Dr. Claudia C. Cotca
About My Practice
Do you offer anything to aid with jaw alignment and post-care?
Dr. Claudia Cotca’s @smileperformance™ appliance is perfect for TMD, smile reconstruction patients, and performance and professional athletes.
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How do you define a successful result?
A result is successful when it is natural and functional, and exceeds the patient’s expectations. Ultimately, the result needs to make the patient happy.
What is unique about your treatment style?
My comprehensive diagnostic approach includes everything from esthetic-driven, facial symmetry-based smile design to oral cancer screening and diet profile development. I also value the significance of patient care post-treatment. I make it my priority to provide maintenance schedules with detailed descriptions to ensure optimized results.
How would your patients characterize you?
My patients would describe me as caring, careful, scientifically-driven, skillful and intellectual with a sharp eye for detail.
Affiliation:Academy of General Dentistry, Alpha Omega Dental Fraternity, American Academy of Cosmetic Dentistry, American Society for Laser Medicine and Surgery, Seattle Study Club, The Pankey Institute
A Minute With
My happiest professional moment
I am the happiest when I know I can help change the course of disease, and I am privileged to witness that process over and over again
Which three words best describe you?
Nerd, loyal, meticulous
Aesthetics depend on health
My greatest achievement
To live humbly, to continually innovate, to execute excellent intellect, wisdom and skills in helping restore smiles and oral systemic comprehensive health
The future of my field
A powerful collection of science-driven technologies, which allow for earlier diagnosis, more minimally invasive treatment options and new techniques that far outperform current conventional treatments
What i love most about my profession
All aspects from technology and science to clinical results and prognosis
We offer a proprietary treatment to address temporomandibular disorders, which include symptoms from clenching and/or grinding to migraines and facial muscle tension
How my profession has evolved
Technology has grown and pathology demographics have also diversified and increased in frequency and numbers, increasing demand for customized treatment options
What sets my practice apart
My “C3 Advanced Aesthetic Oral-Systemic VIP Protocols” program gives you a customized oral profile of systemic conditions, the impact your oral health has on aging and results-driven treatment options
My best advice for female patients
I recommend my “C3 Women’s Oral Health & Aesthetics” program including a robust anti-clenching and anti-snoring appliance
- Laser Dentistry
- Smile Design
- Teeth Whitening
- Periodontal Oral Health
- Dental-Facial Aesthetics
- TMJ / TMD Treatment
- Porcelain Veneers
- Invisalign® Express
- Smile Facial Symmetry
- Crowns, Bridges, Implants
- Gum Tissue Biostimulation
- Full-Mouth Reconstruction
- Saliva Bacteria Testing
- Routine Cleanings
- Oral Cancer Screening
- Innovative Treatment Development
I have a crown and have detected a small black spot in the middle of the crown - if not a cavity then what?What our experts say:
If we are speaking about an all ceramic crown, depending on the age of the crown, a black spot may be cement undergoing decomposition or breakdown, dye accumulation from foods, liquids, or smoke through a crack in the crown, the tooth, or through a margin channel, and/or it may be decay. A clinical investigation would be needed to depict the source and the nature of the finding.
I recently read that hydrogen peroxide causes oral cancer. Is this true?What our experts say:
In my professional opinion, as a general and esthetic dentist, and as a toxicologist, I should state that every substance has a dose at which it projects thrapeutic and toxic profile. Sometimes those concentration dosages are far apart, sometimes they are very near to each other. FDA cleared products ensure that the concentrations provided in therapeutic formulations are safe to be used and they elicit a therapeutic effect. Hydrogen peroxide is a very strong oxidizer, a scavanger for free radical (anti-oxidant like) generating complexes, which scavanges, if you will, other unpaired free radical linked compounds which are sometimes harmful. Hydrogen Perioxide bleaches through this mechanism. Of course, once the dosage surpases that dose that elicits the therapeutic effect it can cause harmful effects, like tissue sloghing and other progressive tissue breakdown, which may or may not lead to extreme conditions like cancer. These extreme cases again depend on concentration and time exposure. Therefore, it is extremely important to follow manufacturer and FDA recommendations and instructions, and be under the care and supervision of an expert clinician.
Can veneers be replaced?What our experts say:
In my professional opinion, venners like everything else in life will age and they may even fail with time. If venners move, the effect is often breakage. If the gum line seems to move away from venners, and the margins of the veneers trap food, it does suggest retreatment. Venners are kept in place by very thin cement which with time can breakdown if not maintained, cleaned or not protected from excessive load during biting or chewing, griding or clenching. However, venners can only be properly bonded to enamel not dentin, therefore, depending on how much enamel there is after the old veneers have been removed dictates if you would be a candidate for new venners or crowns. Of course, clinical evaluation and radiographic diagnosis would finalize the treatment options available.