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Answer: Dr. Doray uses porcelain veneers for the same reasons as bonding (to lighten stains, close gaps and even alter crooked or malformed teeth). They are considerably more durable and stain resistant than bonding.
The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is “bonded” onto the tooth it becomes extremely strong. Dr. Doray also blends the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a regular tooth.
At Pamela G Doray DMD we can use porcelain veneers to change the shape and color of a single tooth or, if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.
Please call us at (215) 772-3100 for consultation. You may ask Dr. Doray or any of our professional team questions you have about the benefits of porcelain veneers. To view before and after pictures of actual cases, visit our Smile Gallery. Back to top
Answer: More people than ever are choosing to whiten their smile. With so many products on the market, many of our patients ask what we recommend. Dr. Doray is happy to be able to offer our patients several teeth whitening options depending on their individual situation.
Dr. Doray is now excited to offer Deep Bleaching to her patients interested in getting the most dramatic results possible.
Deep Bleaching uses a combination of 2-3 in-office treatments with take-home treatments. Unlike other whitening techniques Deep Bleaching offers significant lightening even for patients with very dark teeth or tetracycline staining. Deep Bleaching can actually whiten teeth to a level previously unattainable. Because your teeth will get considerably whiter with Deep Bleaching, the effect will also last much longer than more conventional teeth-whitening methods.
Deep Bleaching works by restoring your teeth’s ability to absorb oxygen. The oxygen from the Deep Bleaching gel is absorbed deeply into the tooth, dissolving stain molecules.
More effective than drug-store whitening options and less expensive than in-office whitening procedures, take-home whitening is a great choice for the more budget conscious patient.
This safe and simple treatment is a great way to help you restore your gleaming smile. Take-home trays are a convenient way to achieve a brighter smile over time, or to touch up a after a previous whitening treatment.
First we take impressions of your teeth to craft your custom whitening trays — one for your upper teeth and one for your lower teeth. After making sure your bleaching trays fit properly, we’ll show you how to apply the hydrogen peroxide tooth-whitening gel and discuss the amount of time your bleaching trays should be worn each day to achieve your desired results.
Answer: Temporary restorations are an important component of more advanced dentistry. Dr. Doray makes temporary veneers, onlays, crowns and bridges that are comfortable and very esthetic. She knows that you want to look your best during all stages of treatment.
When teeth have been reshaped for porcelain veneers, porcelain fillings, crowns or bridges, they must be covered to restore comfort, function and esthetics while waiting for the final restorations to be custom made. Temporary restorations are also placed on implants for similar reasons.
In more complex cases, these temporary restorations allow Dr. Doray and the patient to evaluate the proposed final restoration and to make any desired modifications prior to its completion. They serve as the “blueprint” for the final result, allowing the patient to preview the proposed smile and the laboratory to achieve exactly what Dr. Doray prescribes. Successful esthetic dentistry requires attention to detail at every stage of treatment, including temporary restorations.
Dr. Doray is considered an expert on the subject of temporary materials and techniques. She has been invited to speak nationally to dentists and to author articles and chapters on this topic.
To see before and after pictures of actual patient cases, visit our Smile Gallery.
What is a Dental Implant?
A dental implant is a titanium metal replacement for a root of a tooth that is surgically implanted in the jawbone.
As the body heals for approximately two to six months after the surgery, the bone around the implant fuses to the implant through a process called osseointegration.
After the healing phase is complete, the implants are used to anchor crowns, bridges, or dentures. Dental implants are the most natural replacement for a missing tooth.
We begin with a thorough evaluation of the patient’s medical and dental history, and a full clinical examination of the entire mouth and missing tooth area. The clinical exam should also include specific X-rays.
After assessing the patient, a comprehensive treatment plan can be devised. From that point, implants are surgically placed in the jawbone under local anesthesia.
The length of the healing time is based on the quality and quantity of bone, as well as the type of implant placed. After adequate healing is allowed to occur, the implant can be used to support a crown, bridge, or denture.
This is a question that should be determined during the treatment planning phase. A general rule-of-thumb is to place one implant for each tooth to be replaced, although this is not always necessary.
Other considerations in planning the number of implants needed for successful treatment include the quality and quantity of the patient’s bone, the anatomy of the bone, functional concerns and the type of final restoration that is desirable.
It is vitally important to the long-term success of the restoration to have the correct number of supporting implants. Simply stated, the most costly mistake is to have an implant fail because not enough implants are placed to support the teeth. If the number of implants is limited due to financial constraints of the patient, then the type of restoration must be altered or possibly another type of treatment considered.
When getting dental implants, you should select a dentist or dental team with in-depth knowledge and prior experience with all aspects of the treatment. Dr. Doray has over 25 years experience restoring dental implants.
It is also important to know that implant treatment consists of two components: a surgical phase and a restorative phase.
Traditionally, a dental surgeon, like an oral surgeon or a periodontist, performs the surgical component. A general dentist, or prosthodontist and laboratory technician performs the restorative component. However, as implant dentistry has become more sophisticated, sometimes a dentist who specializes in restorative dentistry conducts the entire procedure.
Yes, several types are available. The American Dental Association considers both the endosteal and the subperiosteal implants to be acceptable.
An important factor for selection is to determine whether your jawbone can adequately support the implant. Most dental implants placed today are endosteal root form fixtures (similar to a man-made tooth root).
For more information about Dental Implants, schedule an appointment with Dr. Doray.
Answer: If you have swollen, bleeding gums, you may have periodontal gum disease. And the sooner we treat it, the better. Left untreated, periodontal disease can cause serious loss of teeth and bone, and it has recently been linked to heart disease and stroke as well as premature and low-weight babies.
According to the American Dental Association, 75 to 80% of all adults will have some form of gum disease. Periodontal disease can go on for years without pain and without detection unless specific examination procedures are performed. Visual oral examination by itself (even by a dentist) will not reliably detect periodontal disease until it has reached an advanced stage.
Early detection and adequate diagnosis require measurement of pockets (the crevice between tooth and gum) with a periodontal probe. Although the procedure is simple, painless and requires only a few minutes, millions of American adults have never had it done.
Dr. Doray performs a complete periodontal examination as part of your initial comprehensive evaluation. Then Dr. Doray makes the appropriate periodontal diagnosis and prescribes the optimal treatment. Early detection by Dr. Doray and appropriate treatment are critical to prevent tooth loss and disfigurement. We have a highly successful non-surgical periodontal treatment program available in our office. Dr. Doray also works with a team of excellent periodontists if further treatment is needed.
Please feel free to call our office at (215) 772-3100 to schedule a comprehensive evaluation if you have experienced any of the following signs of periodontal disease: bleeding gums, redness of gum tissue, swelling of gums around the teeth, breath odor, receding gums, or mobility of teeth.