33-16 Ditmars Blvd.
Astoria, NY 11105
(718) 865-8318

Our Services

From a routine exam and cleaning to full-mouth rehabilitation, our practice is equipped to handle all of your dental needs. To help you understand more about our office, we have included brief descriptions of some of our most common services on this page.

Bonding

Dental bonding is procedure that is often used to restore teeth affected by decay as well as repair chipped or fractured teeth and mask a range of dental imperfections such as stains, discolorations, gaps, misshapen, or undersized teeth. A popular method for restoring and improving the appearance of a person’s smile, dental bonding qualifies as a cosmetic procedure by virtue of the fact that the composite resins used for the procedure are tooth-colored and come in a range of shades that blend seamlessly with natural tooth structure.

A dental bonding procedure, which is performed to fill a cavity or to cosmetically repair a chip, fracture, enamel defect or gap between teeth is known as a “direct composite restoration.” For a direct composite restoration, both artistry and precision are required as the dentist places the selected shade of composite resin and carefully sculpts it to rebuild or improve the appearance of a tooth.

In terms of the cosmetic repair of dental defects, the masking of discolorations or the closure of gaps between teeth, a dental bonding procedure is considered the most economical and quickest method of care out of all the cosmetic solutions available for these types of corrections. Unlike porcelain veneers or ceramic crowns, dental bonding is a minimally invasive, one-visit cosmetic procedure. Moreover, unless a cavity is being cleaned and prepared prior to a dental bonding procedure, no drilling of tooth structure and no anesthesia is required.

How is a dental bonding procedure performed?

When performing a bonding procedure, it is important to enable the composite resin to firmly adhere to the underlying tooth structure. To do this the surface of the tooth is etched and then painted with a liquid bonding agent just prior to the placement of the filling or cosmetic bonding. As the dentist places the composite resin, it is carefully sculpted to achieve the desired shape and then cured it with a special light or allowed to set. Once hardened, the newly bonded restoration is polished and buffed for a smooth finish. Some dentists may offer composite veneers as an alternative to porcelain veneers, artistically bonding and blending successive layers of composite resin to transform the appearance of a tooth.

Caring For Bonded Teeth

While a bonding procedure offers an excellent and cost-effective method of care for the treatment of minor cosmetic dental issues, there are a couple of considerations with this approach. Teeth that are restored or cosmetically enhanced with a dental bonding procedure are as a rule more susceptible to staining and chipping than with other types of cosmetic treatments. For this reason, highly pigmented foods and drinks are to be avoided along with tobacco products. As dental bonding can easily chip and break, it is also important not to bite into hard objects or foods and to avoid oral habits such as biting one’s nails or chewing on pens. However, with proper hygiene and care, a bonded restoration can last for many years.

Bone Grafting

In cases of periodontal disease, an osseous grafting procedure may be necessary to address the bony defects around a tooth that have been caused by the progression of periodontal disease. An osseous grafting procedure, which involves guided tissue regeneration, rebuilds the bone and supporting tissues that have been lost. During this surgical procedure, the roots of the involved teeth are thoroughly cleaned and the bony defects prepared and filled with a suitable bone graft material. The bone graft is then covered by special membrane and the gums are then sutured back into place. With healing and time the osseous graft will fill in for the lost bone, thereby providing renewed support for the tooth.

Bridges

When teeth are missing a series of changes that can impact your overall dental health and jaw function may be initiated. The adjacent teeth may start to drift or tilt into the space, and teeth in the opposing jaw may start to shift toward the area of the missing tooth. It is therefore important to replace the single tooth or multiple teeth that have been lost. One of the best options to prevent the consequences of shifting teeth and to restore full function to a small edentulous section in the mouth is a dental bridge.

A dental bridge replaces the missing teeth with artificial teeth called “pontics,” and is supported on the ends by prepared natural teeth. Once fabricated and fitted a dental bridge will be permanently “fixed,” or cemented into place. Like crowns, bridges can be made of either porcelain baked on to a metal substrate or many of the new ceramic materials that have been developed.

Crowns & Caps

The terms dental crowns and caps are synonymous. If dental decay, cracked fillings, root canals, clenching or grinding the teeth have caused extensive damage to the underlying tooth structure a dental filling may not be a sufficient restoration. The only way to completely restore the cosmetic appearance and function of this tooth is often full coverage with a dental crown. The good news is that a completed dental crown looks and feels like a natural tooth.

In addition to restoring a single natural tooth, crowns can be used in other situations including being the supporting ends of dental bridge, covering dental implants, or as coverage for a cracked tooth to prevent further breakdown. A crown may also be indicated when a discolored or stained tooth needs to be restored to its natural appearance. Crowns can be made of either porcelain baked onto a metal substrate, all-porcelain, or many of the new ceramic materials that have been developed.

Dentures

Whether from disease, malnutrition, genetic disorders, or an accident sometimes it is necessary for an individual to have some or all of their teeth extracted. While this can be devastating, partial or full dentures can be fabricated to restore an attractive smile, provide needed support for normal facial contours and reestablish a highly functional occlusion.

A denture consists of natural looking artificial teeth set in a supportive base. It may be fabricated to replace either a small group of teeth, an entire upper arch, an entire lower arch, or used to restore both dental arches.

A complete denture refers to the replacement all of the teeth in a dental arch. It can be inserted either of two ways. It can be inserted some weeks after the extraction sites and all of the surgical procedures have had a chance to heal, or as an “immediate” denture placed the same day the last remaining teeth are extracted. Although an immediate denture offers the advantage of not having to go without teeth for any period of time, it can require multiple adjustments as the tissues remodel and heal following dental extractions or other surgical procedures.

In situations where some sturdy teeth remain, partial dentures can be fabricated. Partial dentures can achieve adequate retention and stability by having clasps on the teeth surrounding the edentulous areas.

In some cases added stability for the dentures can be provided by strategically placed implants.

Emergency Treatment

Dental emergencies can come about in any number of ways. Your discomfort may be due to an injury to the oral facial area, the acute flare up of a longstanding problem, or the result of the sudden onset of seemingly inexplicable pain. Whatever the case may be, urgent dental care is needed to provide you with relief and to avoid any further consequences to your oral health or function, as well as your overall well being.

There are many reasons to seek emergency dental care, including severe toothaches, chipped or fractured teeth, a dental abscess, impacted teeth, loose or broken fillings, lost or dislodged crowns, broken dentures and more. While the pain of a toothache is one of the more common reasons that patients come to our dental office for emergency dental care, we also promptly treat emergencies that are not necessarily painful like crowns that have been dislodged and broken dentures that leave embarrassing gaps in one’s smile.

Whether your dental emergency is painful, if it affects the appearance of your smile, or if you suspect that an infection is present, contact our office immediately for care. We will make every effort to see you as promptly as possible.

Extractions

Sometimes it is necessary to extract a tooth. This can happen for a variety of reasons. Extractions are commonly performed in cases where a deciduous “baby” tooth is reluctant to fall out, a severely broken down and non-restorable tooth is present, or “wisdom tooth” is poorly positioned and unable to fully erupt into place.

To reduce any anxiety and insure patient comfort whenever a tooth extraction is necessary, the procedure, the post surgical instructions, as well as any restorative follow-up care will be carefully and completely explained.

Full Mouth Reconstruction

Dentists are often called upon to treat the most difficult restorative and challenging cosmetic dental cases. Sometimes these cases involve multiple procedures to address complex dental problems that are affecting an individual’s entire occlusion. The term “full mouth reconstruction” is applied to these situations.

The process of full mouth reconstruction often involves rebuilding and/or replacing many, if not all of the teeth in the mouth. Candidates for full mouth reconstruction are individuals who have been cosmetically and functionally debilitated by extensive tooth loss, dental trauma, dental decay, dental habits, TMJ jaw-joint disorders, grinding their teeth, have suffered the effects of long-term acid erosion of tooth structure, or been affected by medical conditions or therapies involving the head and neck area. Additionally, individuals with congenital disorders that have dental manifestations like missing teeth or defective tooth structure may also be candidates for full mouth reconstruction.

Implant Dentistry

Losing a tooth due to injury, dental decay, or gum disease can happen. However, in order to avoid causing problems for the adjacent teeth and your overall dental health, it is important to replace the tooth that has been lost. This can be done a number of ways including fixed bridges, removable partial or full dentures as well as a more recent procedure known as dental implants.

One of the most significant dental innovations in recent times, an implant is a small surgical fixture made of biocompatible metal or ceramic materials that is placed into the jawbone and functions in the same manner as the root of a tooth. In the same way that natural root supports the natural crown of your tooth, an implant once it fully integrates with the surrounding bone, provides a stable and durable foundation for a replacement tooth. Implants often support a crown for an individual tooth, but can also be used as abutment teeth for a dental bridge, or strategically placed to help stabilize a denture.

Out of all of the restorative choices available today an implant comes the closest to replicating the look, feel and function of a natural tooth. Furthermore, it is the only method of tooth replacement that does not require the involvement or preparation of the adjacent teeth. A dental implant also stimulates bone remodeling to prevent shrinkage in areas where teeth are missing and helps to restore facial contours in areas where significant bone loss has occurred.

Initial Oral Examination

Your first visit to our office is very important with regard to establishing your oral health baseline. We will begin by carefully reviewing your medical and dental histories and taking special note of all of your dental concerns, as well as any symptoms that you may be experiencing. This will be followed by a thorough clinical examination, including an oral cancer screening, periodontal evaluation, an analysis of your occlusion (bite) plus a thorough examination of your teeth, their supporting structures, and the complete orofacial area. Any needed diagnostic dental films will be taken at this time.

Invisalign®

Invisalign's® invisible, removable, and comfortable aligners will give you the beautiful, straight teeth you've always wanted. Invisalign® treatment consists of a series of custom-made aligning trays. The dentist changes the trays every several weeks to fit the new tooth configuration. In addition to the reduced visual impact, Invisalign® aligning trays can be temporarily removed for important occasions, which means that you control the duration of the treatment. Invisalign is great for adults and teenagers.

Periodontal Treatment

Periodontal disease damages the surrounding soft tissues and bone that support the teeth. It is predominantly caused by the accumulation of bacteria, mucus and other particles in the form of plaque or tartar that sit between the teeth and the gums. Periodontal disease can range in severity from a simple gum inflammation, known as gingivitis, to a more serious inflammation of the periodontal tissues. Left untreated periodontal disease can result in significant tissue damage and eventual tooth loss.

The problem with periodontal disease is that often the progression is painless. As a result the affected individual may not be aware of an ongoing disease process. This is why it is so important to recognize the signs of the earliest stage of periodontal disease, which is gingivitis. The symptoms of gingivitis typically include red, swollen and bleeding gums. Treatment instituted at this point is often sufficient to reverse the course of the disease and to avoid any permanent damage to the periodontal tissues. A series of deep dental cleanings, an improved home care regimen, and a commitment to regular maintenance may be all that is required to prevent this stage of periodontal disease from progressing.

Left untreated, gingivitis can escalate into periodontitis. However, there are other factors that can contribute to the escalation of periodontal disease, including smoking, genetic tendencies, and unchecked diabetes. In either case, when periodontal disease has progressed to a more advanced stage there is usually clinical and radiographic evidence of damage to the bone and soft tissues supporting the teeth. Periodontal treatment in this phase is designed to halt the progression of the disease and to restore tooth support as possible. This may involve medications to control the bacteria and reduce the size of the pockets between the teeth and gums, gum surgery, as well as bone and tissue grafts.

Orthodontics

A healthy, functional and attractive smile requires teeth that are straight and jaws that are well aligned. The goal of orthodontic treatment is to correct the cosmetic and functional problems associated with teeth that are either overcrowded, have spaces between them, or that have shifted over time due to extractions, habits, or abnormal bite patterns. Orthodontics can also address skeletal discrepancies between the upper and lower jaws.

Orthodontic treatment can range from the minor movement of a few teeth to the alignment of an entire bite. It may also be used in some cases to align teeth both before and after the surgical correction of severe jaw discrepancies.

Orthodontics utilizes the principles of physics to slowly move teeth into their proper positions. This is performed by using a selection of corrective appliances, including braces, clear aligners, and retainers. Designed to apply incremental and controlled forces to move the teeth in the desired direction, these appliances are adjusted on a regular basis throughout the course of care. Once a malocclusion is corrected and the teeth are completely aligned, retainers are often placed to help ensure that the result remains stable.

Orthodontic treatment time depends on the patient’s age, the severity of the malocclusion and the unique needs of each particular case. Some corrections can be accomplished in a few months while others can take a few years. However, for many malocclusions the average length of orthodontic treatment time is 24 months.

Root Canals

Endodontics, or root canal therapy, is employed when the nerve supply to a tooth has been irreversibly affected by damage or decay. It is a way to prevent or help resolve a dental infection and save a natural tooth from extraction. A root canal is performed when there is enough sound root and crown structure remaining to eventually restore form and function to the involved tooth.

Inside every tooth is either a single central chamber or multiple ones that contain connective tissue, a nerve supply, and blood vessels. These core tissues, known as the dental pulp, help your tooth to grow and mature before it emerges into the mouth. A root canal procedure is required when this dental pulp is irreversibly damaged or has died.

Root canal therapy involves cleaning and shaping each canal, and then filling them with a special inert material. Following this they are sealed to prevent any subsequent infection. Once root canal therapy has been completed, the tooth should be fully restored as recommended.

Removable Dental Prostheses

For patients who are missing multiple teeth, we are experts at fabricating full dentures or partial dentures. We also offer flexible dentures which contain no metal and provide a better aesthetic option for our patients. This procedure requires several appointments, usually over several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several appointments may be necessary in order to ensure proper shape, color and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.

Teeth Whitening

Teeth that have been stained or darkened by food, tobacco use, age, medications or injury can be lightened and brightened by means of a non-invasive process known as teeth whitening.

Teeth whitening or bleaching simply refers to any process that will make the teeth appear whiter. While there are many over the counter options for teeth whitening, the most effective and safest teeth whitening systems are the professional strength ones available at the dentist’s office. A dental professional whitening system offers a higher concentration of whitening components and delivers them to the teeth in the most efficient manner to achieve optimal results.

At our office we offer two exceptional options for tooth whitening. You can choose either an in-office tooth whitening procedure or a professional take home system. Both of these are top-of the-line systems. However, the biggest advantage of the in-office procedure is that in as little as one hour you can achieve a smile that is several shades whiter and brighter than the original color of your teeth.

Our professional strength take home system also produces excellent results. However, this is achieved by way of a more gradual process. Our take home kit may be prescribed alone, or after an in-office treatment to perfect or maintain the in-office result.

The Preventive Program

According to recent studies good oral hygiene is essential not only for your dental health, it is important to your overall health and well-being. Our comprehensive dental hygiene program is designed to preserve your teeth and the supporting structures by preventing the onset, progress, and recurrence of dental disease.

To maintain your optimal oral health we recommend periodic professional dental cleanings. Removing plaque and debris from teeth, especially from places where a toothbrush can't reach, like underneath the gum line and in-between teeth is extremely important.

It is also important to keep in mind that in conjunction with periodic dental professional cleanings, a good dental home care regimen is necessary. As part of the preventive program at this office your current home care practices will be reviewed. Following that, we will make recommendations as to what areas require improvements, and instruct you in the proper methods of brushing and flossing.

Additional preventive services may be indicated for individual patients. An integral part of our preventive program for pediatric patients includes periodic fluoride treatments and the application of dental sealants.

Veneers

If your teeth suffer from gaps, chips, stains, or discolorations you may be a candidate for porcelain veneers, a highly effective and minimally invasive cosmetic procedure that can achieve beautiful results.

Porcelain veneers are thin facings custom-made of the highest quality ceramic materials that are designed to fit perfectly over the front of your teeth. One of the most conservative cosmetic treatments available, veneers can mask a host of dental imperfections to give you the smile that you have always wanted. Porcelain veneers not only enhance and improve the shape of your teeth, they are able to create an overall whiter and brighter smile.

One of the most appealing aspects of the process of fabricating porcelain veneers is that they involve minimal tooth preparation and take just a few visits. Porcelain veneers, once they are fabricated and fitted, are permanently bonded to the underlying teeth. The result is a naturally pleasing smile that is both strong and durable.

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