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Scarsdale, NY 10583

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Dental Bridges in Scarsdale, NY

Whether a tooth has been knocked loose due to trauma or has fallen out as a result of decay, it is important to replace the tooth as soon as possible, and not just for aesthetic reasons. Leaving a gap in the mouth where a tooth used to be is actually detrimental to oral health. Other teeth can drift into the gap, increasing the chances that you will lose or break more teeth. Fortunately, there are many effective ways to replace missing teeth, including the dental bridge.

What is a dental bridge?

A bridge is a dental appliance that literally bridges the gap left in the mouth by missing teeth. The bridge is made of one or more artificial teeth (called pontics) that span the gap, attached on both sides to a crown that fits over a remaining tooth (called an abutment tooth). Dental bridges come in two varieties: removable and fixed. A removable bridge connects to the abutment teeth with a small metal clasp, and the wearer can take it out at any time. Fixed bridges are attached to the abutment teeth with dental cement and can’t be removed.

How do bridges work?

The first step in placing a dental bridge is to prepare the two teeth on either side of the gap. This preparation involves removing the outer layer of enamel on these remaining teeth so that the stabilizing crown can be placed over them. Next, we will take impressions of your teeth so that a custom bridge, pontic, and crown can be made to fit your mouth. After it’s finished, your bridge will be placed in your mouth, adjusted for proper fit, and, if it’s permanent, cemented into place. This process takes two to three visits. With proper care, your bridge can last ten to fifteen years.

Why should I consider a bridge?

Dental bridges have many benefits:

  • Restore the functionality of natural teeth, allowing you to eat and speak normally
  • Are virtually indistinguishable from natural teeth, so they offer a cosmetic solution for missing teeth
  • Prevent remaining teeth from drifting
  • Are more affordable than other teeth replacement options such as dental implants
  • Are less invasive and quicker to place than dental implants
  • Don’t slip and don’t require any adhesives, unlike dentures

Wondering if a bridge is right for you? Contact Advanced Dentistry of Scarsdale, your premier dentist in Westchester, NY, and let us help you on the road back to a complete, beautiful smile.

Dental Crowns and Veneers in Westchester

Dental crowns and veneers in WestchesterTwo of the most common restorative methods in cosmetic dentistry are crowns and veneers. Both can be used to enhance your natural smile by restoring broken, chipped, misshaped, or discolored teeth, but there are differences between the two procedures. As your Westchester county cosmetic dentist, we offer both. Read on to learn more about dental crowns and porcelain veneers.

How are crowns and veneers similar?

Both crowns and veneers are tooth shaped caps that are permanently placed on the teeth. They can be made from different materials, but porcelain is our preferred choice. Crowns and veneers offer amazing results for mouth restorations. They can address many different problems, from chipped and broken teeth to misaligned or discolored ones.

The process for getting veneers and crowns is similar. First, you will have a consultation where we will discuss what results you’d like to see. On your next appointment, your teeth will be prepared to receive the caps. We will make an impression of your teeth so that your veneers or crowns can be custom made to fit your mouth. You’ll wear a temporary set of teeth until your custom restoration is ready. On the final visit, the crowns or veneers will be permanently bonded to your teeth.

Both crowns and veneers offer similar benefits. Aesthetically, they are among the best choices in cosmetic dentistry; they look incredibly natural and can correct many flaws. Additionally, both choices mimic the function of natural teeth. You won’t notice them as you eat or speak, and you never need to remove them for a cleaning. Your dental hygiene routine will stay the same. Both last a long time, especially when cared for properly. Finally, both can actually strengthen your natural teeth, giving you not only a beautiful smile, but a healthy smile, too.

How are crowns and veneers different?

The main difference between crowns and veneers is that veneers are applied to the front surface of a tooth, while crowns cover the entire tooth. For this reason, crowns are more often used to cover back teeth, while veneers are common on front teeth. Crowns used in the back of the mouth are also sometimes made of different material to withstand the pressure of chewing without damaging the opposing teeth; a common choice is gold.

At Advanced Dentistry of Scarsdale, we are committed to helping you achieve the smile of your dreams. We know that a healthy, beautiful smile can affect not only your self-esteem, but your entire life.  If you are in need of a Scarsdale cosmetic dentist, contact us today so we can help you make the best choice for your mouth.

The Health Benefits of Dental Implants

The Health Benefits of Dental ImplantsDental implants are a life-changing procedure–but a price tag like theirs makes many balk. However, if you do your homework, you’ll discover that dental implants are worth it. If you are considering dental implants in Westchester County, have a look at the health benefits they have to offer, both for your lifestyle and your health, and discover why Advanced Dentistry of Scarsdale offers this impressive procedure.

Lifestyle Benefits

Dental implants are aesthetically the best choice for tooth replacement because they both look and feel so natural. If you have had dental implant surgery, no one will be able to tell by looking. Implants also are a great option because it takes almost no time to adjust to having them; eating and speaking will feel just the same as they did when you had your natural teeth.

Another popular benefit is that implants don’t require any extra maintenance. Dentures, on the other hand, have to be removed and cleaned often. Implants let you get back to life the way it was before you lost your teeth.  

Health Benefits

As with any tooth replacement technique, dental implants will keep your other teeth from shifting in your mouth. This is important for more than just aesthetic reasons. Straight teeth protect your bite by distributing forces evenly across your teeth. A crooked tooth or one which has shifted out of place changes the shape of your bite, leading to an uneven distribution of forces which can result in damage. If you let your teeth shift and slide, it can change the way you eat and speak, and can even cause jaw pain and discomfort.

Other health benefits are specific to dental implants and are not offered by any other tooth replacement strategy. One is that implants help to maintain the health of your jawbone. Many people don’t know this, but your jawbone depends on your teeth just as much as the teeth depend on the bone. When you lose your permanent teeth, the roots are no longer present to stimulate your jawbone, and it will diminish as your body resorbs the tissue.  The consequences of a receding jaw are severe: your face may start to look sunken or collapsed, eating or speaking may become more difficult, and your remaining teeth may become vulnerable as their support system is weakened. But dental implants keep your jawbone strong. The implant works to stimulate your jawbone in the same way that you natural teeth did, encouraging it to grow and stay strong. For this reason, we recommend dental implants as the best option for most patients after they have experienced tooth loss.

If you are looking for dental implants in Scarsdale, NY and surrounding areas, contact Advanced Dentistry of Scarsdale today for an appointment, and get all your questions answered.


How Invisalign works

In the past few decades, the most common method of teeth straightening has been orthodontic braces. You probably either wore them or knew someone who did growing up–so you’re familiar with many of the inconveniences that go along with the treatment. Braces are conspicuous, often uncomfortable, come with food restrictions–and, for many, they are embarrassing to wear.

Thankfully, there is a newer way to straighten teeth! Invisalign is a relatively new method of teeth straightening that comes without all the discomfort of metal brackets. Virtually invisible to the casual observer, these can be worn all day without being noticed by either the wearer or the people around them. They are also fully removable and easy to use, and our patients love the flexibility they afford.

Getting Invisalign

While Invisalign offers many benefits, there are some corrections that can’t be made this way. During your initial visit with our Scarsdale cosmetic dentist team, we will assess your teeth to ensure that you are a good candidate. Once your teeth are given the “all clear”, we will take x-rays, impressions and photographs of your teeth in order to create a digital 3-D model of your mouth. This will enable us to create a plan of action, and to provide an estimate on the time needed to gently shift your teeth into place.

A few weeks after this initial visit, you will receive your first set of aligners. These are made of clear, BPA-free plastic, and are comfortable and easy on the gums and teeth. For the fastest results, you should wear your aligners 24/7, except when eating or cleaning your teeth.  You will receive a new set of aligners about every 2 weeks with a slightly different shape so that your teeth can gradually shift to the desired positions.

If you decide that Invisalign is right for you, we would love to help you out! Advanced Dentistry of Scarsdale is a premier provider of Invisalign in Westchester County. Dr. Celenza, our dual trained orthodontist/periodontist, is accredited and experienced in providing this service, and has done so successfully for hundreds of our happy patients.

To learn more about this procedure, check out our “Clear Aligner” video on the Orthodontics page, or make an appointment for a consultation. We look forward to hearing from you, and beginning your journey toward a more beautiful smile!

Advanced Dentistry of Scarsdale

Our Talented Team

If you’re looking for the best dentist in Westchester County, be sure to consider Advanced Dentistry of Scarsdale. At our office we have doctors with several different specialties and backgrounds, all in one location. At Advanced Dentistry of Scarsdale you’ll find three prosthodontists, one periodontist, and an orthodontist/perio specialist. In addition to these specialists, our lab is also on-site, so all of your dental appliances can be created right here.

By bringing together a range of disciplines, we improve the quality of care our patients receive. Our team works together to address your individual dental needs. Then, we design a personalized treatment plan that can help you improve the appearance of your smile and your oral health.

Another benefit to our multidisciplinary approach is that it saves you time. Our diverse team allows us to manage the most complex dental problems, without you having to visit multiple offices multiple times. We’ll get you your treatments and appliances quickly, sometimes even the same day.

What are the different specialties available at Advanced Dentistry of Scarsdale?

Prosthodontic Care: Dr. Steven A. Brisman, Dr. Lawrence J. Calagna, and Dr. Kimberly A. Farrell

A prosthodontist specializes in diagnosing problems that are caused by missing teeth or weak supporting structures. They work to create a treatment plan that will restore the look and function of your teeth. Prosthodontists have training with crowns, dentures, porcelain veneers, cosmetic bonding, dental implants, and much more. A prosthodontist has received 2-3 years of additional dental training in order to be a qualified specialist; they are masters of oral rehabilitation.

Periodontic Care: Dr. Kevin M. Loshak and Dr. Frank Celenza

A periodontist is trained to diagnose and treat gum disease and irregularities. If your gums are infected and left untreated, your teeth’s natural support system can become compromised. Gum disease is much more common than most people realize; 75% of adults will experience some form of gum disease during their lifetime. That is why having a doctor with the additional 2-3 years of training available to treat periodontal disease is such a benefit.

Orthodontic Care: Dr. Frank Celenza

When most people think of orthodontists, they think of  the people who put braces on teenagers. But an orthodontist has extensive training to treat diverse mouth, teeth, and jaw problems including misaligned bites and crowded, overlapping, or gapped teeth. At Advanced Dentistry of Scarsdale, our orthodontist works with other team members to give our patients an effective full mouth restoration.

You’re sure to love our diverse team of dental specialists; they make a visit to our office productive and convenient. Come see why many consider us the best dentist in Scarsdale. Contact us today to start your dental treatment and get the smile you’ve been dreaming of!

Implant-Supported Dentures in Scarsdale, NY

Implant-Supported Dentures in Scarsdale, NYIf you’re missing teeth, you’ve probably looked into options that will help you get your smile back. Two of the most popular ways to replace natural teeth are dental implants and dentures. But individual implants, while they feel natural and preserve oral health, are out of the price range for many people. And dentures, though affordable, can slip around and cause discomfort. Fortunately, there is a middle ground that allows you the stability of implants without all of the expense: implant-supported dentures.

A regular denture sits on the gum and is usually stabilized with adhesive.  An implant-supported denture, however, is fitted with attachments that clip onto implants attached directly to the jawbone, which minimizes slippage. Implant-supported dentures can be used when no teeth remain in the jaw but there is enough bone remaining to anchor the implants.

Implant-supported dentures come in two types. Bar-retained dentures are secured to the gum by a thin metal bar attached to the jawbone. Clips then attach the denture piece to the bar. Ball-retained dentures are secured by a few individual implants with metal ball-shaped attachments that fit into sockets on the denture.

Placing implants usually takes two separate surgeries and several months. In the first stage of the process, the implants are placed under the gums. The second stage takes place a few months after the first, when the implants have had time to fuse with the bone. At that point, an incision is made in the gum to expose the tops of the implants. A cap is then placed on the top of the implant to hold the gums away from the implant and allow them to heal. These caps will be removed after a few weeks and replaced with regular abutments. After this stage, the metal bar will be attached to the implants (for bar-retained dentures). Then, the denture can be clipped onto the implants.

Just like regular dentures, implant-supported dentures need to be removed nightly for cleaning. After receiving implant-supported dentures, you should continue to visit the dentist often so that he or she can make sure the denture is continuing to fit properly. The clip attachments on the denture will also need to be replaced periodically.

Aside from the long process of placing the implants themselves, you would usually have to visit two specialists–a periodontist or oral surgeon, and then a prosthodontist–to finally be able to wear your new dentures. The first would place the implants, and the second would create the denture to fit them. But at Advanced Dentistry of Scarsdale, our team includes both periodontists and prosthodontists, so we can do it all under one roof.

Dental implants are the best option for preserving oral health after teeth are lost—they help preserve bone mass in the jaw and reduce the risk of decay to other teeth. However, because of their cost. individual implants are simply not an option for everyone. To discuss your options for dentures and dental implants in Westchester County, contact Advanced Dentistry of Scarsdale today!

Identifying Periodontal Disease

There are several ways to identify periodontal disease. Periodontal disease – or gum disease – is one of the most serious health issues your mouth can face. As periodontists in Westchester, Dr. Loshak and Dr. Celenza can diagnose you definitely for periodontal disease, but if you want to monitor for gum disease yourself, you need to know how to identify it.

Gum disease in its initial stages is called gingivitis. Gingivitis occurs when plaque builds up on teeth and isn’t removed. This causes the initial symptoms of periodontal disease, which are:

  • Red, swollen gums
  • Gums that bleed easily

These symptoms, while disruptive, can be reversed to prevent long-term damage to your teeth and gums. However, if gingivitis is left untreated, it develops into full-blown periodontal disease, or periodontitis. Periodontitis is very serious, and requires major treatment to offset its effects on your gums.

A person suffering from gum disease may notice the following symptoms:

  • Gums pulling away from the teeth
  • Spaces in between the teeth
  • Pus from below the gumline
  • Red, swollen gums
  • Bleeding gums
  • Pain in the gums or teeth
  • Persistent bad breath

While those symptoms are certainly serious, the worst part of periodontal disease is what happens when it continues unchecked. At that point, the body’s immune system is focused on fighting the infection. Bacteria get into the gum line, and in an effort to fight it, the body’s immune system begins to break down the bone and connective tissue that holds the teeth in place. This can cause not only tooth loss, but the destruction of parts of the as well.

Gum disease is easily preventable – regular flossing and brushing is usually all it takes to ward off periodontitis. However, it’s worth noting that some people are genetically predisposed to developing gum disease. If you have a family history of gum disease, you should visit a periodontist regularly to ensure that your oral health is at its peak.

If you start to experience any of these symptoms, you need to see a Westchester periodontist at Advanced Dentistry of Scarsdale immediately. Periodontists are dental specialists who treat gum disease at its various stages. Whether you’re seeing the early signs of gingivitis, or your oral health has deteriorated and you have symptoms of full-blown periodontitis, your best bet for taking care of your teeth is an appointment with us.

Dental Implants: A Periodontist’s Specialty

Dental implants are a periodontist's specialty. Dental implants act as tooth root replacements. When properly utilized, dental implants are a hardy foundation for replacement teeth, permanent or removable. These replacement teeth look as good and function as well as your natural teeth, making dental implants the cutting edge in dental treatment technology. They have an extraordinary number of benefits, from their looks right down to the way they keep your other teeth from shifting. But dental implants are only as good as the structures that support them–the bone that grows around the post of the implant to hold it in place, and the gum tissue which grows around the implant abutment and protects the bone.

A periodontist on your side can be a major asset before, during, and after the dental implant procedure. Prior to receiving dental implants, a patient will need to have the implant site cleared away of any periodontal infection still present. Afterwards, you’ll receive continued monitoring to ensure correct healing and no complications. And during the procedure, who better to place an implant in your jawbone and gums than an expert on those structures?

What Training Does a Periodontist Go Through?

Periodontists have gone beyond the standard training for a dentist. As dental specialists, we must first complete our undergraduate program and dental school. After that, we complete postgraduate specialization in periodontics, which typically lasts an additional three years. This specialized education requires a periodontist to learn in depth about gums and bone: the two areas of the mouth that are most important for the success of a dental implant procedure. To top it off, periodontal licensing certification ensures that each of us meets the highest standards.

Dental Implants in Westchester County

Dental implants are an excellent choice to replace missing teeth, and can do wonders for your dental health. For exceptional care throughout your dental implant process, come to Advanced Dentistry of Scarsdale! We are happy to answer any questions you might have about this service or any others, so contact us today, or just request an appointment by phone or online. We strive to provide the best periodontal care in Westchester Country.

The Purpose of Periodontics

Periodontics have a purpose for your overall health. Many people aren’t sure why they would want to see a periodontist in Westchester. As long as you brush every day and see a dentist to clean your teeth, why worry about the various dental specialties? But periodontics play an important role in keeping your whole mouth healthy, and sometimes a periodontist is exactly what you need to stop decay in its tracks.

You rely on your gums

The most obvious feature of your mouth is the teeth, perhaps followed by the tongue; compared to them, gums are almost an afterthought. But the gums and bone of your mouth are essential to keeping your teeth firmly in place, not to mention maintaining their health. The gums attach your teeth to your skull, when otherwise they would only be tethered to the rest of your body by the sensitive nerves running through the tip of each tooth root. When the gums are diseased, the teeth are in danger of loosening or completely falling out.

Gum disease’s slow creep

The problem with gum disease is not so much the symptoms at any given stage, as the fact that, left to its own devices, gum disease progresses until the structure of your mouth is entirely destroyed. What starts as mild gingivitis—swelling of the gums—ends with severe bone deterioration, deeply infected periodontal pockets, and empty gums where a full row of teeth once stood.

A periodontist’s specialty

If you are suffering from gum disease, particularly if it’s too strong to treat at home, Dr. Loshak and Dr. Celenza may be your best bet for treatment. Gums and gum disease are the focus of a periodontist’s training, which continues for years after completing an ordinary dental degree.

Scaling and root planning

The core of any treatment plan is removing the tartar, plaque, and bacteria that are irritating and infecting your gums. To do that, we use specialized instruments to scour these unhealthy deposits from your teeth, both above and below the gumline. While these procedures may be supplemented with antibiotics, dental implants, and gum surgery, curing your periodontal disease depends primarily on cleaning tartar from your teeth once and for all. The sooner we start, the better for your mouth—so call Advanced Dentistry of Scarsdale, your Westchester periodontist, for an appointment today.

Do I Need an Orthodontist?

Do you need an orthodontist?Orthodontics isn’t just about looks. While aesthetics play a role in determining who is recommended for our services, many of the problems we frequently address cause actual harm to your health, especially over time. Whether you are looking to correct minor flaws in your appearance or to save a compromised bite, we can help you get your teeth in order.

  • Wide gaps are probably the first thing you think of when contemplating braces, and are primarily an aesthetic concern. We can help eliminate these gaps for a bright, even smile.
  • Crowding is the opposite of wide gaps, and usually happens when a patient’s jaw is too small to accommodate all their teeth. This is usually addressed by removing a tooth and letting the others ease into the space.
  • Protruding teeth are at extra risk of damage and wear. We make sure that the teeth are all the same length to present one smooth, united surface.
  • Overbite, underbite, reverse bite, and cross bite all refer to the way the top and bottom jaws fit together. Ordinarily, when teeth are closed, the top row of teeth sits just slightly outside the bottom row. But if this is reversed for some of all teeth, or if the gap between the jaws is simply too wide, this can be corrected by our office.
  • Open bite means that, even when teeth are clenched, an opening remains between the top and bottom teeth. In children, this is often caused by thumb sucking, and is a problem that can extend even to the bone.
  • Impacted teeth emerge in the wrong position, sometimes pressing on other teeth, and often must be removed.
  • Crooked teeth put an unusual amount of wear on the bone due to the angle of the forces exerted on them. Straightening them protects both the jaw and the teeth themselves.

If you suffer from any of these issues, or you aren’t sure whether you might, you can make an appointment with our office by phone or online. At Advanced Dentistry of Scarsdale, Westchester orthodontist Dr. Celenza works together with a team of Westchester cosmetic dentists to straighten your teeth and correct your bite. Call us today!