Porcelain Veneers

Veneering a tooth means to cover its facial, or front, surface. It is actually very similar to placing acrylic fingernails on top of natural nails. Veneers are used to enhance the shape and color of teeth, as well as to close spaces between teeth. Veneers can also cover up significant stains such as those caused by tetracycline. As we age, wear of the front teeth may affect the aesthetics of our smile. Porcelain veneers may be used to lengthen worn or short teeth and restore the smile of older patients.

Types of Veneers

There are two types of veneers: direct and indirect. Direct veneers are completed in a single visit using composite or plastic material. Since indirect veneers require a dental laboratory to fabricate the final restoration, these type of veneers are placed in two separate visits. The indirect veneer can be

made of either a composite material or, more commonly, a porcelain material. Veneers are often used in place of crowns and are more conservative and look more natural. Setting Dr. Braverman apart and making his veneers so special is his relationship with his ceramist. The ceramist is the technician that will actually fabricate your porcelain veneers. There are many different types of porcelain veneers, however, the most aesthetic veneer is still the opacious porcelain veneer. This veneer is hand-painted and glazed by the ceramist which makes Dr. Braverman's veneers the most beautiful anywhere. Dr. Braverman's ceramist invented this technique and holds the patent on thisprocess.

First Step

During the first visit, a local anesthetic is used and the tooth (teeth) are reduced by approximately 0.5 mm - 2.0 mm. An impression of the teeth in this state is taken and sent to a dental laboratory for fabrication of the veneers. Depending on the amount of reduction necessary, a temporary veneer may be placed. Between the time of the impression and the placement of the final restoration, a patient may experience slight sensitivity to hot and cold.

Second Step

At the second visit, a local anesthetic can be used for the patient's comfort. After thoroughly cleaned and preparing the teeth, the veneers are placed with a resin material and cured, or hardened, with a special curing light.

Long-Lasting Results

Typically, the porcelain veneers should last about 15 years. However, with proper care and maintenance they can last longer. Porcelain veneers resist staining, reflect light and are among the strongest and most natural looking restoration available.

Dental Implants

Since teeth and the underlying supporting bone work together to create the fullness and contour in a person's face, patients who have lost all of their teeth often will have a sunken, older appearance. Implants are an option for replacement of a missing tooth or teeth and often can be made more aesthetic than conventional techniques such as bridges or partial dentures. Implants can support dentures and prevent the bone loss and facial aging that unsupported dentures can cause. And, implants can simply replace full dentures for a natural appearance and greater comfort. A prosthetic fixture (usually made of titanium) is placed into the bone beneath the gum tissue. The implant serves as a "virtual root" onto which a tooth or teeth can be affixed.

After placement, the implant site is allowed to heal for four to six months. Placement of the implant requires the use of a local anesthetic (novocaine) and healing is usually quick with minimal discomfort. After healing, the top portion of the implant is exposed for placement of the final restoration. This part of the procedure is performed in Dr. Braverman's office by a Periodontist, a specialist in gum and bone surgery, and then restored cosmetically (crown placement) by Dr. Braverman. Although they take longer to place and can be more costly than other options, implants are considered a permanent restoration and have a very natural appearance. Research is currently being conducted on a single-visit, one-step implant that requires little or no healing time. Implants are considered a state-of-the-art option for tooth replacement.

Teeth Whitening

Bleaching is a very conservative and non-invasive approach to creating a brighter and more appealing smile. Teeth can often take on a darker and unattractive appearance with age or from contact with staining substances. Tobacco, coffee or tea, juices, poor hygiene, genetics, and natural aging can cause the discoloration. Bleaching has become very popular for a whiter and brighter smile because it's fast, simple and inexpensive with excellent and predictable results.

How It's Done

There are two commonly used methods for bleaching: at-home and in-office. Both begin with an office consultation to determine if the patient is a good candidate for the bleaching process. The at-home technique is least expensive. The in-office method (power bleaching) allows the dentist to place a higher concentration of an oxidizing agent to the teeth.

Types of Teeth Whitening Procedures

At-Home Method

A custom mouthpiece or "tray" is made by the dental office to fit your teeth. This tray fits over the patient's teeth and holds the bleaching material against the teeth for a specified period of time. There are different concentrations of bleach that are worn via the tray for 30 minutes per day for an average of 10 to 14 days. The regimen will be determined by the dentist and may differ for each patient. If the teeth become more sensitive to hot and cold, a "desensitizing" material may be used in the same tray on alternating days. Results are usually excellent with this method and the trays can be used to remove to remove future staining.

In-Office Method (Power Bleaching)

The gum tissues are covered to protect them from being irritated by a higher concentration of the bleaching material. The bleach may be then activated by a high intensity light or a laser to accelerate the process. This method is usually repeated at separate appointments. Most patients require a touch-up after one to five years, depending on the patient's habits and desires.

BriteSmile™ In-Office Bleaching Method (One hour treatment)

Dr. Braverman is one of the exclusive offices in New York City now offering the BriteSmile™ technique. The BriteSmile gas plasma light technology, combined with a proprietary new, wavelength-specific gentle bleaching gel, has created a revolutionary method of teeth whitening which quickly, safely and effectively whitens all teeth at once. Now you have the chance to remove years of stain and yellowing comfortably and quickly during your lunch hour with astonishing results.

What About Over-The-Counter Options?

Both at-home and in-office treatments are considerably more effective than the whiteners available at retail outlets. The over-the-counter products have much lower concentrations of bleach and sometimes use materials and ill-fitting trays that can cause damage to the teeth and gums.

Invisalign

Invisalign® is a great invisible way to straighten your teeth without braces. This unique cosmetic dentistry solution uses a series of clear removable aligners which straighten your teeth without metal wires or brackets. Invisalign® has been proven effective in clinical research and in cosmetic dentistry and orthodontic practices nationwide. Dr. Mal Braverman is pleased to offer his patients this option and is certified to treat his patients with Invisalign®. Dr. Braverman has an orthodontist on staff working with him who is a premier Invisalign® provider and can determine if Invisalign® is adequate for treatment or if other modalities are better employed. When conventional braces are employed other cosmetic options such as clear braces and lingual braces are available from the Smile Studio.

With Invisalign®, you wear each set of aligners for about 2 weeks, removing them to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth move until they have straightened to the final and desired position Dr. Braverman has prescribed. You'll visit Dr. Braverman about once every six weeks to ensure that your treatment is progressing as per your treatment plan. Treatment time averages 9-15 months using from 18 to 30 aligners.

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Mal Braverman, DMD, FADFE
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Mal Braverman, DMD, FADFE

Carolyn Van Buskirk, D.D.S

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Mal Braverman, DMD, FADFE
30 Central Park South Ste 12A
New York, NY 10019
General Info: (212) 688-3838
Comfortable, Affordable Care