Latest advancements in dental technology

Advancing Your Smile

DigitalToothDr. Mitchell Shapiro is an artist that enjoys hand carving stone sculptures, but when it comes to utilizing the latest advancements in dental technology, he’s not stuck back in the stone age. The progressive dental developments used in our Smithtown, NY office

  • Offer superior results
  • Minimize the extent and complexity of dental treatments
  • Reduce recovery time and discomfort associated with some oral procedures
  • Provide a higher level of preventative care

…which culminates in an advanced standard of oral health and beauty that ultimately benefits you, our patient.

Digital X-rays

are an important diagnostic and preventative tool used here at Center For Cosmetic Dentistry. Your potential oral concern can be caught early, before it becomes a more extensive (and costly) problem.
Compared to traditional x-rays, digital radiography takes less time and use up to 90% less radiation. Dr. Shapiro can more safely spot a cavity forming on your tooth, inspect your tooth roots, assess the quality of your bone, check the progression of periodontal disease and keep an eye on any developing situations.

Invisalign Orthodontics

offer an easy, comfortable way to move your teeth into a straighter alignment, creating a more attractive smile. These braces are virtually invisible, using a series of customized, removable trays to straighten your smile, gradually. Because they’re easily taken out, you can enjoy your favorite foods without the cleaning inconvenience of traditional metal braces.

As a preferred Invisalign provider, Dr. Shapiro uses Invisalign to improve not just the look of your smile, but your overall oral health. Properly aligned teeth give you a more comfortable bite, prevent abnormal wear and breakdown of your teeth and minimize your risk for gum disease. With clear braces, you can enjoy all the benefits of a straighter smile without anyone noticing your orthodontics.

Dental Implants

are a dental advancement used in our practice that allows one missing tooth, or several, to be securely restored. This restoration is simply an artificial tooth root, made of bio-compatible material that is placed in the jawbone.
From this metal post, a natural looking prosthetic tooth can be permanently attached. With more than one implant, a bridge or even dentures may be anchored, creating a stable restoration. You can once again smile, talk and eat confidently, as you once did and only you and Dr. Shapiro will know the difference.

Zoom! Whitening

is a wonderful new way to enjoy a brighter, whiter smile, quickly and easily. This whitening treatment can make your teeth up to 8 shades lighter than they currently are, in just one hour at our Smithtown, NY office. Make a great impression at your job interview, look your best for your wedding or put your best smile forward at that black tie event, with Philips Zoom! Whitening. By using the included take-home trays, you can continue and maintain your teeth whitening once you leave our office.

Diagnodent Cavity Detection

uses a laser to cause tooth structure to fluoresce. The device is able to distinguish between healthy and diseased tooth structure by registering the difference in fluorescence  and indicate the amount of decay on a readout. This aids Dr. Shapiro in determining the need for dental treatment of potentially decayed teeth.

Oral Sleep Appliances

allow us to progressively treat and help patients who suffer from sleep apnea and snoring. If you wake up tired, our customized sleep appliance will assist in keeping your airways open by moving your jaw forward.
By wearing this appliance at night while you rest, your sleep apnea symptoms and snoring can be relieved. This is a wonderful alternative to CPAP (continuous positive airway pressure) machines, which are bulky, noisy, uncomfortably and, because they are not well tolerated, inconsistently used. A dental sleep appliance may even be covered by your insurance.

Come See Us!

Are you interested in how the latest dental advancements can improve the appearance and health of your smile as well as your quality of life? The friendly staff at Center For Cosmetic Dentistry is more than happy to answer your questions. Give us a call and we’ll help you make an appointment.

Keep Smiling LI…

 

Don’t Let Tooth Pain Keep You Up at Night

Is Your Tooth Pain Keeping You Awake at Night?

 

Don't let tooth pain keep you up at nightThere are few things more uncomfortable or difficult than persistent tooth pain, unless it’s a dental emergency after you’ve already gone to bed for the night. At Center For Cosmetic Dentistry, your urgent dental concern is never an inconvenience. We’re always available to help even outside of our normal business hours.
If you’re experiencing tooth pain, you might be wondering why and what you can do to relieve your symptoms. The first step is contacting Dr. Mitchell Shapiro, but these tips may also help…

Are You Sensitive To Hot, Cold or Sweet Foods?

If discomfort persists, then your sensitivity to temperature or sugar may be the warning sign of a cavity, loose filling or exposed root surface. Persistently sensitive teeth should be examined by Dr. Shapiro, but in the meantime, gently brush and clean the area to keep it free of food particles. Toothpaste for sensitive teeth may help and you can apply an over the counter, topical numbing gel for temporary relief.

Keep in mind that it’s not uncommon to have some sensitivity after dental work is done. It may take a few days, or even a few weeks, before the area settles down. Be sure to call us right away if the pain worsens or continues.

Do You Experience Sharp Pain When You Bite Down?

If a cavity is forming, you have a loose filling, or a cracked tooth, you may suffer from sharp pain when you’re chewing or biting down. Dr. Shapiro can treat your cavity, replace your filling and restore your cracked tooth, quickly and conveniently in our office.

If sharp tooth pain is keeping you from enjoying your favorite foods or making it difficult to talk, the best thing you can do is call our office right away for prompt treatment and relie

Are You Suffering From Tooth Pain, Pressure and Swelling?

When a tooth is throbbing or too painful to touch and the gums appear swollen, an infection (or abscess) may be the root of your problem.
Often times, such symptoms can require a root canal, but Dr. Shapiro will advise you best upon examining your sore tooth. This kind of dental emergency doesn’t get better with time, but needs urgent treatment at Center For Cosmetic Dentistry. For immediate relief, prior to your appointment, over the counter pain relievers  (naproxen (Aleve) is Dr. Shapiro’s favorite) may provide temporary easing of pain.

Was Your Tooth Knocked Out?

When an adult tooth is accidentally knocked out, acting quickly is important to save and restore your natural tooth. If the tooth has not been lost, carefully pick it up by the crown, being cautious not to touch the root. The tooth may be gently rinsed with water, if it’s dirty. Place the tooth back into the empty socket as soon as possible.
If you cannot replace the tooth in your gums, it needs to be kept moist in a special over the counter preservation solution, milk or tucked into your mouth, beside your cheek. (Don’t’ store it in water, which can affect the dental root.)

Most especially, call us right away to let us know you’re on your way. The sooner we see you, the more likely it is that your natural tooth can be saved.

Did A Restoration Break?

Fillings, crowns, bridges, and dentures can break for any number of reasons. Perhaps you bit down on a hard candy at just the right angle, maybe you were involved in an accident, or possibly your restoration broke due to gradual weakening and wear over time.
Whatever the reason, a broken restoration is seldom painful, but often inconvenient. A quick call to our office can answer your questions about how to handle your particular dental concerns and an emergency appointment can be made to treat it.
Never try to re-cement or smooth sharp edges on your tooth or restoration. Professional care is needed to ensure that further damage doesn’t occur and to increase the chance that your restoration can be salvaged.

Your Dental Emergency

If you’re suffering from an urgent dental concern, don’t endure discomfort another moment, when relief is just a phone call away. Emergency appointments are always available and should your emergency occur after normal business hours, Dr. Shapiro will return your urgent call shortly.

 

Keep smiling LI…

Are Your Bleeding Gums Killing You?

When I ask that question maybe you thought of painful gum tissue surrounding a tooth. You could have been correct but in this case I really mean killing you, as in dying. Also, your bleeding gums may actually make the road to the grave a lot more painful than it needs to be. If you are interested in avoiding this cause of early death, keep reading.

Gum Disease and Inflammation

diagram of gum disease

Diagram of gum disease

For reasons unknown to me, medicine and dentistry are at opposite ends of healthcare. Your medical insurance does not cover most of what happens in your mouth. Decaying teeth and bad gums are not covered by your health plans. Don’t get me wrong, if it was covered, then dentistry might be going the way of the physicians’ offices (with long wait times and offices of unhappy patients). Physicians have little training in oral disease, as if what happens in the mouth doesn’t affect the rest of the body. There could be nothing further from the truth.

Physicians do often talk about the need to reduce inflammation in the body. They are quick to prescribe anti-inflammatory medications all having many side effects. What would you say if I told you I had a way to reduce inflammation without any side effects? Interested??? Read on…

In reality, the mouth is the number one source of inflammation in the body. The reason for this is that your teeth are unlike any other part of your body. Teeth have a presence both inside and outside your body. The root of the tooth (which is inside your body) is encased in bone with a ligament called the periodontal ligament surrounding it. The crown of the tooth is the part of the tooth that you see. It is above the gum line and exists outside the body (yes-the inside of your mouth is outside of your body). The gum tissue is the tissue that covers the bone within your mouth and extends up onto the crown of the tooth. The tissue at the gum line is designed to form a gasket around each tooth. This gasket protects the periodontal ligament and surrounding bone from an invasion of anything that is in the mouth that can potentially cause breakdown of the system. This is where it all happens.

Understanding this gasket system is important to understanding the process of gum disease and how it affects systemic health. If you brush your teeth and your gums bleed, then it basically means you have blown a gasket. Your insides are leaking out (blood). I find it amazing at how most people don’t think twice about their gums bleeding. If they had blood coming out of any other part of their bodies, there would be a very high level of concern. The reason gums bleed is because there has been some level of assault on the tissue. It is most often plaque, calculus (tartar) and food accumulation combined with an unhealthy dose of bacteria that are working its way into the gum tissue at the neck of the tooth. There are times when dentistry is the culprit. This occurs when dental restorations extend too far below the gum line and invade the attached tissue. The tissue wants to attach itself to the tooth but it can’t. This is similar to walking around with a splinter in your foot. In active periodontal disease (also called periodontitis) the surface area of affected tissue can approach 81 square inches. Imagine walking around with a festering wound on your body which is that large.

mouth effected by Localized Periodontal Disease

Localized Periodontal Disease

Are Bleeding Gums Bad?

So are bleeding gums that bad? If your eyes were bleeding would that be bad? Yes, it is bad. Gums bleed because of inflammation (I’m not sure why eyes bleed). The body begins to react to the invasion we spoke of earlier by increasing blood flow to the area. Your gums get red and puffy. In this condition, a tooth brush or flossing can easily make them bleed. Interestingly enough smoking increases the risk of gum disease  though  gums can bleed less because nicotine constricts blood vessels. This masks one of the signs of gum disease while affecting the disease process in a negative way. In general, any inflammation in the body is bad as increased levels of inflammation have been linked to many diseases.

The Process of Disease

How do infected gums cause systemic disease? There are two mechanisms that periodontal disease can potentially contribute to systemic illness:

1)The body responds to the invasion of the periodontal ligament by increasing levels of inflammatory proteins to fight the invaders. The reaction is triggered locally but these proteins travel through the circulatory system affecting all cells in the body. IL-1, IL-6, TNF and C-reactive protein (aka CRP it is often in the news) can all increase when there is a periodontal infection.

2) The second problem is that the invaders cause ulcerations in the gum tissue (which is why the gums bleed so easily as the holes are already there). Through these ulcerations bacteria can make their way into the circulatory system. Brushing teeth that are periodontally diseased can actually cause a transient bacteremia (bacteria in the bloodstream). These bacteria and the body’s response to it can wreak havoc on the system.

Periodontitis and Cardiovascular Disease

Cardiovascular disease is the leading cause of global deaths (31 percent of all deaths). Periodontal disease has been linked to cardiovascular disease. The bacteria associated with gum disease has been found in the clots in the heart of patients with acute myocardial infarction (heart attacks). The inflammatory protein CRP has been considered a marker for increased risk of cardiovascular disease. The higher the level of CPR in your blood the more at risk you are of a heart attack.

Periodontal Disease and Rheumatoid Arthritis (RA)

A patient of mine recently shared with me the story of a how a flare up of his RA was cured by treating his extensive gum disease. He is sure that the connection is real. He is a musician who was unable to play his music until he treated his gum disease. There are numerous articles discussing this connection.

Periodontal Disease and Diabetes

It is believed that the relationship between gum disease and diabetes is a two-way street. Diabetes increases the risk factor for gum disease and vice versa. Gum disease can contribute to insulin resistance which can contribute to diabetes and the inflammation in the mouth doesn’t make controlling blood sugar any easier. I once saw a patient with diabetes who had been unable to get his blood sugar under control for years. He came into the dental office after having one of his teeth fall out due to gum disease. A rampant untreated infection in his mouth spewing out toxins was causing his body to go into fighting mode to control it. Is it any wonder that his physicians were unable to get his diabetes under control?

It’s a Long List…

The list of other diseases thought to have a connection to periodontal disease:
• Chronic respiratory disease
• Ischemic stroke
• Pneumonia
• Chronic kidney disease
• Cognitive impairment including Alzheimer’s disease
• Metabolic syndrome
• Psoriasis
• Obesity
• Cancer-14% increase in risk with moderate periodontal disease

It really is quite a long list of diseases that have possible links to periodontal disease. Taking better care of your teeth and gums can go a long way toward keeping you healthy and is relatively easy. We can debate any of these connections that have been made between what goes on in your mouth and how it affects systemic illness, but we can’t debate the fact that keeping your mouth healthier is a good thing. I’ve never had a patient that was sorry for taking better care of his/her mouth.

The Treatment of Periodontal Disease

For some home remedies may help treat gum disease at an early stage, but these tend to be only effective at an early stage in the process.  At the Center for Cosmetic Dentistry we treat of gum disease starting with a thorough evaluation of gum tissue by periodontal charting. This procedure measures pocketing and checks for bleeding around teeth. Deep pockets (greater than 4mm) are difficult to clean and maintain. Cleaning of teeth at the gum line and deeper cleanings of pockets below the gum line can reduce pocketing to some degree. Pockets which don’t respond to these cleanings are treated by either surgical or non-surgical procedures depending on the situation. The goal of periodontal treatment is to reduce pocketing and to reestablish the gasket at the gum line. Once this is achieved routine maintenance, which often means getting your teeth cleaned every 3 months, can keep gum tissue healthy.

So What This Means To You…

Yes, your gums can be killing you whether you wish to acknowledge it or not. You can choose to do something about it. You won’t go wrong if you start to take better care of your mouth today. So brush well, floss and see a dentist regularly. Make sure your dentist checks your gums for gum disease and if present get it under control. If you have any questions we are here to help. Make better choices today for a better life tomorrow.

Keep Smiling LI…

 

Missing a tooth? You have multiple options

Common Reasons for Tooth Loss

Missing a tooth You have multiple optionsThe primary goal of current dentistry is to protect and preserve your natural smile. Modern-day dentistry has evolved several advanced solutions to try and restore damaged enamel and maintain natural, dazzling teeth. However, despite all these state of the art techniques that are employed to safeguard your teeth, tooth loss can still occur.

Typically this can happen due to advanced gum infections that undermine the teeth or severe tooth decay that damages the tooth irreparably. Even with the best dental hygiene habits, you may still break or crack a tooth due to a fall or sports accident.

Why Should You Replace a Tooth

Sadly, if the inevitable has happened and you have lost a tooth due to an accident or extraction, you may wonder what to do next? Several options are open to you (which we will examine below), but you may ponder whether or not you should just live with the gap in your smile. Ultimately, only you can answer the question of the aesthetic impact on your grin, but there are certainly some other considerations that might affect your decision.
Dr. Shapiro will be glad to discuss all of the changes that can occur after a tooth is lost. Typically, these include:

  • An increase in the amount of work done by the remaining teeth which can lead to increased wear and breakage
  • Interference with your ability to speak clearly
  • Teeth may “drift” into the gap caused by the missing tooth, resulting in an unbalanced bite leading to additional tooth loss
  • You may begin to have “sunken” appearance around the cheeks or jawline which becomes more pronounced over time leading to premature aging

Missing a Tooth? You Have Multiple Options

Once tooth loss has occurred, you don’t have to give up hope of ever having a natural appearing, bright smile. The Center for Cosmetic Dentistry has multiple options that can restore both the appearance and functionality of your missing teeth. The best option for you will depend on the solution that most fully meets the needs of your unique case. Dr. Shapiro will discuss all the pros and cons of each dental restoration option and work with you to determine the optimal treatment for you.

Dental Bridges

A fixed dental bridge will give you much of the functionality and appearance of a normal tooth. Just as the name suggests, a natural appearing porcelain tooth is suspended between the two neighboring teeth. To accommodate this, the two neighboring teeth are fitted with crowns that form the anchor points for the porcelain tooth, which will fill the gap. This creates a durable solution that will be functional, but also keep teeth from shifting to fill the gap left by the missing tooth.

Durable Implants

These differ from the bridge by creating an artificial tooth that is affixed to the jawbone, just like a natural tooth. This provides the benefit of arresting bone deterioration along the jaw and provides a solid biting surface. The implant also keeps teeth from sliding inward to fill gaps left by the missing tooth and prevents the sunken appearance common with tooth loss. The difference between a natural tooth and an implant is so subtle that your friends and family may not even be able to tell.

Natural Appearing Partial or Complete Dentures

Dentures are typically used in situations where there have been multiple extractions or the loss of an entire arch of teeth. They come in several varieties that will address your situation. The Center for Cosmetic Dentistry offers Partial, Full, or All-On-4 non removable Implant Dentures. The Full and Partial options are removable, but provide a natural appearing solution for eating and speaking.

Implants can also be used to provide a permanent anchor for full or partial dentures . These can be fixed or removable, but they will not suffer from common problems caused by slippage and denture pastes or adhesives.

Tooth Restoration Starts Here

Let Dr. Shapiro at the Center for Cosmetic Dentistry answer all your tooth restoration questions. Contact us and set up a consultation appointment to evaluate your situation. With over 30 years of experience, you can trust in our professional expertise to restore your durable and dazzling smile once again.

What cosmetic dental procedure is best for you?

Putting Your Best Smile Forward

What cosmetic dentalYour smile is the first thing people notice about you, but what does your smile have to say about you? Visiting Dr. Mitchell Shapiro at The Center for Cosmetic Dentistry is an excellent first step to having the confident, engaging great smile that makes the impression you’ve wanted to leave.

Your Becoming Smile

Depending on the cosmetic treatments you choose, you could experience a dramatic makeover within one or two visits to our practice. When it comes to customizing your cosmetic restoration, keep in mind that investing in the beauty of your smile directly affects the good health of your mouth.

Often times, bothersome dental problems are fixed and future ones are greatly prevented when you correct the alignment of your teeth, the health of your gums and the appearance of your teeth.
If you’re considering cosmetic dentistry, we offer many options to choose from:

Dental Bonding

– Are your teeth worn or chipped? Do you have unsightly gaps between your teeth? Are your teeth misshaped, misaligned or too short? In just a single visit, Dr. Shapiro can correct any of those smile defects with simple, cost effective, cosmetic bonding.

Using custom-matched composite material, and an artistic touch, your unsightly smile will be a thing of the past. Just imagine walking out the door with a completely different, more attractive smile than the one you came in with.

Dental Veneers

– Even when your teeth are gapped, crooked, crowded, discolored, chipped or worn, you can still have a drastically improved smile makeover in just two visits, with porcelain veneers. This restoration is a thin porcelain shell that fits over your natural tooth, hiding any imperfections – creating a straighter, whiter, more aesthetically pleasing appearance.

Invisalign

– This clear orthodontic treatment gradually moves your teeth into a straighter, more attractive position by utilizing customized, removable trays. By straightening your teeth, you’re also decreasing your chances of periodontal disease, excessive wear and damage of your teeth.

Teeth Whitening

– We will turn back time on your smile by removing years of discoloration and staining from your teeth with professional whitening treatments. Your brighter smile can be completed in our office using the Zoom whitening system or with specialized take-home kits that far surpass anything you can purchase at the store.

Dental Implants

– With this restoration, you can permanently replace a single missing tooth, several teeth or support full dentures.
An implant is an artificial tooth root, made of a biocompatible metal, that we place securely into your jawbone. On  this post we then place a prosthetic natural-appearing tooth. With two implants you can support a bridge or secure a denture, and with as few as 4  you can place full arch fixed bridgework.
Not only will we restore your smile with dental implants, but also the function of your mouth. You can confidently eat, speak and laugh as you once did before.

Gum Therapies

– Periodontal disease can be unsightly, causing bleeding, receding gums. Untreated, your gums can detach from your teeth leading to bone deterioration, tooth mobility and eventually loss. Addressing periodontal concerns is not only an important step in creating a more attractive smile, but necessary for keeping your smile looking its best.

We Want To See Your Smile!

At Center For Cosmetic Dentistry, we want to help your smile be all that it can be! With over 30 years of dental expertise, Dr. Shapiro’s artistic, experienced touch can create the smile of your dreams. We’ll help you design a new customized smile to suit you and we can show you a mockup of your new look, too! Check out our amazing photo gallery and then give our office a call today to set up your cosmetic consultation.

Welcome to Smithtown!

Explore the land of beauty and legend

Local Smithtown BullThe Center For Cosmetic Dentistry would like to welcome you to beautiful Smithtown, NY! If you’re looking for an experienced cosmetic dentist that you can trust, who offers a conservative, yet creative approach to beautifying and caring for your smile, then look no further.

Dr. Mitchell Shapiro has over 30 years of dental expertise in crafting beautiful smiles that feel as good as they look, and will last you for life. Utilizing the latest advancements in dental techniques and technology, Dr. Shapiro is a local leader in general and cosmetic dentistry that you can rely on to make your dental dreams a reality.

We offer a wide range of services to do just that, including…

Stop By For A Tour Of Smithtown

If you’re visiting Smithtown, or looking for the perfect place to raise a family, you’ve picked a wonderful city to stay in. While you’re acquainting yourself with all that Smithtown has to offer, we’d like to invite you to visit us at Center For Cosmetic Dentistry. We offer flexible scheduling including convenient evening hours and even Saturday visits, by appointment only.

If you’re experiencing a dental emergency, we’re always here to help, even after hours. Dr. Shapiro will return your urgent call right away, to help relieve your dental distress and get you back on the road to looking and feeling your best.

A Day In The Great Outdoors

We’re always available to help you with your dental needs, but if you need a little assistance finding something to do in Smithtown, we can help you with that, too. Outdoor adventures abound in Blydenburgh Park, where you can row and fish on picturesque Stump Pond.

Take a leisurely walk through the New Mill Historic District, complete with a grist mill and the Blydenburgh Farm. Bring your horses and go for a ride along the bridle path and practice ring on this expansive 627 acre park. Or take the family for a picnic after you pack your bags for some memorable camping and hiking. Your children will love the playground and the limitless area to run and stretch their legs.  

Local Long Tales

It’s said that Richard Smith, the founder of Smithtown, once bravely rescued the daughter of a Native American chief. As his reward, the chief granted him whatever land he could encircle in a single day. The only restriction was that he had to do so, while riding a bull. So the story goes, Smith chose to make this epic ride on summer solstice, the longest day of the year, and the land he encircled is where the town now lies.

In actuality, Smith acquired the land from his friend, Lion Gardiner, but locals prefer the legend. You can enjoy a little bit of creative “history” at the corner of Jericho Turnpike and St. Johnland Road. There you will find a statue commemorating Richard Smith’s famous bull, Whisper, commissioned by one of Smith’s descendants.  

Smile For The Camera!

When you’re touring Smithtown’s charming sights, don’t forget to bring your camera to capture the memories and fun adventures. If your smile isn’t picture perfect, we can help you design a brand new, customized look that will put a smile on your face! Give our friendly office a call today, and let’s get started!

Keep Smiling Long Island…

Long Island Dentistry

Long Island dentistry that's focused on you.Are you a resident of the Long Island area that has been thinking about finding a new dentist? Maybe you’ve begun to feel like you’re not being treated like a patient, but more like the next potential customer. We can be your Long Island dentistry.

Care that’s Focused on You

If you’re feeling hurried in and out of the office that you currently visit, perhaps you should consider a place where taking the time to get to know you isn’t just a slogan or advertising line.

At the Center for Cosmetic Dentistry, Long Island dentist Dr. Mitchell Shapiro will work with you to create the smile you envision. When you have questions, he will take the time to work through them with you so that you can make a comfortable decision about your dental health care needs. Our patients enjoy the fact that most phases of their treatment are completed right here at The Center for Cosmetic Dentistry.

Something to Smile About

Focusing on your care isn’t the only thing that sets us apart from the crowd. You are certain to find a friendly smile, warm greeting, and attentive ear each time you visit our Long Island office. However, you can also trust in our 30 years of experience in addition to our warm chair-side manner.
Dr. Shapiro prides himself on combining masterfully crafted dental techniques with the latest in advanced dental technology. We deliver a lasting and beautifying, custom solution for your needs.

Long Island Dentistry

Here is just a sample of some of our cosmetic, restorative, and general Long Island Dentistry:

Oral Pathology Screenings:

Our cancer screening evaluation is especially important if you have any of the risk factors that might increase your chances of developing cancer.

Preventative Care:

This includes general cleanings, x ray evaluations, and examination of the gum tissue around your teeth.

Cosmetic Bonding:

With an eye for details, Dr. Shapiro will carefully use color-matched bonding material to shape your teeth to correct small irregularities for a dramatic effect. This is top of the line Long Island dentistry.

Whitening Treatments:

Use the Zoom whitening treatments in our office or the take home option for your convenience to remove dulling surface stains.

Thin Veneers:

These make a bigger impact on your teeth compared to bonding and will provide that movie star type of smile you’ve been dreaming of.

Porcelain Crowns:

A natural looking restoration for heavily damaged or worn teeth.

Durable Implants:

Our dental implants will restore your ability to chew and give you great reason to smile with confidence again.

Island Entertainment

If you’re looking for other reasons to smile, why not check out some of Long Island’s entertaining attractions. For those who appreciate a good play or musical, you will definitely want to drop by the John W. Engeman Theatre in Northport. At this excellent venue, you can take in the sights and sounds of Broadway without the trip. With fine dining facilities nearby, you can definitely create an enjoyable evening with your significant other.
A play and live orchestral music may not be for everyone. However, they might just enjoy an evening at the ballpark. If that is the case, you might want to catch a Mets game over at Citi Field. If baseball isn’t your game (or it’s the off season), you may have better luck with a game of basketball starring the Brooklyn Nets at the Barclays Center. Hockey fans are in luck, the New York Islanders also play in the same location!

Dining Delights

Getting the most out of any entertaining event can be difficult on an empty stomach. If you’re looking for some of the best Long Island has to offer, why not consider the Harvest on Fort Pond for an incredible taste of fine seafood cuisine. Maybe you’re in the mood for a taste of down home cooking for breakfast or lunch, and then you’re sure to love a meal at Maureen’s Kitchen in nearby Smithtown. For those craving some Mexican food in a fun and lively atmosphere, then you won’t regret a trip to Lucharitos over in Greenport.

We’d Love To See Your Smile

If you’re looking for caring, compassionate Logn Island dentistry, The Center For Cosmetic Dentistry can help! Long Island Dentist Dr. Mitchell Shapiro has the compassion and the skills to deliver the dentistry you are looking for. For your convenience we offer flexible evening scheduling and Saturday appointments. Call today for a free cosmetic consultation and let us work with you to create the custom smile you’ve always dreamed of having.

The Dentist as Artist

Or… The Artist Who Happens to be a Dentist

It was the spring of 2009 that I first tried my hand at sculpting stone. I always had a desire to pick up a chisel and when I finally did I found I had unleashed an inner talent for it. Currently I stick to abstract pieces but I plan on trying figurative sculpture in the near future.

I have found that dentistrIMG_1085_opty and stone sculpting have many things in common. I like my stone pieces to have a flow to them. A smile needs to have a sense of flow as well, where all the teeth interact with one another without any one tooth being too obvious.  I like to think of my dental restorations as a bit of personal, functional, sculpture that my patients get to take home.

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White alabaster

All of my stone sculptures are done totally by hand without the use of air driven or power tools. I have sculpted alabaster, soapstone and French limestone. Hammers, chisels, files and sandpaper all combine to give me the desired result usually in about 30-40 hours. I believe that there is purity in the work not using power tools. It is a more intimate relationship with the stone. I enjoy the evolution of the pieces from a nondescript piece of stone to the finished work. Few pieces end up exactly as I pictured them in my head before I start.

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Brazilian Soapstone

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French limestone

The pictures that follow really don’t do the work justice as sculptures are something that need to be appreciated in person. I hope to give you a taste here and I invite you to my office to see some of them up close and personal. If you like them that’s great, if you don’t that’s OK too. When I first showed them to my mom she asked me “why do you do that?”.  The answer to that is that I do it for me, it makes me feel good to stand back from one of my creations and appreciate how I participated in the evolution of the stone.  The reality is that, I feel the same way about my dentistry. I love taking that worn or unsatisfying smile and making it beautiful. Putting a smile on the face of my patients puts a smile on mine. I see myself as a dentist who is an artist, both inside and outside of my office.  I truly believe my patients benefit from it!

 

Closing Gaps With Dental Bonding

Mary is a new patient who was self-conscious about the gaps between her front teeth. She is missing her lateral incisors which creates an excess of space between all of her front teeth. When she first walked through the door she was under the impression that veneers or crowns were the only way to fix her problem. Of course she was incorrect as I routinely use composite dental bonding to correct this. Closing gaps between teeth is done quite easily and painlessly.

The key to a great final result is space management and getting the proportions of the teeth within an esthetically acceptable range. In this case wear on the edges of her front teeth provided us additional pathway to getting an esthetic result. Another challenge was visually turning her eye teeth (canines) into lateral incisors. A quick mock-up showed us that dental bonding was possible and we were well on our way.

The first step was a Zoom in office whitening treatment followed up with the cosmetic bonding two days later. Closing gaps is a procedure easily done. Mary’s front teeth were lengthened and the spaces were closed in a single visit. Six teeth were bonded in the process. This was all accomplished at a significantly lower cost than Mary ever thought possible. That was another reason why she had such a big smile at the end of treatment.

Pre Bonding

Mary’s smile prior to treatment

Post bond

Smile after bonding done by Dr. Shapiro

 

 

 

 

 

Keep Smiling LI…

 

Picture of the Day

This post is the start of something I’ve been thinking about for a long time. Putting up photos of my work up on a regular basis. Showing off some of my dental art work and showing some of the less desirable dentistry that comes into my office and how we get our patients smiles back.

These first photos are of a molar tooth that had root canal treatment. I decided to keep most of the existing tooth structure by doing a ceramic onlay. The onlay is fused to the tooth and creates a very durable tooth.

Lots of dentists would crown this tooth, a crown covers all the tooth above the gum line. An onlay is my preferred way to restore a tooth like this. I feel it is more conservative and gives the patient a less invasive restoration. I believe these onlays allow me to be the best dentist I can be.

Molar prepped for onlay

Tooth shaped for porcelain onlay

Porcelain onlay

The ceramic restoration before bonding to the tooth

Bonded Porcelain Onlay

The final seamless restoration

These ceramic restorations are made through CAD CAM technology.

The onlays are cut out of a block of very hard ceramic material which has the ability to bond to tooth structure. I have been successfully using this technique of restoring teeth for the last 25 years. Dental materials have evolved during that time. I feel that these current materials may have the ability to last my patients a lifetime.

Keep Smiling LI