Category Archives: Cosmetic Dentistry

South Florida Dentist Warns about Holiday Foods

When most people think of foods that can harm your teeth, they think of candy. “However, there are a lot of other foods to avoid,” says Dr. Charles Nottingham, a cosmetic dentist at Smile South Florida. “Unfortunately, many of them are popular during the holidays.”

Sugar: Sugar, of course, is the #1 culprit in causing cavities. The worst offenders are sticky foods like lollipops, hard candies, and gum drops. They give you a double whammy. Not only are they high in sugar, but they also stick to your teeth for a long time after you eat. Surprisingly chocolate is less like to be a culprit because it binds with fat molecules and doesn’t stick to teeth as well as other candies. If you do eat a lot of sugary foods, try to do so at mealtimes when increased saliva can wash sugar off teeth.

Starches: “Bread and potatoes are very popular parts of traditional holiday meals,” points out Dr. Nottingham. “But, the refined flour in white bread and the starch in potatoes are essentially sugars and so will affect your teeth the same way refined sugar does. So cut back on those rolls, mashed potatoes, holiday cookies, and potato chips.”

Alcohol: An occasional drink at a holiday party is okay. But excess alcohol wears away tooth enamel, discoloring teeth and making them vulnerable to cavities.

The good news is there are a lot of foods that are healthy for your teeth as well. “In general most fruits and vegetables help strengthen your teeth – as do a lot of foods containing protein,” says Dr. Nottingham.

Fruits and Vegetables: Any fruit or veggie with a lot of fiber will help out. Onions, celery, kiwis, parsley, and apples are all singled out by experts as being particularly good for your teeth. So look for holiday recipes that include these foods.

Dairy Products: In general cheese, yogurt, milk, and other dairy products (without added sugar), are good choices for the teeth. They help generate saliva which washes sugars off the teeth and they contain calcium, which strengthens them.

About Smile South Florida Cosmetic Dentistry
The cosmetic dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and provide Boca Raton Dentistry, Fort Lauderdale Dentistry and Miami Dentistry.

About Nottingham Consulting Group
Nottingham Consulting Group (NCG) is a business consulting firm specializing in business management, business coaching and marketing strategies.

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South Florida Cosmetic Dentist Notes How Oral Health Affects the Whole Body

People tend to think of beautiful straight teeth as a purely cosmetic concern – a luxury rather than a necessity. However, teeth that are crooked, stained, or have other problems can cause physiological problems in the rest of the body or can be an indicator of other health problems.

“Crooked and crowded teeth are hard to clean properly, potentially leading to tooth decay, gum disease, and tooth loss,” notes Dr. Charles Nottingham, a Miami dentist and Fort Lauderdale dentist.”A bad bite can also cause abnormal wear of tooth surfaces, poor speech, and excessive stress on the jaw bone and gum tissue.”

Poor bites can also influence chewing and swallowing and food selection – leading to nutritional problems. Pain in the jaw or teeth can lead to pain in the head, neck, shoulders, or elsewhere in the body. Oral pain often leads to diminished activity, lost work days, depression, sleep problems, and missed school for children.

“In addition, problems with your teeth can be an indicator of whole-body health issues,” points out Dr. Nottingham, a South Florida cosmetic dentist.”Scientific research indicates a link between gum disease and many other overall health problems including: high blood pressure, heart disease, stroke, arthritis, premature births and many more.”

Sometimes teeth can reveal a previously unknown health condition. Conditions that can be detected in the mouth include diabetes (causesgum infections), acid reflux (teeth are much more prone to decay), some auto-immune disorders (the soft tissue in the mouth and salivary glands can be affected), liver diseases (the soft tissue in the mouth is jaundiced) and many more.

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Smile South Florida Cosmetic Dentist Selected for the Ultimate Makeover Team

In the spirit of ABC’s Extreme Makeovers and Fox’s the Swan, there is a new standard:The Ultimate Makeover. Those shows have made extreme aesthetic transformations popular nationwide, but the new program offers a twist. In the Ultimate Makeover Program, Florida’s best doctors and health practitioners go beyond changing people’s looks to transforming their lives. The Ultimate Team will help the less fortunate through community activism and fundraising corporate partnerships as well as through cosmetic procedures.

Nottingham Consulting Group sponsored a research investigation to discover South Florida’s top health practitioners. Each practitioner was selected by an independent panel using Ten Criteria. y qualifying and certifying the team, the community panel ensured that each practitioner meets a high standard of trust and professional ability.

The Ten Criteria are:

  • Years of experience
  • High quality education
  • Good standing in the community
  • Industry accolades and leadership
  • History of published works
  • Client testimonials
  • Tradition of community service
  • Praise from colleagues
  • A high degree of professionalism
  • Marketing

Each year the Ultimate Makeover Team will perform a makeover for a deserving member or members of the community at no cost to the participant. The makeover may include cosmetic dentistry, plastic surgery, laser eye surgery, and personal training. Makeover recipients will be chosen from local charities and the community.

The Ultimate Makeover Project raises money for a charity every year. The charity for 2010 is Women In Distress, the only nationally accredited, state-certified, full service domestic violence center serving Florida’s Broward County.

Charles Nottingham, D.D.S., F.A.G.D. was selected for The Ultimate Makeover Team because of his professional recognitions, quality of work, patient support, and community service. He has been hailed by da Vinci Studios, ABC’s Extreme Makeover Dental Lab, as “Florida’s Extreme Makeover Dentist.” Dr. Nottingham has received advanced training from the Pankey Institute and is a Fellow in the Academy of General Dentistry.

About Smile South Florida Cosmetic Dentistry

The cosmetic dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and provide Boca Raton Dentistry, FortLauderdale Dentistry and Miami Dentistry. They specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers, Invisalign, and sedation dentistry.

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South Florida Cosmetic Dentist Describes Dangers of Neglecting Dental Treatment

The Surgeon General’s first report on oral health observes that dental cavities are the most common childhood health problem – 5 times more common than asthma. More than 50% of children ages 5 to 9 have at least one filling.

One of South Florida’s best cosmetic dentists, Dr. Charles Nottingham, observes “We lack adequate access to dental care for many Americans. For every American with dental insurance, there are three more who don’t have it.”

Poor children are two times more likely to suffer from cavities than their more affluent peers. More than 51 million school hours are lost to dental-related illnesses and the corresponding pain can cause problems with learning, eating, and speaking. “We have the technology and know-how to ensure that everyone can improve their oral health, but not everyone has access to it,” notes Dr. Nottingham, one of South Florida’s best dentists.

Adults don’t fare much better. Fewer than two-thirds visit a dentist in a given year. Americans lose more than 164 million hours of work time each year from dental disease or dental visits. Severe periodontal disease affects 14% of adults 45-54. “Smoking and other forms of tobacco use are big contributors to poor oral health,” says Dr. Nottingham, a cosmetic dentist. “Yet many Americans remain unaware of that.”

“Oral care is an integral part of overall health care. Dental visits can prevent a number of problems – such as infections – which, left untreated, can spread to the rest of your body,” points out cosmetic dentistry specialist Dr. Nottingham.

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Denver Orthodontics Office is High Tech and High Care

“We strive to give our patients the best high tech treatments we can and provide them with the highest quality care possible,” explains Dr. Jonathan Weinbach, a Denver orthodontics provider.

The Treatment Zone: Getting the smile you want has never been easier. “Smile Zone Orthodontics was one of the first practices in Denver to offer Damon Braces,” notes Denver orthodontist, Dr. Weinbach. “Damon straightens teeth as much as 40% faster than traditional braces.”

The Comfort Zone: “You may arrive feeling like a patient, but you’ll leave feeling like family!” says Dr. Weinbach, a Denver Damon Braces System provider. The practice offers two convenient locations and the offices feature spacious reception areas, open-bay treatment rooms and upbeat, musical-themed décor. The Westminster office even has a disco ball! Kids and teens can enjoy Play Station video games, a flat screen TV, DVD movies, and a complimentary beverage and snack bar.

The Kid Zone: Denver invisible braces provider Dr Weinbach takes the time to get to know each child and putting them at ease. In addition, the practice keeps kids motivated throughout treatment with fun contests, cool prizes, and gift certificates.

For More Information For more information about Denver braces expert Dr. Jonathan Weinbach and Smile Zone Orthodontics, visit http://www.smilezoneortho.com/ or call (303) 430-4200 for the Westminster CO office or (303) 604-0300 for the Louisville office.

About Dr. Jonathan Weinbach
Dr. Weinbach earned his D.D.S degree with distinction from the University of Missouri and completed his residency and master’s degree in orthodontics at Washington University. He has been in orthodontic practice for 23 years, with nine years’ prior experience in general dentistry. A retired United States Air Force officer, Dr. Weinbach volunteers with Dental Aid of Louisville. He is a member of the American Dental Association, the Colorado Dental Association, the Denver Dental Society, the American Association of Orthodontists, the Rocky Mountain Society of Orthodontists and the World Federation of Orthodontists.

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South Florida Cosmetic Dentist Warns Against Badly Trained Cosmetic Dentists

Nationally there are over 150,000 dentists, and the number is growing at a rapid rate. However, a staggering quantity of inexperienced students graduate from dental school every year and enter directly into practice. Some of these graduates go on to get specialized training in cosmetic dentistry, but many become general dentists who attempt specialized cosmetic dentistry without the necessary expertise.

A survey by Harris Interactive revealed that 11% of Americans annually (and the number grows every year) received an in-office cosmetic dental procedure to beautify their smiles. High-quality cosmetic dentistry can transform your appearance, but poorly executed dentistry can prove disastrous.

Here’s a shocking statistic from the American Academy of Esthetic Dentistry: over 25% of Americans’ yearly expenditures cosmetic dentistry is spend re-doing and correcting unsatisfactory dental work from a previous visits. “While cosmetic dentistry can be transformative, badly performed dentistry can lead to a lifetime of pain and problems.” says Dr. Charles Nottingham, one of the best cosmetic dentists in Florida.

A report by the Surgeon General found that over 39 million people, or 22%, experience some kind of oral-facial pain in a given six month period. The report estimates that 12.2% of Americans suffers from toothache, 5.3% from jaw joint pain, and 1.4% from face or cheek pain.

Founder of the American Academy of Esthetic Dentistry, Ronald E. Goldstein estimates that 50% of American dental work is spent on cosmetic procedures. Undoing other dentists’ shoddy work accounts for an estimated one-seventh of the over $80 Billion spent on dentistry in the U.S. In a 2004 Wall Street Journal article, various cosmetic dentists estimated that re-doing others’ work accounts for 25% to 50% of their work.

“You need to be a careful consumer of dental services,” Dr. Nottingham, a South Florida cosmetic dentistry provider, points out. “Do your research and make sure you choose a reputable doctor with a lot of experience in your procedures.”

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Miami Cosmetic Dentist Explains Sedation Dentistry

Nearly 30% of Americans are afraid of visiting the dentist and even will put up with pain or discomfort to avoid dental visits. However, for those people, there is another way:sedation dentistry. It can also be called oral sedation dentistry, anxiety-free dentistry, and relaxation dentistry.

Miami Cosmetic Dentist Explains Sedation Dentistry

Available for both general and cosmetic dentistry, sedation dentistry can be used for procedures from simple cleanings and root canals to complete smile makeovers. At a dental visit you and your dentist will agree on the needed treatment. The dentist will give you a prescription for a drug such as Valium, Ativan, or Sonata.

“Most of the drugs have been available for years and all are safe to use,” says one of Miami’s best sedation dentists, Dr. Kenneth Anenberg, cosmetic dentist from Smile South Florida. “Some of the prescriptions last longer than others, so the amount of time necessary for your treatment will help determine what kind of medicine you will receive. Be sure to tell the dentist about other drugs you are taking and details of your medical condition.”

The day of the procedure, you will take your medicine before the appointment – how far in advance will be determined by how long your treatment will take. You will need a companion to drive you to and from your appointment. When the dentist starts the procedure, you will feel relaxed and, possibly, drowsy, points out Anenberg, a Miami sedation dentist. Most patients don’t sleep deeply unless they’ve been administered general anesthesia, which most dentists don’t provide.

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Fort Lauderdale Cosmetic Dentists Signs Exclusive Agreement with da Vinci Studios

Smile South Florida’s top cosmetic dentist in the Fort Lauderdale and Miami area, Dr. Charles Nottingham, has maintained a close relationship with the owner of da Vinci Studios, Daniel Materdomini. Dr. Nottingham and Daniel speak regularly about maintaining the best cosmetic dental practices with da Vinci veneers. In fact, the Daniel sent his own mother to Dr. Nottingham for a full cosmetic reconstruction – and were very pleased with the results.

Fort Lauderdale Cosmetic Dentists Signs Exclusive Agreement with da Vinci Studios

In a letter to fort lauderdale dentist Dr. Nottingham, the owner of da Vinci Studios wrote: “… your preparations and impressions exceeded perfection. I had an opportunity to use many dentists in the area…but I chose you because of your experience, knowledge and the dedication you have with your patients. My Mom was thrilled with her new smile…If the ‘Extreme Makeover’ show was filmed in Florida, I am sure you would be the providing dentist.”

Da Vinci Studios offers two lines: the da Vinci line which offers fee-for-service veneers and crowns and the Leonardo line which offers veneers and crowns for PPO insurance patients. Because of the success of the da Vinci line and their faith in its durability, da Vinci studios extended the warranty on new da Vinci veneers so they are guaranteed for life. The Fort Lauderdale cosmetic dentists at Smile South Florida offer both lines.

“I have seen Dr. Nottingham transform people’s lives. Dr. Nottingham is giving South Florida something to smile about.” said, Daniel Materdomini.

This opinion is seconded by Craig Galbraith, also from da Vinci studios: “I have never seen a smile gallery as extensive as Smile South Florida’s and where the final result of every case is of such a high standard.”

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Fort Lauderdale Cosmetic Dentists Offer Revolutionary Sports Appliance

Fort Lauderdale Cosmetic Dentists Offer Revolutionary Sports Appliance Cosmetic dentists at Smile South Florida Cosmetic Dentistry are now fitting patients for the Makkar PPM sports mouth guard which enhances sports performance.

Lauderdale cosmetic dentist Dr. Charles Nottingham and his team at Smile South Florida Cosmetic Dentistry have recently started offering the Makkar PPM sports appliance, a mouth guard which is specially fitted to each user and has been proven to enhance sports performance. Invented by Dr. Anil Makkar, each appliance is custom-designed and manufactured for each individual. The device aligns the athlete’s head, neck and spine improving balance, range of motion, flexibility, endurance, and oxygen flow during athletic activities.

The appliance works on the principle that the muscles of the face, jaw and neck should be aligned to be most efficient and restful. Most people do not have that alignment naturally and the result can be headaches, neck strain, and cracked teeth. The benefits that users experience are the result of a more efficient neuromusculature, and enhanced oxygen flow through an increased airway. Most athletes see improvement in their performance immediately.

The Makkar PPM products are only available through trained dentists who are PPM-certified. Now the cosmetic dentists at Smile South Florida Cosmetic Dentistry are offering this mouth guard to their patients. The dentists are Smith South Florida thenexamine their patients using advanced technology to see where the muscles and jaw should fall naturally. They take an impression and bite registration of the patient’s mouth and send it to the manufacturer, which creates a customized mouth guard. The PPM mouth guard is a true game changer. No matter which sport, it gives its users an edge over the competition. The mouth guard is used and endorsed by a number of well-known athletes, including Shaquille O’Neal and Terrell Owens, who have their own Signature Series lines of the PPM device. Skier Bode Miller and golfers Scott McCarron and Mike Elkington also sing the appliance’s praises. The New Orleans Saints recently became the first NFL team to get the PPM mouth guard for every athlete — a purchase that may have played a role in the team’s spectacular 2009 season.

“This really is a unique device,” says Dr. Charles Nottingham, a Miami cosmetic dentist & Fort Lauderdale dentist at Smile South Florida. “It can be used by high school, college, amateur and professional athletes. Just about everyone who uses it sees immediate improvement in posture, balance, strength and endurance. It’s particularly useful in sports with a lot of explosive moves such as tennis, hockey, and football, but athletes in most sports benefit from it.”

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Fort Lauderdale Cosmetic Dentist Offers Waterlase Laser Dentistry

Known for being on the cutting edge of dental technology, Miami dental center Smile South Florida is giving its patients more reasons to smile than ever. Using Waterlase dentistry, Miami cosmetic dentist Dr. Charles Nottingham and his certified staff of Waterlase dentists and hygienists, take the pain out of many of dentistry’s most feared treatments.

Waterlase dentistry combines the precision of surgical lasers and the elemental power of water to gently perform several procedures that keep Smile South Florida’s patients’ teeth healthy. This treatment method can be used to handle major dental work such as filling, bondings, cavity removal, decay removal, and many more procedures.

“Whether we’re caring for the patient’s teeth, bone, or gums, Waterlase technology is always our first choice for treatment,” says the Fort Lauderdale cosmetic dentist. “The benefits are endless. From less anesthesia, to less bleeding, to fewer appointments, to improved efficiency and accuracy, we’re providing the absolute cutting edge in dentistry, and the best part is that our patients reap all the benefits.”

Whereas older procedures require cutting, scraping, and drilling, Waterlase laser dentistryuses water and laser energy with far greater accuracy than drills and scalpels. This eliminates vibrations and sounds of drilling.

“The more accurate the treatment, the more healthy tissue we preserve,” exclaims Dr. Nottingham, a Florida laser dentist. “Often with older methods healthy tooth and gum tissue is damaged during treatment. Obviously, the dental community’s job is to promote and preserve healthy teeth and gum tissue, and with the Waterlase, dentists can do just that.”

“Waterlase treatment not only removes damaged or decayed tissue more efficiently, it does so with less pain,” adds the Fort Lauderdale dentist. Because the laser essentially desensitizes nerves during treatment and pain is greatly reduced.

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Acclaimed Miami Cosmetic Dentistry Practice Welcomes Dr. George Kolos to Team

Internationally recognized cosmetic dental practice Smile South Florida has recently added a top Miami cosmetic dentist to its lauded staff. Bringing 20 years of cosmetic and restorative dental experience to his new home at Smile South Florida, Dr. George Kolos, DMD, looks forward to providing his patients with beautiful and healthy smiles for years to come.

Acclaimed Miami Cosmetic Dentistry Practice Welcomes Dr. George Kolos to Team

Dr. Kolos is currently practicing from Smile South Florida’s Miami Cosmetic Dentistry, Fort Lauderdale, and Boca Raton offices. The Miami dentist was invited to join Smile South Florida due to his body of work as a Ft. Lauderdale cosmetic dentist, his status in the dental community, and his personal relationship with Smile South Florida’s leading dentist, Dr. Charles Nottingham.

“The opportunity to practice alongside my colleagues at Smile South Florida was an opportunity I couldn’t pass up,” says Dr. Kolos. “The team has made an impression across the globe as leaders in cosmetic dentistry. Working in this atmosphere of advanced technologies with a world-class staff that practices patient-friendly treatment makes it easy to come to work ready to make a difference in my patients’ lives.”

When possible, the cosmetic dentist prefers to treat patients with less invasive, less painful methods such as Waterlase dental laser treatment. Waterlase treatment is an advanced dental restorative tool that replaces traditional dental drills.

Whereas drills necessitate the use of anesthesia and create painful, traumatic experiences, Waterlase can remove tooth decay and perform periodontal (gum) treatment with less discomfort to the patient. In fact, Waterlase treatments have little need for anesthetics due to its less-invasive nature comments Dr. Kolos.

“I may be at a different office, but I will always be treating my patients delicately and with the utmost respect,” says Dr. Kolos. “I hope to see many of my patients from my private practice at Smile South Florida and I am looking forward to making new connections with new patients as well.”

Prior to joining Smile South Florida, Dr. Kolos practiced from his private Fort Lauderdale dental practice for 20 years. Dr. Kolos is an adjunct professor at Nova Southeastern College, the Broward County’s Dental Association’s (BCDA) President, and is a Waterlase dental laser instructor. The Ft. Lauderdale dentist also gives back to the community through the Give Kids A Smile program, volunteer work at food banks, and planting mangroves at Kids Ecology Core.

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Dental Treatment Dazzles

Braces are back in fashion this year, with The Hospital Group seeing a dramatic increase in the number of people seeking dental treatment. Celebrities like Cheryl Cole, Tom Cruise and Cameron Diaz have opted to straighten up with invisible braces – but the trend is not just for the rich and famous.

The Hospital Group has more than doubled the amount of invisible braces fitted this year compared to the previous year, helping people to smile more confidently. As well as an increase in people seeking braces the group has also seen a 50 per cent increase in the amount of teeth whitening procedures performed.

David Ross, Chief Executive of The Hospital Group said: “So many people suffer with low self esteem because of the colour or shape of their teeth.

“There is now so much that can be done, invisible braces are great because no-one needs to ever know that you are correcting your teeth.“Many celebrities opt for dramatically different results, but The Hospital Group can also help patients achieve more natural results.“At The Hospital Group, people can be assured of a dedicated, professional service, with astounding success rates and a limited waiting time.”

The Hospital Group, the UK’s leading cosmetic surgery experts, perform a wide range of dentistry procedures in its Birmingham-based exclusive Dolan Park Hospital, and its clinics in London and Leeds.

The NuSmile dentistry treatment centres at The Hospital Group perform hundreds of procedures each year, including teeth whitening, painfree veneers, invisible braces, white fillings and porcelain crowns. Teeth whitening treatments available on the high street can prove effective, but for long-lasting results dentists recommend professional bleaching.

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Dr. Dominic O’Hooley To Be Featured In Upcoming Television Series

The Dental Clinic director, Dr. Dominic O’Hooley, has been announced as the featured celebrity dentist on the upcoming miniseries, Lorraine Kelly’s Big Slim: The Chawner Challenge.

Airing in January 2010, the new 6-part series follows two-time X Factor reject Emma Chawner and her family as they try to slim down.

Emma Chawner first caught the nation’s attention when she appeared on the X Factor in 2007 in a meringue dress, singing Celine Dion’s My Heart Will Go On. The 19-year old was rejected for both her look and voice by judge Simon Cowell.

Chawner returned two years later with her sister Samantha, 21, only to be rejected again.

Beyond her multiple appearances on the X Factor, Chawner and her family have also gained publicity for other reasons – weighing in at a combined total of 83 stones, the unemployed family has been claiming £22,500 in benefits, according to The Daily Mail.

The upcoming TV series, filmed over a period of five months, tracks the family as they undergo the ultimate makeover. From a diet and fitness regime, to close work with nutritionists, health and fitness experts, and life coaches, the entire programme is designed to provide the family with the opportunity to really change their lifestyle and outlook.

“We’ve designed a format that allows them to meet some of the best experts in the country to give them an opportunity to really change the way they live and how they feel about themselves, whilst providing some excellent entertainment in the process,” Paul Stead, executive producer for Daisybeck Productions, said, in an interview with Broadcast.

One of these experts appearing in the series is dentist Dr. O’Hooley who treated both Emma and her mother, Audrey, at The Dental Clinic in Leeds.

O’Hooley commented on the significance of dental treatments in such all-encompassing makeovers.

“A great smile can go a long way in providing someone with a real sense of confidence,” O’Hooley said. “It can affect the way that you feel about yourself, as well as the way that others perceive and respond to you.”

Though O’Hooley declined comment as to exactly what treatments Emma and Audrey received, he noted that he was happy to contribute to their makeovers.

“I think both Emma and Audrey are very happy with their new smiles, and I was glad to be able to provide them with something that can really contribute to their transformations,” he said.

About The Dental Clinic:
The Dental Clinic is the largest private provider of dental services in the UK, offering services ranging from general dentistry, to teeth whitening and cosmetic dentistry.

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Dental Implant Education by Dr. Todd B. Engel, DDS

An expert diagnostician will advise the very best treatment for a patient’s needs, regardless if the best course of treatment is a service that he or she routinely provides or not. In cases where the best treatment for the circumstances is not a treatment that is routinely performed in the office, then palliative treatment along with a referral to a specialist may be in order. Many more options are now available in the repertoire for restorative dentists placing dental implants. If the final result can be “blueprinted” prior to initiating treatment (and the clinician has the knowledge and ability to produce it), then some of the “afternoon emergency dilemmas” will appear a bit more straightforward, if not quite predictable.

In this author’s opinion, there is no better feeling than consoling a distraught patient in an emergency situation, having the expertise to diagnose the emergency appropriately, and having the knowledge, confidence, and capability to produce a positive result for the patient. This article will attempt to illustrate a simplified method for an immediate implant placement, along with a guided tissue procedure, into a fresh extraction site. All of the standard “pre-procedural” diagnostic measures and conditions—with heavy emphasis on the patient’s health history—need to be considered and deemed acceptable before beginning treatment. These measures and conditions should include (but are not limited to):1

• All pertinent clinical data
• Hard and soft tissue analysis
• Gingival biotype
• Lip lines
• Occlusion
• Radiographic interpretation
• Interarch space
• Keratinized tissue
• Esthetic demands
• Applicable informed consent
• Arch relationship
• Emergence profile
• Clinician confidence to control the case

In the following case report, a “prospective” new patient reported to the Ladera Ranch Implant Institute on a typical hectic afternoon in need of emergency treatment.

Case Report
A 42-year-old man presented with the chief complaint of a “loose filling in his front tooth” along with what he called some recent “tissue irritation” around the maxillary right central incisor.

A complete dental examination was performed, as well as the review of his medica history. The medical history was unremarkable, and his dental condition was excellent with the exception of some localized, minimal tissue recession. The patient mentioned that he smoked more than a pack of tobacco per day, had no allergies, was not taking any prescribed medications, and that he was not under the care of a physician. During the intraoral evaluation (Figure 1 View Figure), the clinical crown was sacrificed after removal of the “loose filling.” Additional root caries was found extending well below bone level. The soft tissue surrounding the tooth was within normal limits. The preliminary x-ray (Figure 2 View Figure) revealed internal resorption, deep root caries, and biological width invasion. The culprit tooth had been previously treated with root canal therapy and a multi-surface composite filling. Aside f r o m the patient’s complaint of the “filling feeling loose,” he had no other clinical symptoms.

Treatment Plan
After an exploratory removal of additional decay, the tooth was deemed not salvageable (Figure 3 View Figure). Once presented with all remaining treatment options based on this scenario, and considering previous time and financial investments already put into this tooth, the patient elected to proceed with the extraction of tooth No. 8 and, should it be a possibility once the site was evaluated and deemed appropriate after the tooth extraction, have an immediate implant placed. At this point, the “blueprint,” along with a time line and financials, were presented to the patient. All treatment plans, informed consents, and financial arrangements were discussed and signed.

Communication is the first step to a successful blueprint. The patient was given the appropriate informed consent which included (but was not limited to) the proximity to the nasal floor and nasopalatine foramen, as well as possible pain, swelling, infection, damage to adjacent teeth, numbness (temporary or permanent), along with possible implant failure of unknown cause. Additionally (and, in the author’s opinion, a must for any implant surgery performed in the esthetic zone), informed consent was rendered for a potential need for a second periodontal surgical procedure, based on healing that may be less than ideal in the esthetic zone. Again, as with all smokers in need of treatment, a heavy emphasis was placed on the need for a healthy blood supply to reach the surgical site, and how the patient’s smoking would be a significant interference with respect to a successful outcome.2

Before beginning such a case, all provisional options and modalities must be considered and available before initiating surgery. This will help greatly in case of a potential shift in treatment plan mid-surgery. This is the stabilizer in most, if not all, successful anterior implant cases.

Treatment Protocol: Materials and Methods
Initially, this surgical approach would be performed by way of a “flapless” technique in an attempt to avoid any unnecessary invasion or trauma to the periodontal architecture and support. Upon successful tooth removal, a further evaluation of the boney walls and socket integrity would be evaluated, thus indicating if a full-thickness flap reflection would be necessary to complete the implant placement or to repair any defects.3

The patient was given a vestibular infiltration with one cartridge of lidocaine with epinephrine 1:50,000, along with supplemental infiltration on the palatal side of tooth No. 8. After complete loss of sensation was achieved, a periotome (Nobel Biocare, Yorba Linda, CA) was used to carefully separate the central incisor and its periodontal ligament (PDL) f r o m the surrounding bony housing. This protocol is extremely important to ensure that the remaining boney housing is not jeopardized and/or fractured during the attempted tooth extraction. In cases such as this, further tooth breakage should be expected if one attempts to manually elevate or remove the remaining sacrificed tooth structure with forceps.4,5

After circumferential PDL detachment was accomplished, the central incisor was then atraumatically removed by simple elevation. This natural intact root would now serve as an ideal indicator of depth, width, and socket morphology, and would also confirm initial pre-surgical radiographic calculations. During further debridement and socket evaluation, a facial defect 3 mm in width and 3 mm in height was detected, necessitating the need for a full-thickness flap. The conservative flap extended both one tooth anteriorly and posteriorly, along with two vertical releasing incisions (Figure 4 View Figure), while keeping the base of the flap (vestibule) wider than the apex. This would maintain a healthy blood supply to the flap, prevent tissue necrosis, and would reduce the possibility of tearing or laceration when repositioning took place.6,7

Based on root morphology and size, a regular platform 4.3-mm X 10-mm NobelReplaceâ„¢ Tapered Groovy implant (Nobel Biocare) was selected to complete the case. The surgical bur was then placed by hand directly into the socket to confirm a snug fit and also to confirm depth. The appropriate 4.3-mm X 10-mm surgical bur was then used to further obliterate the socket, gain apical advancement in virgin bone, and to create fresh bleeding internally.

The implant was then placed into the fresh extraction socket, with emphasis placed on maintaining the desirable restorative angles and correct emergence profile as well as being respectful to all zones of safety (minimum of 2 mm) between the implant and adjacent natural teeth for an adequate and healthy blood supply.8

Based on the constriction toward the apical portion of the socket, a torque of 40 Ncm was achieved when the implant was placed in its final desired position. A cover screw was placed to seal off the opening of the implant in an effort to prevent any grafting debris f r o m entering into the implant site (Figure 5 View Figure, Figure 6 View Figure, Figure 7 View Figure, Figure 8 View Figure).

Next, before flap closure, the aforementioned facial defect was in need of repair. A pure-phase, beta tri-calcium phosphate, 150-µm to 500-µm particulate material, Cerasorb® (RIEMSER, Raleigh, North Carolina), was mixed with the patient’s own blood and placed directly onto the facial bone defect and exposed implant surface. All attempts were made to re-create the topography of the original bone pattern before any defect had occurred. Additionally, to protect and support the fresh clot and avoid any in-growth of unwanted epithelium into the graft itself, a bio-resorbable membrane, Epi-guide (RIEMSER), a bioresorbable synthetic membrane, was modified and placed directly over the Cerasorb graft material and beneath the tissue periosteum (Figure 9 View Figure and Figure 10 View Figure). The bio-resorbable membrane should remain a minimum of 1 mm away f r o m the adjacent sulcus to prevent transmission of bacteria across the membrane surface f r o m adjacent teeth. Although suitable torque was achieved to immediately load the implant, the author chose to delay loading because of the boney defect.9,10

Finally, and just before flap repositioning, a release of the underlying periosteum was indicated to ensure a relaxed flap closure and to avoid wound opening. The flap was repositioned with two horizontal mattress and four interrupted PTFE sutures (Osteogenics Biomedical Inc, Lubbock, TX) (Figure 11 View Figure).

At this point, the temporization decision is key and quite critical to assist in healthy tissue healing and natural adaptation. A composite Maryland bridge provisional was fabricated chairside to complete this interim phase of treatment, in the effort of training and maintaining healthy, intact papilla by way of an ovate pontic design. Several try-ins were attempted before the final bonding to ensure that no contact was directly on the surgical site, at which time the temporary was adjusted out of occlusion and bonded into place (Figure 12 View Figure)

The patient was prescribed amoxicillin 500 mg four times a day for 1 week, ibuprofen 800 mg three times a day for 4 days, and 0.12 chlorhexidine rinses three times a day for 1 week, and given a 10-day recall appointment. Before dismissal, the use of tobacco products was reviewed once again, and the patient was advised to refrain f r o m smoking during the healing period.

At the 10-day interval, the patient returned for a follow-up postoperative appointment. The bonded provisional restoration was removed for further evaluation of the surgical site and all sutures were removed. Ultimately, the provisional bridge was bonded back into place over the surgical site, and would remain in place throughout the remainder of the healing phase (Figure 13 View Figure). Based on the site evaluation and a short discussion with the patient, the first week proved to be successful. The patient was given a 4-month recall appointment for the restorative phase of treatment.

At 4 months, the patient returned for the second phase, or restorative portion of treatment, which encompassed uncovering the implant fixture. Based on the author’s evaluation of healing after the 4-month period, an interproximal full-thickness flap was opted over a traditional “punch” technique to reveal the implant fixture for the implant-level impression. The rationale for this was to displace some of the healthy keratinized tissue f r o m the palatal side of the implant, toward the facial aspect, as this would provide a more adequate biological seal and a more ideal esthetic result.

This semi-lunar, full-thickness incision was initiated slightly palatal to the center of the ridge, while sparing the papilla interproximally (Figure 14 View Figure and Figure 15 View Figure). At this point, a transmucosal healing abutment was used to support, train, and maintain the repositioned flap for a more ideal result (Figure 16 View Figure). During the temporary phase, a well-designed provisional with ideally positioned proximal contact points is key, and will assist with overall papilla health (Figure 17 View Figure).

Two weeks later, the patient returned for the definitive prosthesis, symptom-free. The all-ceramic NobelProcera™ crown (Nobel Biocare) was placed into position, and an x-ray was taken to confirm fit before cementation (Figure 18 View Figure). The NobelProcera crown was then cemented into place, the occlusal scheme was checked to make certain that the crown was solely in a light centric contact, and all parafunctional contacts were removed. The patient was very happy with his choice of treatment, as well as the final result (Figure 19 View Figure).

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Dr. Julia Neuls Receives Prestigious Fellowship From Academy General Dentistry

The Academy of General Dentistry (AGD) is pleased to announce that Julia Neuls, of Fort Lauderdale, FL., received the prestigious Fellowship Award during the AGD’s Convocation ceremony, a commencement celebration that recognizes AGD member’s commitment to excellence in dental education. Held at the AGD’s Annual Meeting & Exhibits on July 19 in Orlando, FL., Dr. Neuls accepted this award along with more than 240 other recipients.

The Fellowship Award is presented to dentists looking to provide the highest quality of dental care by remaining current in their profession. In order to receive this award, Dr. Neuls completed 500 hours of continuing dental education, passed a comprehensive written exam and fulfilled three years of continuingmembership with the AGD. As a recipient of this award, Dr. Neuls has joined an elite group of more than 14,000 members of dental community who understand that great smiles and good oral health for their patients are the result of going above and beyond basic requirements. The Fellowship Award symbolizes excellence in the dental profession and a commitment to providing exceptional patient care. Dr. Neuls graduated from Virginia Commonwealth University School of Dentistry in 1997 and currently practices dentistry in Fort Lauderdale, FL. In addition to the AGD, Dr. Neuls is a member of the American Dental Association, Florida Dental Association, Broward County Dental Association, Ft. Lauderdale Dental Study Club and the Atlantic Coast Dental Association. Dr. Neuls is married to Kenneth and has two children, Piper and Skyler.

The AGD is a professional association of more than 35,000 dentists dedicated to staying up-to- date in the profession through continuing education. Founded in 1952, the AGD

has grown to become the world’s second largest dental association, which is the only association that exclusively represents the needs and interests of general dentists.

More than 786,000 people are employed directly in the field of dentistry. A general dentist is the primary care provider for patients of all ages and is responsible for the diagnosis, treatment, management and overall coordination of services related to patients oral health needs.

Dr. Julia Neuls is a Fort Lauderdale Cosmetic Dentist offering her patients exciting new options in smile makeover, porcelain veneers, teeth whitening, crown & bridge as well as traditional general dentistry services in the Ft. Lauderdale, FL area.

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Dental Facelift Offered At Smile South Florida Cosmetic Dentistry

At Smile South Florida Cosmetic Dentistry, our top cosmetic dentists look at the whole picture when it comes to cosmetic and restorative dental work.

As we age, our teeth wear down and our faces appear more short. The cheeks also become sunken in and there is a collapse of the dental arches. This creates the appearance of more defined lines around the mouth and lower face, as well as an aging effect due to discoloration and reduced quality of the dental aesthetics. This is why Smile South Florida performs a dental restorative facelift.

A dental facelift is the use of cosmetic dentistry to create the effect of a traditional facelift, without intrusive plastic surgery.

A dental facelift can take years off of the face by restoring the fullness of the face lost over time. It can have a significant impact on not just the look of the patients face, but also on the function by having proper tooth, bite, and jaw alignment.

As we reach middle age, the dental arches, especially on the lower teeth, have a tendency to collapse inward given a sunken in look to the jaw. Widening the smile is one important method to help in giving back the fullness of the cheeks. We take into consideration replacing lost tooth structure and improving the height of the teeth. The teeth also start to become chipped, worn, crooked, discolored, and can even fall out/be missing. This also presents severe aging effect to the mouth, and especially the entire face.

Here are some of the dramatic results that can be achieved through cosmetic and restorative dentistry at Smile South Florida:

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

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Dental Restorative Facelift at Smile South Florida dentistry Dental Restorative Facelift at Smile South Florida dentistry

Smile South Florida Cosmetic Dentistry can give you back that youthful look to your ace, and keep you smiling all of the time.  Come in today for a complimentary consulation, and see if you are a candidate for a dental restorative facelift.  You can call our office toll-free or email us!

About Smile South Florida Cosmetic Dentistry

The cosmetic dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and provide Boca Raton Dentistry, Fort Lauderdale Dentistry and Miami Dentistry. The dentists specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers, Invisalign, and sedation dentistry.

About Dr. Charles Nottingham

Charles Nottingham, D.D.S., Fellow in the Academy of General Dentistry, is an internationally and nationally renowned cosmetic dentist. He has been creating dazzling, healthy smiles for his patients since 1974.

About Dr. Kenneth Anenberg

Besides being an excellent cosmetic dentist, Dr. Anenberg specializes in Invisalign, a revolutionary alternative to metal braces, and sedation dentistry & sleep dentistry.

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Orange Juice And Teeth – A Rotten Cocktail

A refreshing glass of orange juice with your breakfast might not be quite as beneficial as you once thought.

Recent studies have revealed that some juices are so acidic they erode teeth enamel with every sip. Dr Yan-Fang Ren, of the Eastman Institute for Oral Health, reported that the acid in orange juice ‘is so strong that the tooth is literally washed away’.

Using a revolutionary vertical scanning microscope for the first time, the researchers were able to see the extensive surface detail on teeth.

Such juice-drinking has further, negative implications; the unnatural acceleration of erosion of the teeth that it causes substantially increases the risk of development and spread of tooth decay.

However, for those among you on a quest for healthy, pearly whites, fear not! The Hospital Group, one of the country’s leading plastic surgery providers, offer a range of dental treatments in its specialist cosmetic dentistry clinics located around the UK.

Teeth whitening, pain-free veneers, white fillings and porcelain crowns are just a few of the popular treatments available at the NuSmile dentistry treatment centres across the country.

Since The Hospital Group was established in 1992, it has grown from a small pharmaceutical company to one of the UK’s foremost plastic surgery providers. The Group is committed to providing the very highest standards and all procedures are performed by an expert medical team in state-of-the-art facilities that are second to none.

For further information on The Hospital Group’s range of dentistry procedures please visit www.thehospitalgroup.org or call 0845 762 6727.

Contact Details: For further information on The Hospital Group’s range of dentistry procedures please visit www.thehospitalgroup.org or call 0845 762 6727.

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Smile South Florida Cosmetic Dentistry Is Offering A Limited Time Summer Invisalign Special To Both New And Current Patients

Many patients want to have the benefits of a beautiful straight smile, but do not want to be inconvenienced with wearing unsightly metal braces for several years. This is where the Invisalign method can make a difference. Invisalign is an alternative to traditional braces, where the patient uses a series of clear aligners that are custom molded to fit the patient’s teeth. The aligners are gradually repositioned over time to adjust the smile and give the desired result.

In contrast to traditional braces that are permanently fixed into the mouth during treatment, Invisalign braces are removable during eating and to brush the teeth. Heather, Marketing & Guest Services Coordinator for the South Florida Dentist, and current Invisalign patient said, “I wanted to have straight teeth for my upcoming wedding, but there was no way that I would be caught wearing metal braces for several years. This is my chance to have straight teeth in a short amount of time without anyone knowing that I am even wearing braces.”

Currently, Smile South Florida is offering a 25% off regular price special on Invisalign treatment that will run until September 1st, 2009. This offers a huge savings to the patient, especially since Invisalign is typically not covered by many dental insurance plans.

Dr. Kenneth Anenberg is the premier Fort Lauderdale Cosmetic Dentist at Smile South Florida, who specializes in the Invisalign treatment for patients. When discussing with Dr. Anenberg the reasoning for this discounted special, Dr. Anenberg mentioned that “there are so many patients who really need help, but cannot regularly afford this treatment…. This is their opportunity to get Invisalign.”

About Smile South Florida Cosmetic Dentistry

The cosmetic dentists at Smile South Florida Cosmetic Dentistry have offices in Broward County and West Palm Beach and provide Boca Raton Dentistry, Fort Lauderdale Dentistry and Miami Dentistry. The dentists specialize in dental aesthetics including porcelain veneers, dental implants, extreme makeovers Invisalign, and sedation dentistry.

About Dr. Charles Nottingham
Charles Nottingham, D.D.S., Fellow in the Academy of General Dentistry, is an internationally and nationally renowned
cosmetic dentist. He has been creating dazzling, healthy smiles for his patients since 1974.

About Dr. Kenneth Anenberg
Besides being an excellent
cosmetic dentist, Dr. Anenberg specializes in Invisalign, a revolutionary alternative to metal braces, and sedation dentistry & sleep dentistry.

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Brace Yourself For Royal Heir’s New Secret

Prince William has given away the secret behind his royal smile. The 26-year-old heir to the throne is leading a trend for adults having invisible braces fitted. William gave away his secret as he laughed and joked with children at the headquarters of JCB in Rocester, Staffordshire.

The second in line to the thrown originally underwent treatment costing £3,000 when he was 14 which went unnoticed even by the spying paparazzi.

It was later confirmed that he received further treatment 10 years ago on the advice of an orthodontist. It is believed the prince had the work done privately costing around £2,000.

Clarence House said: “Prince William has used a permanent support for his bottom teeth for 10 years.”

In 2007 a total of 1,164 British adults had braces fitted which was an astonishing 345% increase on the previous year. Three out of four of which were women.

Britons spent £350million on cosmetic dentistry with many parents seeking treatment at the same time as their children. The Hospital Group, one of the UK’s leading cosmetic dentistry providers, perform a wide range of procedures in its specialist clinics located throughout the UK.

In 2008, The Hospital Group saw a 62% increase in the number of NuSmile Clear Braces fitted.

The NuSmile dentistry treatment centres at The Hospital Group perform over 200 procedures a year, including teeth whitening, pain-free veneers that require no drilling of your natural teeth, invisible braces, white fillings and porcelain crowns.

Since The Hospital Group was established in 1992, it has grown from a small pharmaceutical company to one of the UK’s foremost cosmetic surgery providers. The Group is committed to providing the very highest standards and all procedures are performed by an expert medical team in state-of-the-art facilities that are second to none.

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Beverly Hills Cosmetic Dentists of Bedford Dental Group Launch New Website

The Bedford Dental Group in Beverly Hills, California, gives everyone in the Los Angeles area a chance to experience the very best in general and cosmetic dental services. Thoroughly trained and experienced in all dental areas, cosmetic dentists Daniel Naysan, D.D.S. and Mehdi Nayssan, D.D.S. perform everything from Zoom! teeth whitening and Invisalign to porcelain veneers and dental implants, using a variety of safe and relatively painless practices. They excel in making your smile bright and attractive, and will cater to your every need throughout the entire process.

Bedford Dental Group recently launched a new website, www.bhdentists.com, to compliment their successful dental practice. The site is very informational and covers the many different services offered, such as dental implants, direct composite bonding, porcelain veneers, teeth whitening, dental crowns, dental bridges, root canals, porcelain fillings, tooth extractions, grafting, dental cleanings, dental check-ups and TMJ treatment. It also includes a variety of images, including before and after photos of their patients.

Daniel Nayssan, D.D.S. is a member of the American Dental Association (ADA), the California Dental Association (CDA) and Los Angeles Dental Society, and is also a member of the Alpha Omega dental fraternity. He has earned an advanced certification for treating patients with the Invisalign system, and continues to practice all forms of general and advanced cosmetic and general dentistry. Dr. Naysan is featured in a video to be found on the home page of the website. The video provides a brief tour of the dental practice, a glimpse into the office ideology, and includes real patient testimonials.

Whether it’s a routine dental exam to check for problems before they grow or receiving a dental implant to replace a lost tooth, Bedford Dental Group’s commitment to combining excellent dental care with indulgent customer service makes your visit one to look forward to! Call (310) 278-0600 or visit http://www.bhdentists.com to arrange an appointment.

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