Cosmetic Dentistry In Manalapan & Surrounding Areas.
Dr. Ciuffreda has been recognized as an “America’s Top Dentist”, “America’s Best Dentist” and “Monmouth Health and Life Top Dentist” for Cosmetic Dentistry.
Tooth colored (“white”) fillings / bonding
Smaller areas of tooth decay are usually restored with fillings. Dr. Ciuffreda almost exclusively uses tooth colored, bonded filling material (also known as “composite”) for these procedures. The advantages of bonded fillings include (as the name implies…) actual bonding of the restoration to the tooth; most times the ability to do a much smaller restoration, thereby conserving natural tooth structure; and of course outstanding esthetics. One aspect of cosmetic dentistry that Dr. Ciuffreda finds particularly rewarding is when he is able to blend a bonded filling into a tooth so that you can’t even tell that a restoration was done at all.
All Porcelain Crowns
Crowns involve the reduction of more tooth structure and may be warranted for several reasons, including inadequate remaining tooth structure, following endodontic (root canal) therapy, or for cosmetic enhancement. All-porcelain crowns typically provide a beautiful, natural cosmetic result as they allow for a degree of translucency as with natural tooth structure, and also eliminate the possibility of the “dark line” effect at the gum line that may sometimes occur with PFMs. At Remarkable Grins. all porcelain crowns are most often fabricated of special, high-strength and highly esthetic all-porcelain materials such as zirconia and e-max. Dr. Ciuffreda reviews an x-ray of all crowns prior to final placement and cementation to ensure that they are perfectly fitting and provide the best possible seal to the underlying tooth structure.
All Porcelain Bridges
Bridges are one treatment option for the restoration of missing teeth (or failing teeth that require extraction) and are comprised of multiple crowns joined together. Teeth on either side of the space are prepared (reduced) which serve as the anchoring points for the restoration. As with single crowns, All-porcelain bridges typically provide a beautiful, natural cosmetic result as they allow for a degree of translucency as with natural tooth structure, and also eliminate the possibility of the “dark line” effect at the gum line that may sometimes occur with PFM bridges. At Remarkable Grins, all porcelain bridges are most often fabricated of special, high-strength and highly esthetic all-porcelain materials such as zirconia . Dr. Ciuffreda reviews an x-ray of all crowns prior to final placement and cementation to ensure that they are perfectly fitting and provide the best possible seal to the underlying tooth structure. Bridges provide an esthetically pleasing, strong and functional solution to restore spaces due to tooth loss.
Porcelain Veneers (Laminates)
Porcelain veneers, otherwise known as laminates, are thin shells of porcelain that are most commonly used for cosmetic enhancement. The amount of tooth reduction is much less than that of a crown, and this restoration provides an optimal level of translucency to achieve a natural looking, beautiful smile.
A bright smile conveys the look of youth, health, and confidence. Our office offers two excellent options for whitening that are professional, clinically proven, prescription quality treatments available only through a dental office.
The take home system employs the use of a set of ten (upper / lower) easy to use, tray delivered strips that are work for approximately ½ hour a day. We have had outstanding results and patient satisfaction with this more affordable, high value option.
The in-office whitening procedure is truly the “gold standard” of tooth whitening. A much stronger gel is carefully and safely applied to the teeth in a controlled manner with the gums protected. Treatment time is approximately one hour, and again we have had outstanding results and high patient satisfaction with the procedure.
It is important to realize that certain colorations and conditions of teeth respond differently, so a consultation with Dr. Ciuffreda is essential to assess the probability of the whitening treatment to produce a significant change in tooth color, as well as if whitening is advisable for you and the individually based advantages and disadvantages of one system vs. the other for you.
Another important factor to consider is that fillings, crowns, veneers and bridges do not change color with tooth whitening procedures. Therefore we generally advise our patients to consider if they have a desire to whiten their smile prior to any restorative treatments, especially to the front teeth. This way, if a patient would like a whiter smile, we could whiten the teeth first, and then match any needed fillings, crowns, etc. to the new lighter shade.
Dr. Ciuffreda has been recognized as an “America’s Best Dentist” and “Monmouth Health & Life Top Dentist” for Implant Dentistry.
Dental implant restoration is one of the most exciting and rewarding treatment options available. Implants may be used to restore a single tooth, several teeth, or even the entire mouth. Treatment plans can include fixed or removable alternatives. Working in conjunction with a surgical specialist, Dr. Ciuffreda has the ability to provide you with a restorative option having the highest long-term success rate available today for a missing or failing tooth or teeth. Implant restorations can provide wonderful cosmetic enhancement to a smile.
Implants have many benefits:
- - The restorative phase of implants is almost always entirely painless.
- - They do not require the drilling of adjacent teeth (as would be needed for a bridge)
- - The implant acts as an “artificial root” and actually helps preserve bone in the formerly toothless site. Without forces acting on the jaw bone, through either a tooth or implant, the bone in that area can actually resorb, or deteriorate. This deterioration of bone can sometimes lead to cosmetic or functional issues.
- - Because an implant consists of titanium, gold and porcelain, there is no organic component to decay – in other words you can never get a cavity (decay) on an implant.
- - The long term success rate of implants has been reported as high as 98%.
- - Implants are “biomimetic” compared to a bridge. In other words biologically speaking, we naturally have individual teeth, not teeth joined together.
After a tooth has been extracted (in the case of a single tooth restoration), a dental surgical specialist will carefully place a titanium implant into the bone of the jaw. Approximately 3-4 months following successful integration of the implant with the surrounding bone, Dr. Ciuffreda will begin the restorative phase – which is almost always entirely painless, normally does not even require an injection to get numb, and does not require any drilling! The first restorative visit involves unscrewing a cover screw and taking some impressions. (It’s no wonder patients are so relaxed having implants restored…). At a subsequent visit, the cover screw is again simply removed, and the implant abutment (or “post”) is tried in. Dr. Ciuffreda always reviews an x-ray of the placed abutment to ensure that it is perfectly seated. The abutment and crown are then delivered either entirely screw retained or a combination of screw retained abutment and a cemented crown.
Dr. Ciuffreda has had wonderful success with implant cases, ranging from a single tooth to complete upper and lower full mouth implant restorations / reconstructions.
Full & Partial Dentures
Whenever advisable, Dr. Ciuffreda definitely prefers fixed (that is, non-removable) treatment options such as crowns, bridges and fixed implant restorations because of the superior chewing ability that they provide. However, there are instances where partial or full dentures are indicated clinically, such as if there is inadequate bone for a surgeon to place implants or too few remaining good support teeth for a bridge. Additionally, full or partial dentures may provide a less expensive financial alternative, or they may be used as an interim (temporary / transitional) restoration as part of your overall case.
Fortunately, when providing partial dentures today we often have the option of using gum-colored, flexible clasps when needed around the teeth in the front of the mouth to provide a much more esthetic result as opposed to distracting metal clasps.
Dr. Ciuffreda is a recipient of the Arthur N. Caplin Award for Removable Prosthodontics.
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