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Professional Dental Services
Professional Dental Health Care Services

The office of Dr. Harry L. Aristidou, DDS provides complete, affordable dental solutions for each of our patients. We offer you the latest technology and advancements in dental health care. We understand that for some, professional dental care can bring a little anxiety. No need to worry. Our professional dental team is adept at making your visit as comfortable as possible. When you visit our office, let our caring staff know how we can make your visit more relaxing.

Dental X-Rays

An X-Ray is essentially a high frequency light (or radiation) that can penetrate different substances with different rates and absorption. There are typically four types of X-Rays: Periapical, Bite-Wing, Occlusal and Panoramic. X-Rays allow for the careful diagnosis of the tooth roots, the pulp, the bone surrounding the teeth, and also help to diagnose cavities in areas that can’t be seen inside the mouth with direct vision. The dosage of radiation is quite small compared to other types of radiographs. A full mouth series is about the same exposure received from four hours of sunshine.

Full Mouth Series

Full Mouth X-Rays, also called a Full Mouth Series, are a series of X-Rays angled to show all the teeth (their crowns and roots), plus the surrounding bone and other structures. It is a combination of 14 or more general x-rays aimed at filming the apex of a root of a tooth and 4 bite-wing x-rays to film the back teeth. The full mouth series ensures a complete examination of the health of the tooth roots and helps to check for some types of tumors and lesions. Full Mouth Series X-Rays are recommended about every three to five years.

• Click to watch a video on how Panoramic X-Rays may detect stroke risks: Dental X-Rays
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Dental Restorations

There are two types of dental restorations: direct and indirect. Direct restorations are fillings placed immediately into a prepared cavity in a single visit. Indirect restorations generally require two or more visits. They include inlays, onlays, veneers, crowns and bridges fabricated with gold, base metal alloys, ceramics or composites.

Amalgam Fillings

Used by dentists for more than a century, a dental amalgam is the most thoroughly researched and tested restorative material among all those in use. It is durable, easy to use, highly resistant to wear and relatively inexpensive in comparison to other materials. For those reasons, it remains a valued treatment option for dentists and their patients.

• Click to watch a video on Amalgam fillings as a dental restoration: Amalgam Fillings
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Composite Fillings

Composite fillings are a tooth-colored restorative material composed of plastic with small glass or ceramic particles that are mixed into a gel-like substance. After being applied to a tooth, the material is then hardened with a curing light, a visible blue light that causes it to harden almost instantly. Composite fillings are often preferred by patients over amalgam fillings, especially for the front teeth, as they restore the natural appearance of the tooth.

• Click to watch a video on Composite fillings as a dental restoration: Composite Fillings
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Inlays And Onlays

If the tooth is too damaged for a filling, but not so damaged that it requires a crown, an inlay or onlay may be the best solution. Similar to a filling, an Inlay fits in the groove between the cusps (pointed parts) of your tooth, whereas an Onlay covers more of the tooth’s biting or chewing surface, including the groove and at least one of the pointed cusps.

Inlays

An Inlay is essentially a filling made by a dental lab that is cemented or bonded into place and doesn’t completely cover the chewing or biting surface. Inlays are generally made in tooth-colored porcelain, but they also can be made in gold or composite materials. Inlays are far more durable than typical silver or composite fillings as they don’t require much of the actual tooth structure to be removed in order for a dentist to set them in place.

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Onlays

An Onlay is a tooth restoration, also made by a dental lab, that covers one or more cusps of a tooth. It can be made from porcelain, gold or composite resin, and serves to protect the tooth from breakage should the cavity or old filling be too large. Onlays created from tooth-colored material makes them virtually undetectable to the naked eye. Onlays also help to conserve more tooth structure as their use requires less removal a tooth’s surface. An Onlay can help patients avoid the eventual need for more extensive dental restorations.

• Click to see how your next dental visit may be virtually painless: Dentistry Without Pain
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Dental Crowns

A Crown refers to the portion of a tooth above the gum line that is normally covered by enamel. As a dental restoration, a Crown covers all or most of the natural tooth. The artificial crown (cap) can be made of various materials, such as Porcelain (dental ceramic), Porcelain fused to metal, or Metal (gold or other metal alloy). The crown is actually cemented directly on top of the damaged tooth, and as a result, becomes the tooth’s new outer surface.

Porcelain Crown

Porcelain (ceramic) crowns are desirable by many patients as their tooth-colored materials mimic a tooth’s natural enamel. All porcelain restorations require a minimum of two visits and possibly more. Porcelain Crowns are prone to fracture when placed under a lot of tension or on impact. Their strength largely depends on an adequate thickness of porcelain and their ability to be bonded to the underlying tooth. They are highly resistant to wear but the porcelain can quickly wear opposing teeth if the porcelain surface becomes rough.

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Porcelain Fused To Metal Crown

The combination of porcelain bonded to a supporting metal structure creates a stronger restoration than porcelain used alone. However, more of the existing tooth structure must be removed to accommodate it. Although porcelain restorations are highly resistant to wear, they can wear opposing natural teeth if the porcelain surface becomes rough. There may also be some initial discomfort to hot and cold. While these restorations are highly biocompatible, some people may show an allergic sensitivity to some types of metals used.

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Gold Crown

Gold alloys contain gold, copper and other metals that result in a strong, effective crown. Since they are metal through and through, gold crowns withstand biting and chewing forces well and they are also highly resistant to corrosion and tarnishing. Of all of the types of dental crowns, gold crowns probably have the greatest potential for lasting the longest. Gold alloys are also gentle to opposing teeth and are well tolerated by patients. However, one thing to keep in mind is that their metal colors do not look like natural teeth.

• Click to watch a video about the origin of Dental Crowns: History of Dental Crowns
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Porcelain Veneers

A Veneer is a wafer-thin, custom-made shell of tooth-colored porcelain that is bonded directly to the front side of natural teeth to improve their appearance. Porcelain Veneers can be used to close spaces between teeth, replace lost tooth structure, straighten teeth, or change their color and/or shape. Since porcelain veneers are translucent and glass-like in nature (ceramic), they have a great advantage over other cosmetic bonding techniques. When a porcelain veneer is bonded onto a tooth’s surface, it will closely mimic the color of natural enamel, which can enhance any smile.

Porcelain Veneers

When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable to the naked eye. In addition, they are also highly resistant to coffee, tea, wine, or even cigarette stains. Veneers can be typically set in place in just a few dental appointments and can actually strengthen your teeth. With proper care, porcelain veneers will brighten your smile for well over a decade. There is no additional maintenance required by patients, other than routine visits to your dentist and proper brushing and flossing on a daily basis.

• Click to watch a video about the proper way to brush and floss: How To Brush And Floss
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Dental Bridges

Dental Bridges are used to replace either a single missing tooth or a group of missing teeth that are adjacent (next to) to other teeth. The bridge is supported by your existing natural teeth and cemented into place. A traditional bridge consists of a crown on each side of the missing tooth and a false tooth between the two crowns. The three types of dental bridges are: a Traditional Bridge, a Cantilever Bridge, and a Resin Bonded Bridge (also called a Maryland Bridge).

Traditional Bridge

A Traditional Bridge consists of two dental crowns that are placed (cemented) onto natural teeth that exist on each side of the missing tooth, with a false tooth in between. The false tooth in between the two crowns is what covers the gap left behind by a missing tooth. Traditional bridges are the most commonly used dental bridges and are made of ceramic or porcelain fused to metal. They are fixed, stable, and feel like your own teeth. However, the two teeth beside the missing one have to be prepared to support the bridge.

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Cantilever Bridge

A Cantilever Bridge is a fixed bridge that is attached to adjacent teeth on one end only. They are used in cases where a bridge can only be anchored to a tooth on one side of the gap. Thus, Cantilever Bridges are best suited to areas of your mouth that are less prone to stress, such as the front teeth. This dental procedure involves anchoring the false tooth to one side over one or more natural and adjacent teeth. As a result, they are best suited and ideal for situations where a traditional dental bridge or a dental implant isn’t an option.

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Resin Bonded Bridge

A Resin Bonded Bridge, also known as the Maryland Bridge, is often used to replace teeth that are missing in the front of the mouth, providing that the gums are healthy and the surrounding teeth do not have extensive dental fillings. Resin Bonded Bridges are usually less expensive than traditional bridges as the adjacent teeth require less preparation. Only the inner surfaces of the adjacent natural teeth are shaped and grooved without removing all of the enamel. However, these bridges are only as strong as the bonding material used.

• Click to see how Dental Bridges may be a solution to missing teeth: Dental Bridges
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Dentures

A Denture is a prosthetic (artificial) device constructed as a replacement for missing teeth and surrounding tissues. A denture is made of acrylic resin, sometimes in combination with various metals, and comes in two types. A partial denture fills in the spaces created by missing teeth and prevents the other teeth from changing position. A complete denture replaces all the teeth. Today’s advanced dental materials can create dentures that are more comfortable, more durable and fit much better than before. Artificial denture teeth are designed to have the look and feel of natural teeth.

Complete Dentures

A Complete Denture, also known as a conventional full denture, is made and placed in the patient’s mouth after the remaining teeth are removed and the surrounding tissues have healed. The healing process varies and can take between 6 to 10 weeks or longer. New dentures may feel awkward and loose for a few weeks while the muscles of your cheek and tongue learn to keep them in place. It is not unusual to experience minor irritation or even soreness. As your mouth becomes accustomed to them, these problems should diminish.

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Partial Dentures

A removable partial denture or bridge consists of replacement teeth attached to a pink or gum-colored plastic base, which is connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. Not only does a partial denture fill in the spaces created by missing teeth, it also prevents other teeth from changing position. A precision partial denture is removable and has internal attachments instead of clasps for a natural looking appearance.

• Click to watch a video about the history of dentures: Paul Revere The Denture Maker
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Root Canal Treatment

The Root Canal itself is the portion of the pulp cavity inside the root of a tooth that is made up of soft tissue that contains the blood vessels, nerves, and connective tissue. Root Canal Therapy is a procedure used to save an abscessed (infected with pus) tooth in which the pulp chamber is cleaned out, disinfected, and filled with a permanent sealant. If the pulp of a tooth becomes damaged beyond repair, it essentially means that the tooth has died. This damage is usually a result of a cracked tooth or a deep cavity where an abscess has formed within the nerve tissues.

Root Canal Treatment

When nerve tissue or pulp is damaged, it breaks down and bacteria begins to form inside the pulp chamber. The bacteria can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. A root canal requires one or more office visits and can be performed by a dentist or endodontist. The choice of which type of dentist to use depends to some degree on the difficulty of the root canal procedure needed. Your dentist will discuss who might be best suited to perform the work.

• Click to watch a video about when Root Canal Treatment is needed: Root Canal Therapy
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Tooth Extractions

Extraction is the process of removing a tooth from its socket in the bone or it can be the removal of tooth parts. An Extraction is usually required to remove a tooth that is so badly decayed or broken that it cannot be restored by other means, such as root canal therapy. Sometimes extractions are chosen as a less expensive alternative to root canal therapy. A tooth extraction can be performed with local anesthesia if the tooth is exposed and appears to be easily removable in one piece. If the tooth extraction is likely to be difficult, your dentist may refer you to an oral surgeon.

Tooth Extraction

After a tooth is extracted, some bleeding is normal and usually lasts for about a day. A gauze pad applied to the area helps to control the bleeding. Pain, swelling or jaw stiffness generally lasts no more than a day or two after the procedure and may be treated with medications and warm or cold compresses. To keep the extraction site clean, gently rinse your mouth with warm salt water. Mix half a teaspoon of salt in an eight-ounce cup of water and gently swish with that. Contact your dentist if any bleeding or swelling persists.

• Click to watch a video about when a Tooth Extraction may be needed: Tooth Extraction
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Dental Implants

A Dental Implant refers to a metal rod, or post (usually made of titanium) that is surgically placed into the upper or lower jawbone where a tooth is missing. The implant serves as the tooth root and anchor for the crown, bridge, or denture that is placed over it. In areas where bone is lacking to support implants, there are effective techniques today to add bone. Dental implants, though expensive, may actually cost less over time than other tooth replacement options as they do not affect the adjacent teeth. In addition, if good oral hygiene is practiced, the implant can last a lifetime.

Dental Implants

If after consultation with our office it is determined that you can receive dental implants to replace missing teeth, we will refer you to an Oral Surgeon (an oral health care specialist who performs many types of surgical procedures in and around the entire face, mouth, and jaw area) who will perform the implant procedure. For patients with existing dental implants, who have experienced any chips or cracks to the crown or bridge that is placed over the implant, our office can restore any damage to the crown or bridge for you.

• Click to see how Full Mouth Implants can now replace full dentures: Full Mouth Implants
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Professional Dental Whitening

Whitening is the process of causing the teeth to appear brighter by applying certain cleaning or bleaching agents. Everybody loves a bright white smile, and there are a variety of in-office options and procedures available to help you improve the look of yours. There are many causes behind tooth staining. Certain medicines, tooth trauma, fillings, and even foods and beverages, such as coffee, tea, red wine, soft drinks and tobacco products can cause tooth discoloration over time. Some of these discolorations are superficial, while others are internal. However, both can be effectively treated by a dentist. Professional dental whitening is the best option to safely lighten discolored teeth.

Opalescence® Boost

Opalescence Boost is an in-office teeth-whitening system containing potassium nitrate and fluoride for stronger enamel, decreased sensitivity, and cavity prevention. It is chemically activated using a 38% hydrogen peroxide solution and does not require light. The unique syringe-to-syringe mixing system ensures freshness and convenience in application, while the distinct red color aids in proper application and ensures complete removal. The procedure lasts about 60 minutes and offers high-quality whitening with immediate results.

• Click to watch a video about in-office dental bleaching (whitening): Dental Whitening
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Hygienist And Periodontal Services

A Hygienist is a licensed, auxiliary dental professional who is both an oral health educator and clinician who uses preventive, therapeutic and educational methods to prevent, detect and treat diseases of the oral cavity. Local dental regulations determine the duties hygienists are able to perform. In most jurisdictions, hygienists work for a dentist. The more thorough and effective the hygienist, the more likely the patient can steer clear of unpleasant dental procedures.

Fluoride Treatment

Fluoride is a mineral that helps strengthen teeth enamel making teeth less susceptible to decay. Low concentrations have been found to greatly lower the amount of cavities in our society. Fluoride is also a poison to many oral bacteria and thus prevents cavities and gum disease. Fluoride is ingested through food or water and is available in most toothpastes. It can also be applied as a gel to the surface of teeth by a dentist or hygienist. The fluoride treatments from a dental office have a higher fluoride content than consumer products.

• Click to watch a video about how Fluoride can prevent tooth decay: Benefits of Fluoride
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Scaling And Root Planing

Scaling is a nonsurgical, deep-cleaning procedure whereby plaque and tartar (calculus) from above and below the gum line are scraped away (scaling) and the rough spots on the tooth root are made smooth (planing). Without proper cleaning and dental visits, plaque and tartar build up in the mouth and collect at an area just below the gum line. This buildup will eventually cause the gums to recede (move away) from the teeth, forming pockets in the mouth. This plaque and tartar buildup can then lead to periodontal disease.

• Click to see how plaque and tarter below the gum line is removed: Scaling & Root Planing
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Arestin®

When plaque and tartar collect just below the gum line, the gums can eventually recede (move away) from the teeth, forming pockets in the mouth. Although Scaling and Root Planing can remove the plaque and tartar buildup, additional treatment may be needed if the pockets have become infected. For adults with advanced stages of periodontal disease, Arestin, an antibiotic with an active ingredient called minocycline hydrochloride, is used together with scaling and root planing procedures. It is painless to apply and is completely absorb, leaving nothing to be removed and can help shrink periodontal pockets.

• Click to watch a video about how you can prevent gingivitis: How To Prevent Gingivitis
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If you have additional questions, please contact:

Front Office Desk Manager
38-03 31st Avenue Astoria, NY 11103
Phone: (718) 278-8183  Fax: (718) 274-6339
E-Mail: Office@draristidou.com

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© 2006 - 2010  Dr. Harry L. Aristidou, DDS.  All Rights Reserved.
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