Goldstein, Garber & Salama, LLC
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Affiliation:Academy of Osseointegration, American Academy of Cosmetic Dentistry, American Academy of Esthetic Dentistry, American Academy of Fixed Prosthodontics, American Academy of Periodontology, American Association of Orthodontists, American Prosthodontic Society
A Minute With
The innovation we are most excited aboutThe new Solea Laser can eliminate the need for local anesthetic as well as replace the need for a dental drill
The most outrageous dental myth we’ve heardThe teeth should never be whiter than the whites of the eyes
How we make the best first impressionWe listen and get to know the patient as a person
One product no one should live withoutA night guard to control grinding and help prevent tooth fracture
What we love most about our professionHelping others improve their self-image
Celeb photo our patients most often bring inJessica Alba
Our mottoOnward and upward, never look back
What sets our practice apartWe have three dual-degree specialists who are world- class clinicians
The future of our fieldMore technology
Our biggest accomplishmentsDrs. Goldstein and Garber serve as professors at The Dental College of Georgia at Augusta University and the University of Texas in San Antonio. Dr. Maurice Salama is a clinical assistant professor at The University of Pennsylvania and The Dental College of Georgia at Augusta University and the University of Texas in San Antonio. Dr. Henry Salama is a former professor at the University of Pennsylvania School of Dental Medicine
- Laser Gum Disease Treatment
- Salivary Diagnostics
- Sleep Apnea and Sleep Disorders
- Porcelain Veneers
- Cosmetic Gum Surgery
- Smile Makeovers
- Implants in a day
- All-Ceramic Crowns and Bridges
- Cosmetic Contouring
- Wellness Dentistry
How much can tooth contouring change my smile?What our experts say:
Dr. Ronald E. Goldstein says: Tooth contouring or ‘cosmetic contouring’ as it is know in the profession, can be a great compromise for mildly crowded, chipped or over-erupted teeth in creating an illusion of straightness. It’s best to choose a dentist who is a good artist and has experience in cosmetic dentistry so he or she can show you what your teeth can look like cosmetically contoured and then deliver the results.
Can a gum lift erase my gummy smile and how much will it hurt?What our experts say:
Dr. Maurice Salama says: Yes, gum surgery can be performed easily today utilizing lasers and ultrasonic instrumentation. This can often be performed using a minimally invasive procedure (MIP), which is not painful and heals much faster.
With a porcelain crown, does the color stay forever?What our experts say:
Dr. David Garber says: The essential color of the porcelain crown should stay forever. However, some of the added superficial stain may slowly abrade away.
What’s the best type of crown?What our experts say:
Dr. David Garber says: The best type of crown really depends upon your specific needs. Gold crowns in the back of the mouth where no one sees them require less tooth removal or preparation, keeping your tooth considerably stronger. Today the new all zirconium crowns can do very much the same and in a tooth colored material. However, if you need optimum esthetics particularly in the front of the mouth, the all-ceramic crown, such as the lithium disilicate reinforced ones, provide for a more attractive match or blended outcome. Last, porcelain fused to metal crowns are time tested so work well, but are generally not as natural looking as all-ceramic crowns.
What is the difference between a home teeth whitening kit and one provided by a dentist?What our experts say:
Dr. David Garber says: The predominant difference between the home teeth whitening kit and the one provided by the dentist is the strength of the active ingredient in the bleaching product and, most importantly, the personal monitoring of the patient for any problems that might arise in the tissue or the underlying teeth.
Why can’t everyone get lumineers or no-prep veneers?What our experts say:
Dr. David Garber says: Everyone with intact non-compromised teeth can essentially get lumineers or no-prep veneers, but they are, in many situations, more problematic. It is more important to develop a small well-defined margin for the veneer on the tooth, so that when in the mouth there is a smooth transition from the remaining natural tooth to the veneer. “No-prep veneers” can be more complex than a minimally invasive roughening of the tooth surface confined to only the enamel.
How can a smile makeover help me look younger?What our experts say:
Dr. Ronald E. Goldstein says: If your teeth are worn, discolored, or otherwise aging you, a smile makeover can help give your face the appearance of a facelift without the surgery. By creating a younger-looking smile line you can easily look 10 to 15 years younger. A lighter color makes a big difference as well as varying the lengths of the teeth to get rid of a worn straight across look that many older people have. And healthy-looking gum tissue also plays a major role in creating a younger look. Try to get rid of any open spaces or black triangles between your teeth if your gum has receded.
Can you get a cavity in a crown?What our experts say:
Dr. Ronald E. Goldstein says: You can get a cavity underneath a crown if the decay is left in the underlying tooth structure when the crown was placed. However, most areas of decay in crowned teeth occur at the gum line due either to a washout of the cement used to fasten the crown to the tooth, or to decay in the root of the tooth below where the crown is attached.
Can a bad bite cause chronic headaches and migraines? Can a smile makeover fix it?What our experts say:
Dr. Maurice Salama says: A bad bite has been reported to cause chronic headaches and may even precipitate the migraine process. The problem is how the dentist defines what characterizes a bad bite. [It can be treated.] Most importantly, if a single tooth hits prematurely when you close, this should be adjusted or if your back teeth do not separate when you move your lower jaw forward or side to side, as in chewing or biting a sandwich, this may be a potential cause or factor.
I've read about one-day smile makeovers. Is there really a such thing and what does it entail?What our experts say:
There certainly is. One day makeovers can consist of:
- Cosmetic contouring, or reshaping crowded teeth to create an illusion of straightness.
- Composite resin bonding to change the shapes of teeth, cover discolored teeth, close spaces, or repair chipped or fractured teeth.
- Porcelain veneers to accomplish the above but would usually take 2 appointments since they would be made indirectly by a laboratory. However, there are porcelain veneers that can be made from CAD/CAM porcelain blocks that possibily could be made in a day depending on how many are required.
The main thing is to have a good consultation with a talented cosmetic dentist who will create a smile design and let you know the choices because there will almost always be different methods and you need to have all the information so you can make the right decision.
I have staining on one of my front teeth. Is there anything I can do to try to correct this problem at home? I would really love to not have to have my teeth whitened in a dentists office due to fear of sensitivity.What our experts say:
Depending on the type and severity of the stain you may be able to make a nice difference by bleaching at home. It may well take more time but it can result in lighter teeth. However, if your teeth have concentrated stains on part of the teeth it would be better to consult a cosmetic dentist to see if a technique called ‘micro-abrasion’ could be used. This technique consists of the dentist painlessly polishing your teeth with a concentrated acid and can also be combined with bleaching depending on the stain. Reshaping of the enamel may also be required and at times bonding the enamel after the dentist physically removes the stain with diamond burs.
Grinding and it's effectsWhat our experts say:
You need to have a consultation with another dentist who may be more skilled at temporomandibular joint disfunction. It could be the type of bite guard you are wearing because there are a number of different approaches to the problem and different designs for the appliance. You may also be clenching or grinding during the day (subconsciously) and totally unaware you are doing it. The rule I give my patients is “Lips together, teeth apart” and I have them make signs in their car, on their desk and at home wherever they are so it is a constant reminder not to have their teeth touch unless they are eating. If you find your teeth are together at anytime day or night, you are clenching and may be causing the muscles to go into spasm. At times I even have to make “day appliances” for patients who cannot stop on their own.
my bite deep jet overbite what tricks could I use to redo front teethWhat our experts say:
The best treatment for a very deep overbite or over jet where the teeth stick out too far is orthodontic treatment. This could consist of an invisible technique called Invisalign where you would wear a series of clear plastic matrices over a period of 8, 16, or 20 months to correct the condition. Most people will not know you are wearing them. In severe cases porcelain brackets can be applied to your teeth to reposition them. The main requirement is to have a thorough diagnosis of the cause and treatment plan for the choices of correction. Finally, there are instances whereby restorative means can be utilized such as porcelain onlays or crowns can be constructed to ‘open’ your bite and reduce the amount of the overbite. In addition the teeth can be reshaped and a more normal arrangement can improve the smile and the bite. Again, get a consultation with a very experienced dentist and orthodontist to help you determine the best approach for you.
Are there foods to avoid when whitening the teeth?What our experts say:
Good answer from Dr. Sadati, and I would just liike to add that I advise my patients to avoid eating blueberries, and suspend drinking coffee, tea, cola drinks and those that have strong pigments.
What is the best way to get rid of discoloration of the teeth?What our experts say:
There are also techniques that can remove individual stains such as microabrasion and cosmetic contouring. these can be dark yellow or even white spots on teeth.