FAQ

Frequently Asked Questions

Welcome to our FAQ page. Here you can find answers to some of the most frequently asked questions. Click on any of the toggled questions below to see the answers or click on a new Topic on the left to see more questions.

Topics

  • Dentistry Questions
  • Implant Questions
  • Platelet-Rich Fibrin (PRF) Questions
  • Office Questions

Dentistry Questions

How often should I brush my teeth?

Twice per day (morning & night) + floss once per day (at least).

Is all sugar bad for my teeth?
Actually yes, but it's a combination of lots of different things. Mostly it has to do with how much sugar you consume regularly and what your dental hygiene habits are. If you don't eat too much sugar and you brush and floss regularly as well as getting regular dental check-ups; you should be AOK! (Try to avoid sugary drinks...)
Does Dental Surgery Hurt?

No!  With  our state of the art techniques, tools and equipment we can provide painless surgery options with little-to-no recovery required. Call to find out more information about the specific procedures you may need.

Are Dental Implants Durable?

Yes, Implants are permanent and serve as an excellent alternative to dentures for anyone with an otherwise healthy mouth and jaw.

Why are my teeth sensitive?

If you're having any type of tooth sensitivity, it's very important that you make an appointment with your dentist soon to find out why.

Do you have an oral surgeon on staff that does extractions with ozone and PRF?

Yes, Dr. Etess does extractions with both ozone and PRF.

Implant Questions

What’s Better, Titanium or Zirconia?

That is a great question. As previously stated, it is a “give and take”, or Yin Yang ☯. It is difficult to really say if Zirconia is better than Titanium because it depends on what the application is and what your personal priorities are. Titanium has been around much longer, has more investigations and clinical studies, and decades of evidence proving it as a reliable and successful biomaterial for dental implants. Titanium alloys have improved since their inception. The greater the grade of the alloy, the less impurities and more biocompatible the titanium is. Grade 5 titanium is now offered as a dental implant.

On the other hand, Zirconia has emerged as a promising alternative to conventional titanium-based implant systems. Zirconia is reported to have superior soft tissue “gum” response in the mouth, is extremely biocompatible, and produce more natural esthetics than titanium implants.

What is Zirconia?

Zirconia, otherwise known as Zirconium dioxide (ZrO2), is a ceramic consisting of the elements Zirconium and Oxygen (1 atom of Zirconium & 2 atoms of Oxygen). Zirconium is the 17th rarest element on Earth, exists as a silver-grey malleable metal, its ductile in nature, corrosion resistant, has an atomic number of 40 making it a transitional metal or Metal Halide and resides just below Titanium on the periodic table of elements. Therefore, Zirconia implants contain metallic atoms of Zirconium, but are not considered a metal due to its metal oxide structure (ZrO2). The addition of the oxide chemically changes the composition structure, behavior, and name.

Zirconia dental implants are typically marketed as a non-metal alternative to titanium implants. Zirconia is a ceramic material that is white in color. For many, it comes as a surprise that ceramics contain both metals and non-metals.

A ceramic is a solid material comprising an inorganic compound of metal or metalloid and non-metal with ionic or covalent bonds.

Ceramic vs Zirconia… What’s the Difference?

Actually, there is no difference! Zirconia is a specific type of ceramic. All ceramic implants are made from zirconia; so in-so-far as zirconia/ceramic relates to dental implants they are synonymous. Ceramic is a more familiar word for most people, so it has been used more in the past. Now that Zirconia as a terminology is developing into more of a household name, you are more likely to hear about “Zirconia” implants because “Ceramic” makes people think of pottery or tiles rather than dental implants!

So… Zirconia Implants… What Are They Really?

To know what zirconia implants are, let’s discuss the beginnings of dental implants. The first dental implant was made from titanium alloy and was placed in a human volunteer in 1965, by a Swedish medical orthopedic surgeon, Dr.Per-Ingvar Brånemark. While researching bone healing, he discovered that bone tissue would fuse to the metal titanium in a process called osseointegration. The success of the first titanium dental implant quickly led to significant improvement in the techniques used for tooth replacement. Since its inception, titanium implants have been the dental implant industry standard. With many decades of great clinical success and innovation, titanium implants have become one of the most successful medical devices in all of medicine with long-term success rates between 94-97%. Zirconia implants are the “Metal Free” alternative to titanium implants. Zirconia, or Zirconium dioxide (ZrO2), is a ceramic material first created in 1975 by a British physicist named Ron Garvie. Zirconia was found to be a highly biocompatible material, used in Europe as a dental implant in 1987. By 2011, the company CeraRoot had the first FDA approved zirconia dental implant here in the United States. Zirconia implants have recently gained much attention with the Biomimetic and holistic-minded dental patients looking for metal free tooth replacement.

Platelet-Rich Fibrin (PRF) Questions

Is PRF Safe?
Yes. During the outpatient surgical procedure a small amount of your own blood is drawn out via a small butterfly needlee, the same way it is done when your medical doctor orders a blood test. This blood is then placed in the PRF centrifuge machine and spun down. In less than fifteen minutes, the PRF is formed and ready to use.
Should PRF be used in bone-grafting cases?
Not always. In some cases, there is no need for PRF. However, in the majority of cases, application of PRF to the graft will increase the final amount of bone present in addtion to making the wound heal faster and more efficiently.
Will my insurance cover the costs?
Unfortunately no. Insurance companies worry about their own financial bottom line, not your welfare. Our office will do everything we can to get your maximum reimbursement of your other procedures associated with your specific treatment though!
Can PRF be used alone to stimulate bone formation?
A resounding "YES"! PRF can be used alone or in some situations can be mixed with either the patient's own bone, a bone substitute material such as demineralized, freeze-dried bone, or a synthetic bone-product.
Are there any contraindications to PRF?
Very few. Obviously, patients with bleeding disorders or hematologic diseases may not qualify for this in-office procedure.

Office Questions

Where are you located?

We have 2 locations, one in Williston Park on Long Island and the other is in NYC.

  • Williston Park: 245 Hillside Ave, Williston Park, NY 11596
  • New York City: 120 E 56th St, Manhattan, NY 10022
What are your hours?

Hours on Long Island (245 Hillside Ave, Williston Park, NY):

  • Mon: 8am – 5pm
  • Tues: 8am – 7pm
  • Wed: 8am – 7pm
  • Thurs: 8am – 5pm (by appointment)
  • Fri: Closed
  • Sat: 10am – 3pm

Hours (NYC location: 120 E 56th St:

  • Thurs: 8am – 7pm