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Cosmetic Dentistry Frequently Asked Questions
Provided by Dr. Anthony Feck


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Porcelain Veneers


We many times use porcelain veneers for the same reasons as bonding (to lighten stains, close gaps and even alter crooked or malformed teeth). They are considerably more durable and stain resistant than bonding.

The veneer is actually a thin piece of porcelain similar in size to a fingernail. Once it is "bonded" onto the tooth it becomes extremely strong. We also blend the veneer in with the remaining tooth structure so that it is unnoticeable to the naked-eye. Once in place, it looks, feels, and functions just like a natural tooth.

At Corporate Center Dental Care we can use porcelain veneers to change the shape and color of a single tooth or, if necessary, revamp an entire smile. Porcelain veneers can also be used to correct teeth that have been worn from clenching and grinding.


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Dental Crowns


Teeth are often restored with fillings of silver or composite plastics (resins). These materials can often accomplish the aim of replacing the part of the tooth that has been lost in a strong and good-looking manner.

However, there comes a point where the damage to the tooth has removed too much structure to hold a filling. A restoration must be done that will attach to the remaining tooth, stand up under heavier use and meet more elaborate cosmetic requirements.

A crown is the dental restoration that can strengthen and restore the entire top of a tooth. The crown can also be part of the attachment of a fixed bridge for the replacement of teeth. The tooth is strengthened because it is covered from the outside with a casting of metal or ceramic that will wrap up and splint the tooth.

The chewing of the tooth can be improved because it can be reshaped to match more efficiently with the opposing teeth. A crown made at Corporate Center Dental Care can improve cosmetics by the use of modern ceramic processes that produce translucency and color that is more natural than has ever been possible before.


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Dental Implants


If you are missing one or more teeth, you'll want replacements that are as natural as possible. If dentures don't work for you, Corporate Center Dental Care may consider dental implants. Unlike dentures, which can be removed, implants are permanently anchored into the jaw itself.

Generally, Corporate Center Dental Care feels you are a good candidate for implants if you have jawbone ridges that are in good shape and healthy oral tissues. When the implant device is inserted into the jaw, a chemical and mechanical bond is formed. The jawbone actually grows into the implant.

With implants, you get a perfect fit, and they will look and feel as good as (or better than!) your original teeth.


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Tooth Whitening


Advanced dental techniques now provide consumers with exciting, new options for enhancing their smiles. Revolutionary methods are now available for bleaching teeth to make smiles sparkle!

Teeth bleaching or whitening lightens the color of teeth whether darkened from age, coffee, tea or tobacco. Its brightening effects can last up to five years after the treatment depending on your personal habits, such as smoking or drinking coffee or tea.

Bleaching has a higher than 90% success rate. Bleaching is tough on stains but gentle on your teeth! Results vary depending on several factors such as teeth stained from smoking; from taking certain medications such as tetracycline during tooth development; or from fluorosis, a condition occurring in the presence of too much fluoride.

Bleaching will not lighten fillings or artificial materials used in dental repair as for crowns, porcelain veneers, etc. Your dentist may discourage treatment if you have sensitive teeth, periodontal disease, teeth with worn enamel or if you're pregnant or breast-feeding.


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Dental Bonding


Bonding at Corporate Center Dental Care is typically painless and can yield dramatic results in a single office visit. Essentially, bonding hides any natural flaws through the placement of a thin plastic coating on the front surface of the teeth.

After treating the tooth surface, we apply a putty-like bonding material that is then sculpted, shaped and colored to suit your needs. A high-intensity light causes the plastic to harden after which the new surface is smoothed and polished.

Bonding can lighten stains, close gaps and even alter crooked or malformed teeth. At Corporate Center Dental Care we can even utilize it to change the shape or color of a single tooth, or if necessary, to remake your entire smile.


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Dental Insurance


In 1960, the average maximum benefit paid by insurance carriers was $1,000 per year in the Lexington area. In 1999, the average is still approximately $1,000 per year.

Can this be true? Yes! An ever-increasing number of patients cannot gain access to needed dental services because the maximums have not kept even pace with inflation. Is there a solution? Absolutely. A Blueprint and Direct Reimbursement for the Lexington, Georgetown and Versailles area.

A "Blueprint" is a complete and full treatment plan prepared by Corporate Center Dental Care, customized to your wants and needs, that will allow you to phase in ideal treatment over a period of time leading to the ultimate goal of ORAL HEALTH.

A "Direct Reimbursement" dental benefit is a simple reimbursement system that preserves your right to choose treatment with minimal paperwork and no preliminary authorizations. Employers in the Lexington, Georgetown and Versailles area who select this alternative benefit plan can save money and purchase plans that provide cost-effective services for their employees.


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Root Canal


A root canal procedure limits the infection and keeps it from destroying the tooth. During the root canal treatment procedure, the dentist removes the inflamed or infected tissue, carefully cleans, disinfects, and shapes the root canal space inside the tooth, and then fills and seals this space.

It may take one or more appointments to complete the procedure. A protective restoration should be placed after root canal treatment has been completed in order to restore the tooth to function and help prevent tooth fracture.

At Corporate Center Dental Care we think of a root canal as washing the invasive bacteria out of the root, filling it with a biocompatible material that soothes the area, then sealing it back up again. Top it off with a solid filling or a crown, and you're as good as new. That means you get to keep your tooth. And that's a good thing.


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Gingivitis - Oral Periodontal Disease


Gingivitis is the most common periodontal disease, affecting 90% of the population, including our local Lexington area community. It is an infection of the gums caused by bacteria that form plaque.

In small amounts (when it is newly formed), plaque is invisible and relatively harmless. But when left to accumulate, it increases in volume and the proportion of harmful bacteria grows.

These bacteria release toxins that result in inflammation of the gum tissue. Eventually, the plaque hardens and forms hard deposits called calculus or tartar.


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Stages of Gum Disease


The American Dental Association says that over 75-80% of all adults, even in the Lexington, Georgetown and Versailles area, have or will have some form of gum disease.

Gum disease, or more correctly called "periodontal disease", is a bacterial infection in the gums and supporting structures of the teeth. It can be divided into several categories.

The first stage is called "gingivitis" and is characterized by gum tissue that is red, puffy, and bleeds easily when touched with a toothbrush, floss or dental instrument.

The second, third, and fourth stages are initial, moderate, and advanced "periodontal disease", respectively. These stages are different from gingivitis because the infection has destroyed the bone supporting the teeth, causing eventual tooth loss. At Corporate Center Dental Care the treatment is more involved at these stages, usually consisting of a special cleaning with anesthesia and sometimes gum surgery.


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Sedation Dentistry


Once you've experienced sedation dentistry at Corporate Center Dental Care, you'll never be afraid to go to the dentist again.

You'll be sedated just enough to be unaware of the treatment, as if you were relaxing. When finished, you will feel refreshed with little or no memory of what was accomplished.

Because you are completely comfortable, we can do years of dental treatments in one or two visits. We can replace crowns or dentures, restore sore gums to good health, whiten yellow or stained teeth, fix a chipped tooth, and more. People with very busy schedules can get the dental care they need, easily and quickly.

Imagine being able to smile with confidence and chew your food without pain. No wonder so many patients say: "Sedation dentistry changed my life."


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Prevention Of Tooth Decay


Fluoride, in proper dosage, has been shown to significantly reduce dental decay. When fluoridated water has less than the ideal amount or is not available, fluoride supplements are recommended. (A call to your local water district is all that is necessary to determine whether your water has fluoride or not.)

When supplements are needed, the administration of fluoride supplements should begin shortly after birth and continue through the time of eruption of the second permanent molars (approx. 12 years of age).

Regular dental check-ups at Corporate Center Dental Care should begin no later than 18 months of age.


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Anthony S. Feck, DMD
Corporate Center Dental Care

Office Address:

860 Corporate Drive
Suite 202
Lexington, KY 40503
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