Irene Grafman, DDS

Cosmetic Dentist

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Dr. Grafman's 'Signature Smile' is designed to be beautiful, functional, healthy and life changing!
Dr. Irene Grafman
Cosmetic Dentist
New York, New York

Services Offered

  • Smile Makeovers
  • Veneers
  • Bonding
  • Teeth Whitening
  • Preventive Dentistry
  • Onlays / Crowns
  • Laser Dentistry
  • Invisalign®
  • TMJ
  • Occlusal Tx
  • Sleep Apnea Tx
  • Treatment for Snoring and Sleep Apnea
  • Airway and Facial Development

A Minute With

1.
HOW MY PROFESSION HAS EVOLVED
It continues to grow with the integration of new technology
2.
THREE WORDS THAT BEST DESCRIBE ME
Caring, happy, inquisitive
3.
CELEB PHOTOS MY PATIENTS MOST OFTEN BRING IN
Angelina Jolie and Julia Roberts
4.
WHAT SETS MY PRACTICE APART
I treat every patient with the knowledge and quality of care and that I would expect for myself
5.
CAREER-DEFINING PROCEDURE
I want patients to feel comfortable and confident without sacrificing healthy tooth structure. That’s why I perfected my Cosmetic Bonding, which requires no healthy tooth removal to achieve beautiful, “better than veneers” results
6.
HOW I MAKE THE BEST FIRST IMPRESSION
With a genuine smile followed by really listening to the person
7.
MY HAPPIEST PROFESSIONAL MOMENT
When I realized dentistry is more than fillings and crowns, and that I could improve and transform people’s lives
8.
THE BIGGEST MISCONCEPTION ABOUT MY FIELD
When patients think that the problems they have are genetic and they have to live with them
9.
MY MOTTO
Life isn’t about finding yourself, it’s about creating yourself
10.
WHAT I LOVE MOST ABOUT MY PROFESSION
I love finding new, out-of-the-box ways to not just make my patients’ teeth better, but also improve their overall well-being

Send Dr. Irene Grafman an email

Philosophy

Drawing on a holistic approach to smile care, Dr. Irene Grafman aims to create beautiful, healthy smiles that also make patients look even younger. The transformation begins with a great nights sleep, says Dr. Grafman. When you are well-rested, not only do you slow down the aging process, but you can also positively affect your weight, energy, health and stress levels. The other important step in the transformation is putting your smile into its natural and most comfortable position. I take all of the ingredients into account to create smiles that are truly beautiful, but also healthy. Using cutting-edge protocols, I can help you stop snoring, enhance your facial symmetry and straighten your teeth.

About My Practice:

What obstacles get in the way of optimal oral health?

Teeth are negatively affected by three diseases: cavities, gum disease and occlusal (bite) disease. Most of us know the symptoms of the first and second, but occlusal disease is not so obvious. Wear, sensitivity, cracks, loose teeth, broken restorations, sore muscles, painful and clicking joints and headaches may be the effects of occlusal disease. Ignoring these problems could impact the longevity of your teeth.

What is the philosophy you practice by?

I believe a healthy smile equals a beautiful smile. However, what people don't realize is that requesting cosmetic dentistry without regard to the overall bite and function of the smile is asking for failure. My patients appreciate how great dentistry can impact their appearance, health and self-esteem.

How do you go about providing an individualized approach?

The focus of our practice is on patient-centered care. By listening to our patients and learning their stories, I bring them into the discovery process and tailor treatments that address their unique needs.

How do you help patients enjoy their dental experience?

We truly value our patients and enjoy building relationships with them. We want them to feel confident in us and enjoy coming to our office. Incorporating all the newest technologies allows our patients to be comfortable from the moment they arrive to the time they walk out with their healthy smile.

What one lifestyle change could most benefit our health?

Prevention. Anything from tooth sensitivity to heart disease should be treated right away. Our health is a gift. The best way to enjoy it is through early intervention.

How do you help your patients go from good to great?

Many young people may experience discomforts that do not affect them that much; however, the underlying problems are still there. They go on with their lives feeling “good enough” and accept that their discomforts are the norm; therefore they don’t seek the necessary treatment. The fact is, those problems don’t have to be the norm. You don’t know how bad you feel until you actually experience what it’s like to really feel great. My goal is to help my patients feel great again and regain their health and beautiful smile.

About Me:

Why did you become a cosmetic dentist?

Creating a beautiful smile is an art form, but more importantly, i am able to contribute to the health and well-being of each of my patients.

Testimonials

Rus D.

Rus D.

I have been a patient of Dr. Grafman for 8 years and she and her staff are the best in New York. The environment is relaxing and the staff is amazing. She does beautiful cosmetic work and uses only all white fillings. I had Invisalign done by her and the process and result was really great. If you are looking for a great dentist in Manhattan where you will get great care I highly recommend Dr. Grafman. I have had a lot of bad dental experiences and not so great work in the past, so its great to find someone where I know I am getting great dentistry and being well taken care of. Pros: Invisalign was a pleasant experience

Ilene

Ilene C.

Thank you for the beautiful job that you did with my veneers. I have always felt self conscious about my smile and now I radiate confidence.

Flora K.N.

Flora K.N.

Since I came to Dr. Grafman two years ago to "redo" my teeth, i have been so happy to be able to smile again. Everyone comments on them and how much younger I look, least of all my husband! It had given me even more confidence (not that i needed much more!) and as I grow older, I feel much younger because of it. Let yourself in her hands, you will not be or feel the same again, but so much better!

John G.

John G.

I am really happy with this practice. Smile Health Spa provides the best in dental care. Period! Over the years, the doctor has brought in more advanced technology and products to the office. When someone asks me where they should go this is where I recommend.

Share your testimonial

Please take a few minutes to give us your feedback about your experience with Dr. Irene Grafman

About Me

Overall Enhancement

For years, this patient was unhappy with her smile and unable to find a doctor that could help. Dr. Grafman performed bonding and a bite adjustment to give her a gorgeous new look. 

A New Smile for a Better You

Gum contouring, teeth whitening and porcelain veneers allowed Dr. Grafman to create the beautiful smile that this patient always wanted. 

Corrective Care

How would you like to stop snoring, reduce wrinkles, correct facial asymmetry and straighten your teeth all with one appliance? With a new device called the Homeoblock™, it’s possible. The best part? You only have to wear the appliance at night. “This orthodontic device is changing the face of adult orthodontics and the shape of the face; it picks up where nature left off to develop the facial bones and make room for the teeth,” Dr. Grafman says. Working with Dr. Belfor, the creator of the Homeoblock appliance, she can now better specialize in nonsurgical facial development as well as the treatment of sleep apnea and snoring. “We’re discovering specifically how these conditions are related to the bite and addressing them without surgery, which is very exciting,” Dr. Grafman says.

Preventive Care

Most people don’t know that dental caries, or tooth decay, is the most prevalent chronic disease in the U.S. Cavities are only a symptom of the disease, and treatment must be multifaceted to not only repair the damage but prevent it from recurring. “Our approach identifies the cause of the disease by assessing each patient’s risk factors with a fast and simple test, and then we correct the problem by correcting the risk factors,” Dr. Grafman says. “Then we prescribe a treatment that is custom-fit to each individual case at that point in time.” This approach saves teeth, risk of future cavities and money. Paying for preventive dental care is a fraction of the cost of any treatment requiring surgical intervention. “Our goal is to lower incidence of cavities and help your existing restorations last longer in a healthy environment.”

A Healthy Restoration

Unhappy with her smile after years of smoking, this patient sought Dr. Grafman, who performed a smile makeover with a gum lift, teeth whitening, bonding and crowns.

Better Sleep and Facial Symmetry

Dr. Grafman believes that there is now a better way to create a healthy, radiant smile that looks natural and feels great. Using a cutting-edge appliance called HomeoblockTM, Dr. Grafman can help you stop snoring, reduce wrinkles, enhance facial symmetry and straighten your teeth. And the best part? You only have to wear it at night. “I specialize in nonsurgical facial development and the treatment of sleep apnea and snoring, and this device is changing the face of adult orthodontics and the shape of the face,” says Dr. Grafman. “It picks up where nature left off to develop the facial bones and make room for the teeth.”

Education & Credentials

EDUCATION:

Degree:

  • New York University College of Dentistry , New York, New York

AFFILIATIONS:

  • American Academy of Cosmetic Dentistry
  • Academy of General Dentistry
  • American Dental Association
  • Dawson Institute
  • New York County Dental Society
  • Peninsula Hospital Dental Society
  • The Pankey Institute

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FAQ's

Q. What is the best way to whiten teeth?

What our experts say:

I use a technique called Kor Whitening that was developed by a doctor. I like it better than ZOOM whitening because it is the only product to significantly whiten genetically discolored teeth. ZOOM and other treatments only take you back to your original tooth color. It’s a combination of an in-office and an at-home treatment, so you get trays to keep at home and maintain. The difference between these trays and others are that these trays are made so precisely, like those made for Invisalign, so they don’t impinge the gum. They also suction to the tooth, keeping the bleach where it is supposed to be. The bleach stays on the tooth and doesn’t leak out. Also, he changed the consistency of the bleach to make it more stable. You start off with two weeks at home using the trays overnight. That is followed by an in-office laser treatment, and then another one to two weeks at home. I have gotten to paper white with this system, if that is what they want to do.

Q. Once my teeth are whitened, how do I maintain them?

What our experts say:

You can maintain it at home a couple by using the trays a couple of days a month at home. 

Q. Will whitening cause tooth sensitivity?

What our experts say:

Yes, usually on people who grind, where some of dentin is exposed or where there is recession by the gum line. If you get bleach on those areas, you get sensitive. We place a desensitizer on before we use in-office whitening and block out those areas that are exposed.

Q. Do over-the-counter whitening strips work?

What our experts say:

They do to maintain whiteness after another whitening treatment, but not to actually whiten because the concentration of bleach is not that high, just 7 percent. If you use them for three weeks, you will see a slight change. It works for those who already have white teeth to keep stain from coming back.

Q. Are there foods to avoid when whitening the teeth?

What our experts say:

Yes. You want to avoid all dark liquids (including red wine, cranberry juice, sodas, soy sauce, and coffee) avoid for 48 hours after you whiten. Also, avoid anything acidy, like citrus, because they promote sensitivity.

Q. Do whitening toothpastes work?

What our experts say:

They can prevent stain from coming back on the teeth on a daily basis, but they won’t make any difference as far as whitening.

Q. Do professional whitening toothpastes work?

What our experts say:

It depends on the concentration of the bleach. They can only sell a certain amount over-the counter, so they would have to be used for an extended period of time. 

Q. Is it safe to use over-the-counter tooth whitening products?

What our experts say:

Before using any whitening products with any concentration, you have to go to the dentist to make sure you have no cavities. If there is decay and the bleach seeps inside the tooth, it can cause serious nerve damage that won’t go away, you may even need a root canal. 

Q. What is a veneer? What are they used for?

What our experts say:

Veneers made out of porcelain, so the color is stable and they won’t stain. They are stronger and last quite a long time. They look a little more natural, almost like glass, and can mimic the tooth. A lot of perfect smiles you see on TV are usually veneers. A veneer is sort of like a fake fingernail. We take away a little portion of the outside of the tooth and that portion gets replaced with the veneer. We have to shave down the tooth, so it’s not reversible. Another disadvantage is if the tooth edges are chipped or broken and you want to get veneers to fix it, it will probably break again. We must check the patients bite because chips and cracks are caused because the teeth are not aligned properly. You have to correct their bite or veneer will break. If you are going to invest that kind of money, you want it to last.

Q. What is bonding used for?

What our experts say:

I consider my specialty bonding. I prefer to do bonding in a lot of cases. I hate to shave down healthy teeth if there is nothing wrong with the teeth. With bonding, I don’t have to touch the teeth but add to them. If it’s done right, it can look just as good as your own natural tooth and you can’t tell the difference between where the tooth ends and the bonding begins. The disadvantage is bonding stains a little over time, but natural teeth stain overtime as well, so it actually blends in better. Bonding is less expensive because we don’t have to send anything to the lab. The other disadvantage is once you’ve had bonding you can’t whiten your teeth.

Q. Why are onlays better than crowns?

What our experts say:

With crowns, we have to fill the middle and drill away the entire outside of the tooth, removing almost the entire tooth from the outside. Then the crown goes on the filling material in the middle. Crowns have to be replaced every 10 to 15 years, and each time it is replaced we have to put it further under the gum line because of inflammation caused by bacteria that gets trapped at the junction where the crown meets the gum line With an onlay, the outside of the tooth stays intact—we are just replacing what was decayed. This eliminates all the gum problems. Nothing is better than your own tooth.

Q. What are the advantages to using Invisalign over regular metal braces?

What our experts say:

They are clear so nobody knows you have them. Metal braces make it more difficult to clean the teeth, so you end up with gum problems, and after metal braces teeth can get white spots. Not an issue, so difficult to clean with braces on and wind up with gum problems. People actually brush more with Invisalign so their hygiene improves greatly.

Q. What are onlays?

What our experts say:

Everyone loves crowns, but onlays are so much better. An onlay looks like a filling but does the job of a crown. We clean out the old restoration, or remove the decay, and instead of putting in a filling, we take an impression and then the lab creates a custom restoration made out of porcelain to fill the tooth. It restores the strength of the tooth from the inside, instead of covering it from the outside. So, we are actually leaving the healthy tooth intact.

Q. What exactly is a temporary?

What our experts say:

It’s what is used in-between stages while someone is waiting for custom veneers or implant restoration. The technology today is amazing for temporaries. The temporary material used for the back teeth is acrylic. It almost looks like bonding, so it looks like your own tooth, but it is not as strong as bonding; it’s not meant to last long-term. The temporary is not actually bonded to the tooth, it is held in mechanically in areas between the teeth. It’s done the same day the tooth is shaved down, so no one has to leave the office with missing or shaved teeth.

Q. Who is a good candidate for Invisalign?

What our experts say:

Everybody. I love Invisalign because you can have anything you want perfected, whether its one tooth that is out of alignment or the whole mouth. But, the patient has to wear them and follow instructions. I prefer Invisalign over crowns and veneers if there is nothing wrong their teeth. All it takes is a few months to move teeth to the right position. With veneers, they always have to be replaced. Invisalign can also be used for TMJ and bite-work. It’s a great tool for catching bite issues at an early stage so damage doesn’t get worse as they age. It also functions like a night guard which prevents them from grinding. I use Invisalign before I do anything else.  If you put teeth in the proper position it makes restorations look that much better. 

Q. How do you fix a “gummy smile”?

What our experts say:

People don’t realize the problem is sometimes the gum and not the teeth. All we have to do is take away a little gum to even the teeth out. Most people don’t know that’s even an option. If you have uneven gums on certain teeth, we can use the laser to remove some of the gum. We have soft tissue lasers that are totally painless with no recovery time.  It’s an in-and-out office procedure. It’s not for everyone, though, you can’t use it if you have a severe case. Also, for a gummy smile, some people have a little frenulum—the piece of skin that connects the lip to the gum between the front teeth. Some people have low one, so we can reattach the lip to the gum a little bit. This could eliminate a gummy smile in a person who has a severe case because it keeps the lip for coming up as much which can hide some of that. It’s a great procedure.

Q. What is a Snap-On Smile? Who is a good candidate?

What our experts say:

I think it is great for people who want to test-drive a smile. If someone is thinking of having veneers or crowns or any other major restorative work done, which is a big expense; they can try out their smile to see if they will like it and to make sure there are no issues, such as with the bite. It can also be used for someone who can’t afford such a huge case; for someone who wants a nicer smile for social occasions; or as a temporary for someone waiting for implant restoration. It’s not meant for everyday use all the time. If you are going to wear it for any extended period of time, we have to make sure the teeth and gums are fairly healthy. A Snap-On Smile can trap food and make unhealthy teeth worse.

Q. What are dental implants and when are they used?

What our experts say:

I love implants. They are used any time you can’t save your tooth and it gets taken out. It’s our best restoration to replace the tooth. If done right, once they are in they are in, they will last for the rest of your life. They literally feel and function the same way natural teeth do. Implants created an option for people that they never had before. They no longer have to have bridges and they don’t have to involve other teeth. We put a crown on an implant and they are as good as new.  The only risk factor is if the patient smokes. We have to be careful, because in smokers they tend to fail a little more often.

Q. What are crowns and when are they used? Do you need to alter my natural teeth?

What our experts say:

They are used when there is a very large restoration—where at least 50 percent of the tooth is old filling or has decay—when there is really nothing left of the tooth. If you have something wrong with the tooth, if there’s trauma or discoloration, a veneer would not mask the darkness. In that case, you would need a crown to cover it. Also, if one tooth is uneven, pushed in or out or rotated, we would use a crown. To put in a crown, we have to build up a foundation to support it, and then we put the crown on. If the tooth is gone, or has broken off, we may insert a post and core.

Q. How does fixing the teeth give you fuller lips?

What our experts say:

It does in so many ways. By shaping the teeth or adding to them with bonding or veneers, we can bring them out one to two millimeters which puffs up the lip. People don’t realize that if the teeth are inclined toward the tongue, the lip falls in and curls under. Orthodontic treatments also bring the teeth out and the lip up so it looks fuller. 

Q. Is there a formula for the perfect smile?

What our experts say:

A beautiful smile is not only about teeth—your gums, lips and face shape play an important role as well and need to be balanced in order to create a perfect smile. A smile transformation can sometimes take place in just two appointments, while others may need extra time to achieve their desired result. So while we don’t believe that there is a formula for the perfect smile, we do believe there is a perfect formula for YOUR smile.

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About Dr. Irene Grafman
About Me

Why did you become a cosmetic dentist?

Creating a beautiful smile is an art form, but more importantly, i am able to contribute to the health and well-being of each of my patients.

About My Practice

What obstacles get in the way of optimal oral health?

Teeth are negatively affected by three diseases: cavities, gum disease and occlusal (bite) disease. Most of us know the symptoms of the first and second, but occlusal disease is not so obvious. Wear, sensitivity, cracks, loose teeth, broken restorations, sore muscles, painful and clicking joints and headaches may be the effects of occlusal disease. Ignoring these problems could impact the longevity of your teeth.

What is the philosophy you practice by?

I believe a healthy smile equals a beautiful smile. However, what people don't realize is that requesting cosmetic dentistry without regard to the overall bite and function of the smile is asking for failure. My patients appreciate how great dentistry can impact their appearance, health and self-esteem.

How do you go about providing an individualized approach?

The focus of our practice is on patient-centered care. By listening to our patients and learning their stories, I bring them into the discovery process and tailor treatments that address their unique needs.

How do you help patients enjoy their dental experience?

We truly value our patients and enjoy building relationships with them. We want them to feel confident in us and enjoy coming to our office. Incorporating all the newest technologies allows our patients to be comfortable from the moment they arrive to the time they walk out with their healthy smile.

What one lifestyle change could most benefit our health?

Prevention. Anything from tooth sensitivity to heart disease should be treated right away. Our health is a gift. The best way to enjoy it is through early intervention.

How do you help your patients go from good to great?

Many young people may experience discomforts that do not affect them that much; however, the underlying problems are still there. They go on with their lives feeling “good enough” and accept that their discomforts are the norm; therefore they don’t seek the necessary treatment. The fact is, those problems don’t have to be the norm. You don’t know how bad you feel until you actually experience what it’s like to really feel great. My goal is to help my patients feel great again and regain their health and beautiful smile.

Education & Credentials

EDUCATION:

Degree:

  • New York University College of Dentistry , New York, New York

AFFILIATIONS:

  • American Academy of Cosmetic Dentistry
  • Academy of General Dentistry
  • American Dental Association
  • Dawson Institute
  • New York County Dental Society
  • Peninsula Hospital Dental Society
  • The Pankey Institute
A Minute With

HOW MY PROFESSION HAS EVOLVED

It continues to grow with the integration of new technology

THREE WORDS THAT BEST DESCRIBE ME

Caring, happy, inquisitive

CELEB PHOTOS MY PATIENTS MOST OFTEN BRING IN

Angelina Jolie and Julia Roberts

WHAT SETS MY PRACTICE APART

I treat every patient with the knowledge and quality of care and that I would expect for myself

CAREER-DEFINING PROCEDURE

I want patients to feel comfortable and confident without sacrificing healthy tooth structure. That’s why I perfected my Cosmetic Bonding, which requires no healthy tooth removal to achieve beautiful, “better than veneers” results

HOW I MAKE THE BEST FIRST IMPRESSION

With a genuine smile followed by really listening to the person

MY HAPPIEST PROFESSIONAL MOMENT

When I realized dentistry is more than fillings and crowns, and that I could improve and transform people’s lives

THE BIGGEST MISCONCEPTION ABOUT MY FIELD

When patients think that the problems they have are genetic and they have to live with them

MY MOTTO

Life isn’t about finding yourself, it’s about creating yourself

WHAT I LOVE MOST ABOUT MY PROFESSION

I love finding new, out-of-the-box ways to not just make my patients’ teeth better, but also improve their overall well-being

Insights

Overall Enhancement

For years, this patient was unhappy with her smile and unable to find a doctor that could help. Dr. Grafman performed bonding and a bite adjustment to give her a gorgeous new look. 

A New Smile for a Better You

Gum contouring, teeth whitening and porcelain veneers allowed Dr. Grafman to create the beautiful smile that this patient always wanted. 

Corrective Care

How would you like to stop snoring, reduce wrinkles, correct facial asymmetry and straighten your teeth all with one appliance? With a new device called the Homeoblock™, it’s possible. The best part? You only have to wear the appliance at night. “This orthodontic device is changing the face of adult orthodontics and the shape of the face; it picks up where nature left off to develop the facial bones and make room for the teeth,” Dr. Grafman says. Working with Dr. Belfor, the creator of the Homeoblock appliance, she can now better specialize in nonsurgical facial development as well as the treatment of sleep apnea and snoring. “We’re discovering specifically how these conditions are related to the bite and addressing them without surgery, which is very exciting,” Dr. Grafman says.

Preventive Care

Most people don’t know that dental caries, or tooth decay, is the most prevalent chronic disease in the U.S. Cavities are only a symptom of the disease, and treatment must be multifaceted to not only repair the damage but prevent it from recurring. “Our approach identifies the cause of the disease by assessing each patient’s risk factors with a fast and simple test, and then we correct the problem by correcting the risk factors,” Dr. Grafman says. “Then we prescribe a treatment that is custom-fit to each individual case at that point in time.” This approach saves teeth, risk of future cavities and money. Paying for preventive dental care is a fraction of the cost of any treatment requiring surgical intervention. “Our goal is to lower incidence of cavities and help your existing restorations last longer in a healthy environment.”

A Healthy Restoration

Unhappy with her smile after years of smoking, this patient sought Dr. Grafman, who performed a smile makeover with a gum lift, teeth whitening, bonding and crowns.

Better Sleep and Facial Symmetry

Dr. Grafman believes that there is now a better way to create a healthy, radiant smile that looks natural and feels great. Using a cutting-edge appliance called HomeoblockTM, Dr. Grafman can help you stop snoring, reduce wrinkles, enhance facial symmetry and straighten your teeth. And the best part? You only have to wear it at night. “I specialize in nonsurgical facial development and the treatment of sleep apnea and snoring, and this device is changing the face of adult orthodontics and the shape of the face,” says Dr. Grafman. “It picks up where nature left off to develop the facial bones and make room for the teeth.”

FAQ

Q. What is the best way to whiten teeth?

What our experts say:

I use a technique called Kor Whitening that was developed by a doctor. I like it better than ZOOM whitening because it is the only product to significantly whiten genetically discolored teeth. ZOOM and other treatments only take you back to your original tooth color. It’s a combination of an in-office and an at-home treatment, so you get trays to keep at home and maintain. The difference between these trays and others are that these trays are made so precisely, like those made for Invisalign, so they don’t impinge the gum. They also suction to the tooth, keeping the bleach where it is supposed to be. The bleach stays on the tooth and doesn’t leak out. Also, he changed the consistency of the bleach to make it more stable. You start off with two weeks at home using the trays overnight. That is followed by an in-office laser treatment, and then another one to two weeks at home. I have gotten to paper white with this system, if that is what they want to do.

Q. Once my teeth are whitened, how do I maintain them?

What our experts say:

You can maintain it at home a couple by using the trays a couple of days a month at home. 

Q. Will whitening cause tooth sensitivity?

What our experts say:

Yes, usually on people who grind, where some of dentin is exposed or where there is recession by the gum line. If you get bleach on those areas, you get sensitive. We place a desensitizer on before we use in-office whitening and block out those areas that are exposed.

Q. Do over-the-counter whitening strips work?

What our experts say:

They do to maintain whiteness after another whitening treatment, but not to actually whiten because the concentration of bleach is not that high, just 7 percent. If you use them for three weeks, you will see a slight change. It works for those who already have white teeth to keep stain from coming back.

Q. Are there foods to avoid when whitening the teeth?

What our experts say:

Yes. You want to avoid all dark liquids (including red wine, cranberry juice, sodas, soy sauce, and coffee) avoid for 48 hours after you whiten. Also, avoid anything acidy, like citrus, because they promote sensitivity.

Q. Do whitening toothpastes work?

What our experts say:

They can prevent stain from coming back on the teeth on a daily basis, but they won’t make any difference as far as whitening.

Q. Do professional whitening toothpastes work?

What our experts say:

It depends on the concentration of the bleach. They can only sell a certain amount over-the counter, so they would have to be used for an extended period of time. 

Q. Is it safe to use over-the-counter tooth whitening products?

What our experts say:

Before using any whitening products with any concentration, you have to go to the dentist to make sure you have no cavities. If there is decay and the bleach seeps inside the tooth, it can cause serious nerve damage that won’t go away, you may even need a root canal. 

Q. What is a veneer? What are they used for?

What our experts say:

Veneers made out of porcelain, so the color is stable and they won’t stain. They are stronger and last quite a long time. They look a little more natural, almost like glass, and can mimic the tooth. A lot of perfect smiles you see on TV are usually veneers. A veneer is sort of like a fake fingernail. We take away a little portion of the outside of the tooth and that portion gets replaced with the veneer. We have to shave down the tooth, so it’s not reversible. Another disadvantage is if the tooth edges are chipped or broken and you want to get veneers to fix it, it will probably break again. We must check the patients bite because chips and cracks are caused because the teeth are not aligned properly. You have to correct their bite or veneer will break. If you are going to invest that kind of money, you want it to last.

Q. What is bonding used for?

What our experts say:

I consider my specialty bonding. I prefer to do bonding in a lot of cases. I hate to shave down healthy teeth if there is nothing wrong with the teeth. With bonding, I don’t have to touch the teeth but add to them. If it’s done right, it can look just as good as your own natural tooth and you can’t tell the difference between where the tooth ends and the bonding begins. The disadvantage is bonding stains a little over time, but natural teeth stain overtime as well, so it actually blends in better. Bonding is less expensive because we don’t have to send anything to the lab. The other disadvantage is once you’ve had bonding you can’t whiten your teeth.

Q. Why are onlays better than crowns?

What our experts say:

With crowns, we have to fill the middle and drill away the entire outside of the tooth, removing almost the entire tooth from the outside. Then the crown goes on the filling material in the middle. Crowns have to be replaced every 10 to 15 years, and each time it is replaced we have to put it further under the gum line because of inflammation caused by bacteria that gets trapped at the junction where the crown meets the gum line With an onlay, the outside of the tooth stays intact—we are just replacing what was decayed. This eliminates all the gum problems. Nothing is better than your own tooth.

Q. What are the advantages to using Invisalign over regular metal braces?

What our experts say:

They are clear so nobody knows you have them. Metal braces make it more difficult to clean the teeth, so you end up with gum problems, and after metal braces teeth can get white spots. Not an issue, so difficult to clean with braces on and wind up with gum problems. People actually brush more with Invisalign so their hygiene improves greatly.

Q. What are onlays?

What our experts say:

Everyone loves crowns, but onlays are so much better. An onlay looks like a filling but does the job of a crown. We clean out the old restoration, or remove the decay, and instead of putting in a filling, we take an impression and then the lab creates a custom restoration made out of porcelain to fill the tooth. It restores the strength of the tooth from the inside, instead of covering it from the outside. So, we are actually leaving the healthy tooth intact.

Q. What exactly is a temporary?

What our experts say:

It’s what is used in-between stages while someone is waiting for custom veneers or implant restoration. The technology today is amazing for temporaries. The temporary material used for the back teeth is acrylic. It almost looks like bonding, so it looks like your own tooth, but it is not as strong as bonding; it’s not meant to last long-term. The temporary is not actually bonded to the tooth, it is held in mechanically in areas between the teeth. It’s done the same day the tooth is shaved down, so no one has to leave the office with missing or shaved teeth.

Q. Who is a good candidate for Invisalign?

What our experts say:

Everybody. I love Invisalign because you can have anything you want perfected, whether its one tooth that is out of alignment or the whole mouth. But, the patient has to wear them and follow instructions. I prefer Invisalign over crowns and veneers if there is nothing wrong their teeth. All it takes is a few months to move teeth to the right position. With veneers, they always have to be replaced. Invisalign can also be used for TMJ and bite-work. It’s a great tool for catching bite issues at an early stage so damage doesn’t get worse as they age. It also functions like a night guard which prevents them from grinding. I use Invisalign before I do anything else.  If you put teeth in the proper position it makes restorations look that much better. 

Q. How do you fix a “gummy smile”?

What our experts say:

People don’t realize the problem is sometimes the gum and not the teeth. All we have to do is take away a little gum to even the teeth out. Most people don’t know that’s even an option. If you have uneven gums on certain teeth, we can use the laser to remove some of the gum. We have soft tissue lasers that are totally painless with no recovery time.  It’s an in-and-out office procedure. It’s not for everyone, though, you can’t use it if you have a severe case. Also, for a gummy smile, some people have a little frenulum—the piece of skin that connects the lip to the gum between the front teeth. Some people have low one, so we can reattach the lip to the gum a little bit. This could eliminate a gummy smile in a person who has a severe case because it keeps the lip for coming up as much which can hide some of that. It’s a great procedure.

Q. What is a Snap-On Smile? Who is a good candidate?

What our experts say:

I think it is great for people who want to test-drive a smile. If someone is thinking of having veneers or crowns or any other major restorative work done, which is a big expense; they can try out their smile to see if they will like it and to make sure there are no issues, such as with the bite. It can also be used for someone who can’t afford such a huge case; for someone who wants a nicer smile for social occasions; or as a temporary for someone waiting for implant restoration. It’s not meant for everyday use all the time. If you are going to wear it for any extended period of time, we have to make sure the teeth and gums are fairly healthy. A Snap-On Smile can trap food and make unhealthy teeth worse.

Q. What are dental implants and when are they used?

What our experts say:

I love implants. They are used any time you can’t save your tooth and it gets taken out. It’s our best restoration to replace the tooth. If done right, once they are in they are in, they will last for the rest of your life. They literally feel and function the same way natural teeth do. Implants created an option for people that they never had before. They no longer have to have bridges and they don’t have to involve other teeth. We put a crown on an implant and they are as good as new.  The only risk factor is if the patient smokes. We have to be careful, because in smokers they tend to fail a little more often.

Q. What are crowns and when are they used? Do you need to alter my natural teeth?

What our experts say:

They are used when there is a very large restoration—where at least 50 percent of the tooth is old filling or has decay—when there is really nothing left of the tooth. If you have something wrong with the tooth, if there’s trauma or discoloration, a veneer would not mask the darkness. In that case, you would need a crown to cover it. Also, if one tooth is uneven, pushed in or out or rotated, we would use a crown. To put in a crown, we have to build up a foundation to support it, and then we put the crown on. If the tooth is gone, or has broken off, we may insert a post and core.

Q. How does fixing the teeth give you fuller lips?

What our experts say:

It does in so many ways. By shaping the teeth or adding to them with bonding or veneers, we can bring them out one to two millimeters which puffs up the lip. People don’t realize that if the teeth are inclined toward the tongue, the lip falls in and curls under. Orthodontic treatments also bring the teeth out and the lip up so it looks fuller. 

Q. Is there a formula for the perfect smile?

What our experts say:

A beautiful smile is not only about teeth—your gums, lips and face shape play an important role as well and need to be balanced in order to create a perfect smile. A smile transformation can sometimes take place in just two appointments, while others may need extra time to achieve their desired result. So while we don’t believe that there is a formula for the perfect smile, we do believe there is a perfect formula for YOUR smile.

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Services
  • Smile Makeovers
  • Veneers
  • Bonding
  • Teeth Whitening
  • Preventive Dentistry
  • Onlays / Crowns
  • Laser Dentistry
  • Invisalign®
  • TMJ
  • Occlusal Tx
  • Sleep Apnea Tx
  • Treatment for Snoring and Sleep Apnea
  • Airway and Facial Development
Testimonials

Rus D.

Rus D.

I have been a patient of Dr. Grafman for 8 years and she and her staff are the best in New York. The environment is relaxing and the staff is amazing. She does beautiful cosmetic work and uses only all white fillings. I had Invisalign done by her and the process and result was really great. If you are looking for a great dentist in Manhattan where you will get great care I highly recommend Dr. Grafman. I have had a lot of bad dental experiences and not so great work in the past, so its great to find someone where I know I am getting great dentistry and being well taken care of. Pros: Invisalign was a pleasant experience

Ilene

Ilene C.

Thank you for the beautiful job that you did with my veneers. I have always felt self conscious about my smile and now I radiate confidence.

Flora K.N.

Flora K.N.

Since I came to Dr. Grafman two years ago to "redo" my teeth, i have been so happy to be able to smile again. Everyone comments on them and how much younger I look, least of all my husband! It had given me even more confidence (not that i needed much more!) and as I grow older, I feel much younger because of it. Let yourself in her hands, you will not be or feel the same again, but so much better!

John G.

John G.

I am really happy with this practice. Smile Health Spa provides the best in dental care. Period! Over the years, the doctor has brought in more advanced technology and products to the office. When someone asks me where they should go this is where I recommend.