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900 NW 13th St #301
Boca Raton, FL 33486
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Minimally Invasive Porcelain Veneers in Boca Raton

August 1, 2016

Filed under: Porcelain Veneers,Uncategorized — drcuomo @ 2:13 pm

porcelain veneers in boca ratonIt’s Olympics season, and we can’t stop talking about the games here at the office. The US is racking up awards, and, well, because we’ve got teeth on the brain, that makes us think — are you interested in revealing a gold medal-worthy smile? Minimal-prep porcelain veneers in Boca Raton correct your dental flaws and help you flash the smile of your dreams.

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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.

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

Common Causes of Chemical Erosion

January 28, 2012

1. GERD, also known as gastroesophageal reflux disease, is a chronic symptom of mucosal damage. It is caused by stomach acid (hydrochloric acid) coming up from the stomach into the esophagus and eventually reaching the oral cavity.
2. Bulimia, an eating disorder, is characterized by binge eating and then purging (vomiting).
3. Carbonated beverag…e swishers show tooth wear on the facial (front) side of teeth. The fizz (carbonic acid) causes the demineralization of enamel to eventually form islands of the underlying tooth structure known as dentin. Colas are the most destructive, as well as 5 and 7 hour energy drinks (phosphoric acid) and Gatorade (high fructose sugar).
4. Citrus fruit suckers have front teeth that look like a screwdriver blade. The enamel erodes on both the front and back side of front teeth.
5. Citrus fruit mullers have more wear on back teeth than front teeth.

Please note: 25-50% of GERD patients may not have any symptoms other than dental. GERD is a precursor to Barrett’s esophagitis which can lead to esophageal cancer!! GC

 

CAD/CAM Dentistry – Computer-Aided Design and Computed-Aided Manufacturing in Dentistry

December 18, 2011

Old School vs. New School . . . CAD/CAM technologies produce different types of dental restorations, including crowns, inlays and onlays, veneers, fixed-bridges, implants, and orthodontic appliances.  These restorations are milled from solid blocks of ceramic and titanium materials.  Computer images are either captured by hand-held devices which scan directly in the mouth or desk-top which scan images outside the mouth.  The images are sent to the computer software where they are interpreted and set up for design.  At this point, the designers are either going to be your dentist, dental assistant, or dental laboratory technician depending on the system being used.  The virtual images are sent to the milling center where the final restorations are produced.  For further information, feel free to visit the following sites:  http://www.3shape.com/why-3d-design/software-videos.aspx , http://www.cadent.biz/  GC

Use of a Water Flosser for Interdental Cleaning

December 11, 2011

Interdental cleaning is an important part of a patient’s personal oral care regimen.  Water flossers, also known as oral irrigators (WaterPik), can play a vital, effective role in interdental hygiene. Evidence has shown a significant reduction in plaque biofilm from tooth surfaces and the reduction of subgingival pathogenic bacteria from pockets as deep as 6 millimeters with the use of water flossing.  In addition, water flossers have shown to reduce gingivitis, bleeding, probing pocket depth, and tartar buildup  related to dental implants, porcelain veneers, crowns, orthodontics, as well as natural teeth.  GC

New Patient Experience

November 6, 2011

The New Patient Exam (as well as all hygiene visits) should include an Oral Cancer Exam.  It is painless and quick – it takes only a few minutes.   The following questions should be answered for an effective oral head and neck cancer screening to take place. 

Did your dentist —

  1. Ask you to removal of any dentures (plates) or partials prior to examining your mouth?

  2. Inspect your face, neck, lips, and mouth for any signs of cancer?

  3. With both hands, feel the area under your jaw and the side of your neck, checking for lumps, bumps, or bruises that may suggest cancer?

  4. Look aand feel the insides of your lips and cheeks to check for possible signs of cancer, such as red and/or white patches?

  5. Have you stick out your tongue so it can be checked for swelling or abnormal color texture?

  6. Use gauze to gently pull your tongue to one side, and then the other, to check the base and underside of your tongue?

  7. Look at the roof and floor of your mouth, as well as the back of your throat?

  8. Put one finger on the floor of your mouth and, with the other hand under your chin, gently press down to check for lumps or sensitivity?

            –GC

Porcelain Laminate Veneers

October 30, 2011

Porcelain laminate veneers enhance a person’s smile.  My patient has a past dental history of tetracycline staining and was previously restored with porcelain veneers twenty years ago.  I am currently treating him with new veneers using today’s dental materials.  He now feels more confident and is very happy with the result.  The series of YouTube videos will take you through a step by step process of converting a severely discolored and uneven smile to a more natural and attractive smile.  Proper communication is important when transferring information to the laboratory.  http://www.youtube.com/user/gmcuomo?feature=mhsn  GC

Porcelain Veneers help build ones confidence and esteem

September 26, 2011

Filed under: Porcelain Veneers,Uncategorized — tntadmin @ 4:32 pm

Many people that suffer from teeth that are crooked and discolored now have conservative options available.  Certainly “tooth whitening” is a good alternative, but it does not address the shape and position of their teeth.  Porcelain veneers are the result of a unique method of solving this dilemma.  People come to us requesting a veneer consultation because of their desire to change.  They want their teeth to look good on the front “veneer” side and keep the back “enamel” side unchanged.  Unlike crowns, which cover the entire sides of teeth, porcelain veneers allow the person to enjoy and appreciate the normal temperature of foods and liquids through the partial coverage of the teeth. 

900 NW 13th Street, Suite 301, Boca Raton, FL 33486 USA
Dr. Gerard Cuomo Gerard Cuomo Microscope Enhanced Dentistry is passionate about dental service through their advanced technology to give their patients perfect smiles. (561) 391-6290 (561) 391-6299 dr@gcuomodds.com