Patrick J. Broome
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Affiliation:Academy of General Dentistry, American Academy of Cosmetic Dentistry, American Academy of Implant Dentistry, American Society for Dental Aesthetics, International Congress of Oral Implantologists, World Clinical Laser Center
A Minute With
What is the first step in getting a great new smile?
Oral health. Pretty,
white teeth don’t look
very nice surrounded
by unhealthy gum
tissue. Healthy and
beautiful is our goal.
How do you manage patient expectations?
With listening, good
our vast library of
photos that we use
as a reference.
What is the one thing your practice offers that is really unique?
We listen to what our patients want
instead of telling them what they
need and our entire team is invested
in their progress, as well as what’s
happening in their lives
Honestly, every patient I see has an
impact. We are constantly working
to provide a better experience and
optimal results so that when each
patient provides feedback, we can
further refine our approach. We
enjoy helping them feel better
about themselves and allowing
them to stop thinking about their
teeth and start living with a
How do you ease patient fears?
Our office design
provides the environment
and our philosophy and
methods show patients
that the experience
can be relaxing and
We focus on people,
not procedures or
teeth. Every person
is unique; we meet
you where you are
and help you obtain
what you want
My most requested procedures
Veneers and gum
- Dental Implants
- Conscious Sedation IV / Oral
- No-Prep Veneers
- Full-Mouth Reconstruction
- Smile Rejuvenation
- Teeth Whitening
- Laser Gum Sculpting
- Tissue Augmentation / Grafting
- Inlays / Onlays
- Laser Dentistry
- TMJ Treatment
- All-on-4® Teeth in a Day
Why can't everyone get lumineers or no-prep veneers?What our experts say:
We have to educate the patient and let them know that you have to be a candidate. Some patients are trying to fill spaces or their teeth are very flat or they have very small lips, they can't accommodate more contour so we have to explain to patients why they are or aren't a candidate.
I'm a working woman and want straighter teeth. Is Invisalign something that will make me look childish?What our experts say:
Absolutely not. Invisalign is an extremely useful tool and it is something that I've found that is helping a tremendous amount of adults get the smile they want in a conservative manner. When the trays are in you really can't tell. We have 99 percent of our patients say that people can't tell they have them in. They don't perceive a difference when they talk at all. It is probably the very best tool for the majority of adults to get straighter teeth. And the benefit is you can use whitening gel with your trays so you can get a brighter smile too.
What results would a gum lift achieve?What our experts say:
Quite often patients have teeth that they perceive as short, from the gumline to the edge of the teeth. Sometimes patients, when they smile, have an excessive gum display. There's a variety of techniques you can use to do what we call gum sculpting or tissue sculpting, to change the contour or raise the height of the tissue, giving the perception that the teeth are taller. In dentistry we have to maintain a certain height and width ratio of the teeth. We're always trying to find our ratios and find our balances that complement the patient's face.
Who's a candidate for a smile makeover? What do I need to have wrong for one?What our experts say:
Anyone is a candidate if there's something they would like to change. In my view a smile makeover can be all the small things. Very small issues with conservative solutions can yield a smile makeover. Anyone who is looking to improve their smile really is a candidate because there are so many techniques and so many options that we have today that are quite conservative that I just haven't seen patients come in and be told that they aren't a candidate for a smile makeover.
Does the bleach that you use in teeth whitening eat away at the enamel?What our experts say:
No, it doesn't.
Is it possible to whiten just the few teeth in your mouth, the eye teeth, or are those teeth supposed to be naturally darker?What our experts say:
Each person is going to be different and it also depends on the product that you use. In theory it is possible to whiten one tooth or several teeth. There are techniques that you can use to do that. The canines or the eye teeth are supposed to be slightly darker than the other teeth. Teeth tend to have a transition to the posterior where the front teeth are always a little bit lighter and then right when you get to the canines, or eye teeth, that's where the transition really starts. You can whiten just those teeth using a professionally-made home tray with whitening gel applied only those teeth.
I chipped my tooth as a child and have a fake tooth in the front, it's discolored but the rest look OK. What's the best way to fix the one tooth and keep it natural looking?What our experts say:
It's a challenge and often an opportunity to dramatically improve the patient's smile. The options range from composite bonding, a veneer or a ceramic crown depending on the exact situation. Matching any restoration to an adjacent natural tooth is one of the most difficult procedures in dentistry due to the complex colors (hue, chroma, and value) exhibited by natural teeth. We simply let our patients know the challenge that we face and make sure they know it may require several visits until we are all satisfied with the results.
Composite veneers and porcelain veneers seem like they yield the same results, what are the differences?What our experts say:
They can both give you really good results however composite veneers will require some artistry of the dentist to layer and characterize the color match or to create shape and contour of the teeth, whereas the porcelain veneers are made by a ceramist. Both of them are great options. However the composite restorations will stain over time, they will absorb some of the astringent stain in the mouth from coffee or tea or various beverages. The strength of that material, since it's a plastic base material, is not as strong as porcelain. So I would say a longevity expectations, the color stability and the strength make the composite a little less of a product than the porcelain.