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Posts for category: Dental Procedures

By Comprehensive Dental Care
January 21, 2019
Category: Dental Procedures
Tags: Family Dentistry  

Family DentistryContinuity of care. That's what your family dentist at Comprehensive Dental Care in West Hartford, CT provides. Whatever your age or oral health need, Dr. John Rosenlieb, Dr. Robert Alexander, Dr. Bruce Abel, and Dr. Joe Parets have you covered with skill, knowledge, technology and the desire to know you and your family well. You'll feel welcomed and cared for at their office, and your smiles will show it.

What a family dentist in West Hartford provides

Your family dentist takes an all-inclusive approach to your family's dental care. Preventive care, such as cleanings, check-ups, plastic sealants and fluoride treatments, keep smiles healthy and spot potential problems before they develop into serious ones.

Restorative care brings teeth back to life--filling cavities, crowning or replacing teeth and even straightening them with the best in orthodontic care. If your child needs braces--or if you do--you both can receive treatment at our state-of-the-art office.

Also, cosmetic dentistry is a specialty at Comprehensive Dental Care. Porcelain veneers, teeth whitening, bonding and more recreate smile aesthetics that are bright and youthful.

Best of all, your family dentist is there for all your family members when you need him the most. The team is specially trained to handle any dental emergency--from a child's knocked out tooth, to your lost crown or filling, to Mom's broken denture or urgent toothache. 

Stay healthy for good

At Comprehensive Dental Care, Drs. Rosenlieb, Alexander, Abel and Parets have one aim: the healthiest smiles possible for every member of your family.  Our doctors concur with that advice and are happy to partner with young families in helping children with good dietary habits, with brushing and flossing and of course, with enjoying their visits to Comprehensive Dental Care.

Looking for a family dentist?

Look no further than the welcoming doors of Comprehensive Dental Care in West Hartford, CT. Call for your routine appointments or with any question or concern you may have: (860) 233-7514.

By Comprehensive Dental Care
December 25, 2018
Category: Dental Procedures
NBCStarDeliversaMessageaboutthePerfectSmile

Sometimes it seems that appearances count for everything—especially in Hollywood. But just recently, Lonnie Chaviz, the 10-year-old actor who plays young Randall on the hit TV show This Is Us, delivered a powerful message about accepting differences in body image. And the whole issue was triggered by negative social media comments about his smile.

Lonnie has a noticeable diastema—that is, a gap between his two front teeth; this condition is commonly seen in children, but is less common in adults. There are plenty of celebrities who aren’t bothered by the excess space between their front teeth, such as Michael Strahan, Lauren Hutton and Vanessa Paradis. However, there are also many people who choose to close the gap for cosmetic or functional reasons.

Unfortunately, Lonnie had been on the receiving end of unkind comments about the appearance of his smile. But instead of getting angry, the young actor posted a thoughtful reply via Instagram video, in which he said: “I could get my gap fixed. Braces can fix this, but like, can you fix your heart, though?”

Lonnie is raising an important point: Making fun of how someone looks shows a terrible lack of compassion. Besides, each person’s smile is uniquely their own, and getting it “fixed” is a matter of personal choice. It’s true that in most circumstances, if the gap between the front teeth doesn’t shrink as you age and you decide you want to close it, orthodontic appliances like braces can do the job. Sometimes, a too-big gap can make it more difficult to eat and to pronounce some words. In other situations, it’s simply a question of aesthetics—some like it; others would prefer to live without it.

There’s a flip side to this issue as well. When teeth need to be replaced, many people opt to have their smile restored just the way it was, rather than in some “ideal” manner. That could mean that their dentures are specially fabricated with a space between the front teeth, or the crowns of their dental implants are spaced farther apart than they normally would be. For these folks, the “imperfection” is so much a part of their unique identity that changing it just seems wrong.

So if you’re satisfied with the way your smile looks, all you need to do is keep up with daily brushing and flossing, and come in for regular checkups and cleanings to keep it healthy and bright. If you’re unsatisfied, ask us how we could help make it better. And if you need tooth replacement, be sure to talk to us about all of your options—teeth that are regular and “Hollywood white;” teeth that are natural-looking, with minor variations in color and spacing; and teeth that look just like the smile you’ve always had.

Because when it comes to your smile, we couldn’t agree more with what Lonnie Chaviz said at the end of his video: “Be who you want to be. Do what you want to do. Do you. Be you. Believe in yourself.”

If you have questions about cosmetic dentistry, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Beautiful Smiles by Design” and “The Magic of Orthodontics.”

By Comprehensive Dental Care
December 15, 2018
Category: Dental Procedures
Tags: gum surgery  
GumSurgeryCanImproveYourSmileandSaveYourTeeth

While the term “plastic surgery” might bring to mind face lifts or tummy tucks, not all procedures in this particular surgical field are strictly cosmetic. Some can make a big difference in a person’s health.

One example is periodontal plastic surgery, which corrects gum tissue loss around the teeth. Although these procedures can indeed improve appearance, they more importantly help save teeth.

Gum loss is most often a consequence of periodontal (gum) disease, a bacterial infection arising from a thin film of food particles on the teeth called dental plaque. As the disease weakens the gums’ attachment to teeth, they shrink back or recede, exposing the area around the roots. Without the protective cover the gums provide the roots, they become more susceptible to decay.

In milder cases of gum recession, treating the infection often results in the gums regaining their normal attachment to teeth. But with more advanced recession, natural gum healing may not be enough to reverse it. For such situations grafting donor tissue to the recessed area can help stimulate new tissue growth.

While gum tissue grafts can come from an animal or other human, the most likely source is from the person themselves. In one type of procedure, free gingival grafting, the surgeon locates and completely removes (or “frees”) a thin layer of skin resembling gum tissue, typically from the roof of the mouth, shapes it and then transplants it by suturing it to the recession site. Both donor and recipient sites heal at about the same rate in two to three weeks.

Another technique is known as connective tissue grafting. In this procedure the surgeon partially removes the donor tissue from its site while leaving a portion containing blood vessels intact. The palatal tissue is still used and transported to fit beneath the tissue that’s still attached to the blood supply. This connective tissue graft is then positioned and sutured to the recipient site while still maintaining its blood supply connection at the donor site. Maintaining this connection facilitates healing and increases the chances the graft will “take” and become firmly attached to the new site.

Grafting procedures require advanced techniques and skills. But with them we may be able to restore gum attachment to teeth with an impact on appearance and dental health that’s well worth the effort.

If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Periodontal Plastic Surgery.”

By Comprehensive Dental Care
November 09, 2018
Category: Dental Procedures
Tags: dental implants  

Dental can provide patients with decades of comfort, dental stability, and renewed confidence after tooth loss. When compared to dentures, devices that lasts for a few years before they need to be refit, the choice is clear. If you want to know if dental implants are right for you, get the professional opinion of a dentist at Comprehensive Dental Care in West Hartford, CT.

An Alternative to Traditional Dentures...
For a long time, dentures were the traditional solution for older adult patients who experienced tooth loss or who had to have their teeth removed for dental health reasons. Dental implants are the preferred alternative in modern dentistry. Instead of adding a removable, potentially uncomfortable device to the smile gap, a titanium post is permanently fixed to the gumline. This post, called an implant, will support an abutment device and new dental crown.

But Are Dental Implants Right for You?
There’s a good chance that you will be a candidate for dental implants, but you must visit your West Hartford, CT, dentist for an evaluation first. Your immune system should be strong, and you must commit to excellent dietary and dental care habits going forward. You must also have an ample amount of strong, healthy bone tissue to support the implant. In some cases, your dentist may ask you to consider bone grafting in advance of a dental implantation procedure.

Other Considerations When Getting Implants
When you get an implant, maintaining good gum health is extremely important. Just as is the case with your natural teeth, periodontitis could eventually cause the loosening and loss of an implant. Check your gums regularly for bleeding or color changes (they should be pink in color). Floss regularly to keep food from around the gumline. Your dental implant can last for life—you may just need to explore the need to get another crown restoration after about a decade. Regular dental visits for professional cleanings will help ensure  long lasting  results for your smile.

Smile Protection for Years
Just one dental implant can provide your smile with years of strength and beauty—an ideal alternative to living with the challenges of having a missing tooth or struggling with removable dentures. Call (860) 233-7514 today to schedule a dental implants consultation at Comprehensive Dental Care in West Hartford, CT.

By Comprehensive Dental Care
November 05, 2018
Category: Dental Procedures
LasersCouldbetheFutureforGumDiseaseTreatment

We’ve developed a number of effective treatments for periodontal (gum) disease. Depending on how far and deep a patient’s infection has advanced, treatment can be quite invasive and even require surgery. The more invasive, the longer and more uncomfortable the healing process can be.

But using a medical laser could make that less so. Although its use for gum disease treatment is still in its infancy, the latest observations from the field seem to show patients undergoing laser treatment may have less tissue trauma and bleeding, less discomfort after the procedure and quicker healing times.

Gum disease is a bacterial infection mostly caused by dental plaque, a thin film of food particles that build up on teeth in the absence of effective oral hygiene. The infection can advance deep below the gum line, weakening gum attachment to teeth and destroying supporting bone. Ultimately the affected teeth can be lost.

Traditionally, the only way to stop the disease is to manually remove plaque buildup on teeth and gum surfaces, which is continuing to sustain the infection, with special hand instruments called scalers or ultrasonic equipment. Because it’s important to remove as much plaque and diseased tissue as possible, we may need to perform a surgical procedure called flap surgery to move some of the gum tissues out of the way to get to these deeper areas. As with any surgery, this can create tissue trauma that may cause discomfort during the healing process.

Our new alternative is to use an Nd:YAG medical laser in a procedure known as Laser Assisted New Attachment Procedure or LANAP. With light energy delivered through a small fiber no more than the width of three human hairs, the laser can pinpoint diseased tissue and destroy bacteria through intense heat. Because of the laser beam’s tiny width and pulsing action, healthy tissue is at less risk for trauma than with the traditional treatment.

Coupled with other techniques, LANAP procedures could remove as much infected tissue and plaque as traditional methods, but with less healthy tissue trauma. In the future, then, patients with advanced gum disease undergoing laser treatment could have less bleeding and discomfort and faster healing times.

If you would like more information on treating gum disease, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Treating Gum Disease with Lasers.”