Digital Impressions And Cad Cam Milled Crowns


As a restorative dentist I see often patients becoming apprehensive when it comes for dental impressions.  Some of them share that are claustrophobic or gag easily.  Even with fast set materials and short trays still some discomfort for these patients. Cad cam milling machines have been available for a long time. But now with more sensitive and  smaller scanners, digital impressions has become more accurate and reliable than conventional dental impressions.  Going from 4 and a half minutes just one arch to about 15 seconds to make upper/lower arch impression and a bite record. All this information is transferred to a computer so the restoration can be design while the patient is on the chair.  Once the restoration is designed, the cad cam milling machine will begin milling the crown.  The crown then will be finished by adding any custom shade and characterization and glazed in a high end dental oven. The restorations can be milled from Zirconia and Lithium Disilicate (e-max) which are some of the strongest ceramic materials available.



Oral health is closely related to overall health.  Poor oral care leads to periodontal problems and tooth decay.  These conditions have been related to heart disease, diabetes and other conditions. People with severe periodontal conditions are more prompt to develop Diabetes type II than those who have good oral hygiene.  Poor oral hygiene is also related to heart disease and joint problems.  The bacterias that are in your mouth are constantly ingested and then absorbed ending in the heart and joints.  Taking care of your oral hygiene is not just to have nice teeth and good breath, it has a more deep impact in your body.

Here at Dental Excellence of Deephaven we care of our patients.  We see patients for periodic oral evaluations to make sure teeth are free of cavities and for hygiene recall appointments besides all the restorative services we offer.

Call us today to schedule a consultation. We look forward to meeting you soon!


Biting an apple

Every time I finalize a dental treatment either for a cleaning, some anterior fillings or a more complex case like veneers of crowns, I always reinforce the importance of staying away from biting hard or sticky food with front teeth.  If you can chip or break a natural tooth, you can break anything that  is in your mouth.  Now what about apples? they are not too hard, right? Well the problem of biting into apples is that all the stress concentrates at the portion of the tooth that is at gum level.  This in time will result of gum recession.  Always cut your apple in slices and bite them on the side of your mouth instead of the front.   Follow this and you always will have a beautiful smile!

Call us today to schedule a consultation. We look forward to meeting you soon!


Dental Implant Scann Proposal

Compared to traditional X-Ray systems, the Cone Beam system produces less radiation decreasing unnecessary exposure. Cone beam systems generates a three-dimensional image that allow us to visualize the location of important structures like nerves and bone structure helping us to determine the size, location and angle of the implant.  Planning ahead the surgery ensures a shorter surgery time, an ideal implant placement and a faster healing since no need for larger incisions to determine bone quantity. Also helps to determine if patient is a candidate for implants or not instead of waiting at the time of the surgery.

Your smile is our specialty! If you are looking to have a tooth replaced by an implant, the most important is planning ahead. Is not just about getting an implant and a crown, is getting a restoration that looks like a natural tooth, functions like a natural tooth and promotes the health of the surrounding structures.

Call us today for a consultation. We look forward to meeting you soon!

Issues Prosthodontics Can Help With


Missing Teeth – If you are missing one or more teeth, you may find it difficult to chew, function or speak properly.For a single missing tooth or several adjacent missing teeth, a fixed dental bridge may be appropriate. A removable partial denture can also be used for replacing one or more missing teeth. For patients who are missing all the upper and lower teeth, a full denture is recommended. A missing tooth can also be replaced with a dental implant to improve your appearance, chewing  and phonetics Also helps in the prevention of bone loss.

Traumatic Injuries to the Mouth & Teeth – Restore a smile when a patient sustains a traumatic injury to the mouth’s structure and/or teeth is a challenging task and could require the need of several specialties to achieve the desire treatment outcome.

Congenital Defects – Congenital defects are disorders that occur while a baby is developing in the mother’s womb, often during the first three months of pregnancy. While most congenital defects are caused by genetic mutations, some are caused by environmental factors such as drug or alcohol abuse, nutritional deficiencies, infections or medical conditions. Some congenital defects affect the mouth and teeth such as cleft palates, an absence of teeth and poorly developed tooth structures. A prosthodontist can treat congenital defects using removable, fixed and implant-supported prostheses.

Oral Cancer Reconstruction – Some people with oral cancer may need to have reconstructive surgery to rebuild the bones or tissues of the mouth. Prosthodontists work together with maxillofacial oral surgeons to help oral cancer patients.

Here at Dental Excellence of Deephaven we work together with Northern Star Oral and Maxillofacial Surgery’s doctors to help our patients’ concerns and needs.

Is it worth to see a Specialist?


When searching the internet either for restorative or cosmetic dentistry, you’ll find so much information that may feel that does not necessarily make things easier to understand. One  problem when looking for the right dentist, is that you will find advertisements from a variety of dentists who claim to have a quick-fix procedure that is perfect for you or they are specialists in cosmetic and restorative dentistry.

A major source of confusion can stem from the title of a “cosmetic dentist”. To make things explicitly clear, “cosmetic dentistry” is not a specialty. Every good dentist is concerned with aesthetics. The industry term of “cosmetic dentistry” causes confusion because it implies that all other dentists are not concerned with aesthetics. This is simply not true.

To put things into perspective, every licensed dentist completes dental school and passes a series of exams that qualifies them to practice general dentistry. Although dental schools do a great job of educating students on safety and preparing them for life as a dentist, the dental school process is not designed for the mastery of procedures. An increasing percentage of dental school graduates decide to enter one of nine recognized specialties in order to master their specific field. Here, students learn through a one-on-one mentorship with a master in the field. Every specialist goes through a process of rigorous training where they study, learn, and master advanced procedures that are usually just glanced over in dental school. Eventually, the classic story of the student becoming the master comes true, and a specialist is produced. So to answer the question of whether it is worth seeing a specialist, I would say, absolutely.

When deciding on who to go to in the case of aesthetic issues. It is important to research a dentist, check their credentials, and become an informed patient. The more information you get, the better.  It’s your smile!!

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Implant supported dentures are becoming every day more popular for the edentulous patients. New techniques have been developed to reduce the need of bone graft and to provide the option of immediate loading.  But this can only be achieved with the right dental materials and dental planning. The design of an implant is very important for immediate loading.  Not all the implants are design for that purpose.  And even if they are, most important is the quality and quantity of the bone.  The maxilla and the mandible have different types of bone.  Also is important to understand why a patient lost the teeth.  Was it because of Periodontal Disease? Caries? Congenital missing teeth? Congenital tooth development? All these plays an important role when treatment planning for an implant supported denture.  The number of implants to be used is also determined by the shape of the maxilla or the mandible as well as if the patient suffers from para functional habits like Bruxism.   Now more often dental practitioners are offering the option of fixed dentures without taking in consideration all these factors.   If a patient is edentulous, the options she/he has is to have conventional complete dentures, implant supported dentures but removable, so the patient can remove it at any time without sacrificing the retention provided by the implants and the last option is a fixed denture supported with implants.  This option the patient cannot remove the denture, is permanently attached to the implants.  When scheduling a consultation with your dentist make sure you spend a good time asking questions.  Before you go to your appointment, get informed.  Is a big step and a big investment, and you want to take the right decision.  Poor treatment planning, poor decisions and the lack of sufficient information will end in failure.

October is Breast Cancer Awareness!


Breast cancer is the second leading cause of death among women in the United States.  In 2006, the American Cancer Society estimated that there would be 212,920 new cases of invasive breast cancer, and in that year, 40,970 women would die from it.  Many women’s lives could be saved if this cancer was diagnosed earlier, and early diagnosis could be achieved if there were more and easier opportunities to do so. We the  dentist might have the opportunity to help in the diagnose of breast cancer. 

It has been found that the protein levels in saliva have great potential to assist in the diagnosis, treatment, and follow-up care of breast cancer. This method of early diagnosis is not yet approved by the Food and Drug Administration (FDA).  If it does receive approval, dentists and physicians could use it to collaboratively diagnose breast cancer.

But Dr. Jones also warns that this is not the only means for diagnosis.  “It would not eliminate the need for regular mammogram screening or blood analysis; it would just be a first line of defense for women,” she says. “For example, if the salivary screening did show a positive result, a mammogram or other imaging test would be necessary to determine in which breast the cancer was located.”

Taken from the study  “Salivary analysis in the diagnosis and treatment of breast cancer,” published in the March/April 2007 issue of General Dentistry, the Academy of General Dentistry’s (AGD) clinical, peer-reviewed journal, researched a new method of diagnosis.The authors are  Sebastian Z. Paige and Charles F. Streckfus, DDS, MA

Cancer Care and the Role of a Prosthodontist

Few think to go to a prosthodontist for head and neck cancer. Cancer patients benefit from a multidisciplinary care team comprised of physicians (oncologists, surgeons, and others), prosthodontists,and maxillofacial prosthodontists who collaborate to improve patient outcomes at all stages of the cancer journey. Prosthodontists help patients survive oral cancer by conducting routine cancer screenings at every recall visit for early detection and diagnosis. Prosthodontists play an important role during all stages from diagnosis to treatment to restored quality of life. The new ACP Cancer video features Drs. Hutten, Gartner, and Bohle with their patients. 

Copied from ACP website.

A Multidisciplinary Dental Approach!

A Prosthodontist working together with an experienced Oral Surgeon, can offer many advantages to their patients. One important advantage is that the patients have the benefit of both areas of expertise collaborating to develop the ideal treatment plan and provide optimal results. A prosthodontist, provides comprehensive treatment planning to ensure that the recommended treatment fits into the overall treatment plan for each patient.
The prosthodontist, is also in a position to determine the ideal team of specialists that is best qualified to provide a personalized treatment plan that meets the unique aesthetic and functional needs of each individual patient. Most important is continuing care to ensure a good long term prognosis to the oral health.