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Accelerated Orthodontics

What is accelerated orthodontics?
Accelerated orthodontics is like regular orthodontics -- it's the straightening, spacing, closing of gaps and repositioning of your teeth, especially your front teeth. However, accelerated orthodontics produces result faster than regular orthodontics, usually in only three to eight months. Accelerated orthodontics uses proven orthodontic and periodontal techniques. There is a minor, initial, in-office procedure, in addition to the conventional orthodontic treatment.
In some cases, a procedure to reduce the widths of your teeth, to provide the space needed to correct any tooth crowding, may also be necessary.
Who is a candidate for accelerated orthodontics?
Accelerated orthodontics is effective in most cases where orthodontics is the recommended solution to correcting your front teeth. Along with bonding and porcelain veneers, accelerated orthodontics is an option which should be discussed with your cosmetic dentist.
What types of braces are available?

There are three general types -- ceramic, lingual and metal.

-Ceramic braces are made of composite materials. They are very strong and generally do not stain. Ceramic braces blend in with the teeth and are less noticeable than metal.

The ligatures -- the tiny rubber bands -- which hold the arch wire on to the ceramic brackets are often white or clear. Ligatures can stain -- especially if you smoke cigarettes or drink coffee. Ligatures are changed each time you get an adjustment -- usually, monthly. It's only the ligatures that stain, not the brackets themselves.

-Lingual braces are placed behind your teeth. They are virtually invisible to other people. Usually, lingual brackets are made of metal.

Orthodontists need special training to be able to treat patients with lingual braces. Therefore, not every orthodontist provides them.

The benefit of lingual braces is that no one will know that you are wearing them.

-Metal braces are the more traditional type of braces. They can be silver or golden. The golden brackets look a bit more jewelry-like, and are often a popular choice with young women.

Metal braces are very strong and can withstand most types of treatment. At first they may irritate your gums, but after a few weeks, when your cheeks adapt, this discomfort will go away. Most traditional metal braces require an elastic o-shaped rubber band -- called a ligature -- to hold the arch wire onto the bracket.

Metal braces are less expensive than the other types, although they are highly visible, and generally considered to be not very aesthetically pleasing.

What is the procedure like?

The procedure is relatively simple, although time-consuming. The procedure varies depending on the types of orthodontics used and the condition of the individual's teeth.

Accelerated orthodontics can involve some periodontal surgery within about a week after your braces are placed. Done under local anesthesia, the procedure itself creates no more discomfort than your regular dental cleanings.

It is also common -- after the procedure -- to experience an itching sensation in your gums, as your teeth are moving much faster than with traditional dental braces. Regular and frequent follow-up visits with your dentist are necessary. Additionally, a retainer may have to be worn periodically.

What is the cost?
The cost varies depending upon the type of braces used and the pre-existing condition of the individual's teeth. Typically, the cost of accelerated orthodontics is similar to traditional braces. Lingual braces, those mounted behind your teeth, will add to the cost. Many insurance companies only cover a portion or do not cover accelerated orthodontics. Be sure to speak with your insurance company to see if you would have any coverage for this procedure.
What sort of maintenance is required?
Both traditional and accelerated orthodontics require diligent care. It's important to brush after every meal. Additional care and maintenance will vary based on your individual needs. Your dentist will provide you with more specific instructions.
What can I expect?
At the very least, you can expect the same results as you would with traditional orthodontics -- only in much less time!

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Bonding

What is dental bonding?
Teeth bonding is a procedure used to correct dental gaps, chips, cracks and a wide variety of other cosmetic dental problems. Tooth bonding involves a tooth-colored resin material which is applied to teeth, and then hardened with a special light. This causes the resin to bond to the tooth, restoring and correcting the smile.
For what conditions is dental bonding considered?
  • Decayed teeth
  • Chipped or cracked teeth
  • Discolored teeth
  • Teeth with gaps or spaces
  • Teeth which appear too short
  • Teeth bonding can change the shape of teeth
  • Teeth bonding can be used as a cosmetic alternative to amalgam fillings
  • Teeth bonding can be used to protect any tooth's root which has been exposed when the gums recede
What's the procedure for having a tooth bonded?

Teeth bonding requires very little advanced preparation. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth, which can be painful. Your dentist will select a composite resin color, that will closely match the color of your tooth, for the most natural look possible.

During the first step of the bonding procedure, the surface of the tooth will be roughened and a conditioning liquid applied. This helps the bonding material adhere to the tooth. The tooth-colored, putty-like resin is then applied, molded and smoothed to the desired shape. An ultraviolet light is then used to harden the material. After the material is hardened, your dentist will further trim and shape the resin, and polish it to match the sheen of the rest of the tooth surface. This takes about 30 to 60 minutes to complete, per tooth.

Teeth bonding is among the easiest and least expensive of all cosmetic dental procedures. Unlike veneers and crowns, which must be manufactured in a laboratory, bonding usually can be done in one office visit. Additionally, less tooth enamel is removed compared to procedures involving veneers and crowns. Also, anesthesia is usually not required, unless the bonding involves a cavity.

Bonding is best suited for small cosmetic changes, temporary correction of cosmetic defects, and for correction of teeth in areas of very low bite pressure, such as front teeth.

Do Bonded Teeth Require Special Care?

Generally, no. Good oral hygiene practices are typically enough. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.

However, bonding materials can chip. Avoid:

  • biting your fingernails
  • chewing on pens, ice or other hard food objects
  • using your bonded teeth as a bottle opener.

If you notice any sharp edges on a bonded tooth, or if your bonded tooth feels odd when you bite down, call your dentist.

How Long Does Bonding Material Last?
Typically, anywhere from three to 10 years. However, this depends on how much bonding was done and how your treat your bonded teeth.
How Much Does Dental Bonding Cost?
Generally, anywhere from $100 to $400 per tooth. Your bonding may be fully or partially covered by insurance, so check with your insurance company or your dentist to see if they offer financing options which fit your needs.
What Can I Expect?
You should be satisfied with nothing less than repaired, natural-looking teeth. The quality of the bonding depends largely upon the skill of the cosmetic dentist. Dr. Katz trained at the Las Vegas Institute for Advanced Dental Studies and has experience in bonding teeth. He is a professional at applying the tooth-colored resin -- the end result will be very natural looking in terms of size, shape and color. If you live in the Herndon area please contact Dr Katz today. Teeth bonding is a safe, simple procedure -- you'll be enjoying your new smile sooner than you think!

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Bridges

What is a dental bridge?

A tooth bridge is a false tooth, known as a pontic. Used to replace a missing tooth, the false tooth is fused between two porcelain crowns. The crowns are attached to the teeth on each side of the false tooth, and the false tooth is suspended between them, like a bridge.

Missing spaces between teeth increase the risk of other dental problems. Other teeth can drift out of position. Gum disease and decay can occur. Bridges fill that missing space, and can reduce those risks. Bridges also help correct bite issues and can even improve your speech.

Additionally, bridges are a pleasing aesthetic alternative to missing teeth. They can increase your confidence and heighten your cheerfulness.

Bridges must be properly maintained by regular brushing and flossing, but they will last upwards of ten years.

Who is a candidate for a dental bridge?

Anyone who is missing teeth is usually a candidate for a dental bridge.

If spaces between teeth are left unfilled, they can cause damage to your other teeth. Your other teeth may drift out of position. Additionally, there is an increased susceptibility for decay and gum disease in those other teeth.

What is the process for attaching a bridge?

Typically, it takes two appointments to install a tooth bridge.

During the first appointment, your dentist will prepare your teeth for the bridge. A mild anesthetic is applied to your mouth, and your dentist will clear an area surrounding the teeth on each side of the space, to accommodate for the thickness of the pontic. Note: If these particular teeth have fillings, parts of the fillings may be left in place, to help as a foundation for the bridge.

During this first procedure, the dentist will then make an impression of your mouth. This impression is sent to a lab, where the bridge, pontics and crowns will be made. While this is going on -- between your first and second appointment -- a temporary bridge will be placed in your mouth. This temporary bridge serves to protect your teeth and gums.

In approximately two weeks you will go back to the dentist for your second appointment. Your temporary bridge will be removed and the new, permanent bridge will be fitted. After being checked, and adjusted for any bite discrepancies, your new bridge will then be cemented to your teeth.

What are the types of dental bridges?

There are three types of dental bridges:

Traditional Fixed Bridge

Fixed bridges cannot be taken out of your mouth. Two crowns hold it in place. These crowns are attached onto your teeth on each side of the false tooth. This procedure is used to replace one or more missing teeth.

Resin Bonded Bridges

A resin bonded bridge is primarily used for your front teeth. This bridge is best used when the abutment teeth -- the teeth on each side of the bridge -- are healthy and have no large fillings. The pontic is fused to metal bands that are bonded to the abutment teeth with a resin. This type of bridge reduces the amount of preparation on the adjacent teeth, and is generally less expensive than a fixed bridge.

Cantilever Bridges

A cantilever bridge is also used primarily for your front teeth. However, a cantilever bridge is used only on areas where there are teeth on only one side of the open space. This procedure involves anchoring the pontic to one side over one or more natural and adjacent teeth.

What will be the color of the dental bridge?

The goal is to achieve a brighter smile without forsaking a natural look. Typically, your front teeth are the whitest, your eye teeth are the darkest, and molars are a shade between the two. How white your bridge will become varies depending upon the current condition and structure of your natural teeth.

Only a qualified cosmetic dentist can help you determine which procedure -- or combination of procedures -- will work best for you.

How much do dental bridges cost?
The average cost of a single fixed bridge varies, and depends upon what type of tooth bridge is needed. Typically, dental bridge costs range from $500 to $900 per tooth. Dental insurance can cover in full or in part the cost of a bridge, however, some other financing options may be available to you through your cosmetic dentist.

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Cosmetic Dentistry

I don't want anybody to know I've had my smile done. Will this look natural?

While every case is unique, LVI trains dentists to use cosmetic dentistry techniques that help create the most natural smile possible. A style for your smile will be determined, taking into account your lifestyle, facial proportions, gender, age, complexion, hair and even eye color.

Most often, our patients hear questions like: "Have you changed your hair style?", or "Have you lost weight?" Their friends know something is different - they just don't know what .

How quickly will I be able to complete my treatment?

Most aesthetic procedures, from simple bonding to a complete smile makeover, can be completed in as little as one to three visits (but may vary depending on the complexity of each case. Our doctors are trained to work efficiently, keeping you in the office for the shortest time possible.

For example, a smile makeover often involves placing veneers or crowns on the top eight to ten teeth. In the first appointment, you and the doctor will discuss what you want your smile to look like.

In the second appointment, the doctor will carefully prepare your teeth and place temporary veneers. This appointment typically lasts 2-4 hours total.

In the final appointment, your new teeth will be placed, polished and adjusted. Again, the appointment will take around 2-4 hours.

The total time from start to finish? Less than a month, and sooner, if necessary. Soon, you'll be smiling with confidence!

How will my temporaries look?
Often, the difference is so dramatic that you'll feel like your new smile is already complete. However, temporaries are just that - temporary. They are not meant to replace natural teeth. It is important for you to go to your final restoration appointment when scheduled to ensure the procedure goes as smoothly as possible.
How long will my new smile last?
Today's materials are actually stronger than natural teeth, and are far more resistant to wearing and breakage. With regular checkups and care, your smile should last for many, many years.
What kind of questions should I ask when looking for a cosmetic dentist?
Obviously, training and commitment to continuing education are of paramount importance. Just like medicine, dentistry changes significantly over the years, and your dentist must keep up. LVI trained dentists have experience and training from the prestigious Las Vegas Institute. Ask your LVI dentist how he would design your new smile. What is his protocol, and how will you know if you will like the smile before it becomes final? Don't be afraid to ask questions.
I've always been afraid of the dentist. How can I feel more comfortable?

LVI teaches dentistry techniques that will make your procedure surprisingly comfortable. By working quickly and using advanced technologies, s/he is able to be very conservative in your treatment, allowing you to heal more quickly.

There are also several options from sedation dentistry to sleep dentistry. LVI dentists are trained to listen to your specific needs in order to allay any fear and make your visit as pleasant as possible. Ask your dentist what s/he can do to make you feel more comfortable with options like sedation dentistry.

How will a new smile change my life?

It is not uncommon for the patients to cry with joy, hug their dentist, or even kiss them! Patients tell us they are filled with self-confidence, they feel more outgoing, and they simply can't stop smiling!

Shy patients are often transformed into social butterflies. Professionals tell us of greater career success. Older patients look and feel decades younger. Sounds impossible, but it's true. Think about how a new or improved smile would change your life.

Will my insurance pay for these procedures?

Unfortunately, most dental insurance has a maximum annual benefit of $1,000 to $2,000 depending on your coverage. Since insurance companies are in business to make money, they allow only the least expensive possible treatment - not necessarily the treatment that is best for your dental health.

Most cosmetic dentistry treatments are considered elective and not covered by insurance. Your dentist will do everything possible to maximize your insurance benefit, but be prepared to pay for the treatment with alternate finances. There are many financing options available, so ask your dentist what the best option is for you.

What are my payment options?

Most dentists accept checks, credit cards, or offer a third-party financing option. These financing companies allow you to make the payments for your new smile over time, making the payment fit comfortably into your monthly budget. Ask your dentist how best to accomplish your treatment and financial funding.

What is the end result?

A new, beautiful smile will dramatically affect your life. Aside from the aesthetic benefits, most patients find that a nice smile also increases their confidence and cheerfulness. This, in turn, improves their interactions with friends, co-workers and romantic partners. It's no secret that most people find a nice smile to be quite attractive.

Additionally, a nice smile has health benefits, too. Missing teeth, for instance, contribute to your risk of gum infection. Improving your smile won't just increase your social life, it'll also contribute to your overall dental well being.

Why do our teeth become stained or discolored?

There are surface stains and intrinsic stains.

Surface stains are mostly a result of living. Or of aging, as is often stated. Our teeth are washed by everything we drink, and pick up a little staining from some of it:

  • Coffee
  • Black tea
  • Red wine
  • Cola drinks

Tobacco and some medications also cause discoloration, and possibly various foodstuffs. And dentin, the substance just beneath the enamel, is darker-colored, so that it shows through more as the enamel starts thinning after years of chewing.

Professional teeth cleaning is best done every 6 months, but many of us neglect that, allowing the surface stains to sink in more firmly.

Intrinsic stains can be caused by antibiotics taken in childhood and are part of the structure of the tooth, rather than just sitting on the surface. They appear as lighter and darker bands. If you whiten your teeth, the banding may lighten but will remain. So, it must be treated through the use of cosmetic dentistry, namely porcelain veneers or crowns.

Does tooth whitening cause any damage?

No, not when it's done by a qualified cosmetic dentist. The whitening gel may cause some temporary sensitivity to cold, or sometimes to heat and contact. But that disappears a day or two after you stop using the gel.

If you try to whiten your teeth using an over-the-counter product, safety can't be guaranteed.

What is a smile makeover?

It's a customized combination of cosmetic dentistry treatments designed to maximize the attractiveness of your smile. Each smile makeover is different and can be affected by the shape of your face, your coloring, and your gender and age. Some of the possible procedures done as part of a smile makeover are:

What do porcelain veneers do?

They're very thin ceramic wafers, custom designed to fit over your teeth, a separate one for each tooth being worked on. They cover small defects such as:

  • Spots and intrinsic stains
  • Chips
  • Gaps
  • Slight crookedness

They're bonded strongly to your teeth, and feel, look and behave just like your natural teeth.

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Can old metal fillings be replaced with white ones?

Yes, absolutely. As metal fillings age, they can become loose and even fall out. They aren't bonded to the tooth, just tightly fitted into the cavity. A white porcelain filling will be bonded to the tooth, so as to look and behave like part of the tooth.

A large metal filling can also show through the thinned amount of enamel surrounding it, and can even discolor the entire tooth. If you have old metal fillings that show when you smile, it could make a huge difference in your smile to replace them with porcelain matched to the color of your natural teeth.

Even if they don't show when you smile, eventually they'll have to be re-done, so why not have a porcelain filling?

What is instant orthodontics?

It's a name for the use of porcelain veneers, bonding, or crowns in place of braces. The term orthodontics refers to that branch of dentistry that corrects irregularities in the teeth, and traditionally metal braces have been used, as some of us may remember from our teenage years.

Instead of using braces to physically move the teeth's positions in the gums, a quick solution is to use veneers or crowns to give the appearance of straight, even teeth. The teeth being treated are sculpted and shaped a little, so as to fit under the veneers or crowns, and the porcelain used is matched in color to the surrounding natural teeth.

The veneers and crowns are bonded firmly to the existing teeth and are very long-lasting. The result is a new and more attractive smile.

Dr. Katz is a graduate of the Las Vegas Institute for Advanced Dental Studies, and knows cosmetic dentistry. He will be able to assess your needs and create a dazzling smile for life. Contact us today!

 

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Crowns

What is a dental crown?

A teeth crown is a restorative device which covers a tooth in order to either strengthen a decayed tooth, repair a broken tooth or improve the cosmetic appearance of a tooth.

A crown completely covers the visible area of a tooth, creating a brand-new outer surface. A filling, by contrast, covers only a portion of a tooth.

There are three types of crowns:

  • Resin and Porcelain Crowns
    This type of crown has the nicest appearance and is the most common among cosmetic dentists. Made from pure ceramic, or a new reinforced composite resin, it is almost indistinguishable from natural teeth. Resin and porcelain crowns are metal-free, and are resistant, but capable of chipping if not properly taken care of.
  • Gold Crowns
    Gold crowns, because they are made of gold, are appropriate when appearance is not a priority. The gold metal is extremely workable, which makes gold crowns a more precise fit than any other type. Gold crowns will not chip in any way.
  • Porcelain Fused-to-Metal Crowns
    Porcelain fused-to-metal crowns are both durable and have a very natural appearance. However, because they have a metal substructure, they require an opaque below the porcelain. Occasionally a darker line will be visible at the edge of the crown, near the gum as the gum-line recedes with age.
What is the difference between the three types of crowns?

Gold crowns are the strongest, and the simplest to install. Unfortunately, they are not as aesthetically pleasing as porcelain crowns. For most people, this is a serious cosmetic drawback, and the reason why gold crowns are usually used only on the back teeth. Less of the existing tooth must be removed for a gold crown.

Porcelain and resin crowns are by far the most natural-looking crowns available, often indistinguishable from real teeth. They are harder to fit into the gum line, and the porcelain is more susceptible to chipping, however a trained cosmetic dentist will be able to complete this procedure easily and teach you how to care for your crowns. Relatively more of the existing tooth is removed for a porcelain crown, but creates a dazzling smile as a result.

Porcelain fused-to-metal crowns have a natural appearance, and are less susceptible to damage than strictly porcelain crowns, but a darker, metal line may become more visible around the gum line as the gums recede with age.

What is the crown application procedure like?

There are typically three steps to applying a crown.

In the first part of the procedure, a mold is taken of the tooth which will be crowned. The mold is sent to a laboratory, and used to create the crown. Also, before a crown can be placed, a filling must be put in place, to stabilize the tooth structure from any further decay.

In the interim period between the first and second appointment, which is usually about two weeks, a temporary tooth crown will placed in your mouth. At the second appointment, you and your dentist will determine the color of the cement which will later be used to affix your permanent crown. The color of the cement affects the color of the crown, so great care must be taken to select the cement which fits in naturally among the color of the rest of your teeth.

In the second part of the procedure, the laboratory-created crown is bonded to the tooth or teeth. First, the dentist uses either water or glycerin to place the crown onto the teeth. This non-permanent attachment is to check the crowns fit, shade and color. The color of the crown can be adjusted based upon the shade of dental cement used, but cannot be altered after the crown is cemented. Once the correct color is determined, the crown is ready to be attached permanently with dental cement. The cement is sandwiched between the crown and the tooth, then a special light beam is applied. This light initiates the release of a catalyst, which hardens the cement and permanently affixes the crown.

How much do crowns cost?
They average between $600 to $1300 each. Porcelain crowns are more expensive, because placing them is more time consuming. Generally, the more time spent in the office, the higher the cost. Also, while insurance may cover some of the costs, typically it does not cover them all. That is why, you should discuss with your dentist all of your options and review financing information if necessary.
What can I expect?

Ceramic crowns -- when properly placed by a qualified cosmetic dentist -- are virtually indistinguishable from real teeth.

They require regular brushing and flossing, just like real teeth. Also, anything that can chip a real tooth can potentially also chip a ceramic crown.

If you have gold fillings (usually in the back of your mouth) you can expect a high degree of durability. Gold is stronger than ceramic crowns. Gold is even stronger than natural teeth.

If you have porcelain fused-to-metal crowns, you can expect basically the same durability as ceramic crowns. However, over time, a slight, metal line may become visible between your crown and gum line. This is because gums tend to recede as you age.

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Dentures

What are dentures?
Dentures are removable replacements for missing teeth. They're made from an acrylic resin, sometimes a resin which incorporates either porcelain or metal for additional structural support. There are many types of dentures, but all dentures are either complete or partial. All types are custom-made specifically for your mouth.
Who is a candidate for dentures?
If you've lost, or are losing, your teeth dentures are an option. If you've only lost some teeth, and your remaining teeth are healthy, partial dentures may be your way to a great smile. Only a qualified cosmetic dentist can tell you if dentures are for you. There are several personal and medical factors to take into consideration when deciding what route to take regarding missing teeth. Sometimes dental bridges or dental implants are better alternatives. Your cosmetic dentist will help you determine which procedure -- or combination of procedures -- is best for your specific condition.
What are the different types of dentures?
  • Complete Dentures
    These are dentures which replace all of your teeth, both upper and lower. Their comfort depends upon a patient's muscle, bones, tongue, and saliva. Complete dentures may require the pulling of teeth.
  • Partial Dentures
    Partial dentures are designed to correct the gaps in your smile when only some of your teeth are missing. Metal attachments anchor the dentures to your natural teeth. Partial dentures maintain tooth alignment by preventing your remaining teeth from shifting. Partial dentures can also help prevent decay or gum disease in your other teeth.
  • Immediate Dentures
    Immediate dentures are dentures which are placed all at once. Once placed, they may require additional adjustments. Note, it may take months for your bone and tissue to stabilize after tooth extractions.
  • Upper Dentures
    Upper dentures are dentures just like complete dentures, only for strictly your upper teeth. They tend to be a bit easier to adjust to.
  • Over Dentures
    Over dentures are similar to complete dentures. The difference is that not all teeth are extracted. Over dentures use one, or more, of your natural teeth for support. This provides greater stabilization during chewing. Over dentures cost more than other dentures, and typically require more preparatory dental appointments.
What sort of maintenance is involved?
Dentures do take some getting used to. There are initial, temporary speech issues to overcome. Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and not removing your dentures when needed. Your mouth may change over the life of your dentures, so there will be times when your dentures will probably need to be changed as well.
How much do dentures cost?
Costs vary $500 to $2,500 per upper or lower arch. This is a procedure for which you should definitely research your dental insurance coverage, as much of the cost is often covered. You can also consult with your dentist for financing options. Depending on your needs, your cosmetic dentist can find the right fit for both your mouth and your wallet.

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Fillings

What are metal-free fillings?
Fillings are used to treat cavities and to replace minor tooth decay. In the past, metal was used -- however, metal does not match the color of natural teeth, and it not very aesthetically pleasing. Today, dental technology has evolved to the point where white, not-metal fillings can be used. They are less noticeable. White, metal-free fillings are sometimes referred to as composite fillings. They are used instead of amalgam (metal) fillings when treating cavities or decayed teeth.
What are the advantages of metal-free fillings?

-They're more natural looking than the regular metallic (amalgam) fillings. Metallic fillings can turn black with age, and are easy to see inside your mouth. Porcelain fillings, however, match the color of your teeth. They give your teeth a more natural look.

-Unlike metallic fillings, white fillings do not contain mercury. Mercury from the metallic fillings may be hazardous to your health.

-White fillings strengthen the cured tooth. Layers of silicon dioxide, which is a plastic mixture filled with glass, are used to fill and stabilize the tooth.

-Silicon dioxide does not conduct extreme hot and cold temperature like metallic fillings. Therefore, your teeth will not be as sensitive after treatment, unlike metallic fillings.

-White fillings harden very quickly after they are placed. Metallic fillings usually take couple of hours to harden.

Who are good candidates for metal-free fillings?

Only your dentist can determine if non-metal fillings are right for you. However, generally, anyone with minor tooth decay -- or anyone who wants replace an existing metallic filling -- can be a candidate for white fillings. Especially if you want to enhance your smile, you can replace your old amalgam fillings with resin fillings for a dazzling new look.

Get rid of your old ugly metal fillings and replace them with metal-free porcelain fillings. Dr. Katz has many years of experience and will listen to your needs. Together you and Dr. Katz can create a healthier, beautiful smile. Contact Dr. Katz today for an initial consultation.

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General Dentistry

How does the doctor keep up-to-date on all of the current techniques and materials?
Dr. Katz is a graduate and an ongoing student at the prestigious Las Vegas Institute for Advanced Dental Studies. He focuses his studies on aesthetic dentistry, the proper function of the bite and its long-term effects on retention of teeth, and most recently on the smile and its dynamic effect on an individual's sense of well being. He recently completed additional continuing education studies in Oral Sedation techniques at Baylor University College of Dentistry.
Will I be charged if I need to cancel an appointment?
In order to maintain a well-run office, we request all appointment cancellations be made at least 24 hours ahead of time. This ensures you will avoid being billed for our time and preparation; it also enables us to work in other patients' emergency visits.
What do I do if I have an emergency when the office is closed?
In case of a true dental emergency, please call our office at 703-478-9574 to receive the emergency after-hour telephone number.
What different payment options do you provide?
We accept cash, personal checks and all major credit cards such as Visa, Master Card and American Express. We will also work with you on financing options. Please let us know ahead of time if you desire to pay in installments, so we can discuss your options.
I really do not like visiting the dentist, is there anything you can do to help me relax?
We understand many people have qualms about having their teeth worked on. Therefore, we offer Nitrous Oxide and oral sedation to keep you comfortable and relaxed.
Crowns, veneers, onlays, inlays and partials. where can I learn more about these procedures?
Our web site is designed to help you learn all you need to about the various restorative and cosmetic techniques we offer. Simply click on the Patient Education link in the margin, then select your article topic from the listing provided. But, if you desire even more information about a larger variety of topics, visit the American Dental Association Web site
I want my front teeth to look better, but I do not want to wear braces. What would you recommend?
Dr. Katz has a number of ways to improve the look of your front teeth without the use of unsightly braces. For slightly crooked or unevenly worn teeth, a bit of reshaping and the addition of porcelain veneers may be sufficient to give them a bright uniform look. We would be happy to talk with you further about the option that best suits your individual situation.
My spouse snores and keeps me up at night. I have heard a dentist might be able to prescribe an appliance that prevents snoring. Can you help?

Snoring is tough on any relationship! And, since it can be caused by a number of factors, we encourage you to have your spouse come in for a consultation and analysis with Dr. Katz to determine the cause. In some cases, a person may actually stop breathing for short periods during the night - a condition called sleep apnea. In other cases, snoring can be caused by enlarged anatomical structures within the mouth and throat.

During sleep, the throat area relaxes, allowing these structures to collapse against one another and obstruct clear airflow. In the latter situation, we can prescribe and fit a special appliance called a "snore guard," which gently holds the mouth and throat in an open position during relaxed sleep and thus prevents snoring.

What is Smile Design?

The highlight of Smile Design is watching your eyes light up the first time you look in the mirror at the change that has taken place. Our experience of watching our guests react to their new smiles is almost overwhelming. We see an immediate change in their confidence and their interaction with others. The result is the creation of a beautiful new smile with a comfortable neuromuscular occlusion.

Typically changing the clinical smile is rewarding, but when clinical changes affect the psychological and emotional components---that is exhilarating! Most see dentistry simply as a repair and maintenance facility. But when patient lives are changed in such drastic measures, it confirms the reason many of us got involved in dentistry in the first place, which is to help others.

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Implants

What are dental implants?

Dental implants are substitutes for the roots of missing teeth. Implants act as an anchor for a replacement tooth or crown, or for an entire set of replacement teeth.

There are two categories of dental implants -- endosteal and subperiosteal. Endosteal implants are used when the jawbone has a normal amount of width and height. There are two types of endosteal implants -- root form and plate form. Root form implants are screw-type implants inserted directly into the jawbone, under the gums. If there is not enough jawbone width and height to place a root form implant, a plate form implant is used instead. A plate form implant is long and flat, and is placed on top of the jawbone, under the gums. Implanting either root or plate form implants is a surgical procedure and requires anesthesia.

Subperiosteal implants are used where there is very little jawbone width or height. Subperiosteal implants rest on top of your jawbone, under your gum (like plate form implants). However, subperiosteal implants require the creation of a custom-made implant. An impression of your teeth must first be made to create this custom-made implant. The impression can be taken either via a surgical procedure or a CAT scan and computer modeling. Either way, implanting the custom-made implant is a surgical procedure, and requires anesthesia.

Am I a candidate for implants?
Only a qualified implant dentist can determine if dental implants are for you. However, generally, implants are the right choice for anyone missing one or more teeth -- teeth which are missing due to injury, disease or decay. They are especially practical for patients who can no longer wear removable dentures.
Are there different kinds of implants?
There are many shapes, sizes and brands of implants available. Only a qualified cosmetic dentist can determine which implant is the right one for you.
How long does the procedure take?
Only your cosmetic dentist can tell you exactly. Placing dental implants is a surgical procedure, and the healing time after the surgery is typically three to six weeks. However, the process really depends on the type and number of implants, as well as the condition of the jawbone. As a result, the timeline for each patient can vary considerably.
How much does it cost?

Dental implants involve a great deal of a dentist's time and expertise and, as such, can be a costly procedure.

A basic implant is typically $1,250 to $3,000. However, depending on your circumstances, additional costs can arise due to factors such as bone regeneration, sinus elevation, bone grafting and more. Placing implants can involve several surgeries, as well as laboratory services. The complete procedure, on both the upper or lower jaw, can cost upwards of $30,000 depending on your needs. Be sure to consult with Dr. Katz -- financing options are available.

What can I expect?

An implant isn't something you can see. It is simply an artificial root. The artificial tooth or crown which is attached to the implant is what will be noticeable, and the naturalness of those depends largely upon the skill of the cosmetic dentist. With a good cosmetic dentist, your new teeth will blend in almost perfectly with your existing ones.

The type of implant used (root, plate or subperiosteal) is determined solely by the structure and health of your jawbone. A root form implant is the simplest, least invasive procedure. A subperiosteal implant is more intricate, and requires the most surgery. Regardless, the end result should be the same -- a solid, structurally sound artificial root which holds either a false tooth or a crown as well as a real root holds a real tooth.

You should be satisfied with nothing less than a tooth which fits absolutely securely onto the implant. A tooth or crown which is loose or -- even worse -- falls out is usually the result of a poorly trained cosmetic dentist.

Might the dental implant come loose?
No, that's very unlikely. Dental implants are not done unless you have sufficient bone to hold them. So, unless for some reason your jawbone itself started to deteriorate and hold the implant less firmly, the implant will stay where it was originally implanted, and where the bone fused itself to it.
Are dental implants part of these recent advances in modern dentistry?

No, they're an ancient procedure. Archeologists have found mummies and skeletons in many locations with implants in their jawbones, made of gold, iron, ivory, and even semi-precious stones.

In the U.S., they became popular in the 1980s and are made of titanium.

Who would be a good candidate for dental implants?

If you have good dental health, and enough good-quality bone to hold them, you'd be a good candidate. However, some circumstances might still eliminate you, such as:

  • Blood disease
  • Bone marrow cancer
  • Uncontrolled diabetes
  • Radiation or chemotherapy

Your implant dentist will look at all the relevant health issues as well as your teeth and dental health, and make a decision.

Is any special care required for dental implants?
Yes, they should be checked by an experienced dentist about 3 times a year, and on those visits, they should also be professionally cleaned. As always, you should give them the brushing and flossing care you would give your natural teeth. If you were to contract any gum disease from poor dental hygiene, the implant would be threatened if the gum disease reached the bone.
Do you have to be under a certain age to have a dental implant?
No, age in itself isn't a factor in qualifying you for this procedure. As long as you have adequa/li/a/ate bone to hold the implant, and don't have any other disqualifying health conditions such as those mentioned in Question #3 above, you could be a good candidate.

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Instant Orthodontics

What is Instant Orthodontics?
Instant Orthodontics is a procedure which uses veneers and crowns to close gaps and correct overlapping teeth for a beautiful, even, white smile. Instant orthodontics is a replacement for traditional orthodontics. Instead of wearing braces for years, the same results can be accomplished in a little as a month!
What are veneers?

Veneers -- usually called either ceramic veneers or porcelain veneers -- are thin shells of ceramic material which are permanently bonded to the front surface of teeth. They can be applied to multiple teeth on both the top and bottom rows.

They are very natural looking when placed correctly. They have the same durability as a natural tooth, and can be colored to match the shade of the real teeth surrounding them. The exactness of the color matching is based largely upon the skill of your cosmetic dentist. Be sure and ask questions beforehand regarding your dentist's experience with veneer placement and color matching. It's often best to ask for references and photos of the dentist's previous work.

What is the Instant Orthodontic process like?

The average duration of the Instant Orthodontic process is four dental appointments over the course of about a month.

In the first, initial appointment, your cosmetic dentist will discuss what procedures are best for your specific situation. It's important for you to ask questions regarding your dentist's expertise in cosmetic dentistry -- what cosmetic dentistry organizations they belong to, what cosmetic dental training they've received, how often they've done procedures similar to what you'll be having done, and what the rates of complications are. By the end of this appointment you should have a thorough understanding of your dentist's level of expertise, as well as a thorough understanding of what procedures will be done to you.

In the second appointment, the procedure is started. Most Instant Orthodontic procedures involve the placement of veneers onto the damaged teeth. First, the real teeth are lightly buffed down. This prepares them for the slight additional thickness of the veneer. Approximately half a millimeter of tooth is removed. Often, a local anesthetic is used during this buffing procedure. A mold is then taken of the teeth. The mold is sent to a laboratory, and used to create the permanent veneers. While these are being created, sometimes temporary veneers are placed until the final veneers are ready.

In the third appointment, about two weeks after the first, the laboratory-created permanent veneers are bonded to the teeth. First, the dentist uses either water or glycerin to place the veneers onto the teeth. This non-permanent attachment is to check the veneers fit, shade and color. The color of the veneers can be adjusted based upon the shade of dental cement used. However, the color cannot be altered after the veneers are cemented. Once the correct color is determined, the veneer is ready to be attached permanently with dental cement. The cement is sandwiched between the veneer and the tooth, then a special light beam is applied. This light initiates the release of a catalyst, which hardens the cement and permanently affixes the veneers. It is painless.

Placing veneers is a meticulous and delicate procedure. Each veneer must be fitted individually. As a result, this third appointment can last several hours.

The final appointment is a check-up, and takes place about one to two weeks after the veneers have been affixed.

It is very important to have a qualified cosmetic dentist when undergoing this procedure. In the wrong hands, your veneers can end up looking too large, too small, or oddly colored when compared to the rest of your teeth. In the right hands, your veneers will be so natural looking they will be virtually indistinguishable from your natural teeth.

Am I a candidate for Instant Orthodontics?

In order for Instant Orthodontics to work, your bite must be healthy. This is something which your dentist will determine during your initial consultation. If your bite and/or jaw are not healthy, your dentist will discuss other options with you.

If your bite is healthy, you are a candidate for Instant Orthodontics if:

  • You dislike the appearance of your smile.
  • Your teeth are crooked.
  • Your teeth are uneven.
  • You have gaps between your teeth.
  • You have excessive crowding of your teeth.

Even if you have had braces or other, more traditional orthodontic work, and still do not like the appearance of your smile, Instant Orthodontics can be for you!

How much does it cost?
Instant Orthodontics can involve just the upper teeth, or the upper and lower teeth combined. Costs range from about $10,000 to $12,000 for just the upper teeth to $30,000 to $40,000 for both uppers and lowers. Most dentists offer third-party financing to make monthly payments reasonable.
What about complications?
Complications from dental procedures are rare. Sometimes bacterial infections can occur following the procedure, but they can easily be treated with antibiotics.
What can I expect?
Realistically, you can expect a very nice, very natural-looking smile. It is important, however, to have a qualified cosmetic dentist perform this procedure.

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Porcelain Veneers

What are porcelain veneers?

Porcelain veneers -- also called ceramic veneers -- are thin shells of ceramic material which are permanently bonded to the front surface of teeth. They are custom-made for your mouth, and are custom colored to match the surrounding teeth.

Porcelain veneers can be applied to multiple teeth on both the top and bottom rows.

Porcelain veneers are a more conservative alternative to crowns.

When are porcelain veneers used?

Porcelain veneers are used to change a tooth's color, size and/or shape. This includes:

-Teeth which are chipped or broken

-Teeth which are crooked or misaligned

-Teeth -- including front teeth -- which have gaps between them

-Teeth which are stained, including staining due to injury, root canal and tetracycline.

-Teeth -- including front teeth -- with discolored fillings

-Teeth which are worn or ground down

What is the procedure like?

Applying porcelain veneers usually requires three dental appointments over the course of about a month.

In the first appointment, the teeth are lightly buffed down. This prepares them for the slight additional thickness of the veneer. Approximately half a millimeter of tooth is removed. Often, a local anesthetic is used during this buffing procedure. A mold is then taken of the teeth. The mold is sent to a dental laboratory, and used to create the veneers.

In the interim period between the two appointments, the teeth will look a little different than usual because, due to the buffing procedure, they will have been reduced in size. In some (usually more extreme) cases, temporary veneers can be placed.

Typically, it takes about two weeks for the dental laboratory to create the veneers.

In the second appointment, the laboratory-created veneers are bonded to the teeth. First, the dentist uses either water or glycerin to place the veneers onto the teeth. This non-permanent attachment is to check the veneers' fit, shade and color. The color of the veneers can be adjusted based upon the shade of dental cement used. However, the color cannot be altered after the veneers are cemented.

Once the correct color is determined, the veneer is ready to be attached permanently with dental cement. The cement is sandwiched between the veneer and the tooth, and then a special light beam is applied. This light initiates the release of a catalyst, which hardens the cement and permanently affixes the veneers.

Placing veneers is a meticulous and delicate procedure. Each veneer must be fitted individually. As a result, this second appointment can last several hours.

Once the veneers are applied, there is a one-to-two week adjustment period and, then, a final, follow-up appointment.

What are the benefits of porcelain veneers?

Porcelain veneers can create dramatic dental changes relatively quickly. Veneers can even be used as a substitute for extensive orthodontic work. Multiple gaps, stains, chips and a host of other problems -- on numerous teeth -- can be taken care of in just a few appointments.

Porcelain is also highly resistant to staining. With proper brushing habits, porcelain veneers will retain their whiteness and, compared to other forms of cosmetic dentistry, will be relatively unaffected by coffee, wine and even cigarettes.

How do they look?

Porcelain veneers are among the most natural-looking, esthetically-pleasing restorations available.

However, porcelain veneers are not perfect replacements for real teeth. There may be some slight variations in the color of the veneers, just as there are slight variations in the translucency of real teeth.

Additionally, it's important to note that anything which can break a natural tooth can break a veneer. This means that you should avoid foods or activities which could put your new teeth at risk of damage or destruction.

How long do porcelain veneers last?

If they're (a) done by a properly qualified and experienced cosmetic dentist, and (b) properly cared for, they should last at least 10 years, and possibly much longer.

They were first done in the 1980s. Since then, improvements have been made in dental bonding materials, and cosmetic dentists have gained a lot more experience in doing them.

Not everyone is an ideal candidate for porcelain veneers. If your bite is too misaligned, the veneers could be subject to abnormal stresses which might crack or dislodge them before their time. An experienced cosmetic dentist will first test your bite, as part of his assessment of your dental status.

Which should I do first: get porcelain veneers or have my teeth whitened?
Have your teeth whitened first. Then, your porcelain veneers can be matched in color and texture to your whitened natural teeth. Porcelain can't be whitened, so to do things the other way around would lead to mismatched tooth colors.
Can porcelain veneers be used instead of braces?

Sometimes. Dr. Katz would assess your situation to determine that for you.

Braces, whether traditional fixed braces or Invisalign trays, are an orthodontic procedure to straighten crooked teeth and correct the spacing between teeth. The result, after 1 to 3 years, is a smooth, straight line of teeth.

Porcelain veneers can achieve that smooth, straight line in just a couple of weeks. But they don't move your natural teeth.
Porcelain veneers also do other things: they cover stains, spots, gaps, chips, and slight crookedness.

What do porcelain veneers feel like?

They feel like your natural teeth. Although they're an added layer on the front of your teeth, they aren't adding thickness or bulk to your teeth. Why? Because your dentist prepared the teeth before attaching them, by buffing down a tiny amount of their enamel, to make room for the extremely thin veneers.

If your veneers are covering some gaps, chips, or misalignment which you were used to, you'll have a week or two of adjustment while you get used to the new smoothness of your teeth.

You won't feel the presence of the veneers after a couple of weeks. They'll just be part of your natural teeth.

If you live in the Vienna, Arlington and Herndon area, contact Dr. Katz today and schedule a Free Smile Evaluation

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Smile Makeover

Which cosmetic dentistry procedures will give me a great smile?

Which cosmetic dentistry procedures will give me a great smile?
There are over a dozen different cosmetic dentistry procedures available, including veneers, crowns, bridges and accelerated orthodontics. What procedure -- or combination of procedures such as an extreme smile makeover -- needed to correct your smile is something that can only be determined on a case-by-case basis.

Every individual's mouth is different. There are often many different ways to fix a damaged smile. Only a qualified cosmetic dentist can determine what method -- or combination of methods -- will work best for you, taking into account time, cost, comfort and a host of other individual factors.

It's important to select a dentist who specializes in cosmetic dentistry. It's equally important to select a dentist that you feel comfortable with. That way, he or she will be able to suggest what will work best for your individual needs.

Is professional whitening better than over-the-counter products?

Yes. Professional whitening, done under the supervision of a cosmetic dentist, produces better results. Your newly whitened teeth with be more natural looking, more even and the results will be tailored towards your individual smile. Over-the-counter products create a much less natural look.

Professional whitening can be done both in the dentist's office and at home. The teeth are whitened according to specific desires. A highly concentrated whitening powder is used, which creates dramatic results. The whitening products are not available over-the-counter and, for optimal results, their application must be supervised by a trained cosmetic dentist. Over-the-counter products will not produce the level of whitening that your cosmetic dentist's treatment provides.

Additionally, a cosmetic dentist will create molds of your teeth, so you will have applicator trays designed specifically for your mouth. This results in whitening which is much more even and natural-looking than over-the-counter treatments.

Whitening is just one procedure used to fix a damaged smile. However, it is one of the most common.

How long will my new smile last?
Today's materials, such as veneers, are actually stronger than natural teeth, and are far more resistant to wearing and breakage than your natural teeth. With regular checkups and care, your smile should last for many, many years.
How quickly will I be able to complete my treatment?

Most extreme smile makeovers can be completed in as little as one to three visits (but may vary depending on the complexity of each case).

For example, a smile makeover often involves placing veneers or crowns on the top eight to ten teeth. In the first appointment, you and the doctor would discuss what you want your smile to look like.

In the second appointment, the doctor would carefully prepare your teeth and place the temporaries. This appointment typically lasts 2-4 hours.

In the final appointment, your new teeth will be placed, polished and adjusted. Again, the appointment will take around 2-4 hours.

The total time from start to finish? Less than a month, and sooner if possible. Soon you'll be smiling with confidence!

The most important thing to remember about a smile makeover is this: find a dentist who you feel comfortable with and who is specifically trained in cosmetic dentistry. A graduate of the Las Vegas Institute for Advanced Dental Studies is ideal, since LVI is generally considered to be the most prestigious cosmetic dentistry school in the country.

There are numerous ways to repair a damaged smile, but only a qualified cosmetic dentist can help you determine your options. Additionally, the success of many of these procedures directly correlates to the skill of the cosmetic dentist performing them. Be sure and ask questions -- a qualified cosmetic dentist won't mind answering them.

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Tooth Whitening

What causes teeth to become discolored?

Staining, aging, or chemical damage can cause tooth enamel to become discolored. Some of the more common causes of teeth staining are medications (such as Tetracycline), coffee, tea, cigarettes and cola drinks.

There are other factors that can also affect the color of an individual's teeth. One factor is genetics -- some people have naturally brighter enamel than others. Another factor is disease. If you suspect that there is an underlying medical cause for your teeth discoloration, be sure to inform your cosmetic dentist.

What are the tooth whitening procedures available?

There are two basic categories of tooth whitening procedures -- in-office and at-home.

In-Office techniques typically take just one office visit, after which there will be a very dramatic, sudden change of color.

The two most common in-office techniques are Britesmile and laser bleaching. Both involve a translucent bleaching gel which is applied to the teeth, after which a special activating light is used. Crystals in the gel absorb the energy from the light and penetrate the tooth enamel, which lightens the color of the teeth.

The procedure typically takes about two hours, although times may vary based on the degree of discoloration you may have.

The In-Home technique involves the creation of a custom-fitted tray. A small amount of bleaching gel -- available only through a cosmetic dentist -- is then placed in the tray and worn for a brief amount of time during the day. Sometimes, the tray is worn for a few hours each day; other times it is worn during the night, while you sleep.

This is a more gradual process than in-office procedures, with results usually finalizing in about one to two weeks. But whatever whitening procedure is best for you, a cosmetic dentist can analyze your needs and help you achieve the smile you desire.

Is professional whitening better than over-the-counter products?

Yes. Professional whitening, done under the supervision of a cosmetic dentist, produces results which are tailored towards the individual patient.

Professional whitening can be done both in the dentist's office and at home. The teeth are whitened according to specific desires, and use a highly concentrated whitening process which creates dramatic results. The in-home whitening products are not available over-the-counter, and are supervised for optimal results. Over-the-counter products will not produce the level of whitening or length of results that our treatment provides.

Additionally, a cosmetic dentist will create molds of your teeth, so you will have applicator trays designed specifically for your mouth. This results in whitening which is much more even and natural-looking than over-the-counter treatments.

How white can teeth become?

The goal is to achieve a brighter smile without forsaking a natural look. Typically, your front teeth are the whitest, your eye teeth are the darkest, and molars are a shade between the two. How white your teeth will become varies depending upon their current condition, structure and the type of procedure implemented.

Only a qualified cosmetic dentist can help you determine which procedure -- or combination of procedures -- will work best for you.

Over-the-counter products tend to whiten teeth to the point where they become unnatural looking. Also, over-the-counter products can increase tooth sensitivity. The preferred method of whitening involves a trained cosmetic dentist, who not only supervises the tooth health during the procedure, but can also adjust the whitening process to achieve the most natural look possible.

How long will it last?
Generally, your teeth will be whitest immediately after bleaching, and will slowly fade over the course of about a year. After that, a visit to your dentist for maintenance -- to touch up your smile -- is recommended about once every six months, although individual results may vary greatly.
How much does it cost?

The standard fee for tooth whitening and teeth bleaching procedures is about $500 in most cases. Costs vary depending upon the type of whitening treatment you undergo. Laser teeth whitening is typically $1000 or above.

Generally, the price of teeth whitening increases with the number of treatments required. Also note, typically, dental insurance does not cover the cost of teeth whitening procedures.

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