What is a prosthodontist?
A prosthodontist is a dental specialist who completed four years of dental school followed by two to three additional years in an accredited postgraduate residency focused on the restoration and replacement of teeth. Prosthodontics is one of 12 specialties formally recognized by the American Dental Association, covering complex restorations, full-arch rehabilitation, implant-supported prosthetics, esthetic dentistry, and bite reconstruction.
What does a prosthodontist do?
A prosthodontist diagnoses and treats cases that require the restoration or replacement of multiple teeth, full-arch rehabilitation, or complex bite reconstruction. This includes full mouth reconstruction, implant-supported dentures and bridges, treatment for severe tooth wear or bite collapse, and cases where prior dental work has failed and needs to be addressed at a structural level.
What is the difference between a prosthodontist and a dentist?
Both complete four years of dental school. A prosthodontist then completes a three-year accredited residency training specifically in complex restorations and full-arch rehabilitation, covering case types most general dentists encounter rarely. The difference is material when a case involves the whole bite, multiple missing teeth, or structural complexity beyond routine dental care.
Do I need a referral to see a prosthodontist?
No referral is required. Many patients arrive through a general dentist’s recommendation, but this is guidance, not a requirement. If you are researching providers for complex dental work and believe a prosthodontist is the right fit, scheduling a consultation directly is a reasonable first step.
Can a prosthodontist do cosmetic dentistry?
Yes. Prosthodontists routinely perform cosmetic work including veneers, crowns, and full-smile restoration. The distinction is that a prosthodontist’s training covers both the aesthetic and the structural. Cosmetic work done at this level is designed to hold up functionally over time, not just photograph well in the short term.
How many prosthodontists are there in the US?
Fewer than 3% of practicing dentists in the United States are prosthodontists. The specialty has limited residency program slots and demanding training requirements. That scarcity is part of why referrals happen: when a case exceeds general practice scope, most general dentists will refer to a prosthodontist rather than attempt it themselves.
Is Invisalign worth the cost?
For the right case and a compliant patient, yes. Invisalign delivers comparable results to braces for moderate alignment correction, with significant quality-of-life advantages for adults. Its value depends on case complexity, provider experience, and patient compliance with the 20-22 hours per day wear requirement.
How long does Invisalign take?
Minor correction cases typically take 6 to 12 months. More complex full-arch treatment can take 18 to 24 months. Timeline depends on case complexity, compliance, and whether refinement trays are needed. Your provider can give a more specific estimate after reviewing your case.
Is Invisalign as effective as braces?
For moderate complexity cases, clinical results are comparable to braces. For severe bite corrections, significant rotations, or cases requiring extractions, traditional fixed appliances typically deliver better outcomes. An experienced provider will tell you honestly which category your case falls into.
What are the downsides of Invisalign?
The main limitations: requires 20-22 hours of daily wear to be effective; does not handle all case types as well as braces; some providers do not discuss case-type limitations honestly; heavily discounted treatment may not include refinements. Compliance is the most common reason Invisalign does not deliver expected results.
Does Invisalign work for adults?
Yes. Invisalign was originally designed with adult patients in mind. The removable, aesthetic format is particularly well-suited for adults who want alignment correction without the visibility or dietary restrictions of traditional braces.
How much does Invisalign cost in Atlanta?
Minor correction Invisalign treatment at a dentist’s office in Atlanta typically runs $2,500 to $5,000. Complex full-arch treatment from an orthodontist may run higher. Confirm current pricing at your consultation. Be cautious about offers priced significantly below market; confirm whether refinements are included.
How long do porcelain veneers last?
Porcelain veneers typically last 15 to 30 years with proper care and placement by an experienced prosthodontist. Some patients retain their veneers for 25 years or more. Longevity depends on the material grade, precision of placement, oral habits, and follow-up care over time.
Are veneers permanent?
The tooth preparation process, which may remove a thin layer of enamel, is permanent and cannot be reversed. Once a tooth is prepared for a veneer, it will always need a veneer or crown. The veneers themselves are not permanent and will require replacement over the course of a lifetime, typically every 15 to 20 years for porcelain.
How long do composite veneers last compared to porcelain?
Composite resin veneers average 5 to 7 years before needing repair or replacement. Porcelain veneers last 15 to 20 years under typical conditions. Over a 20-year period, composite replacements typically cost as much as or more than a single porcelain case, without the same aesthetic result.
Can veneers be replaced when they wear out?
Yes. Veneer replacement involves removing the existing shells and placing new ones using the prepared tooth surfaces already in place. Replacement is a routine procedure for experienced prosthodontists. Some additional preparation may be needed depending on the condition of the underlying tooth.
What shortens the lifespan of veneers?
The most common causes of premature veneer failure: nocturnal grinding or clenching (bruxism), nail-biting or using teeth as tools, biting hard foods at the front of the mouth, poor bonding technique at placement, and insufficient enamel preparation depth. Night guards significantly extend lifespan for patients who grind.
How do you know when veneers need to be replaced?
Signs that replacement is needed: visible chipping or surface fracture, discoloration at the margins, a veneer that feels loose or has a detectable gap at the edge, gum recession exposing the veneer margin, or new sensitivity in the tooth. A regular recall exam with bite and imaging assessment catches most of these early.
How much do veneers cost in Atlanta?
At GDC, porcelain veneers range from $1,750 to $2,650 per tooth depending on the complexity of the case. A full smile makeover covering 8 to 10 teeth typically falls in the $14,000 to $26,500 range. Cases priced significantly below this range usually reflect lower-grade materials, a less experienced ceramist, or less time spent in the design and fitting phases.
How do veneers work?
A veneer is a custom-fabricated thin shell of dental ceramic bonded to the front surface of a tooth. The process involves a consultation and smile design, tooth preparation (removing a thin layer of enamel), laboratory fabrication over 2 to 4 weeks, and a final placement appointment where the veneers are checked for fit and shade before permanent bonding.
Are veneers permanent?
Not always. When tooth preparation is needed, a thin layer of enamel is removed, which does not grow back – making that process irreversible. No-prep veneers avoid this entirely, preserving the natural tooth structure. In either case, the veneers themselves are not permanent and typically require replacement after 15 to 30 years for porcelain, or 5 to 7 years for composite.
How long do veneers last?
Porcelain veneers placed by an experienced prosthodontist typically last 15 to 30 years with proper care. Some patients retain their veneers for 25 to 30 years. Longevity depends on the material quality, the precision of placement, patient habits (grinding, nail-biting, hard foods), and oral hygiene.
What is the difference between porcelain and composite veneers?
Porcelain veneers are laboratory-fabricated and typically last 15 to 30 years. They resist staining, transmit light like natural tooth enamel, and require two or more appointments. Composite veneers are applied directly in one visit, cost significantly less, but stain more easily and typically need replacement or repair within 5 to 7 years.
Am I a good candidate for veneers?
Good candidates have healthy teeth and gums, sufficient enamel for bonding, and cosmetic concerns that veneers are designed to address: discoloration, minor chips, gaps, or shape irregularities. Patients with active decay, gum disease, or significant bite problems should have those conditions treated before veneer placement. A consultation with a prosthodontist will determine candidacy based on your specific clinical situation.
Who specializes in full mouth reconstruction?
Prosthodontists are the dental specialists trained specifically for full mouth reconstruction. Prosthodontics is an ADA-recognized specialty requiring 3 additional years of residency after dental school, with specific training in the planning and execution of complex multi-tooth restorative cases.
Should I see a prosthodontist for full mouth reconstruction?
For cases involving significant scope – multiple missing or failing teeth, bite correction needs, complex implant planning, or extensive multi-quadrant restoration – yes. A prosthodontist’s training is specifically designed for these cases. For simpler cases involving a few teeth, a skilled general dentist may be appropriate.
What is the difference between a general dentist and a prosthodontist?
A general dentist completes 4 years of dental school and is trained to perform a wide range of procedures. A prosthodontist completes 4 years of dental school plus 3 additional years of advanced residency focused specifically on tooth restoration, smile design, implant restoration, and complex case planning. The additional training is the difference between a skilled generalist and a specialist in exactly this type of work.
How do I find a full mouth reconstruction specialist in Atlanta?
Look for a prosthodontist specifically, not just a dentist who offers full mouth reconstruction as a service. Verify their specialty training, and look for AAED membership, which indicates demonstrated case quality reviewed by peers in the field. A consultation with Dr. Goldstein at Goldstein Dental Center in Buckhead is a direct reference point.
How long does full mouth reconstruction take?
Most full mouth reconstruction cases take 3 to 12 months from initial consultation to final placement. Cases involving bone grafting, significant implant work, or orthodontic preparation can extend that timeline. Phased treatment scheduling allows the process to be spread over time without compromising the final outcome.
What credentials should a full mouth reconstruction dentist have?
Prosthodontic specialty training is the primary credential. AAED membership indicates that clinical work has been peer-reviewed by leaders in the esthetic and restorative dentistry field. Case volume in full mouth reconstruction is also meaningful, ask directly how many cases the provider has completed.
Can you get dental implants as part of full mouth reconstruction?
Yes. When a full mouth reconstruction plan includes missing or failing teeth, implants are often the most appropriate replacement option. The implants are incorporated into the overall treatment plan and sequenced to allow for osseointegration before the final restorative work is completed.
How many implants do you need for a full mouth reconstruction?
The number of implants depends on how many teeth are missing or need to be extracted as part of the reconstruction plan. A case that involves two missing teeth requires two implants (or possibly an implant-supported bridge using fewer implants for multiple teeth). A case replacing an entire arch may use 4 to 8 implants depending on the protocol. There is no standard number; it is determined by the specific clinical situation. At Goldstein Dental Center, the options are reviewed together with the patient, and a plan is built around what makes clinical and practical sense for your individual case.
What is the difference between All-on-4 and full mouth reconstruction?
All-on-4 is a specific protocol for replacing all or most teeth in an arch using four implants to support a fixed prosthesis. It is designed for patients who have lost most or all of their teeth. Full mouth reconstruction is a broader category that addresses the restoration of most or all teeth, including both natural teeth that can be saved and replacement of those that cannot, using whatever combination of crowns, bridges, and implants the case requires.
How long does full mouth reconstruction with implants take?
Cases involving implants typically require 12 to 18 months from consultation to final placement. Cases requiring bone grafting before implant placement may extend to 10 to 12 months. The osseointegration period (3 to 6 months after placement) cannot be shortened. At Goldstein Dental Center, provisional restorations are made throughout so you always have teeth to function with and a smile to present during every phase of treatment.
Does insurance cover implants in full mouth reconstruction?
Implant coverage varies significantly by insurance plan. Some plans cover a portion of the implant, abutment, or crown; many do not cover implants at all. The restorative crown may have coverage as a restorative procedure. Review your specific plan and request pre-authorization for planned implant procedures before treatment begins.
Can I get full mouth reconstruction if I have bone loss?
Bone loss does not necessarily disqualify you from implant-inclusive reconstruction. Moderate bone loss at specific sites may be addressable with bone grafting before implant placement. Significant generalized bone loss requires assessment to determine whether grafting is practical and whether implants are a viable option. A cone beam CT evaluation is necessary to assess bone volume at each planned implant site. This 3D imaging can also identify areas of denser bone where implant placement at specific angles may avoid the need for grafting entirely, saving both time and cost.
How much does full mouth reconstruction cost?
Full mouth reconstruction costs at specialist practices typically range from $20,000 to $80,000 or more depending on the scope of the case. The range reflects the number of teeth treated, which procedures are involved (implants are the highest-cost component), material quality, laboratory, and complexity. No accurate cost estimate is possible without a clinical examination and detailed treatment plan.
Does insurance cover full mouth reconstruction?
Restorative components – crowns, bridges, and some implant-related procedures – are often partially covered by dental insurance, subject to annual maximums and prior authorization. Cosmetic components are typically not covered. For a full mouth case with a total cost in the $40,000–$80,000 range, even comprehensive insurance typically covers a fraction of the total.
How long does full mouth reconstruction take?
Most full mouth reconstruction cases require 4 to 18 months from initial consultation to final placement, depending on the scope of treatment, whether implants and grafting are involved, and how the case is phased. This timeline cannot be shortened without compromising the outcome.
What is the difference between full mouth reconstruction and a smile makeover?
A smile makeover focuses primarily on cosmetic improvement of visible teeth. Full mouth reconstruction addresses the function, health, and structure of all or most teeth, often as a clinical necessity rather than an elective improvement. In practice, they can overlap; a patient who needs extensive restorative work may also have aesthetic goals that the reconstruction plan addresses simultaneously.
Can full mouth reconstruction be done in phases?
Yes, and for most patients it should be. Phasing allows the financial investment to be spread over time, can actually improve clinical outcomes by allowing evaluation between phases, and makes the total scope of treatment more manageable. A properly planned phased approach maintains the clinical integrity of the full plan while making the process accessible.
How do I pay for full mouth reconstruction?
Most patients use a combination of dental insurance (as a partial offset), third-party financing (CareCredit) and phased treatment scheduling. Ask about the specific financing options available at Goldstein Dental Center and whether a phased plan is appropriate for your case.
What is esthetic dentistry?
Esthetic dentistry is a discipline that treats dental appearance and function as inseparable. Unlike “cosmetic dentistry,” which focuses primarily on visual outcomes, esthetic dentistry plans cases around how the final result will look, function, feel, and hold up over the long term. The American Academy of Esthetic Dentistry is the professional organization that defines and maintains standards for the field.
What is the difference between cosmetic and esthetic dentistry?
Cosmetic dentistry is an outcome-oriented marketing category — it describes dental work that improves appearance. Esthetic dentistry is a clinical philosophy that integrates appearance with function, longevity, and structural integrity. In practice, an esthetic dentist plans for the whole picture; a cosmetic approach may optimize only for visual outcomes.
What is the AAED?
The American Academy of Esthetic Dentistry is an invitation-only professional organization founded in 1975. Membership requires nomination by three existing members, documented evidence of academic teaching, publications, scientific presentations, and service to the profession, and ongoing continuing education commitments. It is not a paid directory and cannot be self-applied for. Members can be verified at aaed.org.
How do I know if my dentist is an esthetic dentistry specialist?
Check for AAED membership (verifiable at aaed.org), prosthodontic specialty training, and evidence that they use a mock-up process before any tooth preparation. These three indicators together tell you that the dentist is practicing at the level the esthetic dentistry field defines, not just marketing themselves with the terminology.
Is esthetic dentistry covered by insurance?
Esthetic and cosmetic dental procedures, including veneers, whitening, and elective reshaping, are generally not covered by dental insurance. Some functional restorations that also serve an esthetic purpose (crowns, implant-supported restorations) may have partial coverage depending on the plan.
What procedures fall under esthetic dentistry?
Esthetic dentistry encompasses porcelain veneers, smile makeovers, tooth whitening, dental bonding, gum contouring, and the restorative procedures that correct both function and appearance. In complex cases, it also includes the planning and sequencing of implant restoration, bite correction, and preparation for orthodontic work.
Are dental implants better than bridges?
For most patients with adequate bone density and healthy adjacent teeth, implants are the superior long-term choice. They preserve bone, leave adjacent teeth untouched, and last 25 or more years. Bridges are appropriate when adjacent teeth already need crowns, when bone loss makes implant placement impractical, or when a shorter timeline is needed.
How long do dental bridges last compared to implants?
Dental bridges typically need replacement at 10 to 15 years. Dental implants, when placed and restored correctly, can last 25 years or more. Over a 20-year period, the total cost of bridge replacement often exceeds the upfront cost difference of an implant.
Do dental implants hurt?
Implant placement surgery is performed under local anesthesia or sedation. Most patients report that post-procedure discomfort is manageable with over-the-counter pain medication and resolves within a few days to a week. The osseointegration period that follows is typically not painful. Discomfort varies by case complexity and individual healing.
How much do dental implants cost vs. bridges in Atlanta?
A single dental implant (post, abutment, and crown) at specialist practices in Atlanta typically ranges from $3,500 to $6,000 or more depending on complexity. A dental bridge typically ranges from $2,500 to $5,000 for a three-unit span. Confirm exact Goldstein pricing at your consultation.
Can I get a dental bridge instead of an implant?
Yes. A bridge is an appropriate choice in specific clinical situations. The decision depends on the condition of the adjacent teeth, available bone, timeline, and budget. A prosthodontist can evaluate your specific situation and give you a recommendation based on the full clinical picture.
Does insurance cover implants or bridges?
Most dental insurance plans provide partial coverage for bridges, as they are classified as a restorative procedure. Dental implants are covered by some plans but excluded by others. Coverage varies significantly. It is worth reviewing your specific plan before a consultation. Goldstein Dental Center can assist with pre-authorization and insurance review.
How long does the dental implant process take?
From initial consultation to final crown, the typical timeline is 3 to 6 months for straightforward cases. Cases requiring bone grafting add 3 to 4 months. Cases requiring tooth extraction add 6 to 12 weeks before placement, if there was bone loss or severe infection. The osseointegration period after placement cannot be shortened. It is the phase that determines implant stability.
Do dental implants hurt during placement?
The placement procedure is performed under local anesthesia. Most patients report feeling pressure rather than pain during the procedure. Sedation options are available for anxious patients. Post-procedure soreness is common for several days, typically manageable with over-the-counter pain medication.
How long does it take for a dental implant to heal?
Osseointegration, the process of the bone bonding to the titanium post, takes 2 to 6 months in most patients. This is the biological minimum and cannot be accelerated. Placing a permanent crown before this process is complete compromises implant stability.
What can I eat after dental implant surgery?
Soft foods for the first week: eggs, yogurt, soft fish, cooked vegetables, smoothies. Avoid hard, crunchy, or chewy foods at the implant site during the healing period. Most patients return to a normal diet within a few weeks, with some caution around the implant site until osseointegration is confirmed.
How long do dental implants last?
Dental implants placed and restored correctly can last 25 years or more, with many lasting a lifetime. The crown on top of the implant typically needs replacement at 15 to 20 years, but the implant post itself, if well maintained, is often permanent.
Am I a good candidate for dental implants?
Good candidates have adequate bone density and volume at the implant site, no uncontrolled periodontal disease, good overall health and healing capacity, and commitment to the maintenance protocol. Patients with insufficient bone may be candidates after bone grafting. An evaluation with imaging is necessary to determine candidacy for your specific situation.
What credentials should I look for in a veneer dentist?
Look for prosthodontic specialty training (an ADA-recognized specialty requiring 3+ years of additional residency) and membership in the American Academy of Esthetic Dentistry, which requires peer-reviewed case quality. These two credentials together indicate both clinical training and demonstrated aesthetic outcome quality.
What is the difference between a cosmetic dentist and a prosthodontist?
“Cosmetic dentist” is a marketing term any licensed dentist can use. Prosthodontics is a recognized dental specialty with an additional 3-year residency requirement focused specifically on smile design, occlusion, and complex restoration. For multi-veneer cases or smile makeovers, the distinction matters.
What is the AAED?
The American Academy of Esthetic Dentistry is an invitation-only organization founded in 1975. Membership requires documented case quality and peer review. It is not a paid membership and the number of AAED-credentialed dentists in any market is small.
How do I know if a cosmetic dentist’s work is good quality?
Ask to see before-and-after photos of cases comparable to yours. Look for natural light transmission, proportionality, and consistency across multiple patients. Also ask who fabricates the veneers, the master ceramist and lab quality directly affects the final appearance.
How much do veneers cost in Atlanta?
Porcelain veneers at GDC range from $1,750 to $2,650 per tooth depending on the complexity of the case. Cases priced significantly below this range typically reflect lower-grade materials, a less experienced ceramist, or a compressed design and fitting process.
Is it worth seeing a prosthodontist for veneers?
For simple cases involving one or two teeth, a skilled general dentist is often sufficient. For full smile makeovers, multi-tooth cases, or situations where the bite and aesthetics need to work together, prosthodontic training changes both the planning process and the long-term outcome.
How much do porcelain veneers cost?
Porcelain veneers at Goldstein Dental Center range from $1,750 per tooth with our associate doctors to $2,650 per tooth with Dr. Goldstein. The final cost depends on the number of teeth being treated and the complexity of your case. We provide a detailed estimate at your consultation. Financing options are available.
Are porcelain veneers covered by insurance?
Veneers are a cosmetic procedure and are not typically covered by dental insurance. Dr. Goldstein accepts most insurance as an out-of-network provider. Our team will review your coverage before any work begins so you know exactly what to expect. For patients who prefer to spread the cost over time, we offer financing options.
How long do porcelain veneers last?
With proper care, porcelain veneers can last 10 to 30 years. Longevity depends on how well the preparation was executed, how well the bite relationship was managed at placement, and how consistently the patient maintains routine visits. These are areas where specialist training has a direct impact on outcome.
Do porcelain veneers damage my natural teeth?
Preparation, when needed, is irreversible. A thin layer of enamel is removed and does not grow back. This is why we take candidacy seriously and default to no-prep whenever possible. For the right patient with healthy underlying enamel and a confirmed aesthetic goal, the long-term risk to the natural tooth is minimal with proper care. We will not recommend veneers if the risk-benefit equation doesn’t support it.
Why is some enamel removed for veneers?
The tooth needs to be slightly thinner to accommodate the veneer without looking bulky. The amount removed is typically less than 0.5 millimeters, about the thickness of a fingernail. Our starting point is always no-prep. When some preparation is clinically necessary, we remove only what’s required. The decision comes down to your natural tooth size and position. For a deeper explanation of the preparation process and what it means for your natural teeth long-term, see our guide: “Veneers and Tooth Preparation: What You Should Know Before Your Consultation”.
Who is not a good candidate for veneers?
Active gum disease or untreated decay must be addressed before veneers are an option. Patients with severe bruxism need a management plan in place first. Very little remaining enamel may mean a different restoration is more appropriate. And sometimes the result someone wants isn’t achievable with veneers alone. In those cases, we’ll say so directly, discuss the alternatives, and tell you what would actually get you there.
How much does Invisalign cost in Atlanta?
Most minor correction cases run $2,500 to $5,000. Cost depends on the scope of treatment. Financing options are available. The consultation is the right place to get an accurate estimate based on your specific case.
How long does Invisalign take?
For the minor correction cases Dr. Goldstein handles, treatment typically runs 4 to 8 months. More involved cases requiring significant tooth movement may take longer, though those are generally referred to orthodontic partners. Your treatment plan will include a projected timeline.
Is Invisalign covered by insurance?
Some dental and orthodontic plans include partial coverage, particularly when there is a functional component to the treatment. Cosmetic-only cases are less commonly covered. Dr. Goldstein’s team can check your benefits before your consultation.
Is Invisalign as effective as braces?
For cases it is designed for, mild to moderate crowding and spacing, yes. Invisalign moves teeth effectively when patients comply with the 22-hour wear requirement. For complex bite corrections, significant rotations, or cases requiring extractions, traditional orthodontics may achieve better results. That is part of why the consultation matters.
Should I see a cosmetic dentist or orthodontist for Invisalign?
If alignment is part of a larger cosmetic or restorative plan, see the cosmetic dentist first. The alignment goal needs to account for where veneers, crowns, and other restorations will land. Dr. Goldstein evaluates both needs together and sequences treatment accordingly. For cases requiring full orthodontic management, he refers to trusted partners and stays involved in the cosmetic coordination.
Do I need to wear Invisalign all day?
Aligners should be worn 22 hours a day for treatment to stay on track. They come out for eating, drinking anything other than water, and oral hygiene. The flexibility is one reason patients prefer Invisalign over braces. But the protocol has to be followed for the treatment to work as planned.
What conditions typically require full mouth reconstruction?
Full mouth reconstruction is the right approach when multiple teeth are affected and the problems are structural, not just cosmetic. Common conditions include severe wear from grinding or acid erosion, multiple missing teeth, bite collapse where the upper teeth bite too far down over the lower, severe decay affecting most of the teeth, significant enamel loss from erosion or a congenital condition, and traumatic injury to the mouth. Some patients also pursue full mouth reconstruction to restore all of their teeth at once, functionally and aesthetically, using a combination of crowns, veneers, and other restorations. If several of these conditions apply to your situation, a consultation will clarify what combination of treatments makes sense.
How long does full mouth reconstruction take?
The timeline depends on the complexity of your case. Cases involving implants and bone grafting require healing time between stages and typically span up to 12 months from start to final restoration. Cases involving crowns, bridges, and other non-surgical work can often be completed in a shorter window, 2 to 5 months. Dr. Goldstein will give you a realistic timeline at your consultation, based on your specific situation.
What is the difference between full mouth reconstruction and a smile makeover?
A smile makeover is primarily cosmetic: veneers, whitening, reshaping. It is the right answer when your teeth are structurally healthy and your goal is aesthetic. Full mouth reconstruction addresses structural and functional problems: a broken-down bite, missing teeth, failing restorations, bone loss. The two are different categories of care. If you are not certain which applies to your situation, a consultation is the fastest way to find out.
Do I need a referral to see Dr. Goldstein?
No. Many patients are referred by their general dentist when a case exceeds the scope of general practice, but you do not need a referral. You can contact the practice directly to schedule a consultation.
Is full mouth reconstruction covered by insurance?
Coverage depends on your plan. Procedures classified as medically necessary (such as extractions, implants following tooth loss, and some restorations) may be partially covered. Cosmetic components typically are not. The practice has a dedicated insurance coordinator who verifies your coverage before treatment begins, so you will have a clear picture of what your plan is likely to cover before any work starts.
What is a prosthodontist, and why does it matter for full mouth reconstruction?
A prosthodontist is a dental specialist with postgraduate training focused specifically on the restoration and replacement of teeth. General dentists can perform some restorative work, but complex full-arch cases, where the bite, bone, and multiple teeth are all involved, are what prosthodontics was designed for. Dr. Goldstein has practiced as a prosthodontist since 1986 and has taught the specialty at the Dental College of Georgia for more than thirty years.
Can full mouth reconstruction fix my bite?
Yes. Bite correction is often a central goal of full mouth reconstruction, particularly in cases where years of wear or tooth loss have caused the bite to collapse. Dr. Goldstein evaluates jaw function and occlusion as part of the initial diagnosis, and bite restoration is built into the treatment plan from the start.
What happens if I do nothing?
Dental problems of this scale do not stabilize on their own. Missing teeth cause bone loss. A broken-down bite causes additional wear. Failing restorations create conditions for decay and infection. The longer the delay, the more complex and costly the treatment becomes. The consultation is the right starting point: it gives you the full picture before you make any decisions.
How much do dental implants cost in Atlanta?
The total cost of an implant restoration includes the surgical phase and the restorative phase at Goldstein Dental Center, covering the abutment and final crown, bridge, or denture. Costs vary based on the type of restoration, whether preparatory work such as bone grafting is required, and the materials selected. Contact our office for a consultation and detailed cost estimate based on your specific situation.
How long do dental implants last?
Implants placed and restored correctly have a documented lifespan of 25 years or more, with many lasting significantly longer. Longevity depends on the quality of surgical placement, the precision of the restoration, and the patient’s ongoing oral health habits. The crown on top of the implant is typically the component that eventually needs replacement, usually at the 15 to 25-year mark depending on wear and the material used.
Do dental implants hurt?
The surgical placement procedure is performed under local anesthesia, and most patients report less discomfort than expected. There is typically soreness and swelling in the days following surgery, managed with over-the-counter pain medication. The restoration phase at Goldstein Dental Center does not involve surgery and is generally no more involved than a standard crown appointment.
Does dental insurance cover implants?
Coverage varies significantly by plan. Most traditional dental plans classify implants as a major restorative procedure and cover a percentage of eligible costs, subject to annual maximums and waiting periods. Some plans exclude implants entirely. Goldstein Dental Center accepts dental insurance directly and assists with the filing process, including submitting necessary radiographs and documentation. Contact our office with your plan information and we can verify your benefits before treatment begins.
Am I a candidate for dental implants?
Most adults with adequate bone density and good general health are candidates. The primary requirements are sufficient bone volume at the implant site (or the ability to build it through grafting), no uncontrolled systemic conditions that would affect healing, and healthy gum tissue. Dr. Goldstein evaluates candidacy during the initial consultation, which includes cone beam CT imaging to assess the implant site precisely.
What is the difference between implant placement and implant restoration?
Implant placement is the surgical procedure in which a titanium post is placed into the jawbone, performed by an oral surgeon or periodontist. Implant restoration is the process of designing and placing the crown, bridge, or denture that attaches to the post. At Goldstein Dental Center, Dr. Goldstein handles the planning and restoration phase; surgical placement is performed by Dr. Bruce Edelstein or Dr. Christopher Pesut. The two phases require different specialist training, and doing both well requires a surgeon and a prosthodontist working from the same plan from the start.
How long does the dental bonding procedure take?
Most single-tooth bonding appointments take 30 to 60 minutes, chairside. If you are having multiple teeth treated in one visit, expect additional time per tooth. There is no second appointment. You leave with the finished result the same day. We will give you a time estimate at your consultation once we know the full scope of what we are doing.
How long does dental bonding last?
With proper care, composite bonding typically lasts between six and ten years before it needs refreshing. The range depends on the location of the bonding, your bite habits, and how consistently you protect the resin from hard foods, staining drinks, and smoking. Front teeth used for biting may need touch-ups sooner than bonding on less-stressed surfaces. Regular six-month check-ups let us catch any marginal breakdown early and address it before it becomes a larger repair.
How much does dental bonding cost per tooth?
The cost of dental bonding ranges from $85 to $1,500 per tooth depending on the complexity of the case. Bonding is significantly less expensive than porcelain veneers. We will give you a clear, itemized estimate at your consultation. For patients who prefer to spread the cost over time, we offer financing options.
Is dental bonding covered by insurance?
When bonding is used for restorative purposes, such as repairing a chipped or fractured tooth or filling a cavity, it is often partially covered by dental insurance. Purely cosmetic bonding, such as closing a gap or correcting discoloration, is typically not covered. Dr. Wait is in-network with select insurance plans; Dr. Goldstein accepts most insurance as an out-of-network provider. Our team will review your coverage before any work begins so you know exactly what to expect.
Does dental bonding hurt?
No. For most cosmetic bonding cases, no anesthesia is needed. The tooth surface is lightly conditioned rather than drilled, and most patients report no discomfort during the procedure. If bonding is being used to fill a cavity or treat a tooth with active decay, a local anesthetic may be used.
Can I eat and drink normally after dental bonding?
Yes, with a short window of care. For the first 48 hours, avoid heavily pigmented foods and drinks: coffee, red wine, dark berries, and similar. This gives the composite time to fully set and reach its final color. After that, there are no long-term dietary restrictions. One habit worth keeping indefinitely: avoid biting directly into hard objects with the bonded tooth. That applies whether the bonding is one day old or five years old.
Can bonded teeth be whitened?
Composite resin does not respond to whitening treatments. If you want whiter teeth, the sequence matters: whiten your natural teeth first, then match the composite resin to your new shade when the bonding is applied. If you already have bonded teeth and want to whiten, we can discuss replacing the existing resin to match your whitened enamel. This is worth thinking through before treatment begins, and it’s exactly the kind of conversation we have during a consultation.
How is dental bonding different from veneers?
Dental bonding uses composite resin applied directly to the tooth chairside in a single visit, with no enamel removal. Porcelain veneers are thin ceramic shells fabricated in a dental lab and bonded over a thin layer of prepared enamel, making them a permanent commitment. Bonding is faster, less expensive, and reversible. Veneers last longer, resist staining better, and are better suited when multiple teeth need comprehensive improvement. Both are available at Goldstein Dental Center. A consultation will tell you which makes sense for your situation.
What is a dental crown?
A crown is a tooth-shaped restoration placed over a damaged, weakened, or treated tooth to restore its shape, strength, and appearance. Crowns are used after root canals, for severely decayed or fractured teeth, as implant restorations, and as the anchors that hold a dental bridge in place.
What are dental crowns made of?
The most common materials are zirconia, all-porcelain (including EMax), and porcelain-fused-to-metal (PFM). Zirconia is a strong choice for back teeth. All-porcelain is often used for front teeth where appearance is the priority and is also an excellent option for molars. The right material depends on tooth position, bite load, and aesthetic goals. Dr. Goldstein discusses all options with each patient before any decision is made.
How long do dental crowns last?
Most crowns last 10 to 15 years with proper care. Material choice and the precision of placement are the two biggest variables. Good oral hygiene, regular dental visits, and avoiding habits like grinding or chewing ice all extend crown life significantly.
How much does a dental crown cost?
Crown costs vary based on tooth position, material selected, and the complexity of the case. Goldstein Dental Center accepts dental insurance and will pre-estimate your insurance reimbursement before treatment begins. We are happy to provide a detailed estimate after an examination.
What is a dental bridge?
A dental bridge replaces one or more missing teeth by spanning the gap with a fixed restoration anchored to crowns on the adjacent teeth. It is a fixed option that restores chewing function, prevents neighboring teeth from drifting, and maintains the structural integrity of your bite.
How much does a dental bridge cost?
Bridge cost depends on the number of teeth being replaced, the materials used, and the complexity of the case. Goldstein Dental Center accepts dental insurance and will pre-estimate your insurance reimbursement before treatment begins. A consultation will include a detailed cost estimate.
Is a dental bridge permanent?
A bridge is fixed in place and is not removable by the patient. It functions like natural teeth. With proper care, a bridge typically lasts 10 to 15 years before replacement or rebonding may be needed.
What is the difference between a cosmetic dentist and a prosthodontist?
“Cosmetic dentist” is a marketing term. Any general dentist can use it without additional training or oversight. A prosthodontist is a dental specialty recognized by the American Dental Association, requiring three additional years of postgraduate training specifically in the restoration and replacement of teeth. Dr. Goldstein is a prosthodontist and a former International President of the American Academy of Esthetic Dentistry, the peer-elected organization that sets the standard for esthetic dental practice. The difference is not a credential technicality. It is the difference between self-designation and peer validation.
How do I know if I’m a candidate for cosmetic dentistry?
Most adults with healthy gums and adequate bone structure are candidates for some form of cosmetic treatment. The more useful question is which procedure is appropriate for your specific situation. A consultation at Goldstein Dental Center covers your goals, a clinical evaluation of your teeth and bite, and a direct recommendation for what is possible and what path makes sense. You leave with a clear picture of your options.
How long do porcelain veneers last?
With proper care, porcelain veneers typically last 15 to 30 years. In Dr. Goldstein’s practice, his longest-running case has been in place for 33 years and is still performing as placed. Longevity depends on the quality of the preparation, how the bite was managed at placement, and consistent follow-up care. No-prep and minimal-prep veneers, which preserve more of the natural enamel bond surface, tend to perform well over the long term.
What does a cosmetic dentistry consultation include?
At Goldstein Dental Center, a consultation begins with a full clinical assessment: photographs, bite analysis, enamel and gum evaluation, and a review of your goals. For patients considering veneers or a smile makeover, this includes a discussion of which procedures are appropriate, what the sequencing looks like, and what to expect at each stage. You leave with a clear picture of your options, not a sales pitch.
Is cosmetic dentistry covered by dental insurance?
Purely cosmetic procedures, such as veneers placed for appearance only or professional whitening, are generally not covered by dental insurance. Restorative procedures with a cosmetic component, such as crowns or bonding used to repair a damaged tooth, may be partially covered depending on your plan. The front desk at Goldstein Dental Center can review your coverage before your consultation so there are no surprises.
How much does cosmetic dentistry cost in Atlanta?
Costs vary considerably depending on the procedure, the number of teeth involved, and the materials used. A single dental bonding case is a fraction of the cost of a full smile makeover with porcelain veneers. Fees at Goldstein Dental Center reflect the specialist-level training and materials involved. Financing options are available for qualified patients.
What is the American Academy of Esthetic Dentistry?
The AAED is an invitation-only professional organization for dentists who specialize in esthetic dentistry. Fellowship requires peer nomination and documented evidence of clinical excellence, teaching, publications, and service to the field. It is not a paid directory. Of all dentists in the United States, only 106 hold active fellowship. Dr. Goldstein served as the organization’s President in 2020. You can verify AAED membership at aaed.org.
How long does a smile makeover take from consultation to final result?
Timeline depends on the scope of the case. A veneer case involving four to six teeth typically spans three to five appointments over four to six weeks. A full smile makeover involving more teeth, bite correction, or preparatory treatment such as Invisalign or implants can take several months to over a year. At the consultation, Dr. Goldstein will give you a realistic timeline based on your specific case.
Is Goldstein Dental Center accepting new patients?
Yes. New patients can request an appointment online or by phone. Dr. Goldstein and Dr. Wait both see new patients. For cosmetic or restorative consultations, the first visit typically includes a clinical review before a treatment plan is presented.
Where is Goldstein Dental Center located?
The practice is at 4320 Roswell Road NE, Atlanta, GA 30342, in Buckhead. Goldstein Dental Center has been at this location since 2006.
What dental services does Goldstein Dental Center offer?
The practice offers cosmetic dentistry (porcelain veneers, bonding, teeth whitening), restorative dentistry (dental implants, crowns, bridges, dentures), and family dental care (cleanings and exams). For a full service list, visit the Services page.
How long has Goldstein Dental Center been in Atlanta?
Dr. Goldstein has been in private practice in Atlanta since 1986, initially alongside his father. He established Goldstein Dental Center in 2006, and the practice has been at 4320 Roswell Road in Buckhead since then.
Does Goldstein Dental Center treat complex cosmetic cases?
Yes. Dr. Goldstein specializes in complex restorative and cosmetic cases, including full-mouth reconstruction and patients who have been through other providers without a resolution. The consultation is part of the treatment process, not a formality.
Who is the best cosmetic dentist in Atlanta?
There is no single answer, but the credential that carries the most weight among dentists themselves is fellowship in the American Academy of Esthetic Dentistry. Dr. Cary Goldstein is a past international president of that organization, the highest elected position in esthetic dentistry. He has also been named a Top Dentist by Atlanta Magazine every year since 2017, a peer-nominated recognition that is independently verified.
What makes Dr. Goldstein different from other cosmetic dentists in Atlanta?
Most cosmetic dentists are general practitioners who have added cosmetic services to their menu. Dr. Goldstein trained in prosthodontics, led the field’s most selective credentialing body as its international president, and has spent decades teaching advanced technique to other dentists. His practice handles cases that other providers have not been able to resolve.
How do I know if cosmetic dentistry is right for me?
The consultation is the right place to start. Dr. Goldstein will review your dental history, assess your current condition, and tell you what your options are, including what does not need treatment. He does not recommend procedures without a clinical reason to do so.
Does Dr. Goldstein offer veneers and teeth whitening in Atlanta?
Yes. Porcelain veneers and professional teeth whitening are among the most common cosmetic services at Goldstein Dental Center. Dr. Goldstein’s approach in both cases starts with understanding what the patient is trying to correct before recommending a specific treatment path.
Is Dr. Goldstein accepting new patients?
Yes. New patient consultations can be requested online or by phone. For complex restorative or cosmetic cases, the initial consultation may involve diagnostic records and imaging before a treatment plan is presented.
What is the American Academy of Esthetic Dentistry (AAED)?
The AAED is an invitation-only professional organization for dentists who specialize in esthetic dentistry. Fellowship is extended by peer nomination and requires demonstrated clinical excellence. Only 106 dentists hold active fellowship worldwide. Dr. Goldstein served as its U.S. Past President in 2020, a role that involves setting clinical and educational standards for the organization’s membership.
Do you accept my dental insurance?
Yes, we accept all dental insurance plans that allow you to visit an out-of-network provider. While we are not in-network with any insurance companies, many plans—especially Preferred Provider Organization (PPO) plans—offer out-of-network benefits that can be used at our office.
What does it mean to be an out-of-network provider?
Being an out-of-network provider means we do not have a contractual agreement with any dental insurance companies. This allows us to provide personalized care without the restrictions that in-network providers may face. You can still use your insurance benefits here if your plan includes out-of-network coverage.
Will my insurance cover the full cost of treatment at The Goldstein Center?
Coverage varies by plan. Out-of-network benefits may cover a percentage of your treatment costs after deductibles are met. We can provide a pre-treatment estimate to help you understand any out-of-pocket expenses.
How can I find out if my insurance plan covers out-of-network providers?
Review your insurance policy documents or contact your insurance company’s customer service. Ask specifically about out-of-network dental benefits and any associated deductibles or reimbursement rates. As the customer, you can call the insurance company easily to determine this.
How long does it take to get dentures?
A few weeks to a few months depending on your individual needs and healing process. If extractions are needed, healing must occur before your final fitting. We do offer immediate dentures for those who need faster results.
Will my dentures look natural?
Yes! At Goldstein Dental Center, we use premium materials like porcelain and acrylic to create natural looking artificial teeth. Every set is customized to match your smile’s shape, color and natural alignment. You’ll be amazed at how natural your new dentures look.
Are dentures comfortable to wear?
Modern dentures are designed for comfort and proper fit. After a short adjustment period, most patients adapt quickly to their removable appliance. We also offer implant supported dentures and snap-in dentures for added stability.
How do I take care of my dentures?
Proper care is key to keeping your dentures clean and functional. You should rinse them daily, brush with a soft brush and store them in a cleaning solution overnight. We’ll give you full care instructions at your final fitting.
Is the procedure painful?
Most patients report minimal discomfort during the dental bridge procedure. We use local anesthesia and gentle techniques to keep you comfortable. After treatment, any sensitivity usually fades quickly.
Are bridges better than implants?
Both are excellent treatment options for replacing missing teeth. Dental implants are placed into the jawbone, while bridges use adjacent teeth for support. We’ll help you choose the right option based on your goals and needs.
Can I eat normally with a bridge?
Yes! Once your permanent bridge is placed, you can eat most of your favorite foods again. Bridges help you bite properly and chew efficiently, improving your daily quality of life.
What if I need a tooth pulled first?
If tooth extractions are needed, we’ll schedule them as part of your treatment plan. After healing, we’ll proceed with your dental bridge to restore the gap. Our team ensures the process flows smoothly from start to finish.
How long does a dental crown last?
Most dental crowns last between 10 to 15 years with proper care. Practicing good oral hygiene, avoiding hard foods and seeing your dentist regularly can extend its lifespan. The materials used like porcelain, zirconia, or porcelain fused to metal also play a role in durability.
Do dental crowns look like real teeth?
Yes, especially modern porcelain and zirconia crowns that are custom-matched to your natural teeth. We make sure your crown blends in seamlessly for a natural look. No one will notice the difference!
Can I get a crown the same day?
Yes! We offer same day crowns for eligible patients using digital imaging and in-office milling. This means you can skip the temporary crown and walk out with a permanent one in one visit. Ask us if same day dental crowns are right for you.
Is the crown procedure painful?
Most patients say it’s surprisingly easy and comfortable. We use local anesthesia to keep you relaxed, and we’re always happy to answer questions. After the crown placement, there may be mild soreness, but it typically fades quickly.
What are crowns made of?
Crowns can be made from porcelain, metal, zirconia, or porcelain fused to metal. We choose materials based on your needs, budget and goals. Some materials are better for aesthetics, while others are ideal for strength or for people with metal allergies.
Do porcelain veneers stain?
Porcelain is significantly more stain-resistant than natural enamel. Coffee, wine, and similar foods that affect natural teeth have minimal effect on quality porcelain. The bonding material at the veneer margins can pick up some discoloration over time, which is one reason routine maintenance visits matter.
What’s the difference between porcelain and composite veneers?
Porcelain veneers are lab-fabricated from ceramic, look more naturally tooth-like, and last considerably longer. Composite veneers are applied directly at the chair in a single appointment, cost less upfront, but stain more easily and typically need replacement sooner. For patients making a long-term investment in their appearance, porcelain is the clinical standard.
How many teeth do I need veneers on?
There’s no fixed number. Some patients treat a single chipped or discolored tooth; others treat six or eight front teeth for a complete smile change. The goal is seamless blending, which requires precise shade-matching against the surrounding natural teeth.
How do I care for my veneers?
Brush twice daily with a soft-bristled brush and non-abrasive toothpaste. Floss daily, paying attention to the margins where the veneer meets the gumline. Keep your routine maintenance appointments: this is where we check veneer integrity, clean areas that are hard to reach at home, and catch any early issues before they become larger ones. Avoid biting hard objects with your front teeth. If you grind, wear your night guard. The veneers that last 20 to 30 years are on patients who do these five things consistently.
Is teeth whitening safe for my enamel?
Yes, when done by professionals, teeth whitening is generally safe and does not damage tooth enamel. We use high-quality whitening agents and monitor every step of the process. Our team ensures your teeth are healthy enough for whitening before we begin.
How long does the whitening process take?
In-office teeth whitening usually takes about an hour from start to finish. However, the total time may vary depending on the level of discoloration and the method used. We also offer take-home custom trays for a more gradual approach over a few weeks.
Will I experience tooth sensitivity?
Some patients may experience temporary tooth sensitivity, especially after in-office treatments. This is normal and usually goes away within a few days. We’ll give you tips and products to help reduce discomfort.
What if I have crowns or veneers?
Whitening agents won’t change the color of crowns, veneers, or fillings. During your consultation, we’ll discuss how to achieve a uniform appearance if you have restorations. We may recommend combining whitening with other cosmetic dental options.
How often should I get dental cleanings and exams?
The American Dental Association recommends visiting your dentist every six months for regular dental cleanings and exams. Depending on your health we might suggest more frequent visits. These routine checkups are key to keeping your teeth and gums healthy.
Are dental cleanings painful?
Most professional cleanings are pain free, although you might feel slight pressure or sensitivity. Our dental professionals use gentle techniques and make your comfort a priority. If you ever feel discomfort let us know so we can adjust.
What’s the difference between a regular cleaning and a deep cleaning?
A regular cleaning removes plaque and tartar above the gumline, while a deep cleaning is below the gums. Deep cleanings are usually recommended for patients with periodontal disease or heavy tartar buildup. We’ll let you know which one is right for you after your exam.
Do I really need an oral cancer screening?
Yes, it’s part of your exam. Oral cancer screening helps detect early signs of cancer before symptoms appear. Early detection means better treatment and peace of mind.
Do new patients need x-rays?
Yes, dental x rays help us get a complete picture of your oral health. They allow us to detect hidden decay, bone issues or potential implant needs. For new patients x-rays are often part of your first visit.
What are the side effects of dental antibiotics?
Common side effects of antibiotics may include upset stomach, diarrhea, and allergic reactions. It’s important to follow your dentist’s instructions and notify them if you experience any adverse effects during your treatment.
Are antibiotics always necessary after a dental procedure?
Not always. Antibiotics are typically recommended when there is a high risk of infection, such as in cases of severe periodontal disease, oral surgery, or for patients with specific medical conditions. Your dentist will assess your individual needs and determine if antibiotics are appropriate.
Is scaling and root planing painful?
Scaling and root planing is typically performed under local anesthesia, so you shouldn’t feel pain during the procedure. Some mild discomfort or sensitivity afterward is normal, but it usually subsides within a few days.
Can same-day CEREC® technology be used for any dental treatment?
CEREC® dental technology in Metro Atlanta, is used by Dr. Goldstein to streamline the process of applying crowns, veneers, inlays, and onlays and completing other dental procedures in a less invasive way. However, CEREC® is not right for every situation or dental need. We will discuss your options during an in-office consultation.
Is CEREC® a new type of dental technology?
We utilize CEREC® technology in Metro Atlanta, at our practice because it is a proven and reliable approach to dental care – but it’s not a new dental trend. In fact, this technology has been around for a few decades now. It has, however, improved over the years thanks to new technical capabilities.
How do patients benefit from CEREC® dental technology?
CEREC® technology often allows for single visit results with our dentist in Metro Atlanta. This alone makes it easier to take advantage of these techniques and processes without having to schedule multiple appointments.
What kind of customization is possible with CEREC® technology?
The level of customization possible with CEREC® technology is very precise. There are also infinite choices with designs and other personalized touches that can result in an even more comfortable and confident smile. What’s more, existing teeth can be copied with impressive accuracy.
How long will results last with CEREC® treatments?
It depends on the specific procedure for dentistry in Metro Atlanta. However, results can last longer if you adhere to follow-up care recommendations and remain mindful of basic dental hygiene habits.
What is cosmetic gum shaping and why might I need it?
Cosmetic gum shaping, also known as gum contouring or gingival sculpting, is a dental procedure that reshapes the gum line to improve the appearance of your smile. You might need it if you have a “gummy” smile, uneven gum line, or excessive gum tissue covering your teeth. This procedure enhances the symmetry and aesthetics of your smile by exposing more of your teeth and creating a more balanced gum line.
How long does it take to see results from cosmetic gum shaping?
Results from cosmetic gum shaping are typically visible immediately after the procedure, as the reshaped gum line reveals more of your teeth and creates a more aesthetically pleasing smile. However, full healing and the final appearance of your gums can take a few weeks. During this time, it’s important to follow your dentist’s care instructions to ensure optimal healing and achieve the best results.
How long do composite dental fillings last?
Composite fillings can last anywhere from 5 to 15 years, depending on factors such as your oral hygiene, diet, and the location of the filling. Regular dental check-ups will help ensure your fillings remain in good condition.
How can I tell if I have a cracked tooth?
Common signs of a cracked tooth include pain when chewing, sensitivity to temperature changes, and swelling around the affected tooth. If you experience any of these symptoms, it’s important to see a dentist for an evaluation.
Can a cracked tooth heal on its own?
Unfortunately, a cracked tooth cannot heal on its own. Dental treatment is necessary to repair the crack and prevent further damage. Depending on the severity of the crack, your dentist will recommend the most appropriate treatment option.
How long do dental bridges last?
Dental bridges can last between 10 to 15 years or longer with proper care, including good oral hygiene practices and regular dental check-ups. The longevity of your bridge will depend on factors such as your bite, diet, and maintenance routine.
Are dental bridges removable?
Traditional dental bridges are fixed in place and cannot be removed. They are bonded securely to your adjacent teeth or implants. However, there are removable bridge options known as partial dentures, which function differently.
How long will results from cosmetic or restorative procedures last?
The answer depends on what you have done. Teeth whitening, for instance, will need to be done again when results start to fade. Dental implants, on the other hand, can last indefinitely. The longevity of dental bridges, inlays, overlays, veneers, and crowns will vary based on your diet, oral hygiene habits, and similar factors.
What is the difference between partial and complete dentures?
Partial dentures are designed to replace a few missing teeth and are used when some natural teeth still remain in the mouth. They are secured by attaching to your remaining teeth. Complete dentures, on the other hand, replace all of the teeth in either the upper or lower jaw and are used when there are no natural teeth left. Both types help restore function and improve the appearance of your smile.
How long do partial and complete dentures last, and how should I care for them?
With proper care, partial and complete dentures can last anywhere from 5 to 10 years. To keep them in good condition, you should clean them daily using a soft toothbrush and denture cleaner, soak them overnight in a denture solution, and handle them with care to avoid dropping or damaging them. It’s also important to schedule regular dental visits for adjustments and to ensure a proper fit over time.
When Is a Dental Crown Needed?
A dental crown is recommended when a tooth is too damaged or decayed to be restored with a filling. Crowns preserve as much of the natural tooth as possible and restore its function and appearance. They are custom-made caps that cover the entire tooth, restoring it to its original shape and size. Dental crowns can be made of materials like porcelain, gold, or porcelain fused to metal. If your tooth is weak, fractured, or has undergone root canal treatment, a crown can protect and strengthen it.
What Are the Benefits of Dental Crowns?
Dental crowns serve both restorative and cosmetic purposes. They can protect teeth after root canal treatments, anchor dental bridges, and complete dental implants. Crowns can also improve the appearance of misshapen or discolored teeth, and strengthen weak or fractured teeth. Additionally, crowns are used to support large fillings when only a small amount of natural tooth remains. Porcelain crowns are especially popular for their ability to blend with your natural teeth, enhancing your smile’s beauty.
How long do dental sealants last?
Dental sealants can last up to 10 years with proper care. Regular dental check-ups will help ensure that the sealants remain intact and continue to provide protection. If a sealant becomes damaged or worn, it can be easily repaired or replaced.
Are dental sealants safe for children?
Yes, dental sealants are safe for children and are highly recommended for protecting their newly erupted permanent molars. Sealants are made from biocompatible materials and have been widely used for decades to help prevent cavities in children and teenagers.
Are dental X-rays safe?
Yes, dental X-rays are safe. They use a very low level of radiation, and modern technology has made them even safer by minimizing exposure. We also take precautions such as using lead aprons and thyroid collars to protect your body. The benefits of dental X-rays, such as detecting issues early, far outweigh the minimal risk associated with the radiation.
Why are dental X-rays necessary?
Dental X-rays are an essential diagnostic tool that helps us identify problems that may not be visible during a regular dental exam. They can detect cavities, bone loss, infections, and other issues at an early stage, allowing for timely and effective treatment. Regular X-rays are important in maintaining your overall oral health and preventing more serious problems down the line.
How often should I visit the dentist?
We recommend scheduling dental cleanings and exams every six months for optimal oral health. However, your dentist may suggest more frequent visits based on your specific needs.
What should I expect during my first visit?
Your first visit typically includes a comprehensive exam, X-rays, and a discussion about your dental health goals. This helps us create a personalized treatment plan for you.
How often should I brush my teeth, and what is the proper technique?
You should brush your teeth at least twice a day, especially before bed, using a soft-bristle toothbrush and an ADA-approved toothpaste. For the best results:
- Hold the toothbrush at a 45-degree angle to your gums.
- Use gentle, circular motions to brush the outer, inner, and chewing surfaces of each tooth.
- Don’t forget to brush the inside of your front teeth and your tongue to remove bacteria and freshen your breath.
Electric toothbrushes are also recommended as they can efficiently remove plaque by simply guiding the brush while it works on multiple teeth at a time.
How often should I floss, and what is the correct way to do it?
You should floss daily to remove plaque and food particles between your teeth and under the gumline, where a toothbrush can’t reach. Follow these steps for effective flossing:
- Use about 12-16 inches of dental floss, wrapping it around your middle fingers, with 2 inches of floss between them.
- Gently insert the floss between your teeth using a sawing motion.
- Curve the floss into a “C” shape around each tooth, sliding it up and down to clean the side of each tooth and below the gumline.
If you find regular floss difficult to use, floss holders are a helpful alternative.
How often should I schedule dental cleanings and exams?
It is generally recommended to schedule dental cleanings and exams every six months. Regular visits help prevent common issues like cavities, gum disease, and plaque buildup. They also allow your dentist to catch potential problems early. However, depending on your oral health, your dentist may suggest more frequent visits. Always follow your dentist’s advice based on your individual needs.
What happens during a routine dental exam and cleaning?
During a routine dental exam and cleaning, your dentist or hygienist performs several important checks, including:
- Reviewing your medical history to understand any conditions or medications that may affect your dental health.
- Taking x-rays to detect issues like decay, tumors, cysts, or bone loss.
- Conducting an oral cancer screening, examining your face, neck, and mouth for any signs.
- Evaluating for gum disease and checking the health of your gums and bone.
- Examining your teeth for decay and inspecting any existing restorations (like fillings or crowns).
In addition, they will remove calculus (tartar) and plaque, polish your teeth to remove stains, and offer personalized oral hygiene recommendations and tips on improving your diet for better dental health.
What are the signs and risk factors of Periodontal Disease?
Signs of Gum Disease include:
- Red, puffy, or bleeding gums
- Persistent bad breath
- New gaps or spacing between teeth
- Loose teeth
- Pus around gums
- Receding gums
- Gum tenderness or discomfort
Risk factors include smoking, crowded teeth, defective dental work, certain medications, hormonal changes (pregnancy, puberty), systemic diseases (diabetes, HIV), and genetics. If any of these signs or factors apply, it’s important to see your dentist for an evaluation.
How often should I brush and floss?
Brushing and flossing help control the plaque and bacteria that cause dental disease.
Plaque is a film of food debris, bacteria, and saliva that sticks to the teeth and gums. The bacteria in plaque convert certain food particles into acids that cause tooth decay. Also, if plaque is not removed, it turns into calculus (tartar). If plaque and calculus are not removed, they begin to destroy the gums and bone, causing periodontal (gum) disease.
Plaque formation and growth is continuous and can only be controlled by regular brushing, flossing, and the use of other dental aids.
Toothbrushing – Brush your teeth at least twice a day (especially before going to bed at night) with an ADA approved soft bristle brush and toothpaste.
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Brush at a 45 degree angle to the gums, gently using a small, circular motion, ensuring that you always feel the bristles on the gums.
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Brush the outer, inner, and biting surfaces of each tooth.
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Use the tip of the brush head to clean the inside front teeth.
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Brush your tongue to remove bacteria and freshen your breath.
Electric toothbrushes are also recommended. They are easy to use and can remove plaque efficiently. Simply place the bristles of the electric brush on your gums and teeth and allow the brush to do its job, several teeth at a time.
Flossing – Daily flossing is the best way to clean between the teeth and under the gumline. Flossing not only helps clean these spaces, it disrupts plaque colonies from building up, preventing damage to the gums, teeth, and bone.
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Take 12-16 inches (30-40cm) of dental floss and wrap it around your middle fingers, leaving about 2 inches (5cm) of floss between the hands.
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Using your thumbs and forefingers to guide the floss, gently insert the floss between teeth using a sawing motion.
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Curve the floss into a “C” shape around each tooth and under the gumline. Gently move the floss up and down, cleaning the side of each tooth.
Floss holders are recommended if you have difficulty using conventional floss.
Rinsing – It is important to rinse your mouth with water after brushing, and also after meals if you are unable to brush. If you are using an over-the-counter product for rinsing, it’s a good idea to consult with your dentist or dental hygienist on its appropriateness for you.
Do you offer payment plans?
What if I have a dental emergency?
If you experience a dental emergency, please call our office immediately. We prioritize urgent cases and will do our best to schedule you for a same-day appointment.
Have more questions? Feel free to contact us directly—we’re here to help!
What do I do in the case of an emergency and what constitutes an after hours emergency?
If you or a family member experiences swelling and severe pain, do not hesitate to contact our office. Such symptoms usually indicate an infection and should be treated as soon as possible. Chipped teeth and re-cementation of crowns can be treated during regularly scheduled office hours.
What can I do to prevent and treat bad breath?
To prevent bad breath, practice good oral hygiene and make lifestyle adjustments:
- Brush your teeth at least twice a day and floss daily to remove food particles and plaque.
- Clean your tongue with a brush or tongue scraper, especially focusing on the back.
- Stay hydrated by drinking water frequently to wash away bacteria.
- Avoid smoking and using tobacco products and seek help from your dentist to quit.
- Use mouthwash or antiseptic rinses to reduce bacteria and freshen breath, but avoid relying on them solely to mask odor.
Additionally, visit your dentist at least twice a year for check-ups and cleanings. If bad breath persists despite good oral care, your dentist may refer you to a physician to explore other underlying health issues.
What causes bad breath, and how can I identify the issue?
Bad breath, or halitosis, can be caused by various factors, with the most common reason being microbial deposits on the tongue, especially at the back. Morning breath is common because saliva production slows during sleep, allowing bacteria to grow. Other causes include:
- Certain foods like garlic and onions
- Poor oral hygiene
- Gum disease
- Dental cavities or poorly fitted dental appliances
- Dry mouth (Xerostomia), often due to medications or mouth breathing
- Smoking or tobacco use
- Dehydration, missed meals, or certain diets (such as low-carb)
- Underlying medical conditions like diabetes, liver or kidney issues, and chronic sinus infections
Keeping a record of your diet, medications, and any recent illnesses or surgeries can help your dentist identify the cause of bad breath.
What are the stages of gum disease?
Gum disease progresses through several stages:
- Gingivitis: The early stage with symptoms such as gums that bleed easily during brushing and inflammation or sensitivity in the gums.
- Early Periodontitis: Gums start to pull away from the teeth, bleeding becomes more pronounced, and bad breath may develop. Probe depths may exceed 4mm during an examination.
- Moderate Periodontitis: Teeth may appear longer due to gum recession, and x-rays may show bone loss. Probe depths may reach up to 6mm.
- Advanced Periodontitis: Teeth become loose or mobile, and constant bad breath and gum sensitivity occur. Probe depths can range between 6mm and 10mm, with severe bone loss.
How can I prevent gum disease?
The best way to prevent gum disease is through proper oral hygiene. Brush and floss at least twice daily to remove plaque buildup, especially at the gum line where gingivitis begins. Flossing is essential for cleaning between teeth, and using a mouth rinse can also help maintain gum health. Regular dental check-ups and professional cleanings are also crucial in preventing gum disease progression.
How can I tell if I have Gingivitis or Periodontitis (Gum Disease)?
Four out of five people have periodontal disease and don’t know it! Most people are not aware of it because the disease is usually painless in the early stages. Unlike tooth decay, which often causes discomfort, it is possible to have periodontal disease without noticeable symptoms. Having regular dental check-ups and periodontal examinations are very important and will help detect if periodontal problems exist.
Periodontal disease begins when plaque, a sticky, colorless, film of bacteria, food debris, and saliva, is left on the teeth and gums. The bacteria produce toxins (acids) that inflame the gums and slowly destroy the bone. Brushing and flossing regularly and properly will ensure that plaque is not left behind to do its damage.
Other than poor oral hygiene, there are several other factors that may increase the risk of developing periodontal disease:
- Smoking or chewing tobacco – Tobacco users are more likely than nonusers to form plaque and tartar on their teeth.
- Certain tooth or appliance conditions – Bridges that no longer fit properly, crowded teeth, or defective fillings that may trap plaque and bacteria.
- Many medications – Steroids, cancer therapy drugs, blood pressure meds, oral contraceptives. Some medications have side affects that reduce saliva, making the mouth dry and plaque easier to adhere to the teeth and gums.
- Pregnancy, oral contraceptives, and puberty – Can cause changes in hormone levels, causing gum tissue to become more sensitive to bacteria toxins.
- Systemic diseases – Diabetes, blood cell disorders, HIV / AIDS, etc.
- Genetics may play role – Some patients may be predisposed to a more aggressive type of periodontitis. Patients with a family history of tooth loss should pay particular attention to their gums.
Signs and Symptoms of Periodontal Disease
- Red and puffy gums – Gums should never be red or swollen.
- Bleeding gums – Gums should never bleed, even when you brush vigorously or use dental floss.
- Persistent bad breath – Caused by bacteria in the mouth.
- New spacing between teeth – Caused by bone loss.
- Loose teeth – Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).
- Pus around the teeth and gums – Sign that there is an infection present.
- Receding gums – Loss of gum around a tooth.
- Tenderness or Discomfort – Plaque, calculus, and bacteria irritate the gums and teeth.
Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.
What is gum grafting and how does it benefit me?
Gum grafting is a surgical procedure used to treat receding gums by taking tissue from the roof of your mouth or a donor source and attaching it to the affected areas. This helps cover exposed roots, reduce tooth sensitivity, improve the appearance of your gums, and protect your teeth from further damage. By restoring your gumline, gum grafting enhances both your oral health and the aesthetic appeal of your smile.
What can I expect during the recovery period after gum grafting?
Recovery from gum grafting typically takes a few weeks. During this time, you may experience some discomfort and swelling, which can be managed with prescribed medications and following post-procedure care instructions. It’s important to eat soft foods, avoid strenuous activities, and maintain good oral hygiene as directed by your dentist. Most patients can return to their normal routines within a few days, but full healing and integration of the graft can take several weeks.
How often should I replace my night guard?
The lifespan of a night guard depends on the severity of your bruxism and the material of the guard. On average, night guards last between 3 to 5 years, but it’s essential to bring your guard to your dental appointments for regular checks. If you notice signs of wear, cracks, or discomfort, it’s time to consider a replacement.
Can wearing a night guard change my bite?
A properly fitted night guard should not change your bite. It is designed to protect your teeth without altering your natural bite alignment. Our custom night guards are carefully crafted to ensure a snug, comfortable fit that does not interfere with your bite or jaw position.
At what age should my child first see a dentist?
The ADA recommends that your child’s first dental visit should occur within six months of their first tooth erupting or by their first birthday. Early visits help establish a dental home and allow the dentist to monitor your child’s oral development.
How often should my child have dental check-ups?
Children should have dental check-ups every six months to ensure their teeth and gums remain healthy. Regular visits help prevent cavities, catch issues early, and provide ongoing education for maintaining good oral hygiene.
Is pulp capping painful?
Pulp capping is typically a painless procedure. Local anesthesia is used to numb the area, ensuring that you remain comfortable throughout the treatment. Most patients experience minimal discomfort during and after the procedure.
How long does a pulp capping procedure take?
Pulp capping is a relatively quick procedure that can often be completed in a single visit. The exact duration depends on the complexity of the case, but most appointments last about 30 to 60 minutes.
Are Amalgam (Silver) Fillings Safe?
There has been concern over the years regarding the safety of amalgam (silver) fillings due to their mercury content. Amalgam is a mix of silver, copper, tin, zinc, and elemental mercury, used in dentistry for over 100 years. The worry stems from the potential health risks of mercury vapor and particles. However, according to the American Dental Association (ADA), silver fillings are safe. Studies have shown no connection between amalgam fillings and medical disorders. Most dentists still use silver fillings without health concerns.
What Do Health Organizations Say About the Safety of Silver Fillings?
The general consensus is that amalgam (silver) fillings are safe. The ADA, along with the Centers for Disease Control (CDC), World Health Organization (WHO), and the FDA, support their use, citing that they are durable, cost-effective, and pose no measurable health risks. The U.S. Public Health Service suggests avoiding amalgam only if the patient is allergic to one of its components. For those seeking alternatives, composite (tooth-colored), porcelain, and gold fillings are available. Discuss your options with your dentist to find the best choice for you.
How painful is root canal treatment?
Root canal treatment is often no more painful than getting a filling. With modern techniques and local anesthesia, most patients experience little to no discomfort during the procedure. Some soreness afterward is normal, but it typically subsides within a few days.
How long does a root canal treatment take?
The duration of a root canal treatment depends on the complexity of the case, but most procedures can be completed in one to two hours. In some cases, multiple visits may be necessary, especially if a crown is required.
What is root canal retreatment and why might I need it?
Root canal retreatment is a procedure performed when a tooth that has previously undergone root canal therapy doesn’t heal properly or develops new problems. You might need retreatment if you experience pain, infection, or complications after your initial root canal. Common reasons include untreated narrow or curved canals, new decay, or issues with the crown or filling.
How long does the root canal retreatment process take?
The root canal retreatment process typically involves one or two visits to our office. During the first visit, we will reopen the tooth, remove the previous filling materials, clean and disinfect the canals, and place a temporary filling. A second visit may be necessary to place a permanent crown or restoration. The exact duration depends on the complexity of the case and the condition of your tooth.
How do I know if I have sleep apnea?
Common symptoms of sleep apnea include loud snoring, gasping for air during sleep, excessive daytime sleepiness, morning headaches, and difficulty concentrating. If you suspect you have sleep apnea, schedule a consultation with Goldstein Dental Center for an evaluation.
Are oral appliances effective for sleep apnea?
Yes, oral appliances are highly effective for treating mild to moderate obstructive sleep apnea. They work by repositioning the jaw and tongue to keep the airway open during sleep, reducing snoring and improving breathing.
How often should I replace my sports mouth guard?
It’s recommended to replace your sports mouth guard every season, after significant dental work, or if it shows signs of wear and tear. For growing children and teens, more frequent replacements may be necessary to accommodate changes in their teeth and jaw.
Can I wear a sports mouth guard if I have braces?
Yes, wearing a mouth guard is even more important if you have braces, as it helps protect both your teeth and orthodontic appliances from damage. We can create custom mouth guards designed to fit comfortably over braces.
Are brackets needed for SureSmile®?
Not at all, and there are no wires either! SureSmile® in Metro Atlanta, corrects bite issues with a series of custom-molded, clear, plastic aligners. Dr. Goldstein will plan out your tooth movements so each set of aligners can be properly prepared.
How often will aligners need to be worn each year?
Our dentist in Metro Atlanta will recommend a wearing schedule based on your individual needs and alignment goals. Aligners typically need to be worn for most of your day. They can be taken out to eat and when brushing and flossing, or playing sports that could result in facial contact.
Are there restrictions on food for SureSmile® wearers?
There are no food restrictions at all, as per the advice of your trusted team for dentistry in Metro Atlanta. This is because the aligners are completely removable. However, we recommend brushing or rinsing after you eat and before you put your aligner back in.
Is there any discomfort when wearing SureSmile®?
You may feel some sensitivity for a day or two after you start wearing each set of aligners. This just means the aligners are working and helping to shift your teeth in the right direction.
How are the aligners cleaned?
All you’ll have to do is remove your aligners and brush them with a toothbrush and toothpaste. They can also be rinsed with warm water.
What can I do about stained or discolored teeth?
Since teeth whitening has now become the number one aesthetic concern of many patients, there are many products and methods available to achieve a brighter smile.
What are the options for teeth whitening, and how do they work?
Professional teeth whitening (or bleaching) is a simple, non-invasive dental treatment that enhances the color of natural tooth enamel, making it an ideal way to improve the beauty of your smile. Over-the-counter products are also available, but they are typically less effective than professional treatments and may not be approved by the American Dental Association (ADA). There are two main options for professional teeth whitening:
- Home Teeth Whitening Systems: These involve a gel placed in a custom-fitted mouthguard (tray), made from a mold of your teeth. The trays are worn twice a day for about 30 minutes or overnight while sleeping. Results typically take a few weeks, depending on the degree of staining and your whitening goals.
- In-Office Teeth Whitening: Performed in a dental office, this method provides immediate results, though it may require more than one visit. The process takes about 30 to 60 minutes per session, where a bleaching solution is applied to the teeth, sometimes enhanced by a special light.
What causes teeth discoloration, and how can I maintain my results after whitening?
Teeth naturally darken with age as the outer enamel wears down, revealing a yellowish layer underneath. Other common causes of discoloration include smoking, and consuming coffee, tea, wine, or certain medications. Even excessive fluoride exposure (fluorosis) during childhood can contribute to staining. It’s essential to consult your dentist to determine if you’re a good candidate for teeth whitening, as some stains, like those from tetracycline or fluorosis, may not respond well to bleaching.
Teeth whitening is not permanent, so you may need touch-ups every few years to maintain a bright smile. Your dentist can also recommend treatments like veneers or crowns for stains that are difficult to bleach. Additionally, whitening only affects natural tooth enamel, so any old fillings or crowns should be replaced after whitening to match your new shade.
How long do results last?
Teeth whitening in Metro Atlanta, is not a permanent process. How long the results last will depend on several factors, including what kind of foods and beverages you enjoy. If you generally avoid stain-inducing foods, you may be able to wait for a year or more to have another treatment.
Will the treatments damage the enamel?
Several studies involving common substances used for teeth whitening procedures in dentistry in Metro Atlanta, show there is no damage to the enamel surface or the hardness or mineral content of teeth.
Does teeth whitening affect dental restorations?
In the studies referenced above, no damage to restorations or implants was observed either. However, teeth whitening processes will not lighten bridges, veneers, crowns, or fillings that are tooth-colored. You may need to have highly visible restorations re-done to match your newly lightened teeth.
Are results immediate?
It depends on the process you prefer. In-Office Whitening, for example, results are typically immediate. The take-home kits and options we offer are more gradual, but they can produce noticeable results when used as directed.
Are teeth whitening procedures covered by insurance?
Typically, the answer is no. However, we offer several options with teeth whitening. Therefore, we can direct you towards a solution appropriate for your budget.