges support patients who need to fill the space between natural teeth, implants, or both. A bridge may also act as a crown between teeth to fill in space between them. There are also other ways bridges adhere to teeth, so it is essential to consult with our staff to provide a customized treatment plant based on your individual needs.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

BPA Free Dental Fillings

dental filling east meadows, bpa free

Dental Fillings

When a patient has cavities detected during an exam, dentists will extract the decay and insert the surface with a dental fillings. Based on research by the NIH and the CDC's National Center for Health Statistics, about 91% of Americans suffer from decay which is why fillers are a common form of dental practice. The research also found that 27% of adults suffer from untreated dental caries. Our dentists care significantly for patients and their smiles which is why we use a white filling to ensure confidence in oral health.

Is the tooth colored-filling BPA free?

Bisphenol A (BPA) is a common chemical compound additive to the tooth-colored dental fillings. BPA is problematic which is why our dentists do not use it because of safety concerns of thyroid function and endocrine disruption that may lead to neurological and physical medical issues. In younger patients, there may also be a risk of early development and behavioral disruption. While the scientific community debates the medical risk to patients, we opt not to use BPA until more definitive findings are available. Patient safety is of the utmost importance, so we use alternatives that ensure oral health longevity.

What are composite and ceramic inlays and onlays?

Dental caries affects many people worldwide. While different tooth restoration methods exist, using an inlay and onlay technique is broadly used to treat decay removal and restore tooth function and dental structure. Patients, though, sometimes have indecision about composite or ceramic inlay methods which is why we take the time to consult for compatibility.

What is an inlay or onlay?

Inlays and onlays both restore a tooth from decay, injury, and disease. The techniques are used in different areas of the tooth. Inlays restore the spaces between cusps or the rounded perimeter near the middle of the tooth. Onlays are ideal for cavities that are too serious for dental fillings but not so serious that a tooth needs a crown.  This technique is used for one or more cusps or the entire bite surface.

What are composite inlays and onlays?

A composite inlay and onlay is a white resin that covers the material used to seal dental caries so that your tooth coloring matches its counterparts. The composite adhesive is ideal for people with advanced decay, grind teeth, or have misaligned jaw structure that affects bite. There are distinct advantages of composite resin. It produces a more natural appearance as the color will blend with regular tooth coloring. This process also seals the tooth which prevents bacteria from entering and causing an infection.

What are ceramic inlays and onlays?

Dentists first began using the ceramic material as early as the 1700s to make porcelain dentures. Ceramic became less popular when dentists started using resin for aesthetics. It then regained popularity because of the structural limitations of the composite. Today, dentists recommend ceramic because of its aesthetics and functionality. This technique is advantageous because of its suitability with other teeth. It is also cosmetically recommended because of its coloring capabilities. Unlike composites, ceramic inlays and onlays do not discolor over time which is a crucial benefit of this technique.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Cleanings and Exams

dental teeth cleaning east meadow

Dental Exams

Visiting the dentist is a critical part of oral hygiene which is why dental cleanings and exams assist in evaluation and prevention of oral health and well-being. During an exam, a dentist and hygienist will discuss with patients cleaning technique, treatment, and oral health prevention. Dental Exam Q & A

How often does a patient need a dental cleaning and exam?

The American Dental Association advocates that patients rely on dental recommendation as to how many times a year to have a cleaning and exam. For many patients,  twice annually is sufficient. Some patients who have more complicated dental and periodontal issues may need more frequent exams and cleanings. Our dentists work with patients individually to determine a cleaning schedule that will ensure that we provide the best dental care available.

How are dental cleanings beneficial for dental health?

Dental cleanings remove the accumulation of tartar and plaque. This is essential for optimal gum health. Regular brushing and flossing often miss the buildup that dental cleaning removes. Additionally, our dentists polish your teeth so that bacteria are unable to attach to the smooth surface.

What should patients expect during cleanings or exams?

Our dental office uses a variety of tools to provide high-quality care. They are also beneficial to patients because they ensure accuracy and quality of care.
    • Digital X-rays: Radiography technicians use a digital imaging device to capture images instantaneously rather than wait for film exposure. With technology today, it also enhances the quality of processing because of access to imaging techniques that improve accessibility. They also dramatically decrease the amount of radiation exposure.
    • Intra-oral Cameras: An intraoral camera is a pen-shaped tool that enables dentists to examine your mouth thoroughly in high-resolution imaging in real-time. The camera has LED lighting and rotates up to ninety degrees which improve accuracy. As both our dentist and patient see the imagery, it allows for a discussion about dental health to take place as the exam occurs.  
 
  • Fluoride Treatment:  Fluoride treatment prevents tooth decay by making them resistant to plaque and sugary foods. This type of therapy also helps build healthy teeth in children as well as reverse decline which is why early detection is vital.
  • Oral Cancer Screening:  Dentists screen for oral cancer or precancerous lesions that can eventually lead to it. With early detection, patients who have removal and treatment have the highest chance of recovery. Patients that have a history of smoking are especially encouraged to get oral cancer screenings.
  • Sealants: A sealant is a thin, protective layer applied to the teeth to prevent decay. Once the sealant bonds to the teeth, it shields the enamel of each tooth as well as seals each tooth from plaque buildup.
  • Oral Hygiene Instruction: Prevention is the most significant part of an appointment because it equates to healthier oral hygiene. Patients also benefit from oral hygiene instruction as dentists teach cavity prevention, brushing and flossing technique.  Patients appreciate tips about preventive measures because of the timeliness and expense of corrective procedures.
 

How does a patient prepare for a dental appointment?

Brushing and flossing is the most significant thing you can do to prepare for a dental appointment. The better patients care for their teeth; the more comfortable a dental cleaning and exam will be. On the day of your appointment, it is essential to arrive early so that you have time to fill out a complete medical history form. To provide the best possible care, it is vital to know both personal and family medical history of oral cancer, gum disease, or heart disease. It helps to have as much information as possible so that our providers ensure the safety of our patients.

Available Doctors

Dr. Brian Webber

Endodontist

Dr. Marina Kandkhorov

DDS

Frequently Asked Questions

What type of procedures does All Smiles Dental Spa perform?

We offer all types of procedures from your routine preventative checkup to aesthetics, Invisalign, implant dentistry and sleep apnea appliances.  It is our goal to make your visit with us an extremely pleasant one and to send you home with a beautiful and healthy smile.

What should I expect from my first visit?

Your first visit to All Smiles Dental Spa establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information and give you time to get to know your dentist.  The initial appointment is designed to get you better acquainted with all we offer as well as introduce you to our dentist and caring staff.  We will review your medical and dental histories and evaluate your oral health. We will take digital x-rays of your teeth and explain to you whether or not you require cleaning or any other dental treatment.

What can I do to prevent tooth & gum decay and ensure a healthy mouth?

There are several simple steps we recommend to all our patients :

  • Brush your teeth twice a day in a circular motion with a soft bristled toothbrush aimed at the gum
  • Floss every night in an up and down motion while keeping the floss in a U-shape and against the tooth surface
  • Avoid smoking
  • Avoid sticky sugary foods
  • Eat a balanced diet
  • Use antiseptic and fluoride rinses as directed
  • Sealants placed on young permanent teeth