It’s not difficult to find a dentist you’ll visit just once — but having a dental team you can count on again and again? That takes a little more research. Fortunately, you’ve got a wonderful option in a Palm Beach family dentist: Dr. Gerard Cuomo and his team of experts are committed to providing top-notch dental care for families in our community. Keep reading to learn more about our services, then call us to schedule your appointment today!
Palm Beach Dentist Welcomes New Patients From Palm Beach & Surrounding Areas
February 26, 2016
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Why do dental implant screws loosen and fracture after a prosthesis is placed?
May 3, 2013
I feel that foreign matter plays a role in contamination of not only the implant fixture threads, but also the implant screw threads. This foreign matter is comprised of blood (body), calculus (body), wax (lab), porcelain powder (lab), metal filings(lab), and stone slurry (lab). I also feel that the screw head may not seat properly in the screw access hole of the screw abutment, crown, and/or bridge prosthesis due to the same contaminants.
Screw loosening/fracture occurs:
1. When dentists and labs don’t recognize this debris as a contaminant.
2. The dentists and labs don’t use a new/unused screw for the final screw.
3. The proximal contacts of the crown and bridgework are too tight, putting excessive lateral pressure on the screw threads.
4. Calculus formation in the threads of loose screws will inhibit the dentist’s ability to remove the screw without fracture.
5. Screw metal surface quality may play an important role. You need to check with the implant manufacturers.
Presoaking the screw access hole with tarter/stain removing solution is my best advice for existing cases. Lab quality control starts with using advanced magnification such as a quality dental microscope. GC
Reaching out to dental students across the nation via YouTube
May 2, 2013
Thank you very much for you fit check videos – I think if every dental student watched them and applied the level of detail that you do then the worldwide quality of dentistry would improve drastically!
Thanks for all of your videos – I think they are some of the most informative dental videos on YouTube.
All-on-Four Fixed Implant Denture – "A cost effective alternative to wearing a complete set of removable dentures"
August 12, 2012
End stage dentistry does not have to end with a complete set of removable dentures. Now there is a unique treatment concept that will return a patient’s vitality for chewing food and help them avoid embarrassing moments associated with wearing dentures. It’s known as the “All-on-Four” technique with same day loading. Same day loading or “Immediate Loading” allows the patient to never be without teeth. Patients walk into the dental office with removable dentures and two to three hours later walk out with fixed implant non-removable dentures that they can call their own. Please click on the following link to watch one of our many videos on the “All – on – Four” method. GC
http://www.youtube.com/watch?v=yyqMxvV9SCw&list=UUZFBuQ_o3n2JTDSR2hj3TTg&index=1&feature=plcp
http://www.youtube.com/watch?v=oyegukONiZA&list=UUZFBuQ_o3n2JTDSR2hj3TTg&index=9&feature=plcp
Dental Video Eyewear – "Seeing is believing" – Real-Time patient co-diagnosis.
July 6, 2012
Patient education is presented in many different ways:
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Reading materials: brochures, pamphlets, etc.
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Demonstration models, props, etc.
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Computer graphic sample still images, books, before and after photos with still shot images shown on a computer screen.
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Image capturing device – intra-oral camera, extra-oral digital camera with still shot images shown on a computer screen.
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Patient Video Eyewear – direct live video line connected to patient via their own personal pair of video eyewear.
Out of all the techniques presented above, only video eyewear allows the patient to become a co-diagnostician. In short, the patient sees exactly the condition of their entire mouth in real-time similar to a 3-D motion picture. Other image capturing devices can only attempt one angle, one position, and one photo at any given time. Video eye wear reveals an infinite number of viewing angles of the mouth directly to the patient. Patients that use video eyewear seem to become more pro-active in learning about the various aspects of their dental condition. Some patients will want to continue to use the video eyewear even during the actual dental procedures in order to actively learn about the process of having their own teeth restored. Not to mention, finding the needle in the hay stack, this method dominates all others simply because it acquires its image through the lens of a microscope. This state-of the-art technology is a rare find in the state of Florida and is currently being used in our Boca Raton Dental office. To learn more about our video eyewear technology or make an appointment, please go to the “Comfort and Technology” section located at the following link to our website: https://www.gcuomodds.com/comfort–technology.html For scheduling all video eyewear intial exam appointments, please go to the “Contact Us” section located at: https://www.gcuomodds.com/contact-us.html
GC
Tooth Wear, Discoloration, Shape Problems, and Alignment Problems- Orthodontic treatment prior to veneering teeth?
April 22, 2012
Minor tooth movement plays an important role in various cosmetic cases. Todays options include “Smart Moves,” “Invisalign,” “6 Month Braces,” and “Conventional Orthodontics.” It is very important at times to properly position teeth before performing restorative treatment such as porcelain veneers. Veneers include two types: prep veneers and no-prep veneers. Each are used to treat patients with tooth discoloration, tooth shape problems, and tooth alignment problems. The decision on whether or not to reduce tooth structure comes after a thorough smile evaluation, diagnostic waxup, and trial try-on temporary veneers are placed. This way nothing permanently is done until the patient and dentist agree upon whether to include minor orthodonics in the treatment. Other options include cosmetic bonding and contouring. GC
Dental Lab Work – do dentists or labs perform the final "fit checking" of your case?
March 18, 2012
I published the following information for dentists to review on YouTube, along with a short video. Ultimately it is the dentist’s responsibilty to perform the final “fit checking” of your lab work prior to placing it permanently in your mouth.
“Everyone knows that dentistry is not an “exact science.” That being said, where do you draw the line regarding the fit of your lab work. Do you simply trust that your lab is operating at 100% quality control? Whose level of quality control? I highly recommend that you at least purchase a stereo zoom microscope that can be mounted to a countertop in your office. “Fit checking” all of your cases under a microcope after they come back from your lab, will give you the opportunity to send the case back for further adjustments. You could be faced with making these adjustments directly in the mouth wasting your time, your money, as well as the patient’s time. For years I’ve struggled with inconsistencies related to lab work during seating appointments. I had to finally “grab the bull by the horns” and you can too. Simply purchase a microscope and watch my video on fit checking. I will be happy to give you the microscope information that you will need to make the right purchase.” GC
The quality of my dental work reached an un-imaginable high level of care once I stopped using dental loupes and switched to using a dental microscope. I send all of my patients’ lab work to dental labs that also use microscopes. Finally, I perform the final “fit checking” procedure and then place the lab work permanently in my patient’s mouth. GC
Choosing the right dentist by asking the dental lab?
March 3, 2012
For years, I have accepted many dentists as patients for restorative treatment. These dentists are seeking out the very best of quality dental care. Here is a list of some common key points that they shared prior to selecting me as their dentist:
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The dentist must have many years experience in cosmetic and restorative dentistry
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The dentist must be meticulous in tooth preparation design
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The dentist must have persistent attention to detail
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The dentist must use a dental microscope
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The dentist’s lab must use a dental microscope
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The dentist must use a high quality (non-commercial) dental laboratory
