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Tuesday, July 31, 2012

Another Case of the Month :D



our patients requested more cases of the month which involved cosmetic veneers, well check out this great case done in our office if you were interested please give us a call to set up a free consultation 631 724 0094

before and after case of the month :D





"Canine Substitution: Some people are congenitally missing their permanent lateral incisors. One way to correct this is to move the canines into the lateral position and then bond the canines to look like laterals. The case of the month demonstrates bonded canines in the lateral position."

Thursday, July 19, 2012

Before and After Picture




This patient recieved a composite filling blended to match remaining tooth structure.

If you have any of the issues in the before picture and would like to fix it give us a call at 631 724 0094 to set up a free consultation

Monday, July 9, 2012

A Case Of Diastema :-O !!!

“Come together, right now….”
-Lennon and McCartney








Composite Veneers by Salvatore Lotardo DDS

Diastema is the term for any space between two teeth. The midline diastema (space between the two upper central incisors) is by far the most common. Some celebrities have embraced their diastemas and have become part of their persona.




Many people have a diastema and in most cases it may give some character, but for some they feel it detracts from their smile. With the advent of new materials and techniques patients have very conservative options available to eliminate these spaces.
In order to determine the best treatment we need to establish the etiology or cause for the diastema. The most common cause is the shape of the teeth. If the central incisors are rectangular shaped rather than ovoid this will lead to formation of a space. This is also the most easily corrected. Simply adding composite bonding to the side of the teeth will establish proper contours and close the space, and this is done without any harm to the teeth

Another common reason for spaces is a tooth size discrepancy. Simply put this is when the teeth are too small for the size of the jaw. For these cases bonding can be done to make the teeth wider, but if the shape of the teeth is good the orthodontic treatment (braces) may be the treatment of choice. There are now many esthetic options for orthodontic treatment (Invisalign, Ceramic Brackets, Short Term Orthodontics), and in some cases treatment can be completed in a few months.

Any spaces between teeth that were not previously there or are getting worse can be a sign of a problem. Gum disease weakens the support for the teeth and they become mobile and eventually spread out from biting forces causing spacing. Gum disease needs to be treated early to prevent systemic illness and tooth loss.

If you love your space and want to remain in the gap tooth club with Madonna, David Letterman, Arnold Schwarzenegger, Anna Paquin and Woody Harrelson, it worked for them. But if you are looking for a change or think your smile will look better and give you more confidence without the space; see your dentist for a consultation.

Monday, July 2, 2012

THINKING ABOUT GETTING VENEERS???

THIS PATIENT CAME IN TO OUR OFFICE WITH THE LACK OF CONFIDENCE ABOUT HER SMILE. HOWEVER, AFTER GETTING COMPOSITE VENEERS TO RESTORE PROPER TOOTH LENGTH, SHE WALKED OUT HAPPY AND PROUD.

BEFORE


AFTER



IF YOU ARE INTESTED OR EVER CONSIDERED GETTING COMPOSITRE OR COSMETIC VENEERS CALL OUR OFFICE TO SET UP AN APPOINTMENT FOR A FREE CONSULTATION (631)724-0094 AND ASK ABOUT CURRENT PROMOTIONS!

BEFORE AND AFTER PICTURE

"BEFORE AND AFTER PICTURE"

THIS CASE DISPLAYS THE BENEFITS OF COMPOSITE BONDING. THE PATIENT HAD CHIPPED TEETH, HOWEVER AFTER BEING TREATED AT OUR OFFICE, THEY WALKED OUT WITH A BEAUTIFUL SMILE.




BEFORE




AFTER



HOW IT ALL BEGAN

“It was twenty years ago today…”
Lennon and McCartney


While working in the drab denture lab at the Stony Brook School of Dental Medicine, I overheard a conversation regarding the best current new wave bands. The Cure, Depeche Mode, U2 and such names were being bandied about. The year was 1986. Having definite opinions on the subject, I felt obligated to chime in with my own suggestion; the Smiths. Another first year dental student sporting a Kajagoogoo inspired mullet was the apparent master of ceremony. Since me and the mullet were once in cover bands we were obviously the only ones qualified to make such rankings.

I asked the mullet touting dude two questions, the first; what instrument did he play? - “Keyboards”. The second; what’s your name- “John Caesar”. Our band Lipstick Vogue was born shortly after, and from that day on we balanced the rigors of dental school with the never ending goal of becoming the Island‘s top New Wave cover band.



Playing gigs on the weekends, studying for exams, and treating patients were a challenge but a partnership began from those experiences that would become the foundation for our practice. In 1992, one year after the completion of our residencies we opened the doors to Nesconset Dental Associates. Our first tagline was “we treat you like family”. Followed by “dentistry the way it ought to be!”, and more recently “we’re gonna make you smile”.


I’m happy to say twenty years later we still treat our patients like family, and provide quality dentistry at affordable fees. Over the years we’ve learned a lot, stayed up to date with the latest techniques and technologies but our commitment to those values has remained. The biggest change for us has been in the hair department. John retired the mullet shortly after Nirvana and grunge relegated new wave to a novelty seen on VH1 Classics. As for me, let’s just say I save a lot of money on haircuts these days.



-Salvatore Lotardo DDS


A SMILE MAKEOVER STORY

“Lovely Rita Meter Maid”

You don’t need a beautiful smile to be a beautiful person. But then again, like a beautiful home where the façade and entry make the first impression a smile can be the welcome to the observer’s eye.

Much more than just esthetics, a smile translates the unspoken language of emotion. A smile communicates happiness, confidence, warmth, trust and more. The smile is an invitation to friendship. A smile can be silent hello or agreement.
So when a patient comes to me and tells me they don’t smile because they don’t like the appearance of their teeth, I know they are missing out on a part of life. Social interactions become skewed. The grumpy old lady down the block is really someone’s sweet grandma but she never smiles because she is embarrassed by her teeth. That girl at the party is stuck up and unapproachable because she barely talks to anyone, but inside she is dying to laugh, chat and smile but she has an ugly front tooth and talks with her hand over her mouth. I’ve heard all the stories. I am fortunate to have the ability to play a part in a smile makeover.

Case Study: This patient (figure 1) presented with discolored and crowded teeth. After a records and a comprehensive exam were completed a treatment decision was reached. Orthodontic treatment would be done followed by porcelain veneers on the upper six front teeth.

fig 1



The orthodontic treatment consisted of brackets on all teeth and was completed in 18 months. At that point impressions were taken to create a diagnostic wax up. The diagnostic wax up allows us to design how the smile will be on a stone model. After which the teeth are prepared and temporaries are made from the wax up. The patient then wore the temporaries for one and returned to make custom changes to shape, size and color as per the patients liking. Was the temps were exactly the way we wanted them, photos and models were sent to the lab for fabrication of the permanent porcelain veneers.

fig 2


The patient was very happy with the outcome (figure 2), and now smiles even more than she did before. One day we hope to treat the lower and back teeth as well for an even bigger wow factor.
Salvatore Lotardo DDS