- All-On-Four Dental Implants
- Dental Bridge
- General Questions
- Gum Disease
- Hygienist Treatment
- Inlays And Onlays
- IV Sedation
- Questions On Smile Makeovers
- Root Canal
- Routine Fillings
- Teeth Whitening
- Tooth Decay
- Types of Dental Implant
Studies have shown that using fluoride toothpaste significantly reduces the risk of dental decay. Furthermore, the use of a fluoride mouth rinse can also contribute to an additional 40% reduction in dental decay.
Often you will not feel decay until it has already progressed to an advanced state – this is usually once it has spread to the dentine and may be close to the nerve.
As long as you have teeth in your mouth, you are susceptible. From young babies to the elderly, we are all vulnerable to decay and you should visit your personal Malo Smile USA dentist and hygienist regularly as well as practice good oral hygiene at home.
As long as you have teeth in your mouth, you are susceptible. From young babies to the elderly, we are all vulnerable to decay and you should visit your personal Malo Smile USA dentist and hygienist regularly as well as practice good oral hygiene at home.
Amalgam fillings can be changed for the more aesthetically pleasing composite fillings. In some cases we may recommend leaving your fillings until they have come to the end of their life as each time you change a filling you have to remove more tooth tissue.
The expected life of a filling is 10-12 years but this varies depending on the materials used, the state of the tooth and how well you care for them.
There are a few materials available including amalgam and composite. Composites are usually the preferred option as they are available in many shades and can be matched to your natural tooth for a seemingly invisible filling. These fillings also bond better to the tooth but are not always successful if the filling is very large. If this is the case then crowns, inlay or veneers may be recommended.
Fillings can be used to replace tooth tissue lost through decay, chipping, wear and tear and abrasion.
Routine fillings are restorations that are either silver or white in color.
Yes. Lumineers are so light and easy to fit that they can be attached to existing dental work, such as crowns or bridges.
No. Unlike standard veneers, Lumineers can be fitted to an entire set of teeth at one appointment, in many cases the procedure might only take around an hour.
Yes, unlike traditional veneers, Lumineers can be removed should you wish, with the teeth beneath them remaining strong and intact.
No. Lumineers are bonded to your teeth so strongly that you’re free to eat and drink anything you like, without any risk of damaging them.
Lumineers will last for a very long time, we know of cases where Lumineers lasted over twenty years, (no guarantee for that) although they must be looked after in the same way as your natural teeth.
This is something which you should discuss with your personal dentist of your local Malo Smile USA dental office but, in most cases, if your teeth aren’t too badly crooked or out of line, then Lumineers can be used to reshape them, giving you a smile of uniform whiter and even teeth.
Lumineers are much thinner than traditional veneers and can be fitted without compromising the structure of the existing teeth. The other differences are that they can be fitted without pain and the process can be reversed.
We will need to see you for a consultation to start with – this gives you the opportunity to meet your personal Malo Smile USA dentist, and you can discuss your health and any medication that you may be on. You can also take this time to let us know how we can make your treatment visits as stress free as possible. Your personal Malo Smile USA dentist will then check your oral conditions and work out a treatment and appointment plan with you.
The IV needles are very fine and most patients won’t feel it going in. Patients who have, describe it as feeling like a pin prick with the sensation lasting only seconds.
There is no set time for recovery as every patient reacts differently, but for 24 hours after taking the medication you should not drive or operate any heavy machinery. Patients are encouraged to sleep and take plenty of water and clear fluids for the rest of the day.
As with all prescribed medicines there is the possibility of side effects. Your personal Malo Smile USA dentist will go through a series of questions with you before prescribing any medication to ensure suitability and minimize any interference with other prescribe medicines that you may be taking.
Like any braces, Invisalign aligners exert a slight pressure when they’re first fitted. Unlike conventional braces, they don’t irritate or cause any pain beyond this.
Yes. One of the chief advantages of Invisalign aligners is that you can remove them in order to eat or drink. Unlike standard braces, they won’t impinge upon your social or business life.
You don’t need to be an adult to have aligners fitted, but you do need to have all of your adult teeth.
The chief advantage over traditional braces is the fact that Invisalign aligners won’t infringe on the appearance of your smile while they do their work.
There are no unsightly metal bands holding them in place which also means that they are much more comfortable to wear.
Unlike standard permanent braces, Invisalign aligners can be removed when called for, ie when receiving standard dental treatment.
The ease of removal means it is easy to maintain dental hygiene standards whilst wearing the aligners.
Invisalign aligners are virtually invisible. They’re unobtrusive and made from lightweight, clear plastic. Even from close quarters, you’d have to tell someone you were wearing aligners before they notice them.
The procedure is performed during two visits at your nearest Malo Smile USA dental office.
Generally, each visit will take about one hour, although the first appointment tends to be longer with an Onlay as more tooth structure is removed.
Inlays and Onlays procedures are performed using very similar techniques. Both require two trips to your personal Malo Smile USA dentist. At the first appointment, he begins the procedure by numbing the area using a local anaesthetic. The decay or damage is removed using a drill, preparing the tooth for its new surface. After all the damage is removed, an impression is made of the prepared tooth so the inlay or onlay material can be cast in a form that will fit the tooth exactly. A temporary restoration is placed on the tooth to protect it until our in-house laboratory makes the new structure and it can be bonded to the tooth. This can take a little time.
Using the impression, our laboratory prepares the new tooth surface using gold, porcelain, or composite resin.We than make sure the temporary restoration is removed and the surface is cleaned to prepare for the new structure. Your personal Malo Smile USA dentist will then try in the new restoration to ensure that there is a correct fit that doesn’t interfere with your bite.
If the fit is good, using special cement or bonding, the inlay or onlay is permanently attached to the tooth. Some minor adjustment may need to be made to the restoration if there are interference’s. To finish the procedure, we will polish the cemented or bonded structure and tooth.
At the initial consultation your personal Malo Smile USA dentist will determine whether the tooth can be repaired using an inlay or onlay procedure or whether a more extensive treatment, such as a crown, is needed. Once it is determined that an inlay or onlay will suffice, a decision needs to be made as to the material. Gold has the longest track record, but it does tend to be less esthetical appealing. Porcelain and tooth colored composite resin are two other choices of material for the new tooth structure. Because both of these materials are tooth colored they are particularly favored if the tooth is visible or if esthetic results are an important goal.
Inlays and Onlays are ways of repairing relatively extensive tooth decay or damage without having to replace the whole outer portion of the tooth as with a crown. Less tooth material is removed so inlays and Onlays tend to be more conservative and esthetic than crowns. Unlike fillings, these procedures strengthen a tooth’s structure. They also tend to last longer than a filling, because the Inlay or Onlay material is custom made and bonded to the tooth.
Yes, you can register with us after you have seen your personal Malo Smile USA Hygienist.
Yes, although they’ll often feel so clean that you won’t want to! You should avoid staining products for two hours after – this includes tea, coffee, red wine, cigarettes, beetroot etc.
Simple cleans are usually pain free – though we do offer a topical anaesthetic cream if you are concerned. We offer longer appointments to prevent pain and discomfort as this means that the hygienist can take all the time they need to gently clean the teeth and gums.
A clean and healthy mouth improves your appearance and gives you fresh breath. Research has shown that good cleaning significantly reduces the risk of filling replacement, new cavities, gum recession, food trapping and teeth drifting. Gum disease is also linked to Heart disease and there are concerns about poor gum health and pregnancy.
Every Malo Smile USA Hygienist is specially trained for cleaning and will spend much longer with you. They are also experts in coaching and motivating you to correctly look after your teeth and gums.
Good Oral Hygiene is essential. Professional cleanings are also extremely important because once plaque has hardened and built up, or become tartar, only a dentist or dental therapist/hygienist can remove it.
Classic signs and symptoms of gingivitis include red, swollen, tender gums that may bleed when you brush. Another sign of gum disease is gums that have receded or pulled away from your teeth, giving you teeth an elongated appearance. Gum disease can cause pockets to form between teeth and gums, where plaque and food debris collect. Some people may experience recurring bad breath or a bad taste in their mouth, even if the disease is not advanced.
It can be difficult to speak clearly when teeth are missing in the front or anterior areas. Wearing a dental bridge with the anterior teeth in their proper relationship will help you speak properly.
Replacing missing teeth with a dental bridge should actually make eating easier. Until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.
Dental bridges can last from 5 to 15 years or even longer. With good oral hygiene and regular checkups, it is not unusual for the life span of a fixed bridge to be well over 15 years. (no guarantee it depends on many factors)
The cost of the Bridge depends on the type of bridge selected and the material used. We are more than happy to provide you with more details based on your personal circumstances after a consultation. The consultation is complimentary and you are welcome to call us to arrange to see your personal Malo Smile USA dentist nearest to you.
Although, the vast majority of the time, dental Crowns are a simple and straightforward procedure, problems can arise very occasionally:
A newly crowned tooth may feel slightly uncomfortable as the Anesthetic wears off. This should fade shortly. If the tooth to which the Crown is fitted still has a nerve, it may be that it is sensitive to hot or cold foods. This should be treated in the usual manner, i.e., with specialist toothpaste.
A porcelain Crown may chip occasionally. A small chip can be fixed with resin, whereas a large chip will mean the Crown has to be replaced.
Sometimes the cement holding the Crown in place may wear away, causing the crown to loosen. Not only does this mean it could fall out, but it also leaves the tooth beneath vulnerable to decay. If your Crown feels loose, call your personal Smile USA Dentist.
Yes. There are no special dietary precautions necessary when permanent crowns are fitted.Because they are cemented over existing teeth, normal care must be taken to avoid food and drink which will cause tooth decay.
To some degree, the longevity of your crown is down to you and how well you look after your teeth. If you maintain good standards of oral hygiene, visit your personal dentist at Malo Smile USA regularly, eat the right diet and don’t grind your teeth or use them to do things like opening bottles, then a Crown can last between 10 and 15 years.
During the time when we have fitted you with a temporary Crown, you will have to take some precautions regarding the food you eat. Temporary Crowns are, by their nature, not intended to last forever and are therefore not fixed as securely as permanent Crowns.
Therefore, it will be necessary to avoid chewing on the side of the mouth which has the temporary Crown fitted and to steer clear of sticky foods which might pull the Crown out, or hard foods which may chip and damage it. As temporary Crowns tend to stain more easily than permanent crowns, it may also be sensible to avoid foods which tend to stain, such as beetroot or curry.
Permanent Crowns can be constructed from several different materials and our Smile USA Dentist will discuss the options with you:
Metal crowns can be made from gold alloy, or metals such as nickel and chromium. Metal crowns are usually the hardest wearing and least likely to chip or break although the obvious drawback is their metallic coloring. Gold crowns may be chosen for aesthetic reasons, or metal crowns used for teeth which are out of sight, such as molars.
Metal Fused To Porcelain
Crowns made of metal fused to porcelain combine the strength of metal crowns with the ability to match the existing shade which is available when using porcelain. One drawback of these crowns is that the metal behind the porcelain may, in time, show through as a black line where the crown meets the gum.
Porcelain or Ceramic
All porcelain and ceramic Crowns are far and away the best choice in terms of looking natural and being cosmetically pleasing.
If you have an infected pulp but opt not to have a root canal treatment, you risk having to take the tooth out entirely and more seriously, the infection spreading. This may result in several tooth extractions and infection of your gums. Apart from becoming very expensive to treat at this stage as a dental implant or bridge may be required, the health risks of having an infected tooth in your mouth for longer than necessary are serious. It is therefore recommended that you seek help as soon as you experience the problem.
Root canal problems can return, and if the tooth is in a weakened state then it may need to be protected by a porcelain or metal cap, known as a crown. If a large amount of the tooth has been lost to decay or physical damage a supportive post may need to be inserted into the root canal to help support the crown and keep it in place. Your dentist will advise what is suitable for your particular case.
Most people fear root canal treatment because of the perception that it will be painful. The reality is that it is not painful when a local anesthetic is used, but it is usual to experience some level of pain after the anesthetic has worn off. This is usually manageable with over the counter anti-inflammatory drugs; we can advise you further. Remember that you are more likely to hear about negative experiences from friends and family, but rarely when a treatment is pain free. Therefore always seek unbiased information and advice when investigating your treatment options.
Before you undergo root canal treatment, you will need a dental examination, followed by an X-ray to get an idea of the severity of the infection and to see how many root canals the tooth in question has.
Next, the dentist will be able to tell you exactly what will be involved for your case, talking you through the procedure in detail. They will do this to put you at ease and allow you to make an informed decision about going ahead with the procedure. If you do, you will need to sign a consent form. This is normal and precedes most dental treatments.
Sometimes a root canal procedure can be completed in a single session, but if your case is especially complex, treatment may take longer.
Although all dentists carry out root canal work, if your tooth provides a particular challenge then you may be referred to an endodontist. This may also be the case for a root canal procedure on a tooth that you have had the same problem with before. An endodontist is a dentist with specialist status after extensive training in treatment of the dental pulp. You can get a referral to see an endodontist from a general dentist.
Titanium oxide is now the commonly used material in the manufacture of dental implants, and this has shown to reduce infection due to the material’s antibiotic properties.
In an attempt to further reduce bone loss in the implant region, coating implants with antibiotic substances that dissolve faster immediately following implant placement can also help to reduce infection, especially in the initial stages.
Trials have been done to cover the implants with morpheonetic proteins and also with synthetic hydroxyapatite, which enhance the re-growth of jawbone in the implant regions, encouraging faster osseointegration.
The latest pioneering research is to find biomaterials which will induce bone cells to act as stem cells that can grow new bone cells.
In 1952, Prof Per-Ingvar Brånemark of Sweden conducted an experiment where he utilized a titanium implant chamber to study blood flow in rabbit bone. After the experiment was completed, and when it became time to remove the titanium chambers from the bone, it was discovered that the bone had integrated completely with the implant and the chamber could not be removed. Professor Brånemark called this process “osseointegration,” and realised at that point that there was a great potential for the use of titanium screws in humans who had lost their teeth. He realised that a prosthetic crown could be fixed on to a titanium screw or post, which are now known as dental implants.
In 1965 Professor Brånemark, who was then a Professor of Anatomy at the University of Gothenburg, placed dental implants into the first human patient – Gosta Larsson. He died in 2005, with the original implants still in place after 40 years.
In the mid-1970s Brånemark joined with the Swedish company called Bofors to manufacture implants and all the drills and equipment needed for placing them. After some time, Nobel Pharma took over the production. Nobel Pharma is now known as Nobel Biocare.
Brånemark spent almost 30 years fighting the scientific community for acceptance of osseointegration and was often ridiculed at scientific conferences. When his university stopped funding the research, he opened a private clinic to continue the treatment of patients. A Canadian, Professor Zarb, brought osseointegration to the attention of the World dental fraternity. Osseointegration is now considered to be commonplace treatment.
- Currently wear dentures, and perhaps suffer from low self-esteem due to badly fitting, loose or wobbly dentures – especially when talking or eating.
- Currently have a failing bridge, and don’t like the thought of wearing dentures
- Currently have failing / wobbly / loose teeth (perhaps due to gum disease), and don’t like the thought of wearing dentures
- Want fixed teeth throughout their treatment
- Enjoy food, but are limited eating soft foods
- Have been advised that they require (extensive) bone augmentation. Teeth in a day / All on 4 can often reduce the need for bone augmentation.
- At Malo Smile USA we appreciate that people have busy lives. In contrast to the traditional ‘full arch’ treatment process, All on 4 dental implants or Teeth in a day minimizes the number of appointments
- The benefit of a fixed temporary bridge – the ‘teeth’ in a day – as opposed to a temporary denture – means that patients have fixed teeth throughout the entire treatment process.
- For people who have endured badly-fitting dentures or wobbly / loose teeth for years, being provided with natural-looking, secure, sturdy, comfortable bridge attached to dental implants is life changing.
- Teeth in a day or All on 4 dental implants has made an enormous positive difference all of our patients who have decided to have the procedure done.
- All on 4 dental implants is also marketed as Teeth in a day, Same day teeth, Same day smile and Teeth now.
- All on 4 dental implants is a treatment that replaces a whole arch or both arches of missing or failing teeth with a fixed bridge attached to dental implants in one visit
- All on 4 dental implants offers patients a full arch or both arches of fixed replacement teeth
- All on 4 dental implants or Teeth in a day is for patients who have either no teeth or have failing teeth (and perhaps currently wear dentures).
- Since the temporary bridge is fixed, patients are free from their dentures on the day of surgery.
- On the day of surgery, any remaining teeth are extracted and four to six dental implants placed (our clinicians usually place six implants in the upper arch, and four to six implants in the lower arch), and bone augmentation may also be carried out.
- A lab technician adapts a pre-made temporary bridge and the clinician attaches it to the supporting implants.
- Four to six months later (allowing the implants to fuse with the bone), the final metal-reinforced fixed bridge is fitted.
Arrive with missing / failing teeth and leave with a new smile with the teeth in a day. The all-on-4 dental implants solution has been invented by Dr. Paulo Malo, and are recognized around the globe to be the most innovative dental implant solution today. For those who do not want to wear temporary dentures or want to have the treatment completed quickly our All -on-Four implant system might be the best option for you.
Since Malo Smile USA are dedicated to dental implant treatments, all of our experienced implant dentists do the ‘Teeth in a day’ or ‘All on 4’ dental implant treatment.
A dentist needs specialized training to carry out the all on four dental implant treatment. Success rates are very high if carried out by a trained and experienced implant dentist and if strict aftercare protocols are followed.
Our implant dentists are highly experienced in all full jaw dental implant-based restorative treatment – including ‘All on 4’ and ‘Teeth in a day’
Suitability for dental implants will be determined in the clinical assessment. If you have good general health then dental implants will probably be an option for you. However, habits such as smoking (and this includes e-cigarettes, chewing tobacco, nicotine patches / lozenges / gum), heavy drinking or recreational drugs do decrease implant integration success rates.
These lifestyle habits also increase the number of healing-related issues and adversely affect the the long-term gum and bone health surrounding the implants. Any remaining natural teeth are also likely to be compromised, making treatment planning difficult to predict.
If you have any other medical problems,tell us during your initial consultation – it is rare to have health problems that preclude a patient from having dental implants.
An alternative to endosteal implants are subperiosteal implants. Rather than being fixed into the jawbone of a patient these implants sit on top of the bone, but still below the gum. Rather than a firm post entering the bone, a metal frame is fitted under the gum with a post attached to it. As the gum heals around the fixture the frame is secured and able to have false teeth applied to the posts that protrude from the gum.
These implant procedures are usually suited to people whose jawbone is not sufficient to hold an endosteal implant. These patients may have little bone available for the implant to be placed in or they may be unwilling/unable to undergo oral surgery to add bone to the area.
The most common form of dental implants are endosteal implants. These are place-holder posts, shaped like screws, fixed into the jaw that false teeth are then fitted on to. They have the appearance of screws and are made of titanium to reduce oxidation and create a less reactive environment with the mouth. Once the implants are placed the jawbone requires time to heal, fusing together to create a strong hold, similar to natural teeth roots. When this has healed artificial teeth are able to be placed onto the posts, fitting in with the surrounding teeth.
Endosteal implants are suited to most patients as an implant treatment option, and require a good level of healthy jawbone for the post to fuse to.
There are a few different types of dental implants, each suited to certain situations. Here we’ll discuss each, explaining the different circumstances they are applicable to.
The main reasons why your teeth slowly turn from white to yellow are the types of foods and drinks that you have that can stain them directly the worst offenders for doing this are strong black and coffee, also red wines and a strong curry can also cause staining.
A simple routine can help prevent dental problems:
- Brushing your teeth first thing in the morning and last thing at night with a fluoride toothpaste
- Cleaning between the teeth with brushes or floss at least once a day if possible
- Avoid having sugary foods and drinks as much as possible
- Have regular dental check-ups
Simply call Malo Smile USA Elizabeth Office on +1 908-527-8880 to make your first appointment. Once we have seen you for an examination we can then register you as a new patient.
How often we will need to see you is based on the condition of your mouth, teeth and gums. It could be as short as three months, but if you have no current problems, we might not need to see you for up to two years. We do however advise a regular visit to see the Dental Hygienist.
Nothing in the mouth will last forever. However, if porcelain veneers or crowns are done to a high standard and looked after well, then they can last for up to 15 years or more. We guarantee our crowns and veneers for 3 years (terms and conditions apply).
Teeth whitening can last for 1-3 years. The color of teeth will remain whiter for longer if you “top up” the whitening every month. The end result is also affected by factors such as smoking and drinking excess tea & coffee.
Implants last the longest. Statistically, research shows that after 15 years, implants have a survival rate of 95%.
A smile can be designed and fitted within 2-3 visits. Teeth whitening can be done at the chair side in one visit, but we recommend you carry on with the home kit by wearing the tray and the gels for ½ -1 hour per day for two weeks or so.
Implant dentistry takes longer. There are different options available depending on your specific case. With our unique All on Four System implants can be fitted in a single day, if that would be the the appropriate solution for you. We will give you professional advice and recommend what’s best for you.
For complex cases, multiple visits are required to ensure each stage is successfully completed before we move to the next stage.
If we recommend orthodontic treatment (braces), then the treatment time can be on average 1-2 years.
Anyone who wants to look better! Having a new smile is not just for film and pop stars. There are many options of treatment to suit each individual’s budget and needs. Our Mission is “Creating Beautiful and Healthy Smiles”. We do this on a daily basis for our patients. We are really passionate and proud about the ability we have to impact someone’s life by giving them renewed confidence with a new smile!
Some of our patients prefer to do one or two fillings at a time. However, most of our clients opt for having one arch or a quadrant done at a time. The advantage of this is that we can deliver higher quality care in a more efficient manner with fewer visits. This also avoids repeat injections.
Not at Malo Smile USA. We use special techniques to give painless injections. Our dental drills are the best in modern dentistry. We use high quality anaesthetic solutions that work predictably. Our highly experienced dentists work with a light touch for your total comfort. For really nervous clients, we offer sedation techniques which work superbly well.
You can discuss teeth whitening with our cosmetic dentists or staff who will be able to answer your more specific questions. We can show you some before and after pictures of our cases. We also have other information available on whitening treatments and all the latest guidelines.
The whitening gel used by us is a well-tested product from a top quality manufacturer. A lot of clinical trials have shown that our product is safe and effective in whitening your teeth when used by our specially trained dentists. Those bought over the counter are less well-controlled, and without supervision by a cosmetic dentist, their result can be unpredictable.
We only use equipment and materials that are voted the best in America. Our mouth tray design is the best available anywhere; this ensures minimal or no sensitivity during treatment. Our treatments give excellent results and are carried out by experienced and qualified dentists.
Your teeth will be noticeably whiter than they were, and the effect can last up to 2-3 years. However, exposure to tobacco, certain foods and drinks such as red wine, tea and coffee will gradually stain teeth again over time. We recommend “top-up whitening” i.e. about one session a month to maintain a whiter color for longer.
Some people may experience temporary teeth sensitivity during the treatment. These symptoms always disappear within 1-2 days of interruption or completion of the treatment.
Yes. extensive research and clinical studies indicate that whitening teeth with oxygen releasing gel under supervision is safe for teeth and gums. It will not affect teeth structure, enamel, fillings or restorations.
The treatment uses oxygen releasing whitening gel placed against the surfaces of your teeth. As oxygen enters the enamel and dentine, it whitens the colored substances. Only the teeth color is made lighter, while the structure of the teeth remains unchanged
A whitening process that lightens discoloration of enamel and dentine, it is also the most popular dental cosmetic treatment.
Teeth whitening is carried out using customized special trays that fit over your teeth. There are many systems of gels available and we will advise you as to the most appropriate product for you.
There are many causes. The most common include ageing, consumption of staining substances (coffee, tea, cola, tobacco), trauma, nerve degeneration and old restorations.
Almost anyone. Having a whiter, brighter, younger-looking smile can boost your self-confidence. Please note that porcelain crowns, veneers and fillings are not responsive to the whitening process. At our Malo Smile Elizabeth office, we carry out a preliminary oral examination of your teeth to determine suitability and show you what results you can expect to achieve from teeth whitening. Because we use the best predictable whitening techniques, we will achieve the best possible results.