Dear patients, friends, and family,
As an established practice for the past 30 years, the safety of our patients and our team has always been our priority. We have been keeping a close watch on the latest updates in regards to COVID -19. Due to the latest mandate put into place by Governor Ron De Santis, our office will be open for dental emergencies. For patients with scheduled appointments, we will be contacting you to make necessary adjustments. While the office hours will be modified, we are always here to serve you and can be reached via the office (407-381-3000) (michaelson@alafayadentisty.com). As of now, we will resume regular operations in early May as ordered in the mandate. We know that this has been a difficult time for all of us and we just want to encourage you to remain safe and healthy. Should you have any questions please do not hesitate to be in touch.

Sincerely,
Dr. Gary Michaelson and Team





 

Alafaya Center for Cosmetic & Family Dentistry
A Great Dentist

Frequently Asked Questions (FAQs)

How can we help you?

At Alafaya Center for Cosmetic & Family Dentistry, we pride ourselves on educating our patients about dental care so they can be an active participant in their own oral health. As a patient, you have a right to be informed about your treatment. We make every effort to explain a procedure in enough detail for you to understand why it's important and how it can benefit your oral health.

But you may still have questions, and we've shared a few of those we hear most frequently. We're always here for you, so if you still need more information, please don't hesitate to contact our office.

Other

There are numerous qualities that make a “good” dentist. Of course, education, training, and experience are all important factors. But quality dental care is as much about practical knowledge as it is understanding your needs and treating you as the unique individual you are.

It’s important to pay attention to how you feel when you first enter a dental practice. First impressions do matter, and they tell you a lot about how you’ll be treated every time you visit for an appointment.

Were you welcomed promptly and warmly? Did the receptionist take time to ask how you’re doing or did you feel rushed? Were you seen on time? When you were being treated, did the dentist take time with you and answer your questions?

In addition to your impressions, you want to ensure that the facility is safe, clean, and modern and uses updated technology to streamline your treatments.

Dr. Gary Michaelson is a top dentist in Orlando, FL who puts your needs first. Our team loves pampering our patients, and our office is filled with spa-like amenities like aromatherapy candles, herbal eye packs, lumbar pillows, and even a shiatsu neck massager!

If you are looking for a dental practice that offers the perfect balance of state-of-the-art technology and comforting, personalized care, please call Alafaya Center for Cosmetic & Family Dentistry. 

Dentist Orlando FLOur fees are competitive for services rendered in a similar private practice. Also, we offer discounts on total treatment plans (see Financial page).

We cannot compete with chain or corporate dental offices. Their standards of quality dentistry and materials are not our standards. We believe our patients are entitled to the best materials and dental labs as well as the confidence of knowing that a professional and knowledgeable team member is seeing to your needs. For more info, contact our Orlando dental office today!

Dental Insurance | Orlando Dentist Most of our patients have dental insurance and we routinely help them maximize their benefits. We accept traditional insurance plans and PPO plans, however, we are out of network.  Patients with traditional insurance or a PPO plan have the freedom to choose their dentist. In most cases, the deductibles and annual maximums are the same if you visit an in-network dentist or an out-of-network dentist. Check out our Financial Page for more information.

It is our priority to help patients receive all of the benefits they are entitled to under their plan.  Immediately following your dental appointment, we will file your claim electronically, providing x-rays, narratives, and photos to support the claim and expedite your payment. At the time of the service, we ask that you pay in full for services rendered. Within a few weeks of your appointment, you will receive a reimbursement check from your insurance company. This is how we work with all insurance companies.

The amount of reimbursement depends on what type of plan you have chosen or which plan your employer has paid for. Keep in mind that dental insurance, in general, is very limiting. Most plans allow a maximum of $1000-$1500 per year and have restrictions on the treatment allowed.  Dental benefits haven't changed much since their inception in the early 1960's while dentistry has made enormous clinical advances in the last 50 years. The amount of dentistry a patient could receive in 1960 with a $1000 annual insurance benefit is far different than today.

Dentistry has a wide range of predictable, long-lasting treatment options to help patients restore and maintain health, function, and beauty. Dental insurance simply does not allow for the quality based comprehensive treatment available today. Since dental coverage is so limited it is important to choose a dentist on trust, experience, skill, and likeability rather than if they are on your "list". If you have any further questions please feel free to call our Orlando, FL office at (407) 381-3000.

At Alafaya Center for Cosmetic & Family Dentistry, we’re pleased to offer our patients third-party financing through CareCredit and the Lending Tree. You will find links to both on our Financial page.

While the option to make monthly payments directly to a dental office has not existed for many years, third-party financing may be an option for you. You can apply alone or with a cosigner, and you’ll receive an immediate answer. If you are approved, we can start your treatment even before you receive your new card. Financing your treatment over time is easy with payment options like 6- and 12-months interest free and extended plans for 24, 36, 48, and 60 months. 

Both adhere to the teeth and contribute to gingivitis and gum disease. There is a clear difference between plaque and calculus and how they affect your oral health. Plaque is the soft sticky layer of acid producing bacteria. This forms on the teeth every 24 hours as a result of eating and drinking throughout the day.  It is easily removed with daily brushing and flossing. When plaque is not removed daily with proper oral hygiene it can start to contribute to irritation and inflammation in the gums. The acid in the plaque is also what causes cavities.

When the plaque is left on the teeth for too long the minerals in your saliva begin to harden it to your teeth. When this happens it becomes Calculus or also known as tarter. Calculus unlike plaque us a harden substance that adheres to the teeth. The calculus builds up in layers and thickness over time. Like plaque it harbors toxic bacteria that irritates and causes gum to become inflamed. Over time this causes gum disease and recession of the gum tissue.   Once the calculus is hardened to the teeth, it cannot be removed with just brushing and flossing. It will only come off with a professional dental cleaning. Depending on the amount of buildup, a special gum therapy may be required. If the calculus is allowed to remain on the teeth, over time the irritation and inflammation will lead to gingivitis and eventually gum disease. Gum disease is one of the major causes of tooth lose in adults. 

Gum Disease Treatment in Orlando FLBleeding gums are not normal. This can be a sign of gum disease. It starts out as gingivitis, a early stage of periodontal disease. Like many disease this can go undetected. Gingivitis is caused by the bacteria that is found in plaque (the soft white film that accumulates on your teeth). When plaque sits on your teeth too long it starts to irritate the gums. Causing them to become inflamed and some times bleed. If the plaque is not removed routinely with brushing and flossing it will harden to the teeth, becoming tarter or calculus. Once this happens the only way to remove it thoroughly is by having your teeth professionally cleaned.

When gingivitis goes untreated it will eventually turn into periodontal disease. This is where bacteria causes the gums to swell open and the bacteria reach the bone. Once it reaches the bone the body tries to combat the infection by receding the bone. Bone is what holds the teeth in. Once enough bone is deteriorated your teeth can become loose. With periodontal disease there is no way to grow the bone back. We can only maintain the gum and bone health. If too much bone is gone teeth may not be able to be saved. Periodontal disease can go undetected for many years. It is not something that hurts or you can feel. 

Many people do not visit the dentist regularly. Some go only when they are in pain or have an emergency. By doing this, patients think they are saving money when in fact it can end up costing them more in time and money.  Most dental problems do not show symptoms until they reach the advanced stages.  Such as cavities. When a cavity first starts it is small.  Treatment for this would be a simple filling. When the decay is left untreated, it starts to grow. Eventually it can reach the nerve of the tooth. When this happens, the tooth needs a root canal and crown. Something that first started small and only cost a couple hundred dollars now needs more extensive treatment can could run into the thousands. 

 

Why do I need regular checkups from Alafaya Center for Cosmetic & Family Dentistry?

Another reason to have checkups and xrays done regularly is so the health of the gums can be checked. When your teeth and gums go a long period of time without a professional cleaning they become inflamed and irritated. The gums swell open and can bleed. This is due to the accumulation of bacteria. Most bacteria is removed from brushing and flossing, but some goes beneath the gums where you cannot reach. This is where your hygienist comes in. They use special instruments and a machine called a Cavitron to reach the areas you cannot. If your teeth are not cleaned regularly the bacteria builds up. At a certain point the bacteria reaches the bone. This is called periodontal disease. When this happens the bone can start to pull away from the teeth. Over time the teeth loosen which can result in tooth loss. There is no pain or discomfort that is present with periodontal disease. Most patients aren’t even aware they have it. 

Dentist Orlando FLWhile a deep cleaning will remove the bacteria and tartar below the gums where you are unable to reach, placing localized antibiotics in these areas enhances healing.  A deep cleaning alone cannot fight off the bacteria that can work its way back down into these deeper areas as the gums are healing.  Placing a localized antibiotic during the deep cleaning appointment or at another consecutive cleaning appointment will fight off the bacteria for several weeks, allowing for the best possible healing of the gums. For more info, contact our Orlando dental office today!

Dental Cleanings in Orlando More than 50 years ago there were no guidelines for how often you should go to the dentist. Most patients went when they needed something fixed rather than preventing the problem. To help patients dental and health organizations set the standards for preventive dentistry. Their main focus was on educating people that gum disease and cavities are preventable.

Even though the standard is for patients to see their dentist twice a year, it should really be based on each person’s oral hygiene, dental history, medical conditions, and habits. Assuming you take excellent care of your gums and teeth, it is still important to see the dentist regularly. Dr. Michaelson checks for problems you may not see or be aware of. Most dental emergencies don’t become obvious until they are more advanced such as gum disease, cavities, and oral cancer. Detecting these problems at an earlier stage can make fixing them more manageable and less costly.  

Many people can get away with seeing our office twice a year. Others may need to be seen more frequently. Patients with high risk or history of gum disease or cavities may be advised to visit three to four times per year. After examining your mouth and evaluating your home care we will recommend a customized hygiene plan for you. Including how often to have your teeth cleaned. 

General Dentistry

Child brushing teeth | Orlando DentistDepending upon the brand and level, electric toothbrushes can be more effective than brushing manually.  They tend to remove more plaque and stain without causing any damage to the surrounding tissues.  For example, certain brands of electric toothbrushes take away the ability for you to brush too hard.  Also, with an electric toothbrush you only typically need 2 minutes to effectively remove plaque whereas a manual toothbrush would require 3 to 5 minutes to do so.  Electric toothbrushes can also reach under the gums more. For more info, contact our Orlando dental office today!

General Dentistry | Orlando FL Dentist We pride ourselves on being thorough with our patients and their needs, and a dental exam and x-rays are needed before your cleaning.  Often times dental cleanings are given much less importance than they warrant. The number one cause of adult tooth loss is gum disease which is why regular dental cleanings and effective home care are so important. Most patients have no symptoms from years of missed dental cleanings which allows them to assume no problems exist. The progression of gum disease occurs over a long period of time and the damage done by the bacteria in plaque and tartar is irreversible. 
A dental cleaning is a procedure that is prescribed to a patient based on their individual needs. The type of cleaning needed, the level of intensity and frequency can only be determined after a thorough exam with x-rays.   Dr. Michaelson will use the x-rays to evaluate your gums, bone level, and any pocketing of the gums to determine the type dental cleaning you require and whether it will take more than one appointment. After we review this information and the costs, we can schedule you with one of our hygienists, Deanna or Christina. During the cleaning, the hygienist will review any recommendations that will help you with your home care to maintain your dental health. 

 

 

We understand dental anxiety, and you are not alone. Past bad dental experiences, injections, and fear of pain are a few concerns patients might have.

If you feel sedation will help you with your dental services, let us know. We will prescribe a pill for you to take one hour before the dental procedure to reduce anxiety. You will need a driver to bring you to your appointment and take you home. Most importantly, Dr. Michaelson and our entire team are very gentle and sensitive to your needs and will make your experience as comfortable as we can. 

Also, you can take advantage of our amenities, which include headphones with music, TV, neck wraps, and paraffin wax to help ease your anxiety and take your mind off your worries. Call us today to schedule an appointment!

Essix Retainers Orlando FLPlease follow these instructions, as well as instructions provided by your dentist for optimal results in use and longevity of your appliance.

Wear:

  • Wear your retainer at all times during the day except for when eating or drinking anything other than water.  The essix retainer is designed to serve as a cosmetic appliance as well as hold the adjacent teeth in position so the space doesn’t close.

Care:

  • Brush and floss your teeth before insertion every day
  • Upon removal, the retainer may be cleaned with COLD water only (to prevent the plastic from warping) and liquid soap or toothpaste. Toothpaste can cause a dull clouding of the retainer over time.
  • With your soft toothbrush  clean the inside of your retainer. Using care not to brush abrasively.
  • Your appliance may be soaked in an over the counter denture cleaner for 2-3 times a week for a maximum of 20 mins. 
  • Your retainer should be stored in a dry case
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort.
  • Keep appliance away from animals. They will chew appliance.

Replacement:

  • Be aware that your retainer will need to be replaced periodically depending on regular wear and tear, if lost, or broken.
  • You can expect your essix retainer to last for the normal healing time of 8-12 months.

For more info, contact our Orlando dental office today!

Cavities also known as tooth decay are weakened areas if the teeth. It can affect both the enamel (which is the outer layer of the tooth) and the dentin (softer inner layer). The cause of cavities comes from the bacteria in plaque. This is the soft film layer that accumulates on the teeth every 24 hours. The acid in the plaque dissolves the enamel creating holes or cavities. Everyone can get cavities. And cavities can even happen under existing fillings and crowns.  If a cavity continues to grow and not be treated they could need a lot more than a simple filling. Catching things earlier is the best way to prevent major problems from happening. Call our Orlando office today to schedule an appointment!

Root Canal | Orlando FL DentistA root canal is a dental procedure that treats the nerve of an injured or an infected tooth.  Once the infection in the tooth has been treated with a root canal it can remain and function in your mouth. Root canal is a safe predictable procedure that has over a 95% success rate.  The procedure itself is painless and patients often say that the experience resembles having fillings done.  In the rare instance that the procedure is uncomfortable or there is post operative pain, it is almost always due to the patient ignoring the infection in their tooth.   Once the area is numb and the patient is comfortable, Dr. Michaelson cleans out and disinfects the nerve of the tooth.  He will use small files to clean and shape the inside of the canal.  The tooth is then dried and filled with a sealer to prevent reinfection.  Since a root canal involves taking the blood supply out of a tooth, the tooth becomes brittle and can break easily if it’s not covered by a crown.  A lab fabricated crown can be made to add strength to a tooth that has had a root canal.  Teeth that endure the brunt of the biting forces from eating and chewing especially need the added protection of a crown. For more info, contact our Orlando dental office today!

 

 

 

 

 

 

 

 

Dentist Orlando FLGum disease, tooth decay, or even your tongue can be a source of bad breath. Bacteria feed in the mouth, and this can produce unpleasant odors. Many foods and drinks can increase your chance of having bad breath, such as:

  • Cookies, cakes, or anything sugary, which will fuel the bacteria
  • Foods with high protein like meat, chicken, and fish
  • Acidic drinks and foods, which speed up bacteria reproduction (so be aware of coffee and citrus intake) 
  • Anything that contains alcohol, from your evening cocktail to even alcohol-containing mouthwashes, which dry your mouth and help the bacteria thrive 

After a thorough dental examination, we will suggest the correct treatment for your specific needs to help control this problem. For more info, contact our Orlando dental office today!

Dentist Orlando FLA regular cleaning can be done if the gums are healthy and free of infection and if there is minimal plaque and tartar.  If you are overdue, and have missed routine cleanings, the gums will typically have areas where they are inflamed due to an accumulation of bacteria and tartar.  The amount of tartar accumulation will representative of your home care routine and how many cleaning you have missed.  In order to remove this infection, it will take more than a regular cleaning to do so.  We will use the x-rays and a thorough clinical exam to recommend the appropriate type of cleaning to and how many cleanings are necessary.  We will also help you get on a routine to maintain gum health. For more info, contact our Orlando dental office today!

Dental Cleanings Orlando FLWhen a person’s mouth shows sign of gingivitis and/or gum disease, a more frequent cleaning regimen is advised.  Since there is no cure for gum disease, catching and treating gum infections at an earlier phase is crucial.  Brushing and flossing at home can only reach so far under the gums.  Patients with inflammation in the gums are not able to reach these deeper areas.  More aggressive bacteria collect in these deeper areas which can lead to destruction of the surrounding bone, and even tooth loss.  Coming in more frequently for cleanings may allow us to treat these areas in a more conservative approach before they cause irreversible damage. 

Patients who have a tendency to build up more tartar as well as patients who are in braces can also benefit from coming in more frequently for cleanings.  Tartar acts as an irritant to the gums and can make the gums puffy and bleed easily.  The brackets and wires for patients in braces can make proper oral hygiene at home difficult.  Increased plaque retention can lead to inflammation of the gums as well as cavities. 

For more info, contact our Orlando dental office today!

Dr. Michaelson may suggest to remove an old filling if it's defective or may cause a future problem. Over time, the metal in silver (amalgam) fillings expands and contracts, causing openings for decay. These tiny movements can also crack the tooth. Replacing old defective amalgam fillings is the best way to prevent recurrent decay and brighten up your smile.

Once Dr. Michaelson removes the old filling, he will prepare the tooth, place the tooth-colored material, and dry the aromatic bonding material with special, high-intensity plasma arc or LED lighting, which cures in five seconds, as opposed to the traditional halogen lights that take over sixty seconds. Dr. Michaelson will ask you how the new tooth surface feels and then show you how you now only have natural colored fillings that are undetectable to plain sight. Do not worry about your diet. You can eat right away. Your filling is ready for use as soon as you get it. 

If you have questions about your silver fillings and whether or not they should be removed, please contact our Orlando dental office today!. A member of our team will be happy to answer your questions or arrange a convenient appointment with Dr. Michaelson.

 

Dental Fillings Orlando FL

Cosmetic Dentistry

 

While every dentist touches upon how to do veneers in dental school, the skill level required to provide you with a beautiful smile extends far beyond dental school.  Cosmetic dentistry is an art that is learned with advanced training in aesthetics as well as by experience.  With this training, skills are learned as to what proportions and dimensions create a beautiful and natural looking smile.  A dentist trained in this art will also utilize a specialty lab that has the same skill level. Porcelain veneers done by an inexperienced dentist will most certainly not look the same or last as long as when done by a dentist with the experience and training Dr. Michaelson has.

For more info, contact our Orlando dental office today!

Porcelain Veneers OrlandoPorcelain veneers can look just like your real teeth. This is dependent upon several things:  a highly trained and skilled dentist, the quality of the porcelain that the veneer is made of, as well as the expertise of the dental laboratory making the veneer. 

What does getting porcelain veneers look like at Alafaya Center for Cosmetic & Family Dentistry?

The best recipe for a natural looking veneer is when a dentist and a laboratory have a long-standing working relationship. Dr. Michaelson has had extensive training in the field of cosmetic dentistry and we have over 250 before and after examples in our smile gallery. All of the photos we have in our gallery are Dr. Michaelson's work and the laboratory we have used for over 15 years. For more info, contact our Orlando dental office today!

This is a very broad question and the answer can vary as widely as the question, “How much does a car cost?” The price varies depending on the quality, design, and workmanship in the finished product, as well as the care and attention you receive along the way. Cost alone should not determine your choice of provider and cosmetic dentistry treatment. Just as if you were selecting a brain surgeon, or even a restaurant or hotel for that matter, you wouldn’t want to make your selection based on price alone.

Ask yourself what is your smile worth to you? How does your smile make you feel? Research repeatedly shows that your smile is one of the first things other people notice about you and is integral factor in how you are perceived. If you hide your smile out of embarrassment think about how many opportunities you may have missed out on. How could a gorgeous new smile change my life?

Over the last 25 years we have helped give thousands of patients renewed confidence thru cosmetic dentistry and something we consistently hear from them is “why did I wait so long” ? Like all purchases, cost is relative to value. No two patients are alike. In our office, all cosmetic dentistry is tailored to the individual needs and wants of the patient. The cost of our cosmetic procedures for any one patient can range from as little as a few hundred dollars for simple procedures like teeth whitening to thousands of dollars. That’s because cosmetic procedures can range from entry-level procedures, such as tooth whitening, to complex full-mouth restoration cases. There is no “cookie-cutter” approach to cosmetic dentistry.

bright smile after cosmetic dentistry I alafaya center for cosmetic & family dentistryclose up of patients straight teeth I cosmetic dentist in orlando, fl

We will listen to your concerns and prescribe a combination of treatments best suited to bring about their individually customized, beautiful smile. Factors that influence our fees include the top quality materials we use, our dental technology, commitment to continuing education, the credentials of Dr. Michaelson and staff, our relationship with a world-class dental laboratory. These things, among many others, set our office apart. If you are considering cosmetic dentistry choose a dentist based on experience, credentials, and photos of their work rather than cost alone.  Please call the office to set up a consultation today to see if cosmetic dentistry is for you.

 

 

Woman smiling with wide brimmed hat l Cosmetic Dentistry Alafaya FloridaIf you don’t love the way your smile looks, you've come to the right place! At Alafaya Center for Cosmetic & Family Dentistry, we have plenty of options for improving just about any aspect of your smile that troubles you.

We offer cosmetic dentistry treatments at our Orlando, FL dental office using updated materials and state-of-the-art technology. You can choose from several treatments to get the look you want, or it may be that all you need is one or two to get your smile where you want it to be.

We offer the following treatments to fit your needs:

  • Professional teeth whitening
  • Cosmetic dental bonding
  • Porcelain veneers
  • Esthetic porcelain crowns

Except for the final reveal, the most exciting part of your smile makeover is the consultation. Dr. Michaelson loves talking to our patients about their smile goals and co-creating a treatment plan to achieve them.

We will talk about what’s bothering you and how you would like us to help. Together we’ll choose the appropriate treatments and explain how they work and how they will benefit you.

Are you ready for your best smile? We love creating smile makeovers, and we especially love seeing our patients enjoy the stunning results! If you are ready to take the next step, please call us!

Dental Implants

Essix Retainers Orlando FLPlease follow these instructions, as well as instructions provided by your dentist for optimal results in use and longevity of your appliance.

Wear:

  • Wear your retainer at all times during the day except for when eating or drinking anything other than water.  The essix retainer is designed to serve as a cosmetic appliance as well as hold the adjacent teeth in position so the space doesn’t close.

Care:

  • Brush and floss your teeth before insertion every day
  • Upon removal, the retainer may be cleaned with COLD water only (to prevent the plastic from warping) and liquid soap or toothpaste. Toothpaste can cause a dull clouding of the retainer over time.
  • With your soft toothbrush  clean the inside of your retainer. Using care not to brush abrasively.
  • Your appliance may be soaked in an over the counter denture cleaner for 2-3 times a week for a maximum of 20 mins. 
  • Your retainer should be stored in a dry case
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort.
  • Keep appliance away from animals. They will chew appliance.

Replacement:

  • Be aware that your retainer will need to be replaced periodically depending on regular wear and tear, if lost, or broken.
  • You can expect your essix retainer to last for the normal healing time of 8-12 months.

For more info, contact our Orlando dental office today!

Dental Implant | Orlando FL 32826Taking care of your implants is just as important as your natural teeth. Just like your natural teeth, there are no guarantees that you will keep them forever. You have to take care of them. They are susceptible to bacteria, infection, and bone loss, if not properly cared for. You have made a large investment in dental implants, and it is an investment worth caring for.

One of the best things about implants is that they cannot decay like natural teeth. However, the metal surfaces of the implant connector pieces are very susceptible to plaque buildup, which can happen fast if not cleaned regularly and thoroughly. This plaque provides a “safe house” of sorts for bacteria, which can work their way down and around the implant in the bone causing bone loss, and eventual implant loss. It is a very similar process to periodontal disease.

You currently are wearing either a Long Term Provisional Bridge (LTP) or your implant retained fixed bridge which is secured in place with six implants. If it's your Long Term Provisional Bridge (LTP), while healing and allowing for the integration (fusion) of the implants with your bone it is extremely important to keep clean the area under your bridge. It is also important to maintain a soft food diet while the implants integrate. A space is left between the bridge and your tissue to allow you to clean. It is very important to have great oral hygiene as this is harder to clean than a regular denture.

To help you clean these areas we are advising:Top Dentist 32826

  • Brushing twice daily under the bridge with a soft bristle toothbrush.
  • Floss daily with “thick” floss
  • Use a water irrigator, waterpik, or hydrofloss making sure you use a low setting and direct the water, horizontally under the bridge around the implants
  • Use a proxibrush under the bridge around the implants
  • Consider adding chlorehexidine (Peridex) diluted 1:10 in the irrigation unit

Remember:

You don’t want to brush too “hard” – just effectively.

It is also extremely important to continue with your normal hygiene cleanings. You will need 4 cleaning a year. Most likely at one or two of these appointments, the bridge will be unscrewed, cleaned, and re-screwed back. Periodically a new screw or another part may need replacing. Home care and maintenance of your implants is critically important to their success.

 

Dental Implants Orlando FL

Dental implants are used to replace missing teeth. A titanium post is inserted into the jawbone, similar to the positioning of the previous tooth root. Bone fills in around the implant, making it strong and able to withstand the forces of the jaw. Once enough healing and bone growth have taken place, the implant can be restored to function as a natural tooth with an abutment and a crown. Implants can also be used to support bridges and dentures if multiple teeth are missing. For more info, contact our Orlando dental office today!

Dental CT Scan (Computerized Tomography)  

· A CT scanner rotates to take X-ray images from different angles. A computer puts these images together to form detailed, two-dimensional pictures.

· Our 3D Imaging Lab uses the two-dimensional images to create detailed three-dimensional pictures that help Dr. Michaelson plan and carry out implant procedures.

· Exams typically take 15 minutes in total; the actual scanning takes just minutes.

The technologist performing your exam will be nearby and able to talk to you throughout the scan.

What is a dental CT scan?

A CT (computed tomography) scan is a noninvasive medical test that uses special X-ray equipment to produce multiple images or pictures of the inside of the body and a computer to join them together in cross-sectional views of the area being studied.

Traditional panoramic X-rays performed by dentists provide only a limited two-dimensional view. While they can show the height and contour of the jaw bone, they give no indication of the bone width and density and may distort the location of nerves that run through the jawbone.

State-of-the-art, three-dimensional dental CT imaging takes the guesswork out of implants. This quick and safe diagnostic imaging exam produces life-like views of the mouth that let Dr Michaelson determine pre-surgically if a patient is an implant candidate. With 3D imaging, a surgeon can proceed with confidence, knowing the amount of bone a patient has, the distance to the alveolar nerve and the exact angles to situate the implant.

Safety

The radiation used in a dental CT exam is significantly lower than in a conventional CT scan.

When should I consider dental CT imaging?

Dental CT imaging is used when patients are being fitted for implants. The more information a surgeon has about the anatomy of the patient's mouth before a dental implant, the better the outcome. Important measurements for the surgeon to know include the width and density of the jawbone ridge in order to assess implant feasibility and the exact placement of the alveolar nerve in order to prevent painful nerve damage. Dental CT imaging can also help visualize nerve location prior to wisdom tooth extraction.

Do I have to go somewhere for the CT scan?

We have partnered with a mobile imaging company that comes right to our office to do the CT scan. They have several large vans with the most up to date equipment to make the scan fast comfortable and accurate. The scan is performed by a certified technician and takes just a few minutes. Since the scan is done right here Dr. Michaelson can be involved. He will work closely with the technician to make sure the images captured are to his specifications.

What should I expect AFTER dental CT imaging?

You have no restrictions after having a CT scan and can go about your normal activities. After the exam, our 3D imaging staff produces three-dimensional images, which provide the surgeon with valuable data crucial to the success of the implant.

 

Those who have lost all of their teeth or are soon to have their last remaining teeth removed have several options for tooth replacement. One of the most advanced and reliable techniques are to permanently attach a fixed bridge to dental implants that are anchored in the jawbone. Implant-supported teeth look and function just like real teeth, and are maintained with the same oral hygiene practices, such as brushing and flossing. They provide important health benefits.aerial view of completed dental bridge I orlando, fl

Implant-supported teeth allow normal function of the nerves, muscles and jaw joints. By permanently replacing missing teeth and lost gum tissues. Implant-supported teeth restore the support of the facial structures (cheeks and lips), thereby creating a more youthful appearance as well as the ability to function normally. This includes chewing tough foods, eating fresh fruits and vegetables, laughing, kissing, speaking confidently, and smiling with joy. 

It is not an overstatement to say that permanent tooth replacement with implants has revolutionized dentistry. Implants have transformed the lives of people who do not have teeth by giving them a solution that is a lot more comfortable, secure, and reliable than removable dentures. They also prevent the loss of jawbone density and volume that is inevitable when teeth are lost. Dental implants stabilize and stimulate the bone around them, maintaining bone dimension and strength. This is something removable dentures can't do. In fact, wearing dentures actually accelerates bone loss.

A dental implant is a small, screw-shaped post that replaces the root of a missing tooth  the part that is housed in the bone beneath the gum. Implants are made of titanium, which has a unique ability to fuse to bone. That's what makes them so sturdy and reliable. After implants are inserted into the jawbone during a well-tolerated surgical procedure, fixed bridges can often be attached to them immediately that look and function like real teeth.

completed dental bridge I alafaya center for cosmetic & family dentistry

Dental Crowns

Dental Crowns in Orlando FL I Alafaya Center For Cosmetic & Family DentistryNo, not all crowns are the same.  Crowns can be made of different materials such as porcelain, zirconia, gold, and porcelain fused to metal, just to name a few.  The aesthetics and quality of a crown are dependent upon the skill level of the dentist, the type of laboratory used, as well as the materials in which the crown is made from. 

How are crowns made at Alafaya Center For Cosmetic & Family Dentistry?

For example, in our office, crowns on the front teeth are usually made of porcelain to provide a natural look.  Porcelain crowns have no metal, so they alleviate that dark line you often see at the gumline.  On back teeth, we use zirconia crowns since they are strong yet they are completely tooth colored, making them aesthetically pleasing as well. For more info, contact our Orlando dental office today!

Now that we’ve placed a temporary Veneer or Crown, it is important to follow these instructions to ensure the success of your final restoration.

Chewing and Eating

If we used an anesthetic during the procedure, avoid chewing until the numbness has worn off completely.  Avoid chewing for at least one half-hour to allow the cement to set.  To keep your temporary in place, avoid eating hard or sticky foods, especially chewing gum. 

Brushing and Flossing

Brush normally, but floss very carefully.  Remove floss from the side to prevent the removal of the temporary.  In some cases, we may advise you to avoid flossing around the temporary.   If your teeth are sensitive to hot, cold or pressure, use desensitizing toothpaste like Sensodyne.  If sensitivity increases or persists beyond a few days, call us. 

We may advise and give you peroxide in a brush tip syringe to keep the gums clean around your temporaries and use on a daily basis.

Medication and Discomfort

If a medication is prescribed, please take as directed.

To reduce any discomfort or swelling, rinse your mouth 3 times a day with warm salt water.  It's normal for your gums to be sore for several days.

When to call us

Call us if your temporary comes off.  Save the temporary or any pieces so it can be re-cemented.  It's very important for the proper fit of your final restoration that your temporary stay in place.  Call our office if the bite feels uneven, you have sensitivity or discomfort that increases or continues beyond 3 to 4 days, or if you have any questions or concerns.

We will be seeing you 2-3 days after preparation to evaluate your temporaries and finalize your case with the laboratory. 

 

Dental Fillings Orlando FLWhen a tooth has a large cavity or damaged area it may need something stronger than a filling to restore it.  Once Dr. Michaelson removes the decay and any damaged part of the tooth the amount of remaining healthy tooth dictates the appropriate restoration.  To place a filling there has to be a certain amount of healthy tooth to hold a new filling in. Without enough healthy tooth structure the tooth is at high risk of breaking.  In cases that filling material is overused it can lead to fracturing the tooth to the point of disrepair and requiring a dental implant.  A crown covers the entire biting surface and can withstand the biting pressure much better than a filling. When a tooth has a large cavity or damage a crown is the best way to restore and protect the tooth. For more info, contact our Orlando dental office today!

Orthodontics

A 3-D computer creates a customized series of clear aligners to help straighten the teeth.  Aligners are invisible, comfortable, and removable, but should only be removed for eating, drinking, brushing, and flossing.  Each set of aligners is worn for approximately 2 weeks.  Teeth move gradually with each new aligner until they reach the proper positioning.  Patients typically visit the office every 4-6 weeks to evaluate progress and receive their next series of aligners.  While the average case time is 12-17 months, this time could be more or less dependent upon how much movement needs to take place.

Invisalign Orlando FL
This is a before and after of one of our actual patients. Her treatment took 13 months.

For more info, contact our Orlando dental office today!

Teeth have a tendency to want to shift and move.  Even as adults, teeth are inclined to shift forward over time.   Because of such tendencies, wearing a retainer after braces is critical for keeping the teeth in alignment.  Since each orthodontic case is unique, the instructions for retainer wear after braces are as well.   A good rule of thumb is to wear your retainer for as long as you want to keep your teeth straight.  This will reduce the risk of the teeth going back into the position they were before your orthodontic treatment. 

Whether you have gone through orthodontic treatment via Invisalign or 6 Month Smiles, a customized plan will be given regarding retainer wear.  Immediately following treatment, most patients are told to wear their retainers at all times other than when eating, drinking, or brushing/flossing.  After 6 months, most patients only need to wear their retainers at night.  Sometimes, after a year, patients can begin an every other night regimen.  If placing the retainer ever feels tight, going back to a more frequent wear time is advised as this is a sign that the teeth are trying to shift.

With proper care and handling, most patients get 1-3 years out of a retainer.  Eventually they will crack and wear out.  Allowing Dr. Michaelson and our team to check your retainers at your routine cleanings will ensure they are fitting properly.

For more info, contact our Orlando dental office today!

The cost of Invisalign in Orlando varies widely for several reasons. But the determining factor is how crooked or crowded your teeth are when we start and the length of time it will take to straighten them in your case.

The average cost of Invisalign treatment in Orlando ranges between $3,000 and $6,800. Let’s take a look at how this breaks down.

Invisalign uses a series of clear aligner trays customized to move your teeth into their optimal position. Orlando dentist Dr. Gary Michaelson instructs his patients to wear one set of aligners for two to three weeks, then switch to the next set in the series. You’ll repeat this process until you have used all your aligners, and you’ve achieved your goal of a straighter smile.

So, if your Invisalign treatment takes a year, you’ll need about 20 to 30 sets of Invisalign trays. However, patients who have more extensive tooth misalignment or bite problems to correct may require 50 sets of Invisalign aligners or more over the course of treatment.

At Alafaya Cosmetic & Family Dentistry, we tailor your Invisalign treatment plan to help you achieve optimal results in the shortest time. We also offer the means to help you achieve your smile goals; today, many dental insurances cover Invisalign as they do any other orthodontic treatment, and we accept all PPO insurances.

If you would like help with financing your Invisalign treatment, we are also partnered with CareCredit and Lending Club Patient Solutions. Both are third-party financing options that can help make Invisalign a possibility for you.

Dr. Michaelson would be happy to meet with you at our Orlando dental office to discuss Invisalign and give you an idea of what the cost of treatment might be in your case. Please call us, and we’ll be happy to schedule a convenient appointment for you.

Zoom! Teeth Whitening

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MATERIALS

Bleaching the teeth is accomplished by wearing bleaching trays with bleaching gel in them.  The trays are custom made of a clear flexible vinyl.  You will find that these trays are very comfortable to wear and sleep with.  You will be given a bleaching kit.  Your kit will be complete with everything you need to complete your bleaching session.  Touch up kits are available for future use.

TEETH WHITENING THEORY

The active ingredient in the bleaching gel is carbamide peroxide.  This carbamide peroxide gives off oxygen, which penetrates the teeth’s dentinal tubules to whiten the shade.  Everyone’s teeth have a natural biologic limit of how white they can get.  Once you reach this limit, no amount of bleaching will whiten them more.  Therefore, some will have a better result than others.  Custom made trays are the primary reason this style of bleaching works so well.  In addition to whitening teeth, the oxygen also deep cleans the teeth by removing microscopic debris from in between the crystals of the tooth structure.  

DIRECTIONS

It is important to brush and floss your teeth thoroughly and properly clean your mouth prior to starting bleaching.  Once your teeth are clean start your bleaching right away, any delay can cause protein from your saliva to coat your teeth thereby inhibiting the bleaching agent from whitening your teeth as quickly.

 

Squeeze a drop of gel into each tooth on the inside of the outer walls of the trays.  This will be the front surface of the tray.  The syringe is pre-measured for each use.  Use this as a guideline for how much of a drop to put in each tooth, one line should fill one tray.  Be sure to place individual drops in each tooth, not a single streamline across.  This would be too much and create sensitivity.  If you’ve put too much bleaching material in, the gel will ooze out of the tray.  It will be trial and error the first few times you use it.  If you have gel oozing out of the tray, use your finger or a kleenex or Q-tip to wipe out the excess.  Do not suck and spit out the excess,  this will remove too much and the material will be wasted.  If you put too little gel in the tray, you will see through the clear tray with some open voids and the reservoirs not filled with the material.  That’s ok, don’t remove the trays,  just use A little more material at your next bleaching session.  You must wear the trays for a minimum of four hours.

 

In the morning, after removing the trays, brush your teeth and clean your mouth.  Cold or hot water may be uncomfortable at this time.  Then, clean the trays, with cold water.  You may use your toothbrush on them gently.  

Also, you will want to avoid things that stain our teeth while bleaching.  This includes but not limited to coffee, tea, red wine, blueberries, smoking etc...

WHAT TO EXPECT

Your teeth may become sensitive during the bleaching process.  Everyone does not get sensitivity.  We never know who may become sensitive.  If your teeth are sensitive you may take  Advil or Aleve to help this.  The sensitivity usually decreases after the first few days.  If your teeth are especially sensitive you may need to back off and skip a night of bleaching.  This is not recommended if you are not experiencing sensitivity, the bleaching system works best if you use it, consecutively day after day.  However, if your teeth are too sensitive it only makes sense to back off for a night.

 

You may notice that your teeth may start to look “funny”.  They may develop white spots and look chalky.  This is normal and will not harm the tooth.  The teeth may whiten at different levels depending on the original color variation in the tooth.  These white chalky areas will balance out during the first two weeks after you stop bleaching, and look normal again.

You may notice that the lower teeth do not whiten as quickly as the upper teeth.  This is because the lower teeth are smaller and the enamel is thinner, and the dentin shows through more easily.  The canine teeth are also naturally darker teeth to begin with, so they will be slightly darker when you finish whitening. 

 

Please note that existing veneers, crowns, bondings, fillings, or any other permanent restoration in your mouth will not whiten!!!   These may be a consideration for replacement after bleaching.

 

MAINTAINING YOUR NEW WHITE TEETH

All natural teeth will darken with time.  It’s normal, slow process.  We recommend touching-up your bleaching every time you have your teeth cleaned for a few days.  This will help maintain your white teeth on a preventative level.  Remember to keep any unused bleaching material that you have left over, for this purpose.  We also have touch up kits available for future use.  The touch-up kits are inexpensive and even easier to use, with a one-hour wear time!

 

We know that you will be thrilled with your whitening results, but only if you comply with the above instructions.  If you have any problems or questions please call us right away

At Alafaya Cosmetic & Family Dentistry, we offer Zoom! teeth whitening for Orlando patients who want a fast, easy way to boost the brightness of their smile. In-office treatment with Zoom! whitens yellow teeth and eliminates years of stains from your teeth.

A professional in-office teeth whitening in Orlando costs about $500. This includes the procedure itself as well as customized whitening trays and a supply of prescription-strength whitening gel for touchups at home.

It can be tempting to turn to over-the-counter whitening kits, but there are several drawbacks. The whitening trays are one-size-fits-all, and the gel provided is not as potent as what your cosmetic dentist in Orlando uses. For this reason, you won’t see the dramatic tooth whitening you are probably hoping for. You are also on your own if a problem occurs.

We also offer options; if you don’t have time for an in-office teeth whitening treatment, we’ll take impressions of your teeth to create customized whitening trays that provide even coverage and consistent results.

Dr. Gary Michaelson and the team at Alafaya Cosmetic & Family Dentistry would be happy to meet with you and explain teeth whitening in Orlando and all the other services we offer to enhance your smile. Call us to schedule an appointment to get started.

smiling young female I teeth whitening in orlando, flWhitening your teeth can dramatically improve the brightness and color of your smile. In order to get the most out of your professional whitening treatment take the time to insure proper care for your teeth. Everything from the food you eat to the drinks you drink can impact the longevity of your bleaching results. Here are some tips on keeping your teeth pearly white!

Avoid Dark Drinks

After whitening your teeth, they are more susceptible to staining because of dehydration. The gel can cause your teeth to dehydrate so they will want to soak up anything you place in your mouth. It is especially important to avoid dark foods and drinks for the first 48-72 hours after whitening. Things like coffee, tea, soda, dark juices, and pigmented fruit can all affect the color of your teeth. Drinking light color drinks or water can help your whitening results last a lot longer. If you do need your cup of coffee in the morning try adding milk or drinking it with a straw. Also carrying a toothbrush with you to brush after eating or drinking dark color foods can help the longevity.

Do not smoke cigarettes

Cigarettes are one of the major cause of staining and discoloration of teeth. It’s understandable that it is a hard habit to break. But try to avoid smoking as much as possible. Smoking puts you at a higher risk for a number of diseases and oral cancer. With whitening your teeth it may give you the opportunity to quit altogether. Another option is to switch to an “e-cigarette” or vapor. These give off colorless vapor but can still give you the nicotine you’re carving.

You can develop yellow teeth for several reasons, but fortunately, we offer cosmetic treatments at our Orlando dental office to eliminate these stains and leave you with a bright, white smile.

Options for getting rid of yellow teeth include teeth whitening, and in more resistant cases, dental bonding and porcelain veneers. However, it’s a good idea to understand how your teeth became stained in the first place so you can take steps to address it going forward.

  • Poor oral hygiene: Brushing and flossing your teeth are essential for good oral health, but these practices also remove plaque and food debris that deposits yellow stains.
  • Diet: Foods and drinks that are high in tannins, such as coffee and red wine, leave staining pigments that give your teeth a yellowish hue.
  • Smoking: If you smoke, you can expect brown or yellow stains on your teeth. Professional teeth whitening can lift a lot of this staining from tooth enamel, but until you quit, you will always be fighting an uphill battle.

At Alafaya Center for Cosmetic & Family Dentistry, we offer solutions like teeth whitening at our Orlando dental office to get rid of yellow teeth and restore your beautiful bright smile. Call us to schedule a teeth cleaning so we can get started!

Smile Makeovers

 

While every dentist touches upon how to do veneers in dental school, the skill level required to provide you with a beautiful smile extends far beyond dental school.  Cosmetic dentistry is an art that is learned with advanced training in aesthetics as well as by experience.  With this training, skills are learned as to what proportions and dimensions create a beautiful and natural looking smile.  A dentist trained in this art will also utilize a specialty lab that has the same skill level. Porcelain veneers done by an inexperienced dentist will most certainly not look the same or last as long as when done by a dentist with the experience and training Dr. Michaelson has.

For more info, contact our Orlando dental office today!

At Alafaya Center for Cosmetic & Family Dentistry, we offer several procedures that can enhance your smile. These include professional teeth whitening, gum recontouring, bonding, veneers or crowns, and orthodontics.

 

After Dr. Michaelson performs a thorough examination, he can determine the proper and ideal treatment to help you reach the goals that you have envisioned for yourself. Please see our gallery of photos. We think you’ll be impressed with our before and after photos. 

For more info, contact our Orlando dental office today!

Porcelain Veneers Orlando FL

A 3-D computer creates a customized series of clear aligners to help straighten the teeth.  Aligners are invisible, comfortable, and removable, but should only be removed for eating, drinking, brushing, and flossing.  Each set of aligners is worn for approximately 2 weeks.  Teeth move gradually with each new aligner until they reach the proper positioning.  Patients typically visit the office every 4-6 weeks to evaluate progress and receive their next series of aligners.  While the average case time is 12-17 months, this time could be more or less dependent upon how much movement needs to take place.

Invisalign Orlando FL
This is a before and after of one of our actual patients. Her treatment took 13 months.

For more info, contact our Orlando dental office today!

Full and Partial Dentures

Taking care of your denture is important. Please follow these instructions, as well as instructions provided by your dentist to keep your Denture looking and feeling new.

Wear:

  • Use both hands to insert and remove your denture.
  • NEVER place denture in and bite down to seat it all the way in
  • Remove denture before going to bed to allow your gums to breath.

Care:

  • Clean your denture daily with water and denture cleaner.
  • Soak denture in 1 tablet of Polident overnight.
  • Upon removal of denture from cleaner, rinse denture thoroughly under water and brush with denture brush.
  • When not wearing your denture, store in a wet container.
  • Please keep dentures away from pets. They find these wonderful to chew on.
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort.

Replacement:

  • The average life span of a denture is about 7 years.
  • Things that can affect a denture are: extreme weight loss/gain or bone/tissue shrinkage.
  • If you notice any fracture or breakage to your denture, contact your dentist.
  • It is wise to have a backup denture in the event that you lose or damage your main denture. We strongly recommend this!

If you experience any discomfort from your denture, or experience any issues with your teeth and gums, call Dr. Michaelson.

For more info, contact our Orlando dental office today!

Partial Dentures Orlando FLPlease follow these instructions, as well as instructions provided by your dentist for optimal results in use and longevity of your appliance.

Wear:

  • Brush and floss your teeth before insertion every day
  • Wear your Flipper at all times during the day except for when eating.  The Flipper is designed to serve as a cosmetic appliance as well as hold the adjacent teeth in position so the space doesn’t close.

Care:

  • Upon removal brush the Flipper with a denture brush.
  • Your appliance may be soaked in an over the counter denture cleaner for 2-3 times a week overnight
  • Store your flipper in a case with water when not being worn. This is to prevent the appliance from drying out.
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort.

Replacement:

  • Be aware that your Flipper is a temporary appliance designed to be worn while your tissue is healing from surgery.
  • You can expect your Flipper to last for the normal healing time of 8-12 months.  They are not for use while eating.

Temporary Partial Flippers in Orlando, FL

 If your Flipper is lost or broken it is important to have a new one fabricated to retain the space for the final restoration. For more info, contact our Orlando dental office today!

Taking care of your partial is important. Please follow these instructions, as well as instructions provided by your dentist to keep your Partial Denture looking and feeling new.

Wear:

  • Use both hands to insert and remove your partial.
  • When placing partial in, place in and work over teeth. DO NOT bite down to seat partial. You may break or distort partial.

Care:

  • Clean your partial daily with water and denture cleaner.
  • Upon removal of partial from cleaner, rinse partial thoroughly under water and brush with denture brush.
  • Soak partial in 1 tablet of Polident daily over night.
  • Remove partial before going to bed to allow your gums to breath.
  • When not wearing your partial, store in a wet container.
  • Please keep partial away from pets. They find these wonderful to chew on.
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort

Replacement:

  • If the any of the teeth holding the partial need treatment the partial may need to be adjusted or replaced.
  • The average life span of a partial denture is about 7 years. Things that can affect a denture are: extreme weight loss/gain or bone/tissue shrinkage.
  • If you notice any fracture or breakage to your partial, contact your dentist.

If you experience any discomfort from your denture, or experience any issues with your teeth and gums, contact your dentist.

Night Guards & Athletic Mouth Guards

The Night Guard that was custom made for you is a hard clear acrylic exterior with a hygienic soft thermoplastic inner lining. Please follow these instructions, as well as instructions provided by your dentist for optimal results in use and longevity of your appliance.

Wear:

  • Brush and floss your teeth before insertion.
  • When placing guard in. If guard feels tight, place the appliance in warm water for 15-20 seconds. This will quickly soften the inner lining allowing for ease of placement.

Care:

  • Upon removal, the appliance may be cleaned with a soft toothbrush and toothpaste. Or antibacterial hand soap.
  • Use care not to brush too abrasively on the soft inner lining. DO NOT use an abrasive tooth brush i.e. Denture tooth brush
  • NEVER  soak your appliance in mouthwash, or alcohol based rinses
  • NEVER soak your appliance in bleach or harsh chemicals
  • NEVER boil your appliance, it can distort.
  • Keep appliance away from animals. They will chew appliance.
  • Your appliance can be soaked in a denture cleaner for a maximum of 20 min, 1 time a week
  • Store your night guard in a dry case when not in use

Replacement:

  • Over time the appliance can discolor due to age.
  • Guards should be brought in at your annual exam to a sure it is providing adequate protection.
  • Be aware that eventual replacement of your appliance will be necessary depending on the severity of grinding as well as regular wear and tear. You can expect your appliance to last anywhere from 3-5 years.

What is an Abfraction?

An abfraction is a small notch near the gum line, caused by stress on your teeth from grinding and clenching. Most people are unaware that they grind or clench their teeth because it happens at night while asleep. Grinding and clenching puts pressure on your teeth an overtime cause cracks and splits in the outer layer of your teeth. This occurs in the thinnest part of your enamel, near the gum line. When your bite is slightly off, it’s common that one tooth may hit sooner than the rest. Orlando FL 32826 DentistThis causes undue stress on the involved teeth and they begin to flex. It’s this continual flexing and stress that, over time, causes the enamel to separate from the inner dentin layer, forming the familiar looking notch associated with an abfraction. Sometimes a combination of hard toothbrush bristles and improper brushing techniques can cause enamel to be lost at the gum line, but this is not the cause of abfraction.

 

Symptoms

Mild abfraction lesions don’t usually hurt, although they can collect plaque bacteria and be more susceptible to decay. In severe cases, the dentin and cementum layers of a tooth become exposed and because of this they can hurt as well as become more cavity prone. Dentin is the layer below the enamel. Cementum covers the tooth root instead of enamel. Dentin may be exposed if a crack develops. In these cases, the tooth may become sensitive. Otherwise, the lesions do not cause symptoms.

Treatment

Top Dentist Orlando FLAbfractions are typically treated with a bonded tooth-colored filling to protect from further notching and possible damage to the nerve. Tooth colored fillings can repair the damage and restore the tooth to its original color and shape. Following the filings, an appliance called a Night Guard is usually advised. A night guard is a custom designed appliance made in a lab that fits over your top teeth and is worn nightly. Dr. Michaelson can make you a custom night guard check out our Night Guard services page.  This guard is made specifically for your bite and holds your jaw into an ideal position to reduce or eliminate grinding and clenching. A guard protects and absorbs the stress on your teeth and typically need to be replaced every 3-5 years depending on wear.

 

Porcelain Veneers

 

While every dentist touches upon how to do veneers in dental school, the skill level required to provide you with a beautiful smile extends far beyond dental school.  Cosmetic dentistry is an art that is learned with advanced training in aesthetics as well as by experience.  With this training, skills are learned as to what proportions and dimensions create a beautiful and natural looking smile.  A dentist trained in this art will also utilize a specialty lab that has the same skill level. Porcelain veneers done by an inexperienced dentist will most certainly not look the same or last as long as when done by a dentist with the experience and training Dr. Michaelson has.

For more info, contact our Orlando dental office today!

Porcelain Veneers OrlandoPorcelain veneers can look just like your real teeth. This is dependent upon several things:  a highly trained and skilled dentist, the quality of the porcelain that the veneer is made of, as well as the expertise of the dental laboratory making the veneer. 

What does getting porcelain veneers look like at Alafaya Center for Cosmetic & Family Dentistry?

The best recipe for a natural looking veneer is when a dentist and a laboratory have a long-standing working relationship. Dr. Michaelson has had extensive training in the field of cosmetic dentistry and we have over 250 before and after examples in our smile gallery. All of the photos we have in our gallery are Dr. Michaelson's work and the laboratory we have used for over 15 years. For more info, contact our Orlando dental office today!

Now that we’ve placed a temporary Veneer or Crown, it is important to follow these instructions to ensure the success of your final restoration.

Chewing and Eating

If we used an anesthetic during the procedure, avoid chewing until the numbness has worn off completely.  Avoid chewing for at least one half-hour to allow the cement to set.  To keep your temporary in place, avoid eating hard or sticky foods, especially chewing gum. 

Brushing and Flossing

Brush normally, but floss very carefully.  Remove floss from the side to prevent the removal of the temporary.  In some cases, we may advise you to avoid flossing around the temporary.   If your teeth are sensitive to hot, cold or pressure, use desensitizing toothpaste like Sensodyne.  If sensitivity increases or persists beyond a few days, call us. 

We may advise and give you peroxide in a brush tip syringe to keep the gums clean around your temporaries and use on a daily basis.

Medication and Discomfort

If a medication is prescribed, please take as directed.

To reduce any discomfort or swelling, rinse your mouth 3 times a day with warm salt water.  It's normal for your gums to be sore for several days.

When to call us

Call us if your temporary comes off.  Save the temporary or any pieces so it can be re-cemented.  It's very important for the proper fit of your final restoration that your temporary stay in place.  Call our office if the bite feels uneven, you have sensitivity or discomfort that increases or continues beyond 3 to 4 days, or if you have any questions or concerns.

We will be seeing you 2-3 days after preparation to evaluate your temporaries and finalize your case with the laboratory. 

 

Veneers | Orlando FL Dentist The lifespan of veneers depends on many things – the skill of the doctor, the laboratory used, your home care routine, your commitment to regular checkups and cleanings, and your compliance with wearing a guard if prescribed. 

Dr. Michaelson has had years of continuing education on cosmetic treatment to provide superior service in this field. We have been using the same dental laboratory and ceramist for over 16 years, which has given our patients results they couldn’t have imagined were possible.

Once your cosmetic treatment is completed, we will continue to see you for your cleanings and exams. At that time, we’ll check and review proper home care techniques to ensure the longevity of your veneers. We have patients with veneers cases that go back 20 years, and we love seeing them with their beautiful smiles. Call our office today!

Since each of our patients has unique cosmetic concerns, the cost of a procedure like veneers varies widely from person to person. So, it’s difficult to say with any accuracy how much yours will cost until we see you and understand what your smile goals are.

Generally speaking, however, the cost of porcelain veneers in Orlando ranges from about $500 to $1300 for each tooth. When you consider the price, keep in mind that dental veneers last for ten years on average, and they can help you achieve your dream smile.

A lower-cost option to porcelain veneers is composite veneers. With composites, we don’t have to alter your tooth shape, and there’s no outside lab involved. However, composite veneers have about the lifespan of porcelain and last about five years.

Dental insurances rarely cover cosmetic dentistry, so you want to be sure to look for a skilled Orlando dentist who provides patient financing options. At Alafaya Cosmetic & Family Dentistry, we offer both CareCredit and Lending Club.

If you are considering veneers in Orlando and would like to learn how we can help you fit your smile makeover into your budget, call us to schedule an appointment. Dr. Gary Michaelson will be happy to meet with you to evaluate your needs and explain all the options we offer to help you achieve your dream smile with porcelain veneers.

Tooth-Colored Composite Fillings

Dental Fillings Orlando FLWhen a tooth has a large cavity or damaged area it may need something stronger than a filling to restore it.  Once Dr. Michaelson removes the decay and any damaged part of the tooth the amount of remaining healthy tooth dictates the appropriate restoration.  To place a filling there has to be a certain amount of healthy tooth to hold a new filling in. Without enough healthy tooth structure the tooth is at high risk of breaking.  In cases that filling material is overused it can lead to fracturing the tooth to the point of disrepair and requiring a dental implant.  A crown covers the entire biting surface and can withstand the biting pressure much better than a filling. When a tooth has a large cavity or damage a crown is the best way to restore and protect the tooth. For more info, contact our Orlando dental office today!

Dr. Michaelson may suggest to remove an old filling if it's defective or may cause a future problem. Over time, the metal in silver (amalgam) fillings expands and contracts, causing openings for decay. These tiny movements can also crack the tooth. Replacing old defective amalgam fillings is the best way to prevent recurrent decay and brighten up your smile.

Once Dr. Michaelson removes the old filling, he will prepare the tooth, place the tooth-colored material, and dry the aromatic bonding material with special, high-intensity plasma arc or LED lighting, which cures in five seconds, as opposed to the traditional halogen lights that take over sixty seconds. Dr. Michaelson will ask you how the new tooth surface feels and then show you how you now only have natural colored fillings that are undetectable to plain sight. Do not worry about your diet. You can eat right away. Your filling is ready for use as soon as you get it. 

If you have questions about your silver fillings and whether or not they should be removed, please contact our Orlando dental office today!. A member of our team will be happy to answer your questions or arrange a convenient appointment with Dr. Michaelson.

 

Dental Fillings Orlando FL

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