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Lerner & Lemongello Dentistry
5602 PGA Boulevard #201
Palm Beach Gardens, FL 33418
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Author Archives: Lerner and Lemongello

This is a Sensitive Subject

general dentistry Palm Beach Gardens, FL

general dentistry Palm Beach Gardens, FLWe often speak with patients about their dental concerns, both general and cosmetic. We support oral health with discussion and demonstration of brushing and flossing techniques, perform all levels of restorative and cosmetic care, and even think about things that may not come up very often, like tooth sensitivity.

The touchy subject of tooth sensitivity has become more common in recent years. So much so that products to blunt the discomfort some people feel when consuming hot or cold items have been developed. This may seem helpful, and it can be, in some instances. However, the fact that sensitivity is presented in the light of a problem may make far too many people completely miss the possibility of sensitivity as a warning sign.

Problem or Symptom?

Aching teeth, even for a short period, is not something you want to live with. The goal is to get to the heart of the matter, and that means considering what else may be happening in the mouth. When we can understand why teeth are sensitive, we have the power to correct the problem at its origin. That origin may be:

  • Tooth decay. Sensitivity is one of the earliest indicators that a tooth is under attack. Sometimes the sensitivity is felt at the source and sometimes referred pain occurs elsewhere in the mouth. If you were to think that mild sensitivity was merely a normal problem, you might miss the chance to repair a cavity while it is still small.
  • Tooth erosion. The shell of enamel that covers the softer areas of teeth is necessary for biting and chewing. Enamel needs to be strong and resilient to prevent chipping and fractures, discoloration, and also sensitivity. This is because, without that buffer of enamel, there are only soft tissues between the oral environment and the nerves of teeth. When enamel wears away excessively, veneers may be a suitable treatment to restore the structure, not to mention beauty and comfort.
  • Gum inflammation. When gingival is inflamed, the gums will recede away from the base of a tooth or teeth, making the root area susceptible to reactivity. The root is very near to the nerves of a tooth, which creates a prime entry for sensitivity to occur. Cleaning out the pockets in between teeth and gums, and smoothing the surface of the exposed root, if necessary, may correct or improve the problem.

Schedule a visit to our Palm Beach Gardens general and cosmetic dentistry office at (561) 627-9000.

LUMINEERS Are Made to Last

umineers Palm Beach Gardens, FL

umineers Palm Beach Gardens, FLThe idea of a smile makeover was once a pretty intimidating concept. Patients may have envisioned hours in the dental chair under a drill or some other dental contraption. Thanks to the development of innovative techniques and materials, a smile makeover isn’t nearly as complex as it used to be. Today, most transformations require only two or three visits.

One of the most advantageous transitions in dentistry has been the use of porcelain veneers to cover stubborn stains, chips, gaps, and other flaws or injuries. Next, to that, it has been the development of no-prep veneers like LUMINEERS that have paved the way for more patients to obtain smiles they love.

Slight Differences Lead to Outstanding Experiences

Why would we need something like LUMINEERS when porcelain veneers are so very capable of achieving the intended outcome? The answer is easy: because not every patient wants to have their teeth permanently altered, even when the aesthetic value will be improved. There is no doubt that porcelain veneers are one of the best cosmetic procedures around. There is also no denying the fact that maintenance is required. If a veneer were to chip or break, it would need to be replaced because an altered tooth cannot be without a cover.

It is not possible to apply a standard veneer, which is about as thick as a fingernail, over a tooth without some prep-work. The end-result would look bulky and unnatural. LUMINEER veneers are thinner, comparable to a contact lens, so direct application is possible without inhibiting the natural appeal of the smile.

Cerinate Porcelain: Durable and Attractive

To meet the needs of patients, and the standard of discerning cosmetic dentists, any treatment must offer longevity regarding results. For an ultra-thin veneer to be valuable, it must also retain structural durability for years. Many patients who have elected to enhance their smile with LUMINEERS remain happy with their fixtures two decades after treatment. This is in part due to the bonding process, which creates strength. It also has to do with the durability of cerinate porcelain, from which these no-prep veneers are made.

Your smile is in good hands with the team at Lerner & Lemongello in Palm Beach Gardens. Call (561) 627-9000 to learn more about LUMINEERS and traditional porcelain veneers.

How your Toothbrush Could be Dangerous to your Smile

pediatric dentistry Palm Beach Gardens, FL

pediatric dentistry Palm Beach Gardens, FLFrom the time you were a young child, you were taught to make good use of your toothbrush. Brushing, followed by flossing, is the best way to keep plaque from adhering and harboring bacteria that cause inflammation and tooth decay. These are all facts that most adults have known for most of their lives. And herein lies the problem.

When tooth-brushing is old hat, little effort is needed to get the job done. You may find yourself performing oral care with minimal attention, really, because you know what to do. The familiarity with brushing could lead to common mistakes that present hazards to oral health. Let’s see what they are, and what you can do to avoid them.

  1. Keeping a toothbrush too long. It’s hard to know when a toothbrush needs to be replaced. There is that message “replace your toothbrush every 3 to 4 months” in the back of the mind, but with no clear expiration date displayed where it’s easy to see, a toothbrush may be used far longer than it should be. Don’t wait for your toothbrush to start losing bristles, create a habit for a replacement that is easy to maintain.
  2. Choosing the wrong kind of toothbrush. We don’t all need the same type of toothbrush. Some people find that an electric toothbrush best suits their needs, and others like to do the work themselves. As a general rule, though, what dentists recommend is that patients choose soft-bristled toothbrushes for routine use. Rigid bristles are abrasive to gum tissue and also to enamel.
  3. Trying too hard. Oh, how we love that squeaky-clean feeling! Sometimes, though, the desire for cleanliness can lead to aggressive brushing. When too much force is behind the toothbrush, we run into the same problem we do with hard bristles, abrasion; and abrasion means erosion and recession, two problems we’d rather our patients avoid.
  4. Brushing too frequently. Most people brush morning and night. Some people throw an extra brushing session in after lunch. Fortunately, even fewer people brush multiple times a day. The temptation to brush more than 3 times a day should be resisted, as this can ultimately wear down enamel and create a greater susceptibility to sensitivity and cavities.

The team at Lerner & Lemongello is here to support your oral health goals. Schedule a checkup & cleaning with us at (561) 627-9000.

Is There a Right Way to Replace Missing Teeth?

Dental Implants Palm Beach Gardens, FL

Dental Implants Palm Beach Gardens, FLTooth loss has always been a problem that humans have sought to remedy. It has taken many centuries to get to where we are today, and it is hard to imagine technology will get any better. We know it will, but in the meantime, we are pleased to offer patients two options for tooth replacement that restore natural appearance and functional chewing.

Now that patients have two options from which to choose, it is important to know how they differ to discern how to best achieve individual goals in tooth replacement. Here, we want to look at a comparison between dental implants and dental bridge treatment for partial tooth loss.

A Side by Side . . .

We’ll first look at dental bridges because they have been used for a longer period. This method of tooth restoration involves filling a gap between two teeth with a pontic, or tooth made of ceramic material. What keeps the pontic in place is two dental crowns. The three “teeth” are fused during the fabrication process. Then, the entire fixture is seated over the teeth adjacent to space. For these teeth to hold the pontic, they must be reduced before fitting crowns over them.

Dental implants are still relatively new in the grand scheme of dentistry. These fixtures were first used more than fifty years ago, and yet they have only recently picked up steam regarding popularity. A dental implant is an artificial root. It is made of titanium or another biocompatible material. When a tooth is missing, an implant is inserted into the jawbone where the natural root used to be.

Important Points for Tooth Replacement

  • A dental bridge is initially less costly than dental implant treatment.
  • Dental bridge treatment does not involve oral surgery.
  • A bridge places extra stress on supporting teeth.
  • Dental implants can last decades without special care.
  • By replacing the root, it becomes possible to preserve healthy jawbone structure.

One of the biggest considerations of tooth replacement is how to maximize cost effectiveness. A comparison of costs and longevity is an excellent way to come to the conclusion that works for you. To discuss your treatment options for tooth replacement, call our Palm Beach Gardens office at (561) 627-9000.

Are you Struggling with One of These 4 Cosmetic Concerns?

Cosmetic Dentistry Treatments Palm Beach GardensAppearance is something that most of us like to change from time to time. We may do so by following the latest fashion trends, or by cutting our hair a different way. Did you know that you can also change your appearance by paying attention to your smile? More people realize that they aren’t stuck with the smile-Mother Nature gave them. We see this demonstrated in the large numbers of cosmetic dentistry treatments performed in our Palm Beach Gardens office.

There may be no better way to optimize personal image than by reviving the liveliness of the smile, and we don’t mean brightening with teeth whitening treatment. To bring new life to the smile means something very different for every person. For you, it may mean correcting one of 4 common cosmetic problems with porcelain veneers.

  1. Unpleasant color. Discoloration is not the same across the board, which means that professional teeth whitening cannot resolve all types of staining. A tooth that has been injured, for instance, may turn gray. Tetracycline use during childhood may also cause teeth to appear slightly gray. These stains are inside of the tooth and cannot be whitened. They can, however, be masked beneath veneers.
  2. Odd shape. One of the characteristics of an attractive smile is consistency. When we observe the visible row of teeth, the eye expects certain shapes. One tooth that does not fall into line in this arena can throw the whole smile off. A porcelain veneer or set of veneers creates a new shape and a whole new smile.
  3. Sizing issues. Just as the eye wants to see consistency in the smile, it also expects symmetry. The ratio of teeth-to-gums or lips can be perfected, if necessary, by making teeth appear longer and more prominent in the smile.
  4. Spacing or turning. Ideally, the teeth that are visible when you smile will face in the appropriate direction. Also, the space between teeth will ideally be small and uniform across the smile line. When gaps or turned alignment create a visual disturbance, veneers may be the ideal cosmetic solution.

Drs. Lerner and Lemongello are both members of the American Academy of Cosmetic Dentistry. Their training and experience are focused on creating beautiful, natural results for each of our patients. Learn more about porcelain veneers by scheduling a consultation with us.


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