Restorative Dentistry in Midtown Manhattan
Decay, gum disease, injury, medical causes, wear…all of these can cause missing teeth, resulting in low self-esteem and difficulty to eat certain foods. At NY Smile Specialists in Manhattan, we understand how difficult and embarrassing missing teeth can be for your quality of life, which is why we pride ourselves on our expertise in restorative dental procedures to improve the look of your smile.
If you have an original tooth that is decayed, damaged, or cracked, you can have a crown made of porcelain, gold, acrylic resin, or a composite material to permanently cover the tooth. Porcelain offers the most natural looking appearance, while being the least durable. For more severe problems porcelain fused to gold crowns are used.
Crowns present a long-term solution to replace any missing teeth, fill in large cavities, or provide stability to broken teeth.
The treatment plan for a patient receiving a crown involves:
- Numbing the tooth to remove the decay in or around it.
- Re-sculpturing the tooth to provide an ideal fit for the crown.
- Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
- Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the permanent custom-made crown is being created.
- Applying the permanent crown (when received from the lab) by removing the temporary crown and fitting the permanent one onto the tooth.
- After ensuring that the crown has the proper look and fit, the dentist cements it into place.
This process generally requires a minimum of 2-3 visits over three to four weeks to complete.
Once the procedure is completed, you will need to practice proper dental hygiene, including daily brushing and flossing to maintain healthy, bacteria-free teeth, gums, and crowns. This helps with the prevention of gum disease, and given proper care, your crowns can last a lifetime.
If you have a gap or space in your teeth, we can fill in the space with a bridge, which may be necessary to prevent:
- Bite problems (occlusion) caused by shifting teeth and/or jaw problems and resultant periodontal disease.
- Risk to the integrity of existing teeth, helping maintain a healthy, vibrant smile.
There are three main types of bridges, namely:
- Fixed Bridge – the most popular bridge consists of a filler tooth attached to two crowns, which fit over the existing teeth to hold the bridge in place.
- The “Maryland” Bridge – commonly used to replace missing front teeth, this bridge consists of a filler attached to metal bands bonded to the abutment teeth. The metal bands consist of a white-colored composite resin that matches existing tooth color.
- The Cantilever Bridge – often used when there are teeth on only one side of the span. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space with the filler tooth connected to the two crowned teeth, extending into the missing tooth space or end.
Bridges can be manufactured using porcelain or gold alloys. The procedure can be completed in 2-3 visits to our Manhattan office.
There are a number of things that can cause you to lose natural teeth: periodontal disease, injury, tooth decay, and more. Using dentures to restore these missing teeth, we can bring a natural, white smile back to your face. We use the Simply Natural Denture System that fits comfortably, and offers longer-lasting durability. There are two types of dentures available. Complete dentures can cover the patient’s entire jaw, while partial dentures can replace a number of missing teeth with a metal framework. Talk to our doctors about which is the better choice for you.
We can complete your denture replacement generally in three visits. We will take an impression at the initial appointment. The doctor will adjust the bite for a proper fit at the second appointment. At the third and final appointment, you will receive your new dentures. Any required adjustments of the dentures will be sent to our lab for final processing.
In the beginning, you may have difficulty speaking and eating, but after a short while, you will become accustomed to these activities. You should be sure to call our office if you experience any sore spots during the adjustment period. As always, proper oral hygiene is important. Your dentures can be cleaned with toothpaste and a soft-bristled toothbrush or denture brush, or by using Efferdent or a similar, ADA approved product.
In order to ensure continued quality, your dentures and gums should be evaluated once a year.