Cosmetic and Functional Dentistry
In terms of restorative dentistry, a bonding or filling in a tooth is considered a conservative treatment that can prevent or delay furthering decay or breakage. Dr. Mazzella does not place dental amalgams (silver fillings), but rather uses a newer, resin-based, tooth colored composite material. This material has multiple advantages including less stress on the tooth, high cosmetic aesthetic, less chance for allergic response, and is fully functional as soon as the material is light-cured.
We typically refer to “fillings” as the composite material applied into tooth crevices and “bondings” as applied to worn or chipped edges or smooth surfaces. The composite material is the same for both cases, and is discerningly matched to your current tooth shade and color.
Sometimes, a tooth or multiple teeth may need more restorative care than a composite bonding or filling can provide. If a tooth has lost important strength or structure due to a crack, break, root canal treatment, or decay, Dr. Mazzella may recommend a strong and cosmetically aesthetic cubic zirconia crown. In the case of a missing tooth or teeth, this might also incorporate a fixed bridge, depending on your recommended treatment plan. Veneers may be used in some cosmetic cases as well, when the strength of the tooth in question is not compromised.
Our process for crowns, bridges, and veneers are typically split into two appointments for your convenience. The first appointment involves cleaning, filling (if necessary), and shaping the tooth precisely for the new crown to fit over it comfortably. We then take a putty or a digital “impression” made with a 3d intra-oral wand scanner, which takes an intricately precise rendition of your teeth and bite, which we send to our expert lab technicians. We custom make a temporary acrylic crown or bridge for you to wear for a few weeks while the area heals, and your permanent crown or bridge is fabricated. In your shorter follow up appointment, Dr. Mazzella will ensure that the final fit, feel, and aesthetic is perfect, making any micro-adjustments as necessary, before permanently cementing the final restoration.
The national average for the lifespan of a crown is 8-10 years. We aim for longer than this average for your crown, and will show you how to properly clean, floss, and take care of it to extend longevity.
We at Dr. Mazzella’s office prioritize keeping teeth and gums healthy and present in your mouth as long as possible. However, you may have lost or are currently losing a tooth or teeth that are crucial to your bite and smile. Implants can be an excellent treatment for replacing teeth in a way that most closely functions like a natural tooth. There are many options for implants, including single tooth, multiple teeth, and implant supported dentures, which have significant advantages over some bridges and removable dentures if you are a candidate for this treatment.
Implant placement and restoration often takes time and several appointments to allow the bone site to heal and integrate, and fabricating the final crown and abutment. You can discuss with Dr. Mazzella your treatment needs and priorities for this process to ensure your satisfaction with your final aesthetic and functional result.
We believe in keeping teeth healthy and present in the mouth as long as possible, but a full or partial denture can be an excellent alternative option for a mouth with missing teeth. There are several types of dentures Dr. Mazzella can recommend for you and your lifestyle needs, which can serve both cosmetic and functional chewing purposes. Getting fitted for a full denture can often require several appointments to certify the best fit, feel, and look for your mouth. Dr. Mazzella can discuss this process with you to be sure that it fits your needs and priorities.
Dr. Mazzella dedicates himself to the study and treatment of occlusion, which is the way your teeth bite and fit together. As a graduate of the Dawson Academy, he is trained in the concept of complete dentistry. This prioritizes understanding the function and structure of biting and chewing, both to maintain a balanced bite as well as correcting an unbalanced one.
Depending on the treatment needs, Dr. Mazzella may recommend taking advanced records of your mouth which he can use to create a measured treatment plan. These records include a series of photographs, impressions, a questionnaire, and measurements; replicating your mouth and jaw in relation so he can make the best-informed recommendations and options for your case.
Another measurement and treatment that can reduce jaw pain and tooth wear is an occlusal adjustment, where Dr. Mazzella will use a wand-like tool with an arched paper that reads how your teeth hit when they bite and grind together. He can then make recommendations for smoothing out high points in the bite, which is often a less invasive treatment than other kinds of restorations, and can slow down or prevent breaks and wear.
While we highly prioritize healthy teeth and functionality, we are also excited to help you achieve your goals for a brilliant smile! Teeth whitening is considered a cosmetic treatment, and our professional, in-office whitening treatment is one of the leading methods for quick and vibrant results. Our whitening process uses a professional grade of hydrogen peroxide, a bright LED light, and other therapeutic ingredients to help lift stains — up to eight shades lighter than your current shade. When you schedule your two hour appointment, we will give you a high-fluoride toothpaste to use for two weeks leading up to your appointment. You may also continue using this toothpaste following your treatment to prevent and lessen tooth sensitivity.
If you are interested a safe and highly effective take-home tooth whitening option, we also offer easy to use whitening trays in varying intensities that you can use at your own pace. Ask us about our take home whitening product at your next appointment!